Lecture 18 Flashcards
(9 cards)
What is the most common cause of community acquired pneumonia?
-infection due to Streptococcus pneumonia (gram positive bacterium)
What are the first lines of defense against bacterial pathogens?
- intact epithelial lining
- alveolar macrophages
TLR which binds to components of Gram positive bacteria (lipopeptides and peptidoglycan)?
TLR2
TLR which binds to lipopolysaccharide on Gram negative bacteria
TLR4
Function of alveolar macrophages?
- ingest and kill bacteria
- secrete pro-inflammatory cytokines
- recruit neutrophils to lungs
Which two cells are phagocytic cells?
macrophages and neutrophils
Which cytokines do macrophages recruit?
TNF, IL-1, and Il-8 to recruit and activate cells to infection site
How do NETs (neutrophil extracellular traps) help kill pathogens?
- neutrophil extrudes DNA from nucleus to engulf pathogen
- proteins in nucleic acid of DNA have antimicrobial activity and expose bacteria to high local concentration of antimicrobial proteins
What are potential mechanisms of lung injury?
- excess cytokine production cause damage to tissues and cells
- excess production of ROS and NO intermediates damage normal cells
- release of proteolytic enzymes
- disruption of epithelial barriers
- NET formation attacking normal cells