Lec13 Mucosal Immunity Flashcards Preview

Immunology > Lec13 Mucosal Immunity > Flashcards

Flashcards in Lec13 Mucosal Immunity Deck (35):
1

What is largest lymphoid organ in body

gastrointestinal mucosa

2

2 parts of mucosal immune system

inductive sites effector sites

3

function of innate immune mech in mucosal immune system? what makes it up?

function is to keep microbiota contained - antimicrobial peptides produced by epithelial cells - regulatory cytokines [TGF-beta and IL-10] help control inflammation in intestine - specialized cytokine-producing innate lymphoid cells in intestine - unique features of intestinal dendritic cells that promote induction of regulatory T cells

4

function of adaptive immune response in gut? what makes it up?

regulatory/suppressive function = immune tolerance - IgA keeps antigens from being absorbed - regulatory T cells keep immune response contained

5

What antigens are in gut?

dietary protein: 100 g daily bacteria: 10 bacteria cells per human cell in body

6

What separates mucosal immune system from intestinal lumen?

- single layer epithelial cells act as gatekeepers - secreted mucins and antibodies - digestive enzymes that break down antigens

7

What are the inductive sites of mucosal immune system?

where initial immune response takes place - lymphoid structures where immune cells found - peyer's patches - isolated lymphoid follicles - mesenteric lymph nodes

8

What are the effector sites?

GI mucosa where B/T lymphocytes, macrophages, dendritic cells, eosinophils, mast cells densely scattered in normal intestine

9

Can intact protein antigens get from GI lumen into body? How?

Yes - cross epithelial cells - taken up by M cells, specialized antigen sampling cells, and taken to peyer's pathces - taken up by dendritic cells that reach into lumen

10

Which cytokines are involved in gut innate immune?

TGF-beta IL-10

11

Why are oral vaccines not often successful?

It is difficult to generate a good protective response in the intestine

12

What do adjuvants do to adaptive immune response?

- Adjuvants can break oral tolerance and allow the gut to generate an immune response

13

Celiac disease

- innapropriate innate and adaptive immune reactivity to gluten that causes to attack epithelial cells --- from Il-15 by intestinal epithelial cells, IFN-gamma by T cells - flattening of villi on upper small intestine, crypt hyperplasia, intraepithelial lymphocytes - due to DR3/7-DQ2/8 genetic mut - get fat and vit malabsorption, weight loss, osteoporosis, iron deficiency, diarrhea, abdominal bloating - most effective therapy: avoid gluten

14

Food allergy mech

hypersensitivity reaction to food

15

Oral tolerance

- don't get reaction to antigen taken orally - this is what allows to separate commensal from pathogen - soluble antigen better at producing tolerance

16

peyer's path

- oval or round lymphoid follicle in lamina propria/submucosa - contain T and B cells

17

What antibodies in mucosal immunity?

IgA production in setting of suppression of systemic IgG/IgM

18

adjuvant and antigen experiment with mouse

treat mouse with antigen subcutaneously then 10 days later give antigen and adjuvant subcutaneously --> immunity treat moust with antigen orally then 10 days later give antigen and adjuvant subcutaneously --> tolerance - transfer T cell from tolerance mouse to another mouse then give antigen and adjvuant subcutaneously --> tolerance

19

Factors involved oral tolerance

Nature of antigen: protein >> carb >> lipid Form of antigen: soluble protein is best at producing tolerance, particulate does not give as much tolerance Genetics of host: some mouse strains harder to tolerize Dose of antigen: -- low dose --> regulatory T cells turn on -- high dose --> anergy and deletion of T cells Age of host: neonates do not tolerize well

20

What specific changes in immune cells [macrophages, lymphocyes, dendritic cells] occur in gut to make gut immune less reactive?

macrophages/dendritic cells: fewer toll like receptors, less signaling lymphocytes: difficult to activate, undergo apoptosis after activation Treg cells: activated to suppress response

21

What is immune exclusion?

- IgA binds bacteria and neutralizes them

22

What is function of SIgA?

- inhibits adhesion of virus and bacteria to the epithelium, protects epithelial cells

23

3 Methods Antigens captured from gut into body?

1. Dendritic cells telescoping: dendritic cells telescope through and can see antigen in lumen and takes some in, eventually dendritic cells exit lamina propria and go to lymph nodes 2. M cells: M cell overlies peyer's patch and transports antigen in and brings it to peyer's patch, leading to formation of larger immune rxn 3. antigen transports through or between epithelial cells

24

Th1 cell cytokine

IFN-gamma

25

Th2 cell cytokines

IL-4, IL-13, IL-5

26

TH17 cell cytokine

IL-17

27

3 types of Tregs and their cytokines

CD4+Foxp3+CD25+ TR1: produce IL10 TH3: produce TGFB

28

Cause of IBD

- Inflammatory bowel disease caused by dysregulated mucosal immune response to enteric bacterial antigens in genetically susceptible host - 2 types: crohns, ulcerative colitis

29

Effect of extra TH1 response

- get extra IFN-gamma and IL-2 - cell-mediated granulomas

30

Effect of extra TH2 response

- get extra IL-4, IL-5, IL-10 - hypersensitivity reactions

31

Effect of lack of TR1 cells?

- not as much TGF-B and IL-10 - get increase in both TH1 and TH2 response - granulomas and hypersensitivity

32

Function of IL-17/IL-22

- normally expressed by immune cells to repair - help recruit neutrophils - reduce expression of microbicidals

33

Crohn's Disease

- Faulty genes and specific bacterial antigen --> lots of inflammation, granuloma - due to TH1/TH17 problem

34

Ulcerative collitis

- segmented disease - sometimes goes through whole wall of gut - happen in colon - ulcerates = lose epithelial cells from surface - dense inflammation - unconfrolled reaction to bacteria in context of genetic predispostion - due to TH2/TH17

35

Food allergy

- food specific - contrary to other allergic rxns: not always associated with eosinophils - affects many parts of bowel - associated wtih urticaria [hives] - elevated IgE, tryptase - get diarrhea or anaphylaxis - vasoactive compounds released