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66 Cards in this Set

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T/F epithelial barriers, phagocytes, complement and NK cells are ALL included in the Innate Immunity Responses to Pathogens
T
When is innate immunity most effective?
During the first few hours (12 hours) then adaptive immunity kicks in
What cells are included in the innate immune response?
Eosinophils
Neutrophils
Macrophages
Dendritic Cells
Natural Killer (NK) cells
Name the innate immunity cell:
Minor cell type
comprises 1-5% of total leukocytes in human blood
They are a type of granulocyte, and play a prominent role in responses to parasitic infections (also involved in allergic reactions and asthma).
Eosinophils
How do eosinophils induce their function?
by degranulating and releasing:
- eosinophil cationic protein
- major basic protein
- eosinophil peroxidase
- reactive oxygen and reactive nitrogen intermediates.
T/F Dendritic cells are considered phagocytes?
true, they engulf microbes, degrade them and are primarily responsible for phagocytosing and presenting peptide antigens to lymphocytes.
Thus they are generally referred to as professional APCs
T/F Dendritic cells are less predominant than neutrophils, monocytes, macrophages.
true
*What is the primary function of the dendritic cell?
to stimulate the adaptive immune response - the bridge btwn them.
Natural Killer Cells - what percentage of leukocytes is NK cells?
5-15%
What is the primary job of NK cells?
to produce cytokines **(specifically IFNinterferon-gamma - that activates macrophages) for macrophages early in infection and to kill virally infected - int this case host cells - (or some tumor) cells.
T/F NK cells are lymphocytes.
true, but, they are not MHC restricted so they are part of the innate immune response
What cytokine does NK produce to activate macrophages?
interferon gamma (IFN - gamma)
What leukocytes are the most prolific in the immune system?
neutrophils and macrophages
Neutrophils (PMN) comprise over ____% of circulating ______.
95% of granulocytes
What cell has a multi-lobed nucleus?
neutrophil
What within infection sites are neutrophils attracted to?
sites of infection by multiple signals including bacterial products.
What is the primary job of neutrophil?
to kill microbes - granulocytes that also kill fungi/mycoses
Neutrophils phagocytose and what is within them (cytoplasm) to kill the microbes?
Lysosomes (azurophillic primary granules) contain acid-hydrolases, myeloperoxidase and muramidase. Ingest bacteria are contained within vacuoles termed phagosomes.
T/F neutrophils are similar to monocytes/macrophages.
true
What is a Macrophage called when it is in the blood?
MONOcyte
Macrophages are in the tissue
What cell has a mononuclear horse-shaped nucleus?
Monocytes and macrophages
What are the 2 major functions of monocytes/macrophages?
Professional Pahgocytes - to engulf particulate antigens and degrade microbes
APC - act as APC to take up, process, and present antigenic peptides to T cells (like dendritic cells) - activate adaptive response.
How do all these leukocytes know that the body is infected?
general term - PRR - pattern recognition receptors
TLR - toll like receptors
Can recognize: LPS, Murein, specific sugars on surface of microbes, proteins/lipids that have been damaged or unique to microbes
Once the leukocyte has been activated by a receptor what does it do?
induced to phagocytose whatever it came into contact with.
*T/F innate immune cells recognize body is infected by pathogen assoc. molecular patterns.
True, ex: LPS, Murein, sugars, protein/lipids...
Once the microbe is engulfed, what happens?
Phagosome and lysosome (with enzymes) fuse = phagolysosome
- killing of microbes by lysosomal enzymes in phagolysosomes (possibly with ROS and NO)
What is the 3rd impt. function of Monocytes/Macrophages?
Production of Cytokines and Chemokines - to let the rest of the immune system know what's going on.
Is it a Cytokine or Chemokine?
Proteins prodcued by many different cell types that mediate inflammatory and immune reactions. ________ are principal mediators of communication between cells of the immune response.
CYTOKINE
Cytokine or Chemokine?
A large family of structurally homologous, low molecular weight _______ that stimulate leukocytes movement and regulate the migration of leukocytes form the blood to the tissues.
Chemokines; subset of cytokines, work over longer distance
- chemoattracant - recruit additional cells to site of infection
T/F there are A LOT of chemokines.
true
There are ~30 cytokines, which ones do we need to know?
TNF
IL-1
IL-12
Type I Interferon
- IFN alpha, beta, and gamma
What are the previous mentioned cytokines impt for?
Most impt. in the initial phases of the immune response.let body know that it IS infected and induce immune response at right time and in right place.
TNFalpha and IL-1 are present when?
At the initial time of infection
What cytokine induces inflammation at the site of infection?
TNF alpha and IL-1
IL-12 is produced by macrophages..like all the others...and ultimately results in increased activation of what leukocyte?
macrophages
Does IL-12 induce activation of macrophages directly or indirectly; explain...
initially uses NK to produce IFN gamma -> macrophage activation
Why is IFN gamma is so impt that even the adaptive immune response days later will still be producing IFN gamma
keeps macrophages active.
