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21 Cards in this Set

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  • Back

The two types of phagocytic cells:

Monocyte derived macrophages -


-Large macrophages (phagocytes)


- Long lived ones contain mitochondria


- remove foreign materials such as dead b.c


Polymorphnuclear granulocytes


- Produced in bone marrow


- Nucleus is lobulated


- Granulocytes - neutrophils (phagocytic), eosinophils, basophils


- Agranulocytes - monocyte

Steps of phagocytosis:

1) Binds to receptors (e.g C3B)


2) Taken in by vacuole


3) Lysosomes fuse with lysosome = phagosome and release digestive enzymes


4) Digestive enzymes released into phagosome - killing contents - before breaking down and excreting

The 3 types of complement activation

Classical


Alternate


Lectin/acute phase proteins

Result of cytokines

Stimulates/inhinits normal cell function, stimulates proliferation, regulates innate defences.

What do interferons do?

Antimicrobial cytokines that interfere with viral replication. Induces synthesis of antiviral molecules.

The two phagocyte killing mechanisms:

Oxidation - Hydrogen peroxide, free hydroxide radicals




Non-oxidation - Substances such as cathespin G, defensins, cationic proteins, lactoferrin, lysozyme.

What is MHC

Pathogen enters the cell, releases proteins whic bind to MHC-I. Cytoxic T cell binds responds to MHC-1, releasing cytokines and killing the cell.

Helper t cells

Macrophage takes in phagocyte and forms a phagosome with MHC-2.


CD4 - Activates helper T cell, causing proliferation and differentiation.


CD8 - Activates cytotoxic T cells then migrates to activate the effector cells.

Natural killer cells

Kills intracellular pathogens in the absence of MHC.

How are large microbes killed?

ADCC - antibody dependent cellular cytotoxicity


Antibodies recognise and bind to the parasite.


Fc region attracts immune cells.


- Release of O2


NK release granzymes


Eosinophils release perforins

How are B cells activated

Without helper T cells - Recognize via PRRs or by repeating antigen determinants.




or activated by MHC-II

How are T cells activated?

IDC's present antigen to MHC II and cause activation.




OR




Needs: 2x signals


1) Antigen recognition by TCR and CD4/CD8 of antigen MHC-1


2) Activation of helper t cells or cytotoxic t cells

What are the activities of a cytotoxic T cell.

Activation of intracellular killing mechanisms (cytokines, IFNy)


OR directly attacks using perforin, granulysin.


OR destroys vital tissue

Pathogen

A microbe able to cause disease.

Pathogenicity

The ABILITY of an infectious agent to cause disease.

Virulence

A quantitative measure of pathogenicity.

Virulence factors:

The various genetic, biochemical or structural features of a pathogen which enable it to cause disease.

What do bacterial invasins do?

Localised production of enzymes by bacteria which degrades components of biological barriers.


Bacteria that produce invasins are capable of systemic spread.

Endotoxins:

Cell wall component - LPS


Quite stable


Can't form toxoids


Less potent, low specificity


GRAM -ive only


Regulated by chromosomal genes



Exotoxins:

Soluble proteins


Gram +ive or -ive


Generally located on plasmids


Proteins - have two units:


A- toxic


B- bind and activate A


Unstable, can form toxoids


Very potent and very specific


Doesn't usually produce fever.

6 steps :

1. Attachment and entry into the body


2. Local or general spread into the body


3. Multiplication


4. Evasion of host defences


5. Shedding from the body


6. Cause damage in host.