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66 Cards in this Set

  • Front
  • Back
Mechanisms of Innate Immunity
1. symbiotic or commensal bacteria limits attachment sites and nutrients
2. physical barrier, low pH
3. destructive enzymes (lysozymes)
4. muscocilliary escalator
5. antimicrobial peptides
6. complimentary proteins
7. ingestion by phagocytosis
5 Steps of Phagocytosis
1. attachment
2. ingestion
3. fusion
4. digestion
5. release
3 Cellular Effectors of Innate Immunity
1. Phagocytes (myeloid- monocytes/macrophage)
2. Mast Cells
3. Natural Killer (NK) cells
2 Triggers for Apoptosis
1. Granzymes enter perforin pore
2. Fas ligand binds Fas receptor
Steps of Cellular Effector of Adaptive Immunity
1. Naive lymphocyte
2. Encounter antigen
3. Proliferation
4a. Effector Cell- carry out immune functions
4b. Memory Lymphocyte- reenters and await the same antigen
2 Signals for B Cell activation
Signal 1: binding of the T independent antigen to the mIg on the B cell

Signal 2: TH cell stimulated by antigenic fragment, T cell release factors that stimulate B
Cell:
-Circulate in blood
-Differentiate into Macrophage
-Migrate to site of inflammation/injury
Monocyte
Granulocyte:
-#1 in phagocytosis
-granules: acid hydrolase, peroxidase, lysozyme
-release defensins peptide
-pro-inflammatory cytokines (TNFa, IL1, 6, and 8)
Neutrophils
Granulocyte:
-granule: histamine, neutral protease, heparin, and TNFa
-IgE receptor
-type I immediate hypersensity (allergy)
-allergic inflammation cytokine
Basophils
Granulocyte:
-high affinity IgE Fc receptor
-response to parasites; asthma
-immediate hypersensitivity reactions
-inflammatory response
-express MHC class II molecules
-differentiation factor cytokine
Eosinophils
Granulocytes:
-similar to Basophils (on mucousal surface)
-granules contain tryptase
-allergic inflammation cytokine
Mast Cells
Cells:
-most important APC
-immature cell phagocytose antigens
-migrate to draining lymph node w/ antigen
-cell matures and processes antigen (MHC class II)
-present T cell
-can also present lipid, glycolipids using CD1
-produce cytokines: IL1b, TNFa, IL12
-regulation of TH1/TH2 balance
Dendritic Cells
Cells:
-present in follicles and germinal centers of lymphoid tissue
-non-phagocytic
-lack MHC class II proteins
-extensive surface for binding Ag-Ab complexes
-present antigen to B cells during antibody affinity maturation
Follicular Dendritic Cells
Cluster of Differentiation:
-T cell surface marker
-65-70%
-T helper cells
-binds to MHC class II on APC and helps T cell recognize it
-Fas/Fas ligand to induce apoptosis
CD4
Cluster of Differentiation:
-T cell surface marker
-25-30%
-cytotoxic T cell
-binds to MHC class I molecules
-produce IFN gamma activating macrophage
-perforing and granzymes to induce apoptosis
CD8
-CD4+ T lymphocytes
-secrete IL-2, IFN gamma,TNF beta
-differentiation inhibited by IL10
-IL12 secreted by macrophages, dendritic cells and neutrophils favor development
-Intracellular Pathogens
TH1
-CD4+ T lymphocytes
-secrete IL4, IL5, IL6, IL9, IL10, IL13
-stimulate antibody production (B cell growth)
-differentiation inhibited by IFN gamma
-development stimulated by IL4
-mediate opsonization/destruction of extracellular pathogens
TH2
-Lymphocyte cells that lack TCR and BCR
-thymus independent
