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18 Cards in this Set

  • Front
  • Back
HOW IS THE HOST ALERTED TO PRESENCE OF BACTERIA?
Danger Hypothesis - To respond or not to respond, that is the question.

Danger sensed by:
PRRs (Pattern Recognition -R's)
which recognize
PAMPs (Pathgen Assoc Moleculare Patters/Proteins)

Results in discrimination bw Self and Non-self
List some examples of:

PRRs (4)
PAMPs (3)
PRRs
CD14, Toll-R's, CR

PAMPs
LPS, Teichoic acid, Mannans, dsRNA
What is special about M-Phages allowing them to respond to infection?
(3)
CR1 (binds C3b)
CR2 (bindsiC3b)
FcR's (bind Fc of Ig's)
1. Who has TLRs?
2. How many are there in mammals?
3. How do they work?
1. Plants, Insects, Vertebrates
2. 9 in mammals
3. Signaling via NF-kB path -- MyD88 -- cytokine release
What does _____ recognize?

1. TLR2
2. TLR2+TLR6
3. TLR4
4. TLR5
5. TLR9
1. PGs, Lipoproteins
2. Mycoplama lipoproteins
3. LPS
4. Flagellin
5. CpG DNA
LPS induces? (3...and what do these do?)
1. IL1 - *vascular endothelium, *lymphocytes --> Fever

2. IL6 - Chemotactic for leukocytes

3. TNF-a - *vascular endothelium, ^vascular permeability, ^lymph drainage = Fever, Shock
WHAT CELLS ARE INVOLVED IN PHAGOCYTOSIS?
Professionals:
Neutrophils (in blood, come out to inflamm sites - Short Life Span)
Macrophages (mature Tissue monocytes - Long Life Span)
Monocytes (immature Blood macrophages)
The various aliases of macrophages:

1. In Lung
2. In CT
3. In Liver
4. In Kidney
5. In Brain
1. Alveolar M-Phges
2. Histiocytes
3. Kupffer cells
4. Mesangial cells
5. Microglial cells
Are professional phagocytes the only cells that ingest others?
Nope! Sunyer's Phagocytic B-Cells
(so far seen in fish and mice)

more on the horizon
WHAT DIRECTS PHAGOCYTES TO SITE OF INFECTION?
(4 big classes)
1. Anaphylotoxins (C3a, C5a)
2. Cytokines (IL-1, IL-8)
3. Adhesion Molecules (P/E Selectins, Integrins [LFA1-ICAM; VLA4-VCAM]
4. Chemokines (CC - monocyte migrations; CxC - neutrophil migrations)
HOW IS PHAGOCYTE RECOGNITION OF BACTERIA AMPLIFIED?
Opsonins and Acute Phase Proteins
What are some Opsonins?
Complement and Antibody
How are Acute Phase Proteins Induced?
What are some Acute Phase Proteins?
What do these Acute Phase Proteins do?
1. M-phage sees bacteria -- IL-6 -- IL-6 in liver = Acute Phase Proteins

2. SAA, CRP, Fibrinogen, Mannose BP

3. Activate Complement and Opsonize Bacteria
HOW DO PHAGOCYTES KILL MICROBES?
(6 Ways)
1. Ingest Microbe
2. Enzymes (peroxidase, lysozyme, etc...)
3. Defensins (primitive, pore-forming killers. 30aa peptides)
4. Acidification in phagolysosome
5. Respiratory Burst
6. Release of NO
What is the mechanism of Respiratory Burst?
O2 + NADPH ---> O2- Superoxide --> H2O2 -->
OH- Hydroxyl radical
ClO- Hypochlorite
O2 Singlet Oxygen (restart burst)

*SOD takes Superoxide to H2O2
What is the mechanism of NO synth?
O2 + L-arginine --> NO

*enzyme iNOS (inducible NO Synthase)
HOW DO MICROBES AVOID BEING KILLED?
(5 ways)
1. Kill phagocyte
2. Inhibit phagocytosis
3. Inhibit lysosomal fusion
4. Escape phagosome
5. Develop mech to survive within phagolysosome
HOW CAN THE IMMUNE RESPONSE TO BACTERIA BE PATHOGENIC?
Toxic Shock

Bacteria spread to bloodstream (sepsis) and thus cause SYSTEMIC RELEASE of TNF and other Cytokines --> Vasodilation, ^Vasc Permeability --> DIC --> SIRS, MODS