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32 Cards in this Set

  • Front
  • Back
Antigen
Any molecule that binds specifically to an antibody, also any molecule that can produce peptides that bind specifically to a T cell receptor
Innate immunity
Immunity mediated by non-specific cells

Those include:
Neutrophils
Macrophages
Dendritic cells
Natural Killer Cells

The first protein responders are antibodies and compleent
Complement
A group of proteins found in serum that exist in inactive forms

They are activated by other active complement proteins
Complement pathway
Three ways to start:
Classic - starts with antibody
Alternative - self starts
Lectin - self starts

All thee converge at production of C3
Classic Complement Pathway
IgM Antibody produced by B-1 cell binds to specific antigen on pathogen surface

C1 complement can now bind to single IgM molecule

Complement is activated

C1 converts C2 and C4

C4b and C2a bind to surface of pathogen and forms C3 convertase (C4b2a)

C3 is cleaved to C3b and binds to pathogen and can cleave other C3

C3a recruits inflammatory cells to site of infection

There is opsonization of pathogens by C3b, facilitating uptake and killing by phagocytes

C3b also causes C5 cleavage to C5b and C5a.

C5a is a more potent chemotaxis

C5b causes polymerization with C6, C7, C8 and 9-15 units of C9 to form a pore

Then there is perforation of pathogen cell membrane through Membrane Attack Complex (MAC)

leading to pathogen death
Lectin Complement Pathway
Mannose-binding lectin binds to pathogen surface

Complement is activated

C3 cleaves to C3b and binds to pathogen

C3a recruits inflammatory cells

There is opsonization of pathogens by C3b, facilitating uptake and killing by phagocytes

And there is perforation of pathogen cell membrane

leading to pathogen death
Alternative Complement Pathway
Pathogen surface creates local environment conducive to complement activate

C3 cleaves to C3b and binds to pathogen

C3a recruits inflammatory cells to site of infection

There is opsonization of pathogens by C3b, facilitating uptake and killing by phagocytes

And there is perforation of pathogen cell membrane

leading to pathogen death
IgM
Immunoglobulin/antibody

Pentamer that lands on surface of bacterium and creates landing pad for complement C1 attachment
C3b receptor
There are several receptors found on macrophages, monocyes, B-cells and such

Mostly they cause phagocytosis when bound by C3b but the receptor on the B-cell is to help get them activated, take in the bacteria and start the antibody response
Regulation of complement
Two types of inactivating factors:
Soluble - inactivate complement on bacterial and host tissues

Membrane bound - inactivate complement on host tissues only
C1 INH
C1 inhibitory enzyme

Inhibits C1 complement
iC3b
Inhibitory C3b enzyme

Convertase that prevents more cleavage of C3
C4 binding protein
Binds to C4b, causing released of C2a from C3 convertase complex.
Factor I
Cleaves C4b to prevent the formation of the C3 convertase complex with C2a
Factor H
With the help of Factor I, cleaves C3b into iC3b to prevent further cleavage of C3
DAF
Membrane bound complement inactivation factor

Dissociates C3 convertase at human cell surfaces to prevent harm
MCP
Membrane bound complement inactivation factor

Dissociates C3 convertase at human cell surfaces and makes them susceptible to cleavage by Factor I

Prevents harm to host cell
CD59
Membrane bound complement inactivation factor

Binds to C5b,6,7,8 complex and prevents recruitment of C9 to form the pore
Anaphylactoxins
Complement that alter the vascular endothelium

Ex: C3a, C5a

Act on blood vessels to increase vascular permeability

Increases permeability allows increases fluid leakage and release of antibodies and complements at the site of infection

They recruit inflammatory cells and begin inflammation
What is the initial response to extracellular bacteria
Starts with complement

C3a and C5s recruit inflammatory mediators

C3b acts as opsonin for neutrophils and macrophages
How does adaptive immunity start?
Intracellular pathogens infect dendritic cells
What are some extracellular pathogen associated molecular patterns?
Lipopolysaccharide (LPS)

Mannose

Glycan

fMLP (Formylated Methionine-Leucine-Phenylalanine)

TLR (Toll-like receptors)
Toll Receptors
10 types of receptors to recognize extracellular and intracellular pathogens. Located on extracellular membrane and nuclear membrane

Binding to different receptors initiates different secondary messenger systems which activates different transcription factors that controls the actions of CD4, CD8 T-cells

Cell membrane receptors
TLR1, TLR2: Recognized Lipoproteins
TLR5: Recognizes flagellin
TLR4: Recognizes LPS


Internal receptors on nuclear membrane to recognize intracellular pathogens
TLR3: double stranded RNA
TLR7: single stranded RNA
TLR9: CpG DNA of viruses
IL-1
Macrophage Cytokine

Activates vascular endothelium to make it permeable

Helps to activate Naive T lymphocytes

Causes local tissue destruction around vasculature to get cells out

Increases access of effector cells

Produces fever systemically by affecting hypothalamus

Up regulates IL-6 production
TNF-alpha
Macrophage Cytokine

Activates vascular endothelium to increase permeability

Increases entry of IgG, complement and cells to tissue

Shuts down venous return to increase fluid drainage to lymph nodes

Produces fever systemically

Mobilizes metabolites systemically

Causes shock systemically
IL-6
Macrophage Cytokine

Upregulates antibody production at site of infection only if B-cell present

Increases lymphocyte production in bone marrow

Assists in B-cell activation

Produces fever systematically

Produces acute phage proteins by hepatocytes
CXCL8
Macrophage Cytokine (AKA IL-8)

Steers other immune cells to the site of antigenic challenge

Chemotaxic factor recruits neutrophils, basophils and T-cells to site of infection
IL-12
Macrophage Cytokine

Activates NK cells

Causes differentiation of CD4 cells into TH1 T-cells
What can the chemokines do systemically?
IL-1, IL-6, and TNF-alpha work systemically

In the liver they increase production of acute phase proteins

In bone marrow they increase neutrophil mobilization for phagocytosis

In the hypothalamus they increase body temperature to decrease viral and bacterial replication ability

In fat and muscles they mobilize energy production for increased body temperature

In dendritic cells they stimulate migration to lymph nodes to mature and initiate adaptive immune response
What effect does TNF-alpha have on dendritic cells
It stimulates migration to lymph nodes and maturation

It initiates adaptive immune response
Selectin
Surface protein expressed by endothelial cells

Bind to carbs displayed on the cell membrane of leukocytes causing them to stick to the walls of the blood vessels

Causes rolling of the leukocytes allowing it to search for points to exit the blood vessel and enter CT towards site of injury
ICAM
Intercellular Adhesion Molecule

Glycoprotein expressed on endothelial cells and cells of the immune system

Induced by IL-1 and TNF-alpha

Binds to ligand expressed on leukocytes to help it transmigrate the endothelium into the affected tissue