How does inflammation begin in relation to cytokines?
TNFalpha can cause epithelial cells to 'ball up" and become smaller, which leads to and

inc. blood supply = increased permeability, inc. delivery of proteins and leukocytes
inc. permeability -> inc. tissue entry of proteins and leukocytes
An increase in migration leads to..
inc. entry of leukocytes into tissue
an increase in tissue activation leads to...
interaction between leukocytes, endothelial cells, extracellular matrix components, cytokines, chemokines, hormones and antigen/pathogen
The blood with leukocytes is flowing quickly past the infection site, so how is it going to get through the epithelial cells and to the infection site?
the cytokines, produced by the macrophages are present on the surface of the epithelial cells and as the leukocytes roll by, they have a weak interaction and it slows them down and then have a stronger interaction leading to them squeezing between epithelial cells and arriving at the site of infection.
How does the endothelial get the leukocyte to slow down and 'roll'? what cytokines are involved?
chemokines produced by macrophages induce the epithelial cell to express: selectin (which attracts selectin ligand on surface of leukocyte).
After the leukocytes as has a weak binding with selectin, what occurs next?
now that it slows down it can have the opportunity to have a higher binding with it's integrin and the chemokine/receptor on the endothelial cell (shift from low to high affinity) and are clustered
What happens once it has reached the high affinity binding state?
the expression of integrin ligands on the endothelium are increased (as a result of TNF alpha and IL-1
T/F After the endothelial cells have expressed more integrin ligand are they stable?
YES they are stably adhered
once stably adhered, where do the leukocytes go?
they tranmigrate through the endothelium - chemokines act on the cell to draw the cell toward the site of infection.
Some components of the innate immune response are common to all pathogens (no matter if site is sterile, or there is a microbe there): such as?
Phagocytosis (or degranulation) to kill microbes (and to present antigen)
Cytokine production to induce inflammation and reactive endothelium
So, if there is a generic innate immune response for all pathogens, what about whether it is intracellular or extracellular pathogen? Does it change according to that?
Yes, especially to viruses
Why? Because some PRR are on the surface of the cell and some are within the cell (on endosomal membrane) - which respond to microbes that have already been phagocytosed.
T/F The toll-like receptors regardless of whether they are on the surface of the cell or in the cytoplasm share a common signaling cascade.
true, all of them recruit adapter proteins, activate protein kinases, and activate transcription factors.
Because they have the same signaling cascade does it matter whether it is bacterial or viral pathogen?
no, the TLR will always result in production of transcription factors that produce inflammatory cytokines.
How is it that intracellular TLR are so helpful in combating viral infections.
they are better at activating IRF3 and IRF7 which activate IFNalpha/beta = helps combat viral infections.
What are the 2 diff. categories Interferon?
Alpha and beta
How many subtypes to IFN alpha vs. beta come in?
alpha - 13
beta - 1
What is interferon alpha primary produced by?
monocyte and macrophages
- and dendritic
What is interferon beta produced by?
virtually any cell infected with a virus - even endothelial cell
What is the most potent stimulus for IFNs ?
viral nucleic acids - as detected by pattern recognition receptors (PRR)
ex: dsRNA, ssRNA, unmethylated CpG DNA
So, once these intracellular TLR's are activated how does it stop Viruses from replicating?
enzymes that interfere with transcription of viral RNA or DNA and viral replication
shares message with neighboring cells so it is difficult to spread.
What is 2',5' oligoadenylate synthetase and RNase?
is produced (induced) by IFN and promotes viral RNA degradation
What is dsRNA-activated serine/threonine protein kinase (PKR)?
is produced (induced) by IFN and blocks viral transcriptional and translational events.
Type 1 IFN is really the only good way to prevent spread and kill virus without killing host cell...but to completely ERADICATE the disease...what must occur?
The immune system has no way of killing an intracellular pathogen without killing the infected host cell. Therefore, the immune system simply kills host cells infected with intracellular pathogens.
How does the immune system kills it's own infected cells to eradicate the disease? What leukocytes are involved?
Cytotoxic T Cells (of adaptive immune system) - kill the cell or help it undergo apoptosis - prevents viral replication and viral spread, but is damaging to the tissue and overall is best
NK cells (innate immune system) - also kills virally infected cells - also produce IFN gamma for macrophages
T/F In general, the innate immune system is very effective at reducing pathogen load early during an infectin.
True
What is the innate immune system NO really great at?
to completely eradicatethe pathogens from the body. Moreover, the innate immune system has no way to prevent future infections.
What is necessary to completely eradicate pathogens and to establish immunological memory to the pathogen?
adaptive immune system.
*What is the principle cell that links the innate immune response to the adaptive immune response (macrophanges can do this too)
Dendritic Cells
How do Dendritic Cells activate the adaptive immune response?
Using processed microbes to present (APC) to antigen specific T-cells
Dendritic Cells are:
- Cytokine producers
Phagocytic Cells (but more specialized toward antigen presentation)