Lecture 3 induced innate responses Flashcards

1
Q

What is an example of innate immunity?

A

Infectious organism entering a wound in the skin. The organism must adhere and cross the epithelium to establish an infection. A local inflammatory/immune response may prevent this. If not it helps to contain the infection and delivers infectious agent to local lymph nodes.

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2
Q

What is a complement system?

A

Protein proenzyme cascade that consists of many proteins always present at a high concentration in our serum which can then become activated upon contact with pathogen surfaces. Initially it was found that these complement systems were activated by higher concentrations of immunoglobin.

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3
Q

How was the complement system discovered?

A

As a heat labile component of normal plasma that augments the opsonization and killing of bacteria by antibodies (classical pathway). Now it is known that activation can occur also in the absence of antibody (lectin and alternative pathways).

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4
Q

What is the location of the classical pathway?

A

Body fluids and tissues.

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5
Q

What are the complement inducers?

A

Pathogens

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6
Q

What is the structure of the first protein in the classical pathway?

A

Hexameric. C1. The head binds to constant regions of immunoglobins or directly to the pathogen surface. This causes a confirmational change in C1r, which then cleaves and activates C1s.

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7
Q

What does the classical pathway do?

A

Generate an active C3 convertase, which cleaves C3 into C3a (a peptide mediator of inflammation, phagocyte recruitment), C3b and [C4b] (bind covalently through a thioester bond to the pathogen surface: creates a permanent tag (opsonization).

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8
Q

What are the steps to the generation of C3 in the classical pathway?

A

Activated C1s cleaves C4 to C4a and C4b, which binds to the microbiol surface. C4b then binds C2 which is cleaved by C1s, to C2a and C2b forming the C4b2b complex. C42b is an active C3 convertase cleaving C3 to C3a and C3b, which binds to the microbiol surface or to the convertase itself. One molecule of C42b can cleave up to 1000 molecules of C3 to C3b. Many C3b molecules bind to the microbiol surface.

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9
Q

What do the formation of C3a and C5a lead to?

A

Peptide mediators of inflammation and phagocyte recruitment.

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10
Q

What do the small complement fragments C3a, C4a and C5a (anaphylatoxins) do?

A

Induce local inflammatory responses. When they are produced in large amounts they induce a generalized circulatory collapse (Anaphylactic shock).

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11
Q

What are the steps to anaphylactic shock?

A

Small component-cleavage products act on blood vessels to increase vascular permeability and cell adhesion molecules. Increased permeability allows increased fluid leakage from blood vessels and extravasation of immunoglobins and complement molecules. Migration of macrophages, polymorphonuclear leukocytes (PMNs) and lymphocytes is increased. Microbicidal activity of macrophages and PMNs is also increased.

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12
Q

What are the complement receptors?

A

Tag pathogens for phagocytosis. The complement proteins recognise and bind to the receptors leading to opsonization, inflammation etc.

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13
Q

What is CR1s function?

A

Promotes C3b and C4b decay. Stimulates phagocytosis. Red blood cell transport of immune complexes.

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14
Q

What is CR2s function?

A

Specifies C3d, iC3b, C3dg. Part of B-cell co-receptor. Epstein-Barr virus receptor.

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15
Q

What is CR3s and CR4s function?

A

Both specify iC3b and stimulates phagocytosis.

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16
Q

What is C5as function?

A

Binding of C5a activates G protein.

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17
Q

What is C3as function?

A

Binding of C3a activates G protein.

18
Q

What are the steps in the terminal complement system?

A

C5b binds C6 and C7. C5b67 complexes bind to membrane via C7. C8 binds to the complex and inserts into the cell membrane. C9 molecules bind to the complex and polymerize. 10-16 molecules of C9 bind to form a pore in the membrane. This destroys the proton gradient across pathogen’s cell membrane.

19
Q

What are deficiencies in C5-9 associated with?

A

Susceptibility to Neisseria (gohorrhea, meningitis).

20
Q

Which two proteins regulate the complement system?

A

Properdin: A host plasma glycoprotein stabilises C3bBb (C3 convertase complex) on pathogen surfaces. Enhances complement activation by preventing breakdown of C3 convertase. Factor I: Another host plasma glycoprotein. Cleaves and inactivates C3b into iC3b (inactive C3b) to stop further complement activation.

21
Q

How do host cells prevent self damage?

A

They express complementary regulatory proteins. CR1, Factor H, Membrane Cofactor protein MCP and Decay accelerating factor DCF all bind to C3b to displace Bb from C3bBb (C3 convertase). Factor I then cleaves C3b into iC3b which cannot activate complement further. On pathogens properdin stabilized C3bBb allowing the complement cascade to continue leading to opsonization of cell lysis.

22
Q

What receptors do macrophages express for bacteria?

