Pathology & Immunity Flashcards

Innate and Adaptive Immunity

1
Q

Is innate immunity specific?

A

No - it is non-specific as it is the first line of defense

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2
Q

What are commensals?

A

They are microbes which lie at the mucosa and elicit low-level immune response, therefore, do not harm human health

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3
Q

What is the role of the epithelium in innate immune responses?

A

acts as a barrier

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4
Q

What components are produced by the epithelium within the oral cavity as part of innate immune response? (5)

A
  • antimicrobial peptides
  • immunoglobulins A
  • Lactoferrin
  • Lysozyme
  • Cystatins
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5
Q

What are the components of innate immunity

A
  • Physical/anatomical barriers
  • cellular mechanisms (defence cells)
  • plasma factors
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6
Q

What does the epithelium produce to help it act as a physical barrier?

A
  • Antimicrobial peptides
  • Cytokines/chemokines
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7
Q

What is the role of Chemokines?

A

cell recrutiment

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8
Q

What is the role of Cytokines?

A

cell activation/proliferation

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9
Q

Role and location of Lactoferin

A

glycoprotein which transports iron ions but has antimicrobial activity which is present in saliva and produced by neutrophils

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10
Q

Role and location of lysozymes

A

targets cell walls which are present in saliva

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11
Q

What produces lysozymes?

A

macrophages/neutrophils

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12
Q

Role of cystatins

A

anti-protease activity and supports remineralisation of teeth

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13
Q

How does secretory immunoglobulin A (SIgA) act?

A
  • secretory component of SIgA adsorbs to saliva which forms a protective layer
  • dimeric form allow attachment of multiple microbes
  • SIgA binds and neutralises pathogens/toxins externally and internally
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14
Q

The main role of Toll-like receptors (TLR) (main type of receptor)

A

bacterial and viral recognition

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15
Q

What do dectin and glucan receptors recognise?

A

Fungi

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16
Q

What do NOD-like receptors recognise?

A

Bacteria

17
Q

What do protease-activated receptors (PARs) recognise?

A

Microbial and allergen recognition

18
Q

What do PRRs that recognise PAMPs mean?

A

Pattern Recognition Receptors (PRRs) that recognise Pathogen Associated Molecular Patterns (PAMPs)

19
Q

How are cytokines grouped?

A

By structure

20
Q

What are chemokines?

A

Small signalling proteins

21
Q

What does chemotaxis mean?

A

movement of a cell in a direction corresponding to a gradient of a decrease or increase of concentration of a particular substance

22
Q

How are chemokines grouped?

A

grouped into 4 classes depending on the spacing of their first 2 cysteine residues