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The innate immune system begins with the physical barriers. There are a total of 7. List them and give a short answer as to why or what part that allows it to be a line of defense.
Skin: dermis (outer layer), epidermis (has WBCs)
Microbiota: Natural skin dwelling microbes that fight other microbes
Secretions: has antimicrobial proteins
Mucosal membranes: Surfactants bind to microbes → marks for phagocytosis & lysozymes in tears/saliva kill g+ bacteria
Respiratory tract: coughing & sneezing
Digestive tract: acidity in stomach kills microbes
Genitourinary tract: urine flushes and slightly acidic
There are multiple pattern recognition receptors on macrophages, dendritic cells, neutrophils, eosinophils, monocytes, mast cells, T cells, and epithelial cells. List the different types of pattern receptors that exist. (Hint* 4)
Toll-like receptors (TLRs)
C-type lectin receptors (CLRs)
Retinoic acid-inducible gene…receptors (RLRs)
Nucleotide-binding olgo (NOD)-like receptors (NLRs)
What two things do pattern recognition receptors (PRRs) look for? Provide a brief description of what they look for.
Pathogen-associated molecular patterns (PAMPs): infectious particles
Damage-associated molecular patterns (DAMPs): stress/damage particles
One PRR is the toll-like receptor (TLR). How many are usually found in humans? Explain where they can be found on/in the cell and why.
10 in humans
TLRs are in the cell: b/c viruses in the cell will then trigger the TLR to produce a “help” response via cytokine
TLRs are on cell surface: It can trigger the adaptive immune system
What 3 cells are commonly found to have TLRs?
Monocytes
Macrophages
Dendritic cells
Another pattern recognition receptor (PRR) is a CLR. What does this stand for and what does it target? Where is it located in/on the cell?
C-type lectin receptor
Targets the Carbohydrates in fungal cell walls
Outside the cell
Another pattern recognition receptor (PRR) are the RLRs. What does this stand for and what does it target? Where is it located in/on the cell? What cells do these receptors recruit?
Retinoic acid - inducible gene - 1 - like recep. (RIG-1)
Targets viral RNAs in the cell
Internally
Cytotoxic T cells and NK cells
Another pattern recognition receptor are the NLRs. What does this stand for and what do they target? Where are they located in/on the cell?
Nucleotide-binding (NOD-like) receptors
Targets bacterial cell walls and protozoans
Located internally
What do acute-phase reactants respond to and what do they help with? What do they release?
responds to tissue damage and limit neutrophil damage in skin
Releases opsonin’s to allow contact between microbes and phagocytosis
What are the 7 acute-phase reactants and their function?
C-reactive protein: opsonization & Complete activation
Serum Amyloid (A): Activation of monocytes & macro
Alpha1-antitrypsin: Protease inhibitor
Fibrinogen: Clot formation
Haptoglobin: Binds hemoglobin
Ceruloplasmin: Binds copper & oxidizes iron
Complement C3: opsonization, lysis
What are the 5 symptoms of injury?
redness/erythema (rubor)
swelling/edema (tumor)
Heat (calor)
Pain (dolor)
Loss of function (functio lasea)
Explain the 3 main stages of injury and give a brief description of what is released during them.
Injury leads to release of histamine → vasodilation (red/heat)
Vasodilation leads to dilation & clotting → swelling/pain
Chemokines released by macros/DCs/mast cells recruit neutrophils (phagocytes) → cells squeezing through skin to injury is called Diapedesis
What phagocytes are attracted to sites of inflammation?
Dendritic cells
macrophages/monocytes
neutrophils
What are the steps to phagocytosis? Starting with microbe attraction (why are they phagocytosed) (~4 steps)
Microbe coated in opsonin attracts phagocytic cell
Phagocyte engulfs microbe into phagosome
lysosome fuses with phagosome to create phagolysosome and destroys microbe via granules/digestion enzymes
Phagocytic cell excretes unneeded things.
What are the two ways the phagocytic cell kills a microbe (internally)?
Upon entrance into phagolysosome, pH alters and activates lytic enzymes (due to O2 dependence)
Free radicals create an oxidative burst as they burst the microbe by stealing electrons.
What do NK cells produce to recruit what type of cell?
Produces cytokines to recruit T cells
What two ways can an NK cell detect a target cell and how does it kill it?
Missing/altered MHC 1: will activate the NK cell b/c likelihood of it being infected or stressed is high.
Antibody-dependent cell-mediated cytotoxicity (ADCC): Antibody will attach to infected cell (due to recognition of infectious particles) and NK cell will recognize antibody.
How it kills: NK cell uses perforins to create holes in cell and then shoots granulocytes through perforins.