A

Mannose receptor, LPS receptor, glucan receptor, scavenger receptor. Bacteria binding to macrophage receptors initiate the release of cytokines and small lipid mediators of inflammation.

23
Q

What is the general role of cytokines and chemokines?

A

Responsible for the induced innate response. Set up a site of inflammation and bring neutrophils and plasma proteins to the site of infection. Induce the expression of costimulatory molecules on macrophages and on dendritic cells which initiates adaptive immune responses.

24
Q

What are cytokines?

A

Small proteins that are released by an activating stimulus and induced responses through binding to specific receptors, IL6 TNF and IFN. They have autocrine, paracrine and endocrine effects.

25
What is the difference between autocrine, paracrine and endocrine effects?
Autocrine- a cell targets itself. Paracrine- a cell targets a nearby cell. Endocrine- a cell targets a distant cell through the bloodstream.
26
What are chemokines?
E.g., CXCL8, CCL2 unlike cytokines have GPCRs and function mainly as chemoattractants for immune cells such as neutrophils.
27
How does local bacteria infection occur?
Bacteria are present in a specific tissue. Macrophages in the tissue respond by engulfing bacteria. Neutrophils are recruited from the blood to the site of infection. The bond marrow is in a steady state myelopoiesis so produces immune cells at a normal rate. Lymphopoiesis (lymphocyte production) continues as normal.
28
How does systematic bacterial infection occur?
Bacteria have entered the bloodstream. Neutrophils move from the blood into multiple tissues, trying to contain the infection. The bone marrow shifts to emergency myelopoiesis rapidly increasing neutrophil production. Lymphopoiesis is reduced as the body prioritizes neutrophil production over lymphocyte production.
29
What cytokines do macrophages produce?
IL-1, TNF-alpha, IL-6, IL-8, IL-12
30
What are the local and systematic effects of IL-1?
Local=Activates vascular endothelium, activates lymphocytes, local tissue destruction, increases access of effector cells. Systematic=Fever production of IL-6.
31
What are the local and systematics effects of TNF-alpha?
Local=Activates vascular endothelium and increases vascular permeability, which leads to increased entry of IgG complement and cells to tissues and increased fluid drainage to lymph nodes. Systematic=mobilization of metabolites. shock.
32
What are the local and systematic effects of IL-6?
Local= lymphocyte activation increased antibody production. Systematic= Fever. Induces acute-phase protein production.
33
What are the local effects of IL-8?
Chemotactic factor recruits neutrophils, basophils and T cells to site of infection.
34
What are the effects of IL-12?
Activates NK cells. Induces the differentiation of CD4 T cells into TH1 cells.
35
What is the liver acute phase response?
Bacteria induce macrophages to produce IL6, which acts on hepatocytes to induce synthesis of acute-phase proteins. Two effects: 1. C-reactive protein binds phosphocholine on bacterial surfaces, acting as an opsonin and also activating complement. 2. Mannose-binding lectin binds mannose residues on bacterial surfaces, actin as an opsonin and also activating complement.
36
What are the local effects of the release of TNFalpha with gram negative bacteria?
Macrophages activated to secrete TNF-alpha in the tissue. Increased release of plasma proteins into tissue. Increased phagocyte and lymphocyte migration into tissues. Increased platelet adhesion to blood vessel wall. Phagocytosis of bacteria. Local vessel occlusion. Plasma and cells drain to local lymph node. Removal of infection and adaptive immunity.
37
What are the systematic effects with gram negative bacteria?
induces septic shock. Macrophages activated in the liver and spleen secrete TNF-alpha into the bloodstream. Systemtic edema causing decreased blood volume, hypoproteinemia and neutropenia followed by neutrophilia. Decreased blood volume causes collapse of blood vessels. Disseminated intravascular coagulation leading to wasting and multiple organ failure.
38
How do interferons protect cells in virus infection?
Host cell 1 makes interferon and is killed by virus. Virus enters host cell 2 interferon induces changes to protect host cell 2.
39
How is interferon expression induced?
Ds viral RNAs can be recognized by TLRs in endosomes and by RIG-I or MDA-5 in the cytosol to induce the expression of interferons.
40
What occurs in host cell 2?
The Jak-STAT pathway. IFNs binds to its receptor and stimulates Tyk2 and Jak1. Jak1 phosphorylates STAT1 and STAT2. They pair up and bind IRF-9. The complex translocates to the nucleus. ISGF3 binds to ISRE activates ISGs which produce antiviral proteins.
41
Where are natural killer cells derived from?
Lymphoid progenitor cells in the bone marrow.
42
How do NK cells distinguish normal cells from invading cells?
MHC class I on normal cells reognised by KIRs (killer cell immunoglobin-like receptors) or by lectin-like CD94:NKG2. NK cell does not kill normal cell. Altered or absent MHC class I cannot stimulate a negative signal. NK cell triggered by signals. activated NK cell releases granule contents, inducing apoptosis in target cell.