First line vs second line vs third line of defense
First line prevents entry; second line is induced innate immunity; third line is adaptive immunity.
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Extracellular vs intracellular pathogens
Extracellular pathogens are attacked by complement, antibodies, and phagocytes; intracellular pathogens require killing of infected cells by NK cells or cytotoxic T cells.
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Mechanical vs chemical vs microbiological barriers
Mechanical barriers physically remove/prevent pathogens; chemical barriers kill or inhibit them; microbiota occupy space and compete with pathogens.
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Lysozyme
Breaks NAG-NAM bonds in bacterial peptidoglycan.
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Defensins
Amphipathic peptides that form pores in microbial membranes.
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PAMP
Conserved microbial structure recognized by innate immune receptors.
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PRR
Receptor that recognizes PAMPs.
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Opsonin
Molecule that coats a pathogen and promotes phagocytosis.
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C3b
Major complement opsonin.
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CR1
Receptor that recognizes C3b on phagocytes.
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Complement's three functions
Opsonization, inflammation, and membrane attack.
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C3 convertase
Cleaves C3 → C3a + C3b.
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C5 convertase
Cleaves C5 → C5a + C5b.
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C3a
Inflammation.
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C5a
Strong inflammation and immune-cell recruitment.
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C3b
Opsonization and amplification.
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C5b
Starts MAC formation.
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MAC
C5b-C6-C7-C8-C9; forms a pore in the target membrane.
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Lectin pathway trigger
Microbial carbohydrates.
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Classical pathway trigger
Antibody bound to pathogen.
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Alternative pathway trigger
Spontaneous C3 activation.
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Lectin C3 convertase
C4b2a.
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Classical C3 convertase
C4b2a.
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Alternative C3 convertase
C3bBb.
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Lectin/classical C5 convertase
C4b2a3b.
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Alternative C5 convertase
C3b2Bb.
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Properdin
Stabilizes the alternative C3 convertase on pathogens.
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Thioester bond
Allows C3b/C4b to covalently attach to microbial surfaces.
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Complement self-protection
DAF, MCP, factor H, factor I, CR1, and CD59 prevent complement from damaging host cells.
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Complement evasion
Pathogens can block complement by targeting factor H, factor I, antibodies, or C3 convertases.