-Part of innate immune system-rapid response
-Have Fc receptors; can kill by ADCC
-produce IFN gamma in the early response, directing T cell immune response away from TH2
Natural Killer Cells
Organ:
-produce hematopoietic cells
-mature leucocytes migrate out via the central vein
-some stromal cells secrete cytokines
Bone Marrow
Organ:
-T lymphocytes complete their maturation
-positive selection: capable of recognizing MHC-antigen complex
-negative selection: binding to self antigen
Thymus
Organ:
-Filtration of pathogens and old/damaged cells from blood
-"white pulp"- dendritic cells, lymphocytes
-Phagocytosis of damaged RBCs, senescent granulocytes
-Platelet storage
Spleen
Organ:
-encapsulated
-drain specified body regions
-lymphocytes enter Peyer's patches through post-capillary venules
-During antigenic stimulation, entry rates increases resulting in lymphadenopathy
-FDCs capture antigen in immune complexes complexes for presentation to B cells
-Naive antigen-specific T and B lymphocytes
Lymph Nodes
Organ:
-To protect against microbial invasion and internalize exogenous antigen for priming immune cells
-Composed of: mucosal barrier, organized lymphoid tissue along GI tract, dispersed lymphoid cells within epithelium
-Follicles with germinal centers and B lymphocytes
-Interfollicular T lymphocyte regions
-Produce IgA
Mucosa Associated Lymphoid Tissue
(MALT)
Cells:
-intestinal epithelial cells
-transport antigens and microbes to MALT
M cells
Antigen specific T cells become activated, proliferate and differentiate to recognize antigenic fragments derived from products made by the intracellular organism presented on MHC molecules
Cell Mediated Immunity
4 Phases of Delayed-type Hypersensitivity (DTH)
1. Induction
2. Inflammatory
3. Effector
4. Chronic
-Selective elimination of infected cells
-CD8+ cytolytic T cells (Killer Cells)
-ADCC
Cell Mediated Cytotoxicity
-a family of proteins and proteolytic fragments
-react with foreign bodies and label it for destruction
-regulatory proteins on membranes of host cells or in serum that protect the host's cells from accidental self-inflicted damage
-cell surface receptors that bind to products of complement activation and leads to host cell participation in inflammatory/immune response
Complement
Pathway:
-activation by Ag-Ab complex
-C1 binds multiple Fc regions simultaneously
-activation of C3 or C4 near activator's surface or Ag-Ab complex and leads to covalent binding of C3b or C4b to the surface proteins/carbohydrates
Classical Pathway
Pathway:
-activation in the absence of antibody
-spontaneous activation of fluid-phase C3 on biologic membrane
1. near appropriate surface C3(H2O) binds covalently to surface
2. stabilized by Properdin
3. destabilized by Factor II
(sialic acid prevents further cascade after C3(H2O) is produced
Alternative
Pathway:
-Binding of Mannon-binding-lectin (MBL)
-Mannose or N-acetylglucosamine on microbes to initiate complement cascase
Lectin Pathway
Organs:
-secondary follicle
-site of B cell differentiation
1. immunoglobin isotype switching
2. clonal expansion
3. affinity maturation
Germinal Center
Complement Receptor:
-on myeloid cells during inflammation
-chemotaxis of myeloid cells to site of production
-increase adhesiveness of myeloid cells to endothelium
-activate respiratory burst (superoxidem NO, etc.)
