The Body’s Immune Responses to Food-Related Pathogens and Allergens Flashcards

(45 cards)

1
Q

What is innate immunity

A

• Immediate, non-specific defense present from birth.
• Recognizes common danger signals and responds rapidly (within minutes).
• No memory; does not improve with repeated exposure.
• Components: granulocytes (neutrophils, eosinophils, basophils), monocytes/macrophages, natural killer cells.

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2
Q

What is adaptive immunity

A

• Not present from birth; develops after exposure to antigens.
• Highly specific and sophisticated recognition systems.
• Slower response (days), but forms immunological memory.
• Components: T cells, B cells, antibodies.
• Gut-Associated Lymphoid Tissue (GALT) plays a key role in food-related immunity.

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3
Q

What are the cells of the innate immune system

A

Granulocytes (Neutrophi, Eosinophil, basophil)
Natural killer cells
Monocytes/macrophages

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4
Q

What is the main function of neutrophils

A

Phagocytosis

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5
Q

What is the main fcuntion of eosinophils

A

Destroy parasites

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6
Q

What is the function of basophils

A

Inflammation

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7
Q

Which type of granulocytes makes up>90% of granulocytes

A

Neutrophils

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8
Q

What are natural killer cells

A

Natural killer cells are extracellular killers and act by releasing perfornin into the infected cell, which then goes on to commit cell suicide (apoptosis)

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9
Q

What is the role neutrophils and monocytes/macrophages

A

Neutrophils and monocytes/macrophages are phagocytes and act by eating the infected/damaged tissue

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10
Q

What are the antigen presenting cells

A

Macrophages, b cells and dendritic cells

Dendritic cells and macrophages present antigens to T helper cells via MHC II, initiating adaptive immune responses.

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11
Q

What are the acquired/adaptive immune system responses

A

• Cell-mediated and humoral responses: T helper cells coordinate responses; B cells differentiate into plasma cells that secrete antibodies (immunoglobulins, Ig).
• Both T and B cells generate memory cells, improving defense upon repeated exposure.

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12
Q

When is an acquired immune response initiated

A

An acquired immune response is initiated when a macrophage or dendritic cell (APC’s) present antigen proteins to T helper cells as the MHC II

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13
Q

What helps to coordinate an immune response specific to the antigen presented

A

T helper cells help to co-ordinate an immune response that is specific to the antigen presented

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14
Q

What is the function of b cells

A

Activated B cells bind antigen and proliferate into plasma cells that secrete vast amounts of antibody specific to the antigen
These antibodies are secreted immunoglobulins (Ig) that circulate body fluids

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15
Q

Which type of cell exhibit memory cells

A

Both T and b cells

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16
Q

What happens to the acquired immune system with repeated exposure

A

Improves

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17
Q

What are the mechanisms of response to bacterial toxins

A

• Pathogen recognition via pattern recognition receptors (PRRs) like TLRs.
• Inflammatory cytokines: IL-1, IL-6, TNF-α.
• Neutralizing antibodies (especially IgA) bind pathogens/toxins, preventing cell entry and aiding in destruction.

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18
Q

Which 3 cytokines are involved in cell mediated immune responses

A

IL-1, IL-6 and TNF-α

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19
Q

What is the function of toll-like receptors

A

Recognise danger signals and are stimulated to cause a response and activate T-cells via antigen presenting system to release cytokines

20
Q

What is the role of neutralising antibodies

A

• Bind bacterial/viral surfaces or toxins, preventing their interaction with host cells.
• Facilitate pathogen destruction by macrophages.
• Example: IgA is the main antibody at mucosal surfaces, neutralizing pathogens and toxins, and is abundant in early milk (colostrum) for neonatal protection.

