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Cytokines
immune modulating agents made up of proteins
Chemokines
superfamily of cytokines that mediate chemotaxis
Interferons
a type of cytokine that alerts the immune system
Interleukin
class of glycoproteins made by leukocytes (WBCs) for regulating immune responses
What is the first line of defense against pathogens?
innate immunity
What is the function of innate immunity?
recruit other cells and stimulate inflammation
Innate Cells
mast cells, granulocytes, phagocytes, and natural killer cells
What do granulocytes include?
eosinophils, basophils, neutrophils
What do phagocytes include?
monocytes, dendritic cells, and macrophages
What are Sentinel Cells
Innate immune cells embedded in tissues
What is the function of sentinel cells?
Recognize PAMPS and DAMPS via specialized PRRs
What are examples of Sentinel Cells
Macrophages and Dendritic cells
What are specific macrophages and dendritic cells that are sentinel cells?
Kupffer cells (liver), Langerhans cells (skin and mucosa), alveolar macrophages (lung), and microglia (brain)
Sentinel Cells Major types
Macrophages, dendritic cells, mast cells, epithelial cells, and tissue-resident lymphoid cells
Sentinel Macrophages function
engulfs and digests pathogens, damaged cells, debris, and foreign substances
Sentinel Dendritic Cells function
processes the antigen and presents it to circulating T/B cells (antigen-presenting cells or APC)
Sentinel Cells: Mast Cell Function
resident cell of connective tissues with histamine and heparin granules; roles in allergy
Sentinel Cells: Epithelial Cells function
physical barriers with PRRs
Sentinel Cells: Tissue Resident lymphoid cells Funciton
tissue-resident natural killer cells
Where are innate immune cells strategically placed?
They are placed throughout the body at sites that could come into contact with pathogens (skin and lungs etc)
What are the main sentinel cells in the skin?
Langerhans cells that capture antigens and migrate to draining lymph nodes to prime T cells
What are the main sentinel cells in the lungs?
Alveolar macrophanges patrol airway lumen and phagocytose pathogens
What are the main sentinel cells in the gut?
Dendritic cells and epithelial cells that reside in the Specialized lymphoid tissue called Peyer’s patches
When sentinel cells are activated, they initiate
Cytokine and chemokine Production, Upregulation of costimulatory molecules and adaptive immune cell molecules (T cells), Type 1 IFN response, and Phagocytosis and ROS/ Nitric Oxide Production
What happens during Cytokine and chemokine production
induces local inflammation and neutrophil and monocytes recruit cells to shape magnitude and type of immune response
What cells induce local inflammation in cytokine and chemokine production?
TNF-a, IL-1B, and IL-6
What cells help to recruit cells during cytokine and chemokine production?
CXCL8 (neutrophil) and CCL2 (monocyte)
How are type 1 IFN responses triggered?
pro inflammatory response to viral nucleic acid sensing (RIG-I, TLR3)
When Sentinel cells activate phagocytosis what occurs?
macrophages and neutrophils increase phagocytic activity by eating pathogens
When Sentinel cells activate ROS/nitric oxide production, what occurs?
there is a generation of reactive oxygen species (ROS) and nitric oxide (NO) that kill pathogens
What are Pattern Recognition Receptors?
cellular protein receptor that recognizes molecules frequently found in pathogens or molecules released by damaged cells
How are PRRs expressed?
innate immunity and sentinel cells
How are PRRs upregulated?
cytokines (IFN-y enhances TLR expression)
Where are PRRs usually found?
cell surface or in the cytosol (usually in an endosome) which is beneficial for intracellular infections
What do PRRS help to initiate?
phagocytosis, autophagy, apoptosis, inflammasome formation, or recruitment of other cells
What are the different types of pattern recognition receptors?
toll-like receptors, nod-like receptors, RIG-I-like receptors, C-type lectin receptors, and AIM2-like receptors
What PRRs are on the cell surface?
TLR2, TLR4, TLR5, and CLR
Name the PRR: Detects triacyl and diacyl lipopeptides
TLR2
Name the PRR: Detects LPS
TRL4
Name the PRR: detects flagellin
TLR5
**Name the PRR: detects extracellular microbes
TLR2-5
What are the endosomal PRRS?
TLR3, TLR7, TLR8, TLR9
Name the PRR: detects dsRNA
TLR3
Name the PRR: detects ssRNA
TLR7/8
Name the PRR: detects CpG DNA
TLR9
Name the PRR: detects nucleic acids from viruses and bacteria
TLR3, TLR7/8, TLR9
What are your cytosolic PRRs ?
