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Karteikarten

Innate Immunity

hazel wilkie Physiology Englisch 59 Karten

Karten in diesem Stapel (59)

  1. 1what is the innate immune system?your first line of defence
  2. 2is it specific?no
  3. 3what follows innate immunity?adaptive immunity, which is specific and can involve memory
  4. 4name some routes of entry through mucosal surfaces by pathogens and how they are transmitted- airway - inhaled droplets
    - GI tract - contaminated food or water
    - GU tract - direct contact
  5. 5what pathogen is transmitted via inhaled droplets?- the influenza virus - influenza
    - Neisseria meningiditis - meningococcal meningitis
  6. 6what pathogens are transimtted via contaminated food or water?- salmonella typhi - typhoid fever
    - rotavirus - diarrhoea
  7. 7what pathogen is transmitted via direct contact to the GU tract?- treponoma pallidum - syphilis
  8. 8name some routes of entry via the external epithelia and how they are transmitted- external surface via physical contact
    - wounds and abrasions via minor skin abrasions or punctures
    - insect bites via mosquitos/ticks
  9. 9name a pathogen that is transmitted via physical contact of the external surfaceTinea Pedis - athletes foot
  10. 10name a pathogen transmitted via wounds?- Bacillus anthracis - anthrax
    - Clostridium tetani - tetanus
  11. 11name a pathogen transmitted via insect bites- flavivirus - yellow fever
    - plasmodium - malaria
    -borrelia - lyme disease
    -burgdorferi
  12. 12name some mechanical barrier to infection- tight junctions between cells prevent access
    - movement of mucus by cillia
    - air and fluid flow across epithelium
  13. 13name chemical barrier to infection- fatty acids on skin
    - enzymes: lysozyme in saliva, sweat and tears
    - low pH in stomach
    - antibacterial peptides: defensins, cryptidins
  14. 14name microbiological barriers to infection- Normal flora compete for nutrients and attachment (biofilms), and also produce antibacterial substances (colicins).
  15. 15what are the three phases of response to initial infection?1. innate immunity (immediate) 0-4 hours
    2. Early induced response (early 4 - 96 hours)
    3. Adaptive immune response (late >96 hours)
  16. 16what is the immediate response recognised by ?- preformed, nonspecific effectors
    = removal of infectious agent
  17. 17what is the early induced response recognised by?recruitment of effector cells
    = recognition and activation of effector cells
  18. 18what does the late response do?transport of antigen to lymphoid organs
    = recognition by naive B cells, and clonal expansion of effector cells
  19. 19Once across an epithelial barrier, what are microorganisms recognised and ingested by?mononuclear phagocytes, or macrophages.
  20. 20list some Bactericidal effects and agents produced by phagocytes• Acidification: pH 3-4, bactericidal
    • Toxic oxygen derived products: superoxide, hydrogen peroxide, hydroxyl radical
    • Toxic nitrogen oxides: Nitric Oxide
    • Peptides: defensins and other cationic proteins
    • Enzymes: Lysosyme,acidhydrolases
    • Competitors: Lactoferrin, vitamin B12 binding protein.
  21. 21what cell are platelets derived from?megakaryocytes
  22. 22what cell are All cellular elements of blood, rbc, platelets, white cells derived from?same progenitor - hematopoietic stem cell
  23. 23difference between monocyte and macrophage?monocyte - circulates in blood
    macrophage - differentiated monocytes in the tissue
  24. 24role of macrophages?-phagocytosis and killing of microorganisms
    - activation of T cells and initiation of immune response
  25. 25list the granulocytesAlso called polymorphonuclear (PMN) leucocytes due to shape of nuclei
    Neutrophils, eosinophils, basophils, mast cells
  26. 26neutrophil rolephagocytosis and killing of microorganism
  27. 27most important and numerous cell of innate immunityneutrophil
  28. 28how long to neutrophils spend in circulation?Short time spent in circulation, around 12 hours, once in tissue survive for maybe only 2 days.
  29. 29what is neutropenia?low numbers of neutrophils, may be genetic or the result of medication including chemotherapy
  30. 30what is Chronic granulomatous disease- failure in respiratory burst, superoxide production limited, antibacterial activity impaired
  31. 31what is alpha 1-antitrypsin deficiency?elastase from neutrophils not adequately inhibited, excessive tissue damage during inflammation- pulmonary emphysema
  32. 32role of eosinophils- killing of antibody coated parasites through release of granule contents
    - evolutionarily important in parasite defence
  33. 33what do the eosinophil granules contain?Granules contain histamine and others
  34. 34how long do eosinophils survive in circulation?Circulate for 12 hours, survive in tissues for 3 days
