Session 2 - Microbiome And Innate Immunity Flashcards

1
Q

What are the 6 factors to take into consideration when doing a model of infection?

A
Patient 
Pathogen 
Mechanism of infection 
Process of infection 
Management of patient
Patient outcome
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2
Q

What is the definition of the immune system?

A

Cells and organs that contribute to immune defenses against infectious and non-infectious conditions

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3
Q

What is the definition of an infectious disease?

A

When a pathogen succeeds in evading or overwhelming the host’s immune defenses

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4
Q

What are the 4 main roles of the immune system?

A

Recognize pathogen
Contain or eliminate infection
Regulate its own activities
Remember pathogen

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5
Q

What are 4 differences between innate and adaptive immunity?

A

Innate is immediate, adaptive is long lasting
Innate is not specific, adaptive is specific
Innate does not include memory, adaptive does
Innate has no change in intensity, adaptive does

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6
Q

What are the 4 barriers of the first lines of defense?

A

Physical
Physiological
Chemical
Biological

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7
Q

What is the function of the body’s first line of defense?

A

Prevent entry and limit growth of pathogens

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8
Q

What are 3 examples of physical barriers?

A

Skin
Mucous membranes
Bronchial cilia

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9
Q

What are 4 examples of physiological barriers?

A

Diarrhea
Vomiting
Coughing
Sneezing

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10
Q

What are 2 examples of chemical barriers?

A

Low pH

Antimicrobial molecules

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11
Q

What is an example of biological barriers?

A

Normal flora

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12
Q

What is an example of a normal flora that inhabits the skin?

A

Staphylococcus aureus

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13
Q

What is an example of a normal flora that inhabits the mouth and nasopharynx?

A

Streptococcus mutans

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14
Q

What is an example of a normal flora that inhabits the GI tract?

A

E. Coli

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15
Q

What are 3 ways clinical problems start due to normal flora?

A

Displaced from its normal location
Overgrows and becomes pathogenic when host becomes immunocompromised
In mucosal surfaces is depleted by antibiotic therapy

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16
Q

What are 3 main types of phagocytes?

A

Macrophages
Monocytes
Neutrophils

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17
Q

What are 3 functions of macrophages?

A

Phagocytosis
Present antigens to T cells
Produce cytokines and chemokines

18
Q

What is the function of monocytes?

A

Travels in blood to infection site and differentiate into macrophages

19
Q

What is the function of neutrophils?

A

Ingest and destroy bacteria, recruited by chemokines to site of infection

20
Q

What is the function of basophils and mast cells?

A

Important in allergic responses

21
Q

What is the function of eosinophils?

A

Defense against multi cellular parasites like worms

22
Q

What is the function of natural killer cells?

A

Kill all abnormal host cells

23
Q

What is the function of dendritic cells?

A

Present microbial antigens to T cells

24
Q

What are 3 factors that allow phagocytes to recognize pathogens?

A

Pathogen-associated molecular patterns (PAMPs) on pathogens
Pathogen recognition receptors (PRRs) on phagocytes
Opsonins on microbial surfaces

25
Q

What is the function of opsonins?

A

Proteins that bind to microbial surfaces to enhance attachment of phagocytes and clearance of microbes

26
Q

What are 3 main types of opsonins?

A

Complement proteins
Antibodies
Acute phase proteins

27
Q

What are 2 examples of complement proteins?

A

C3b

C4b

28
Q

What are 2 examples of antibodies?

A

IgG

IgM

29
Q

What are 2 examples of acute phase proteins?

A

C-reactive protein

Mannose-binding left in

30
Q

What kind of bacteria requires opsonization to clear?

A

Encapsulated

31
Q

What are 3 examples of encapsulated bacteria?

A

Streptococcus pneumoniae
Neisseria meningitidis
Haemophilus influenzae b

32
Q

What are the 2 main types of phagocyte intracellular killing mechanisms?

A

Oxygen dependent pathway - respiratory burst using free oxygen radicals
Oxygen independent pathway - digestion using enzymes

33
Q

What is the function of the complement system?

A

Part of the immune system that enhances the ability of antibodies and phagocytic cells to clear microbes and damaged cells from an organism

34
Q

What is the function of C3a and C5a?

A

Recruitment of phagocytes

35
Q

What is the function of C3b?

A

Opsonization of pathogens

36
Q

What is the function of C5-C9?

A

Killing of pathogens via membrane attack complex

37
Q

What are the 3 different pathways that the complement system is activated?

A

Classical pathway
Alternative pathway
MBL pathway

38
Q

How is the classical pathway initiated?

A

Antibody antigen interaction

39
Q

How is the alternative pathway initiated?

A

Cell surface microbial constituents

40
Q

How is the MBL pathway initiated?

A

When MBL binds to mannose containing residues of proteins found on many microbes

41
Q

What are the 3 functions of cytokines or chemokines?

A

Chemoattraction
Phagocyte activation
Inflammation

42
Q

What are 3 cytokines derived from macrophages?

A

TNFalpha, IL-1, IL-6