21
Q

What are the functions of IgA

A

Inhibition of microbial adherence to mucosal cells
Neutralise toxins and pathogens
Prevent commensal bacteria from entering bloodstream
Present in early milk–> intestinal protection of neonate

22
Q

What is the most abundant Ig around mucosal membrane

23
Q

How does IgA access the gut lumen

A
  • IgA produced by BCells
  • Dimeric IgA binds to polymeric Ig receptor on epithelial cells, is transported into gut lumen through epithelial cells at base of crypts
  • dimericap IgA binds to the layer of mucus overlying the gut epithelium, secretory
    component still attached to IgA attaches to
    mucins in mucus
  • IgA in the gut neutralises pathogens and their toxins
24
Q

What are the mechanisms in response to viruses

A

Immune response:
• Interferon (IFN-α/β) production: induces antiviral states, fever, and pain reduction.
• Secretory IgA neutralizes viruses at mucosal surfaces.
• Activation of cytotoxic CD8+ T cells (CTLs): recognize infected cells via MHC I, kill them via perforin and granzyme release.

25
What is the function of IFN-α and IFN- beta
IFN-α acts on the hypothalamus causing fever and reducing pain IFN-beta helps protect cells from viral infections by inducing the expression of antiviral genes
26
What is the cytotoxic T cell function
Any infected cell will present antigen on the surface via MHC class I Cytotoxic T cells will recognise MHC class I/bound antigen complex and will Release perforin and granzyme kill the cell
27
What are food allergies
Immune system overreacts to harmless food proteins.
28
What is the basic process of food allergies
Allergen ➔ Th2 CD4+ activation ➔ IgE production ➔ Mast cell degranulation
29
What are the symptoms of food allergies
vomiting, diarrhoea, anaphylaxis
30
What is IgE
Antibody Very potent effects Binds with high affinity to Fc receptors on mast cells/basophils – release vasoactive/inflammatory mediators Induces eosinophils and basophils to release histamine and proteases Role in allergy and asthma
31
Describe the difference in IgE concentration in a person with allergies
Normally low concentrations in serum (lowest antibody in serum) however, if you have allergic reaction much higher levels
32
Describe the role of IgE in allergies
Resting mast cell contains lots of granules containing inflammatory mediators – histamine etc. Fc receptors bind to IgE Causes release of mediators e.g. histamine
33
Describe what happens during anaphylaxis
Increased degranulation releasing pre-formed inflammatory mediators such as histamine and the cytokine TNF-a Increased vasodilation Decrease in blood pressure Smooth muscle cell constriction – shortness of breath – asphyxiation and death
34
Describe the effects of an EpiPen/ epinephrine
Increased vasoconstriction and increase blood glucose
35
What are food intolerances
Not immune mediated (e.g., lactose intolerance, sulfite sensitivity) Food intolerance is a digestive reaction, often caused by the body's inability to digest or metabolize a specific food component Mechanisms: enzyme deficiency, chemical sensitivity
36
What is lactose intolerance
A digestive condition where the body has difficulty breaking down lactose, a sugar found in milk and dairy products The condition arises from low levels of the enzyme lactase Lactose intolerance IS NOT a milk allergy
37
What are the differences between allergies and intolerance
Immune system vs digestive system Can range in intensity vs typically less severe Caused b immune reaction to protein vs inability to digest or metabolise a food component Life threatening vs not typical life threatening
38
What is autoimmunity
Immune system mistakenly attacks self Food and gut-related exposures may sometimes contribute
39
What is type 1 diabetes
What happens: T cells destroy pancreatic β-cells ➔ insulin deficiency. Triggers: Viral infections (e.g., enteroviruses) Possible food antigen role? (ongoing research) Outcome: lifelong need for insulin therapy.
40
What is the trigger for foodborne infection
Pathogen
41
What is the trigger for allergies
Food protein
42
What is the trigger for type 1 diabetes
Possibly Infection/food antigen
43
What is the immune mechanism for foodborne infection
Inflammation and clearance
44
What is the immune mechanism for allergies
IgE, Mast cells
45
What is the immune mechanism for type 1 diabetes
T-cell mediated autoimmunity