  35. 35what is eosinophilia?(increase, more than 500 per microlitre blood) seen in parasitic infections of gut, some vascular diseases, Hodgkin’s Disease, Addison’s Disease
  36. 36when is eosinopenia often seen?when glutocorticoids are used
  37. 37function of basophils?- similar and complementary to eosinophils and mast cells
  38. 38when basophils are activated what do they secrete?Upon activation secrete histamine, proteoglycans, leucotrienes, some cytokines including IL-4 (potentially important for IgE and allergy)
  39. 39what is the least common granulocyte?basophil
  40. 40function of mast cellwhen activated release a number of substances that effect vascular systems. Most well known due to IgE mediated triggering in allergies.
  41. 41name the different types of lymphocyte- small lymphocyte
    - plasma cell
    - natural killer cell
    - dendritic cell
  42. 42what do small lymphocytes differentiate into?either B or T cells
    • Within these populations lie the adaptive immune response
    - B cells producing antibody,
    - T cells becoming cytotoxic T cells (CD8) or helper T cells (CD4).
  43. 43function of natural killer cells- kills cells infected with certain viruses
    - large granular lymphocytes that can recognise virally infected cells non- specifically
  44. 44function of dendritic cells- activation of T cells and initiation of adaptive immune response.
    - potentially the most important immune cell, bridges the innate and adaptive immune responses.
    - Specialised in antigen uptake and antigen presentation
  45. 45what do virus infected cells release?IFN alpha and beta which warns nearby unaffected cells so they can make themselves less susceptible to infection
  46. 46what kind of things do IFN alpha and beta promote?- induce resistance to viral replication in all cells
    - increase MHC class 1 expression and antigen presentation in all cells
    - activate NK cells to kill virus-infected cells
  47. 47what is the difference between NK cells and CD8 (cytotoxic) T cells?- The key difference between NK and CD8 T cells is that NK cells are not antigen specific.
    - Also they do not require to undergo the lengthy clonal expansion of T cells in lymph nodes when virus is detected
    NK cells protect you in first few days of infection until T cells are activated, the virus replication is kept at bay by NK cells.
  48. 48how can NK cells detect a 'loss of self'?1. interaction of nk cell with healthy unaffected cell = no killing of cell
    2. interaction of nk cell with target cells in which MHC class 1 expression is lost
    = killing of virus infected cell in which MHC class 1 expression is inhibited
    3. interaction of nk cell with healthy cell in the presence of anti-MHC class 1 antibody
    = anti MHC class 1 antibody prevents interaction between the inhibitory reception and the MHC class 1
  49. 49what is the complement?- Heat labile component of plasma that act in concert with
    antibodies to kill some bacteria
    • Comprises a large number of distinct plasma proteins
    • Three distinct activation pathways exist that trigger the complement cascade.
  50. 50what are the Three distinct activation pathways ?- classical pathway
    - lectin pathway
    - alternative pathway
  51. 51describe the classical pathwayantibody binds to specific antigen on pathogen surface
    - initiated by activation of the C1 complex
    - C3 is cleaved into c3a and c3b to its active form
  52. 52lectin pathwaymannose-binding protein binds to pathogen surface
    - uses a structure very similar to c1
    comprising MBL MASP-1 and MASP-2.
  53. 53alternative pathwaypathogen surface creates local environment conductive to complement activation
    - caused by spontaneous hydrolysis of serum c3, which then bind factor B allowing cleavage by factor D into Ba and Bb.
    -The resulting soluble C3 convertase cleaves C3 to C3b, which binds to membranes.
  54. 54what are the possible outcomes after complement activation?1. recruitment of inflammatory cells
    2. opsonisation of pathogens, facilitating uptake and killing by phagocytic cells
    3. lysis and death of pathogens
  55. 55describe the C3b complement proteinmembrane binding protein and opsonin
    - c3b bound to cell surface acts to increase phagocytosis
  56. 56C3apeptide mediator of inflammatory cells (floats away and encourages other immune cells to come help)
  57. 57c5apeptide mediator of inflammatory cells
    - assists in phagocytosis of c3b covered bacteria
  58. 58what does the membrane attack complex do?- punches holes in the membrane of the bacteria
    - direct lysis
    - contents of bacterial cell leak out
  59. 59what prevents the final assembly of the MAC to stop the lysis happening on healthy host cells?CD59

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Physiology (Cells) Karteikarten am Innate Immunity, erstellt von hazel wilkie am 01/05/2017.
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hazel wilkie
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