Lecture 5 Flashcards

(103 cards)

1
Q

What are the key components of the innate immune response?

A

Barriers, Sentinel cells in tissue, circulating phagocytes and granulocytes, blood proteins, cytokines

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2
Q

Sentinel cells in tissues

A

Dendritic cells, macrophages, natural killer cells

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3
Q

What do circulating phagocytes and granulocytes do?

A

Cells that can recognize groups of pathogens (ingest foreign matter)

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4
Q

Examples of circulating phagocytes and granulocytes

A

Neutrophils, monocytes, eosinophils, basophils

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5
Q

What do blood proteins do?

A

Mediate inflammation

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6
Q

What do cytokines do?

A

Signal, stimulate, and regulate the immune response

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7
Q

Barrier: saliva properties

A

Antibacterial enzymes

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8
Q

Barrier: tears properties

A

Antibacterial enzymes

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9
Q

Barrier: skin properties

A

Prevents entry

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10
Q

Barrier: mucus properties

A

Lining traps dirt and microbes

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11
Q

Barrier: stomach acid properties

A

Low pH kills harmful microbes

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12
Q

Barrier: “good” gut bacteria properties

A

Out compete the bad bacteria (kills it)

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13
Q

What are the main sites of interaction between individuals and their environment?

A

Skin, GI tract, Respiratory tract, and the Genitourinary tract

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14
Q

Role of epithelial cells

A

Defence against pathogens

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15
Q

What makes up the epithelial barrier?

A

Tight junction, Mucous, and Keratin layers (physical barrier)

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16
Q

Defensins

A

Host defence peptides with either direct antimicrobial activity, immune signalling activities, or both

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17
Q

Cathelicidins

A

A polypeptide that is primarily stored in the lysosomes of macrophages and polymorphonuclear leukocytes

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18
Q

Where do all immune cells originate

A

Bone marrow

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19
Q

Phagocytes’ objective:

A

Identify, ingest and destroy pathogens

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20
Q

The role of a Phagocyte

A

Recognition of microbes (PRR), Ingestion of microbe by phagocytosis, Destruction of ingested microbe, Secretion of cytokines to promote and/or regulate immune response, Recruitment of cells to site of infection

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21
Q

Examples of professional phagocytes

A

Marcophages and neutrophils

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22
Q

Where are macrophages found?

A

Present under your skin, tissues in lungs and intestines

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23
Q

Macrophages found in bone:

A

Osteoclasts

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24
Q

Macrophages found in the central nervous system

A

Microglia

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25
Macrophages found in connective tissue
Histiocytes
26
Macrophages found in the chorion villi of the placenta
Hofbauer cells
27
Macrophages found in the kidney
Mesangial cells
28
Macrophages found in the liver
Kupffer cells
29
Macrophages found in the peritoneal cavity
Peritoneal macrophages
30
Macrophages found in the pulmonary airway
Alveolar macrophages
31
Macrophages found in the skin
Epidermal and dermal macrophages
32
Macrophages found in the spleen
Marginal zone macrophages, metallophilic macrophages, red pulp macrophages, and white pulp macrophages
33
What stages do macrophages exist?
Resting (patrolling mode), activated (antigen presentation mode), hyperactivation (destroyer mode)
34
Resting macrophage stage
Digest dead/non-functional cells and wound healing
35
Activated macrophage stage
Upregulation of antigen molecules (MHC 1/2), Invaders are destroyed and pieces are displayed to activate T cells
36
Hyperactivation macrophages stages
Increased in size to focus on destruction (increased lysosomes)
37
Neutrophils
Most abundant white blood cells (40-70%) specialized for killing
38
How long is the life span of a neutrophil
Short (5-7 days)
39
Monocytes
Circulate in blood to be recruited to sites of infection to mature into macrophages
40
Where are NK cells found?
Blood, spleen, and liver
41
What is the role of NK cells
"on call" and recruited to the sites of infection, produced cytokines to help in pathogen defence and activation of macrophages. They destroy infected/cancerous cells/parasites/bacteria/fungi
42
True or false: Natural Killer cells secrete fas ligand killing to induce apoptosis
True
43
Where are mast cells found?
In tissues
44
What is the role of mast cells
Inflammation, release cytokines, increased vascular permeability, promotes recruitment and activation of immune cells, parasitic infections through IgE/IgG binding and FC receptor cross linking
45
Where are Basophils/Eosinophils found?
Blood (low proportion of WBC)
46
What do Basophils/Eosinophils release?
Histamine and cytokines
47
What is Inflammation?
Recruitment of leukocytes and plasma proteins from the blood which accumulates in tissues. Activation of mediators occurs to destroy microbes/wound repair
48
Signs of inflammation
Dolor (pain), Calor (heat), Rubor (redness), Tumor (swelling), Functio laesa (loss of function)
49
Causes of inflammation characteristics
Vasodilation/ Increased blood flow (heat, redness), Fluid accumulation (swelling), Chemical activation /cytokine release (ie histamine, bradykinin) that stimulates nerve endings (pain, loss of function)
50
The purpose of inflammation
Eliminate the initial cause of cell injury (infection), clear out necrotic cells and tissues, initiate tissue repair.
51
Process of Inflammation
1. Mast cells initiate this process 2. Macrophages/neutrophils, and dendritic cells to release inflammatory mediators 3. Mediators cause inflammation signs to allow for increased permeability to allow cells to cross 4. Immune cells are activated
52
True or False: IL-1 and IL-6 are not produced by endothelial and epithelial cells
False, they are produced by endothelial and epithelial cells
53
What happens if there are any disturbances in the tissue repair process
Aberrant repair
54
Outcome of Inflammation
Resolution, Repair, Areas of destruction replaced by scar tissue, Mediators intensify the inflammatory process, Mediators generate more mediators
55
Mast cells
Specialized connective tissue cells with granules filled with histamine, a vasodilator (promotes the dilatation of blood); initiate the process of inflammation
56
What are the chemical mediators of Inflammation?
Mast cells, Histamine, serotonin, prostaglandins, leukotrienes
57
Chemical Mediators of Inflammation from blood plasma
Bradykinin and Complement
58
What is Complement
Series of proteins that interact in a regular sequence. They are activated by antigen-antibody reactions
59
Exudate
A mass of cells and fluid that has seeped out of blood vessels or an organ (important in inflammation)
60
What is in the fluid mixture of Exudate
Proteins, leukocytes and tissue debris
61
Serous exudate
Primarily fluid, little protein
62
Purulent exudate
Largely inflammatory cells (pus)
63
Fibrinous exudate
Rich in fibrinogen; coagulates and forms fibrin; produces a sticky film on surface of inflamed tissue
64
Adhesions exudate
Bands of fibrous tissue that bind adjacent tissue together
65
Hemorrhagic exudate
Increased red blood cells
66
How do immune cells communicate?
Cytokines
67
True or False: one cytokine influences the synthesis of other cytokines
True, produces a cascade
68
Cells that respond to cytokine
Autocrine (same cell), paracrine (nearby cell), or endocrine (distant cell)
69
Monokines
Cytokines produced by mononuclear phagocytic cells
70
Lymphokines
Cytokines produced by activated lymphocytes, especially Th cells
71
Interleukins
Cytokines that act as mediators between leukocytes
72
Chemokines
Type of cytokine that help in the host immune response and the movement of leukocytes and other cells
73
TNF-α
Induced by LPS; It is an important mediator of acute inflammation. It mediates the recruitment of neutrophils and macrophages to sites of infection
74
IL-1
inflammatory cytokine produced by activated macrophages. (Similar to TNF-α; Helps activate T-cells)
75
IL-10
Interleukin 10 is produced by activated macrophages and Th2 cells (CD4); Inhibitory cytokine
76
What does IL-10 Inhibit?
inhibits production of IFN-γ by T cells, which shifts immune responses from attack to repair functions and cytokine production by activated macrophages and the expression of class 2 MHC
77
IL-12
Produced by activated macrophages and dendritic cells and stimulates the production of IFN-γ and induces the differentiation of Th cells to become Th1 cells
78
Type I interferons
Type I interferons (IFN-α and IFN-β) are produced by many cell types and they function to inhibit viral replication in cells.
79
Pathogen Associated Molecular Patterns (PAMPs)
Activate Innate Immune Response; cell associated receptors mediated through toll-like receptors
80
Lipopolysaccharide
gram –ve bacteria cell membranes
81
Lipoteichoic acid
gram +ve bacteria
82
ds RNA
Virus
83
unmethylated CpG DNA sequences
Bacteria
84
Damage associated molecular patterns (DAMPs)
Tend to be nuclear/cytosolic proteins; Trigger inflammatory response in macrophages/neutoriphils/dendritic cells
85
PRR (Pattern Recognition Receptors)
TLR-Toll like receptor, RLR-Rig like receptor (IFNα/β), NLR-NOD like receptor (inflammatory), Lectin like receptors
86
Toll Like Receptors (TLR)
Bind/ react to a wide range of microbial targets not present in/on healthy cells
87
Which transcription factors does TLR signalling activate
IRFs and NF-kB
88
IRF (Interferon regulator Factors)
IFN α, IFN β
89
NF-κβ
TNFα (Tumor Necrosis Factor), IL-1, IL-6, Adhesion molecules
90
DAMP vs PAMP
intra/extra will activate different pathways to produce different cytokine profiles that will polarize Macrophages more suited to Killing (infection) or repair (healing), or both
91
The Complement System
Composed of 30+ proteins found in the blood; Synthesized by hepatocytes in the liver
92
Basic functions of complement
Opsonization (enhancing phagocytosis of antigens), Chemotaxis (activating macrophages and neutrophils) , Cell Lysis (rupturing membranes of foreign cells), Agglutination (binding pathogens)
93
What can complement proteins be activated by?
A cut, can work in milliseconds to start clotting; antigen antibody reaction
94
Membrane Attack Complex (MAC)
This compromises the integrity and in turn causes the destruction of the target bacterium
95
True or False: Innate Immunity has more effectiveness against intracellular pathogens vs. extracellular pathogens
False, has more effectiveness against extracellular pathogens (Intra = adaptive)
96
Type 1 Interferons
Secreted by cells in response to PAMP recognition; Most potent stimuli for type I interferon synthesis are viral nucleic acids
97
Types of Type 1 Interferons
Interferon α (mostly dendritic cells, macrophages) and Interferon β (a wide range of cells)
98
Roles of Type 1 Interferons
Increase cytotoxicity of the “killers”, Upregulate expression of class I MHC molecules, Cause sequestration (keep producing them) of lymphocytes in lymph nodes, Improved resistance to infection (infected and uninfected cells)
99
Paracrine action
Virally infected cells secretes type I interferons to act and protect adjacent cells not yet infected
100
What do the cells of the Innate Immunity promote?
Differentiation, proliferation or T and B cells
101
Dendritic cells
Professional Antigen Presenting Cells (APC) located at common sites of entry of microbes (skin, mucosa, organ parenchyma)
102
Which cells do dendritic cells present antigens to?
After antigens have been captured and sent to the lymph nodes they are presented to T lymphocytes
103
X-presentation
Infected cells/debris engulfed, digested and presented