-increase vascular permeability
-hemorrhagic necroses of tissue (w/ TNF)
C5aR (CD88)
Complement Receptor:
-promotes cellular uptake of complement containing immune complexes
-clears immune complexes (Ag-Ab) from the circulation
CR1
Complement:
-Virus Neutralization
-Antibody forms immune complexes
-Complex C3 sterically blocks virus cell binding site
-Opsonizes virus for phagocytic killing
-Complement mediated lysis of infected cells
-Viruses with lipid envelope susceptible to disruption
C5b-9
Complements:
-Anaphylatoxins
-Diffusible fragments
-Trigger de-granulation of mast cells
-Smooth muscles: contract or relax (dose dependent)
-Vasodilation (increase blood flow)
-increase capillary permeability
-increase CR1 and CR3 expression by neutrophils, thus increase opsonization activity
C3a, C4a, C5a
Antibody:
-5 to 10% of total serum immunoglobin
-first isotype secreted in the immune response
-expressed on primary B cells
-low affinity/high avidity
-strong activator of complement cascade
-does not bind to FcR on phagocytic cells unless involved in antigen-antibody-complement reaction
-does not pass the placenta
-does not pass the blood-brain barrier
IgM
Antibody:
-80% of total serum antibody
-directly inactive viruses
-neutralize bacterial toxins
-activate complement
-binds to FCR
-able to cross placenta
-able to cross blood-brain barrier
IgG
Antibody:
-10% to 15% of total serum
-dominant in secretions: tears, saliva, GI tract
-secreted from plasma cells in the submucosa and transported onto mucosal surface by poly-Ig receptor (pIgR)
IgA
Antibody:
-bound by high affinity
-FceR1 present on tissue based mast cells and basophils
-function in immune response to parasitic worms
IgE
Antibody:
-No known function
IgD
Definition:
Non-response to self antigens
Tolerance
Definition:
-antigenic determinants
-small portion of the antigen that binds specifically to the antibodies and TCR
Epitope
Definition:
-small single antigenic epitopes that bind specifically to antibodies
-"incomplete antigens"
-must be conjugated to a carrier to be immunogenic
Haptens
3 Factors affecting immunogenicity
1. Molecular size
2. T cell interactions
3. Dose/ route of administration
Definitions:
-function as polyclonal stimulators of T cell subsets
-exogenous: exotoxins produced by gram+ bacteria; some viruses
Superantigens
Definition:
area of interaction between an APC and a T cell where ligands and MHC-antigen interact
Immune Synapse
-cytokine produced by platelets, lymphocytes, activated monocytes/macrophages, granulocytes
-fast acting
-mediate inflammation
-induce phagocytes to produce toxic oxygen intermediates
-chemo-attraction: regulate movement of leukocytes
-alter cell morphology
Chemokines
Definition:
-coordinate the innate and acquired immune response
-soluble proteins
-secretion is brief and limited
Cytokines
Definition:
Have different biological activities when bound to different cell types
Pleiotropism
Definition:
different cytokines may produce similar effects
Redundant
Definition:
influence production and action of other cytokines
Antagonistic, Additive, and Synergistic
Definition:
induce or inhibit the production of other cytokines
Regulatory networks
Definition:
act on the cell which secreted them
Autocrine
Definition:
act on a nearby cell
Paracrine
circulate in blood and have a systemic effect (e.g., IL-1, TNFa)
Endocrine
Interferon:
-secreted by macrophages and virus-infected cells
-inhibit viral replication, increase MHC Class I
-Inhibit protein synthesis
Interferon type 1: alpha and beta
Interferon:
-secreted by T cell and NK cells
-effector of immune response, activate other cells
Interferon type 2: gamma
7 steps to nterferon type 1 signaling
1. dimerization of receptor on contact with the cytokine
2. activation of JAK (kinase) and phosphorylation of receptor "tail"
3. STAT dimerization
5. tranlocation to Nucleus
6. Changes in Gene expression
7. SOCS gene activate and SOCS binds to JAK and turns off the signal
Receptors:
-component of the innate immune system
-recognition pathogen-associated molecular pattern (PAMPs)
-Structurally-related to the IL1 receptor
Toll-like Receoptors
characteristics of pathogens
-dsRNA
-LPS (Lipo-polysaccharide)
-flagellin
Pathogen-Associated Molecular Patterns (PAMPs)
Interleukin:
-required for T cell activation
IL-2
Cytokines:
-secreted by TH1 which promotes cell mediated immunity
IFN gamma, TNF, IL-2
Cytokines:
-secreted by TH2 to activate humoral immunity
IL-4, IL-5, IL-10
Gene transcription is activated based upon the sequence-specific binding of a transcription factor to the promoter, located upstream of the gene. This protein recruits _________ to assemble the transcription complex (~15-20 proteins)
Accessory Proteins
Gene transcription is repressed based upon the sequence-specific binding of a transcription factor to the promoter, located upstream of the gene. This protein recruits additional _____________ which physically block access to the DNA and prevent transcription.
Co-repressor Proteins