RIG-1, MDA5, NOD2, AIM2
What are the functions of your cytosolic PRRs?
detect intracellular infections and cellular damage
What Are PAMPS
conserved molecular motifs found on or made by microorganisms, but not host cells
**What is the PAMP and what recognizes it from gram negative bacteria?
Lipopolysaccharide and TLR4 recognizes it
What is the PAMP for gram-positive bacteria and what recognizes the PAMP?
Lipoteichoic acid and peptidoglycan and it is recognized by TLR2
What is the PAMP for viruses and what recognizes the PAMP?
Double stranded RNA (dsRNA), 5’ triphosphate ssRNA and it is recognized by TLR3, RIG-1, and MDA5
What is the PAMP for FUNGI and what recognizes the PAMP?
B-glucose and mannans and they are recognized by Dectin-1 (CLR) and TLR2
What is the PAMP for Mycobacteria and what recognizes the PAMP?
Lipoarabinomannan (LAM) recognized by TLR2 and TLR1
What is the PAMP for Bacterial flagellin and what recognizes the PAMP?
flagellin recognized by TLR5
What is the PAMP for unmethylated CpG DNA and what recognizes it?
Found in bacteria and some viruses and is recognized by TLR9
What does PAMPS stand for?
Pathogen- Associated Molecular Pathways
What are DAMPs?
host-derived molecules released from stressed, injured, or dying cells
Name the source and receptor/pathway for the DAMP High Mobility Group Box 1 (HMGB1)
Source is chromatin-associated protein released during necrosis and the receptor/pathway is TLR2, TLR4, AND RAGE
Name the source and receptor/pathway for the DAMP Extracellular ATP
Source is released from dying cells and the receptor/pathway is P2X7 receptor and NLRP3 inflammasome
Name the source and receptor/pathway for the DAMP Uric acid crystals
Source is byproduct of purine metabolism and the receptor/pathway is NLRP3 inflammasome
Name the source and receptor/pathway for the DAMP Mitochondrial DNA
source is released during cell stress and resembles bacterial DNA while the pathway is TLR9, and cGAS-STRING pathway
Name the source and receptor/pathway for the DAMP heat shock proteins (HSP60 + HSP70)
released from stressed cells and the pathway is TLR2 and TLR4
Name the source and receptor/pathway for the DAMP s100 proteins (S100 A8/A9)
source is damaged neutrophils and the pathway is TLR4 and Rage
DAMPS often alert immune system in the _______ of infection
absence
Where do DAMPs originate?
from host cells, especially after necrosis
PAMPS are non-self which means
infection
DAMPS are “altered self”, meaning,
injury
Does Apoptosis trigger inflammation?
No but necrosis or lytic viral replication does
What triggers inflammation?
necrosis or lytic viral replication
Why would a system designed to detect infection also respond to “sterile” damage?
It primes the tissues for repair, clears debris, and protects against opportunistic infections
What are clinical disorders that are linked to PRR dysregulation?
Sepsis and Systemic Inflammatory response (SIRS), Autoimmune and Autoinflammatory Diseases, and Viral infections and Immune Evasion
What is SIRS)
it is an overactivation of TLRs by PAMPs leading to a cytokine storm
What is Autoimmune and Autoinflammatory response to PRR dysregulation?
Chronic DAMP exposure activates PRRs that trigger sterile inflammation, Systemic Lupus Erythematosus, Gout, and Atherosclerosis
What happens during systemic lupus erythematosus?
TLR9 and 7 activation by self nucleic acids
What happens during gout?
NLRP3 inflammasome activation by urates
What is happening during Atherosclerosis?
DAMPs form oxidized LDL activate TLRs and inflammasomes in plaques
How can we use PRRs in a therapeutic and diagnostic application?
Use PRRs as drug targets that are used for autoimmune diseases, cancer immunotherapy, and chronic infections
How can we use PAMPS in a therapeutic and diagnostic application?
Vaccine Adjuvants are PAMP mimics that activate PRRs to enhance immune responses and memory formation
What are example of vaccine adjuvants?
MPL (monophophoryl liquid A) TLR4 agonist in HPA and HBV vaccines
How can DAMPS be used in therapuetic and diagnostic applications?
biomarker discovery where circulating DAMPs serve as biomarkers for tissue injury, cancer, and autoimmune flares
How can cytokine be useful in biomarker discovery?
profiles which helps monitor disease activity and therapeutic responses