Quiz 2

0.0(0)
Studied by 0 people
call kaiCall Kai
Locked
learnLearn
examPractice Test
spaced repetitionSpaced Repetition
heart puzzleMatch
flashcardsFlashcards
GameKnowt Play
Card Sorting

1/93

encourage image

There's no tags or description

Looks like no tags are added yet.

Last updated 4:44 PM on 9/20/26
Name
Mastery
Learn
Test
Matching
Spaced
Call with Kai
Chat

No analytics yet

Send a link to your students to track their progress

94 Terms

1
New cards

what fills the gap between physical barriers and the adaptive immune system

the innate immune defenses

2
New cards

What is the mechanical barriers in the skin, gut, lungs, eyes/nose/oral cavity

epithelial cells joined by tight junctions

3
New cards

what kind of cells are skin and mucous membranes made up of

flattened epithelial cells

4
New cards

What connects epithelial cells in the skin and mucous membranes

tight junctions that continually shed

5
New cards

skin and mucous epithelial cells are impenetrable to microbes unless_____

broken due to wound or burn

6
New cards

What are the mechanical barriers in the skin and gut

longitudinal flow of air or fluid

7
New cards

What are the mechanical barriers in the lungs

movement of mucus of cilia

8
New cards

What are the mechanical barriers in the eyes/nose/oral cavity

tears and nasal cilia

9
New cards

What are unnoticeable (autonomic/semi-autonomic) mechanical defenses

blinking, tears, swallowing, peristalsis, mucociliary escalator

10
New cards

What are energetic mechanical defenses

coughing, sneezing, urination

11
New cards

What are violent mechanical defenses

vomiting and diarrhea

12
New cards

What are the two mechanisms of the mucociliary escalator

Mucus secretion by the goblet cells combined with the timed beating of cilia on epithelial cells

13
New cards

What is the purpose of the mucociliary escalator

to push debris and microbes in a unidirectional manner out of the respiratory tract

14
New cards

How does cystic fibrosis affect the mucociliary escalator

defects in the mucus layer prevent this defense mechanism

15
New cards

What are the chemical barriers in the skin

fatty acids

16
New cards

What are the chemical barriers in the gut

low pH and antimicrobial enzymes

17
New cards

What are the chemical barriers in the lungs

pulmonary surfactant

18
New cards

What are the chemical barriers in the eyes/ nose/ oral cavity

antimicrobial enzymes in tears and saliva

19
New cards

What are the chemical barriers in the skin, gut, lungs, eyes/nose/oral cavity

antimicrobial peptides

20
New cards

What are defensins

peptides 30-40 amino acids in length, lots of arginine residues, 3 antiparallel beta-sheets

21
New cards

What is the important feature of defensins

amphipathic (containing both hydrophobic and hydrophilic regions), which allows it to disrupt membrane integrity of pathogens

22
New cards

What do defensins promote

protein unfolding and denaturation of bacterial toxins

23
New cards

what are pentraxins

plasma molecules that bridge betwen pathogens and phagocytes

24
New cards

what do pentraxins do

promote engulfment of pathogens by phagocytes, short form includes SAP and C-reactive protein (CRP)

25
New cards

What are the microbiological barriers in the skin, gut, lungs, and eyes/nose/oral cavity

normal microbiota

26
New cards

When does colonization of commensal bacteria occur

Some time around birth and is impacted by delivery mode and antibiotic use

27
New cards

How is commensal bacteria a microbiological defense

The presence of the microbiome makes it harder for pathogenic microbes to invade by competing for nutrients and space. The microbiome is required for immune homeostasis and proper barrier function

28
New cards

What is the Complement system

a complex system of at least 30 proteins

29
New cards

What does the complement system do

interact to kill invading microbes, trigger inflammation, and regulate immunity

30
New cards

what is the star of the complement system and why

complement component 3 (C3) because it does complement fixation, which is the irreversible attachment of C3b to pathogens

31
New cards

how many activation pathways and major downstream outcomes are there

three of each

32
New cards

substrate modulation

Enzymes (proteases) cannot act on their substrate until they themselves become activated, which leads to a chain of activation and substrate cutting. This ensures that the activation of complement enzymes is highly regulated

33
New cards

C3 activation before cleavage

C3 has a reactive thioester bond that is normally on the inner side of the protein and protected from hydrolysis

