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what fills the gap between physical barriers and the adaptive immune system
the innate immune defenses
What is the mechanical barriers in the skin, gut, lungs, eyes/nose/oral cavity
epithelial cells joined by tight junctions
what kind of cells are skin and mucous membranes made up of
flattened epithelial cells
What connects epithelial cells in the skin and mucous membranes
tight junctions that continually shed
skin and mucous epithelial cells are impenetrable to microbes unless_____
broken due to wound or burn
What are the mechanical barriers in the skin and gut
longitudinal flow of air or fluid
What are the mechanical barriers in the lungs
movement of mucus of cilia
What are the mechanical barriers in the eyes/nose/oral cavity
tears and nasal cilia
What are unnoticeable (autonomic/semi-autonomic) mechanical defenses
blinking, tears, swallowing, peristalsis, mucociliary escalator
What are energetic mechanical defenses
coughing, sneezing, urination
What are violent mechanical defenses
vomiting and diarrhea
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
What is the purpose of the mucociliary escalator
to push debris and microbes in a unidirectional manner out of the respiratory tract
How does cystic fibrosis affect the mucociliary escalator
defects in the mucus layer prevent this defense mechanism
What are the chemical barriers in the skin
fatty acids
What are the chemical barriers in the gut
low pH and antimicrobial enzymes
What are the chemical barriers in the lungs
pulmonary surfactant
What are the chemical barriers in the eyes/ nose/ oral cavity
antimicrobial enzymes in tears and saliva
What are the chemical barriers in the skin, gut, lungs, eyes/nose/oral cavity
antimicrobial peptides
What are defensins
peptides 30-40 amino acids in length, lots of arginine residues, 3 antiparallel beta-sheets
What is the important feature of defensins
amphipathic (containing both hydrophobic and hydrophilic regions), which allows it to disrupt membrane integrity of pathogens
What do defensins promote
protein unfolding and denaturation of bacterial toxins
what are pentraxins
plasma molecules that bridge betwen pathogens and phagocytes
what do pentraxins do
promote engulfment of pathogens by phagocytes, short form includes SAP and C-reactive protein (CRP)
What are the microbiological barriers in the skin, gut, lungs, and eyes/nose/oral cavity
normal microbiota
When does colonization of commensal bacteria occur
Some time around birth and is impacted by delivery mode and antibiotic use
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
What is the Complement system
a complex system of at least 30 proteins
What does the complement system do
interact to kill invading microbes, trigger inflammation, and regulate immunity
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
how many activation pathways and major downstream outcomes are there
three of each
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
C3 activation before cleavage
C3 has a reactive thioester bond that is normally on the inner side of the protein and protected from hydrolysis
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
what are the three pathways of complement activation
alternative, lectin, and classical pathways
the alternative pathway
the most common (80-90% of complement activation), C3 convertase is initiated by spontaneous hydrolysis of the thioester bond
what does C3 convertase do
cleaves other C3 molecules into C3a and C3b
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
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
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)
where do the C3a fragments from complement activation go
they serve as attractants of innate cells (anaphylotoxin)
opsonization
C3b-coated pathogens can be bound by complement receptor 1 (CR1) to promote phagocytosis
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
what is the membrane attack complex made up of
1 C5b, 1 C6, 1C7, 3C8, 18C9
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
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
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
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
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
cytokines
small secreted proteins that act locally on other cells (or the same cell), interleukins (IL), interferons (IFN), tumor necrosis factor (TNF)
chemokine
small secreted proteins that recruit immune cells to sites of inflammation, CCL2, CCL3, CCL4, CXCL8, CXCL10
What do cytokines and chemokines allow the cell to do
quickly communicate with each other
pattern- recognition receptors (PRR)
recognize pathogen-associated molecular patterns (PAMPS) presented by microbes, including lipids, nucleic acids, and proteins
what are the two types of membrane-bound receptors
Toll-like receptors (TLRs) and scavenger receptors (SRs)
toll-like receptors
surface and endosomal, recognize lipid, protein, and nucleic acid patterns
scavenger receptors
surface, recognize a broad range of microbial and host ligands (lipoproteins, carbohydrates, phospholipids)
what are the two types of cytoplasmic receptors
NOD-like receptors (NLRs), RIG-I-like receptors, and cGAS-STING receptors
NOD-like receptors
cytoplasmic, recognize degraded bacterial products (peptidoglycans)
RIG-I-like receptors
cytoplasmic, recognize viral RNA
cGAS-STING
recognizes viral dsDNA and bacterial components
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)
what is the ligand of the TLR1:2 or TLR2:6 heterodimer
peptidoglycan and lipoproteins
what is the ligand of the TLR3 homodimer
dsRNA (endosomal)
what is the ligand of the TLR4 homodimer
lipopolysaccharide (LPS)
what is the ligand of the TLR5 homodimer
flagellin
what is the ligand of the TLR7 and TLR8 homodimers
ssRNA (endosomal)
what is the ligand of the TLR9 homodimer
unmethylated CpG DNA (endosomal)
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
what does binding of scavenger receptors (SRs) lead to
phagocytosis of microbes
what does binding of NOD-like receptors lead to
recognition of products of bacterial degradation to induce cytokine production
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)
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
what happens when intracellular LPS is detected
Cytosolic LPS is recognized by caspase-4
Caspase-4 activates Gasdermin D
Gasdermin D induces assembly of a pore in the plasma membrane
The Gasdermin D pore causes death of the cell by pyroptosis
what recognizes intracellular LPS
caspase-4
what is called the executioner protein
Gasdermin D
what is pyroptosis
inflammatory or fiery cell death
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
what does Type I interferons produce
anti-viral proteins and amplify the response through paracrine action
autocrine
a cell produces a signal that acts on its own receptor
paracrine
a cell produces a signal that acts on another cell
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)
Innate cells detect non-self and altered-self patterns
Engulfment and destruction of the pathogen
secretion of cytokines and chemokines that activate other cells in the immune system
Killing of the infected cell: the cell itself (i.e., a macrophage) or a neighboring cell (i.e., an NK cell)
innate effector cells
macrophages, neutrophils, dendritic cells
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
what is the main function of macrophages
phagocytosis
phagocytosis
the process by which cells ingest or engulf particles, microorganisms or other material
what types of cells are phagocytes
macrophages and neutrophils
what are the stages of phagocytosis
Binding to the pathogen
ingestion
degradation in the endosome/phagosome
further degradation in the phagolysosome
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
how are neutrophils recruited into the site of infection
through chemokine signaling
how do neutrophils get out of the bloodstream
interactions with the blood vessel endothelium
what are the 4 stages of extravasation
rolling adhesion, tight binding, diapedesis, and migration
selectins
initiate rolling adhesion
integrins
initiate tight binding