Lecture 32 Flashcards

1
Q

3 layers of immune defense

A
  1. Physical & Chemical Barriers (skin, mucosal membranes)
  2. The Innate Immune System
  3. The Adaptive Immune System
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2
Q

What is the inflammatory response stage 1

A

Chemical signals from tissue-resident cells act to attract more cells to the site of injury or infection

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3
Q

What is The inflammatory response stage 2

A

Neutrophils enter blood from the bone marrow

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4
Q

The inflammatory response stage 3

A

Neutrophils cling to the capillary wall

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5
Q

The inflammatory response stage 5

A

Chemical signals from tissue-resident cells dilate blood vessels and make capillaries ‘leakier’

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6
Q

The inflammatory response stage 6

A

Neutrophils squeeze through the ‘leaky’ capillary wall and follow the chemical trail to the injury site

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7
Q

What is the theory of phagocytosis

A

In 1886-87 Elie Metchnikoff discovered the cells in the blood could ingest and destroy microbes — a process called phagocytosis

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8
Q

What is Phagein

A

Ancient Greek “to devour”

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9
Q

Stages of phagocytosis

A

1 Phagocyte adheres to pathogens or debris.

2: Phagocyte forms pseudopods that eventually engulf the particles, forming a phagosome.

3: Lysosome fuses with the phagocytic vesicle, forming a phagolysosome.

4: Toxic compounds and lysosomal enzymes destroy pathogens.

5: Sometimes exocytosis of the vesicle removes indigestible and residual material.

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10
Q

How do u Killing and digestion of phagocytosed microbes

A

• Low pH - acid environment

• Reactive oxygen (hydrogen peroxide) and reactive nitrogen intermediates (nitric oxide)

  • Enzymes
    Proteases
    Lipases
    Nucleases
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11
Q

The Complement Cascade

A

• Complement - 9 major proteins/ protein complexes (C1-9) act in sequence to clear pathogens from blood and tissues

• Label pathogens (opsonisation)
• Recruit phagocytes (chemotaxis)
• Destroy pathogens (lysis)

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12
Q

3 Complement Pathways

A

CLASSICAL
Antibody bound to pathogen binds complement

ALTERNATIVE
Pathogen binds complement to surface/pathogen component

LECTIN
Carbohydrate components of microbes bind complement

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13
Q

Complement pathways converge

A

Triggers: classical, alternative and lectin
Amplification: C3 convertase (enzyme complex)
Outcomes: label, destroy, recruit

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14
Q

3 outcomes from the complement cascade

A

Label:
Opsonisation (labels pathogens which bind to complement receptors on phagocytes) C3b

Destroy:
Membrane Attack Complex formation: pores in bacterial cells → death C9

Recruit:
Complement proteins act as peptide mediators of inflammation and recruit phagocytes C3a and C5a

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15
Q

Label (Opsonisation)

A

Opsonisation = coating of a microbe with:
Antibody and/or
Complement fragment C3b

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16
Q

Recruit

A

• Phagocytes attracted into site
• Mast cells degranulated by C3a and C5a
- Inflammatory mediators released including proteins that attract phagocytes

17
Q

Destroy

A

• microbes coated with C3b are phagocytosed
• assembly of the MAC causes lysis