34
New cards

C3 activation after cleavage

once C3 is cleaved, the thioester bond is exposed, and most C3b is immediately hydrolyzed by water. Some C3 covalently binds to the surface of the pathogen via a hydroxyl or amino group

35
New cards

what are the three pathways of complement activation

alternative, lectin, and classical pathways

36
New cards

the alternative pathway

the most common (80-90% of complement activation), C3 convertase is initiated by spontaneous hydrolysis of the thioester bond

37
New cards

what does C3 convertase do

cleaves other C3 molecules into C3a and C3b

38
New cards

The lectin pathway

Triggered when mannose-binding lectin (MBL) or other lectins bind to carbohydrates on the microbial surface. MBL binds and activates MBL-associated serine protease (MASP), triggering the formation of a C3 convertase

39
New cards

The classical pathway

triggered when antibodies or C-reactive protein (CRP) bind to bacterial surface and recruit the C1 complex (C1q, C1r, C1s) to trigger the C3 convertase

40
New cards

where do the new C3b fragments from complement activation go

produce additional C3 convertases (amplification), bind phagocytic cell receptors (opsonization), generate C5 convertases (promotes pathogen lysis through membrane attack complex)

41
New cards

where do the C3a fragments from complement activation go

they serve as attractants of innate cells (anaphylotoxin)

42
New cards

opsonization

C3b-coated pathogens can be bound by complement receptor 1 (CR1) to promote phagocytosis

43
New cards

perforation of pathogen cell membranes starts with activation of C5

all pathogens generate a C5 convertase that leads to the formation of a membrane-attack complex (MAC), which disrupts cell membranes

44
New cards

what is the membrane attack complex made up of

1 C5b, 1 C6, 1C7, 3C8, 18C9

45
New cards

recruitment of inflammatory cells

anaphylatoxins: C3a, C5a recruit leukocytes to the site of infection and trigger additional inflammatory signals that induce contraction of smooth muscle and vascular permeability

46
New cards

soluble complement regulatory proteins

factor H and Factor I work together to cleave C3b and iC3b which can opsonize but cannot form a C2 convertase

47
New cards

membrane-bound complement regulatory proteins

decay accelerating factor (DAF)/ CD55-prevents formation of C3 convertase, Membrane cofactor protein (MCP) helps to inactivate C3b by binding Factor I

48
New cards

C3 deficiency

occurs in Brittany spaniels as a result of a mutation in the C3 gene, results in increased susceptibility to disease, most notably bacterial pneumonia, inherited as an autosomal recessive condition

49
New cards

Factor H deficiency

occurs in pigs, autosomal recessive, uncontrolled activation of the alternate pathway results in massive amounts of C3 being deposited in the kidneys, glomerular capillary wall thickening, results in renal failure and death

50
New cards

cytokines

small secreted proteins that act locally on other cells (or the same cell), interleukins (IL), interferons (IFN), tumor necrosis factor (TNF)

51
New cards

chemokine

small secreted proteins that recruit immune cells to sites of inflammation, CCL2, CCL3, CCL4, CXCL8, CXCL10

52
New cards

What do cytokines and chemokines allow the cell to do

quickly communicate with each other

53
New cards

pattern- recognition receptors (PRR)

recognize pathogen-associated molecular patterns (PAMPS) presented by microbes, including lipids, nucleic acids, and proteins

54
New cards

what are the two types of membrane-bound receptors

Toll-like receptors (TLRs) and scavenger receptors (SRs)

55
New cards

toll-like receptors

surface and endosomal, recognize lipid, protein, and nucleic acid patterns

56
New cards

scavenger receptors

surface, recognize a broad range of microbial and host ligands (lipoproteins, carbohydrates, phospholipids)

57
New cards

what are the two types of cytoplasmic receptors

NOD-like receptors (NLRs), RIG-I-like receptors, and cGAS-STING receptors

58
New cards

NOD-like receptors

cytoplasmic, recognize degraded bacterial products (peptidoglycans)

59
New cards

RIG-I-like receptors

cytoplasmic, recognize viral RNA

60
New cards

cGAS-STING

recognizes viral dsDNA and bacterial components

61
New cards

what is the structure and domains of Toll-like receptors

function in dimers and are composed of 2 domains: pathogen-recognition domain (leucine-rich repeat regions- LRRs: 20-29 amino acid segments enriched for leucine residues) and TIR domain (toll/interleukin-1-receptor)

62
New cards

what is the ligand of the TLR1:2 or TLR2:6 heterodimer

peptidoglycan and lipoproteins

63
New cards

what is the ligand of the TLR3 homodimer

dsRNA (endosomal)

64
New cards

what is the ligand of the TLR4 homodimer

lipopolysaccharide (LPS)

65
New cards

what is the ligand of the TLR5 homodimer

flagellin

66
New cards

what is the ligand of the TLR7 and TLR8 homodimers

ssRNA (endosomal)

67
New cards

what is the ligand of the TLR9 homodimer

unmethylated CpG DNA (endosomal)

68
New cards

receptor signaling works by oligomeric scaffolding

engagement of PRRs leads to an intracellular signaling cascade, oligomeric assembly brings weak interactions together quickly, intracellular signaling cascade through MyD88 and eventually NF-kB leads to gene transcription and cytokine production

69
New cards

what does binding of scavenger receptors (SRs) lead to

phagocytosis of microbes

70
New cards

what does binding of NOD-like receptors lead to

recognition of products of bacterial degradation to induce cytokine production

71
New cards

What does binding of RIG-I-like receptors lead to

generates production of cytokines called type I interferons, RLRs recognize viral dsRNA, RLR binding leads to production of Type I interferons (IFN-alpha, IFN- beta)

72
New cards

what happens when cGAS is activated

it is activated by viral dsDNA to produce cGAMP, and cGAMP and bacterial c-diGMP/AMP bind to STING

73
New cards

what happens when intracellular LPS is detected

  1. Cytosolic LPS is recognized by caspase-4

  2. Caspase-4 activates Gasdermin D

  3. Gasdermin D induces assembly of a pore in the plasma membrane

  4. The Gasdermin D pore causes death of the cell by pyroptosis


74
New cards

what recognizes intracellular LPS

caspase-4

75
New cards

what is called the executioner protein

Gasdermin D

76
New cards

what is pyroptosis

inflammatory or fiery cell death

77
New cards

Damage-associated molecular patterns (DAMPs) can also be recognized by receptors

the products of broken cells, altered self, released by damaged or stressed tissues, mitochondrial products resemble bacterial PAMPs

78
New cards

what does Type I interferons produce

anti-viral proteins and amplify the response through paracrine action

79
New cards

autocrine

a cell produces a signal that acts on its own receptor

80
New cards

paracrine

a cell produces a signal that acts on another cell

81
New cards

plasmacytoid dendritic cells (pDCs)

plasmacytoid dendritic cells are the biggest producers of Type I interferon (IFN-alpha, IFN-beta) pDCs express TLR7 (viral RNA) and TLR9 (bacterial/viral CpG motifs in DNA)

82
New cards

Innate cells detect non-self and altered-self patterns

  1. Engulfment and destruction of the pathogen

  2. secretion of cytokines and chemokines that activate other cells in the immune system

  3. Killing of the infected cell: the cell itself (i.e., a macrophage) or a neighboring cell (i.e., an NK cell)


83
New cards

innate effector cells

macrophages, neutrophils, dendritic cells

84
New cards

macrophages

tissue-resident myeloid cells found in almost every organ in the body, they often serve as sentinels for invasion by pathogens, produce inflammatory cytokines, in addition to innate immune functions, macrophages are responsible for tissue maintenance

85
New cards

what is the main function of macrophages

phagocytosis

86
New cards

phagocytosis

the process by which cells ingest or engulf particles, microorganisms or other material

87
New cards

what types of cells are phagocytes

macrophages and neutrophils

88
New cards

what are the stages of phagocytosis

  1. Binding to the pathogen

  2. ingestion

  3. degradation in the endosome/phagosome

  4. further degradation in the phagolysosome


89
New cards

neutrophils

polymorphonuclear cells (PMN), a common feature is all have a segmented, many-shaped (polymorpho) nucleus, are short-lived, circulate rapidly, recruited to the site of infection by chemokines, known for respiratory burst and production of NETs

90
New cards

how are neutrophils recruited into the site of infection

through chemokine signaling

91
New cards

how do neutrophils get out of the bloodstream

interactions with the blood vessel endothelium

92
New cards

what are the 4 stages of extravasation

rolling adhesion, tight binding, diapedesis, and migration

93
New cards

selectins

initiate rolling adhesion

94
New cards

integrins

initiate tight binding