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barrier tissues
keeps the outside OUT
epithelia = outside
endothelia = inside
mucosa
antimicrobial proteins
defensins
lysozyme
complement
mucosal barriers ______ microbial colonization of host tissues
prevent
mucosal barriers layer order
lumen
outer mucus layer
inner mucus layer
epithelial cells
outer mucus layer contents
healthy bacteria prevent colonization from foreign bacteria
inner mucus layer contents
antimicrobial proteins
IgA antibodies
mechanical bariers to infection
flow of air/ fluid
containment/expulsion in mucus
tight junctions btw epithelia/ endothelia
tight junctions prevent _________ __________ of pathogens across barrier tissues
paracellular diffusion
occlusin
stops pathogens from entering brain parenchyma
chemical barriers to infection
low (acidic) pH
enzymes in tears/ saliva (lysozyme)
antimicrobial peptides (defensins)
lysozyme
degrades bacterial peptidoglycans
peptidoglycans
lie on top of the bacterial cell membrane
when broken, leaves membrane exposed
defensins
disturb microbial plasma membrane integrity
charged
how do defensins work
their own charges repel eachother
causes membrane to separate + creates a pore
commensal microbiome
microbiological barrier to infection
good bacterias
symbiotic bacteria
good bacteria
MUST STAY WHERE THEY ARE
can be pathogenic if they move around
commensal gut bacteria
provide colonization resistance to invading bacteria
K. mich → E. coli
K. oxy → salmonella
K. mich
hogs all nutrients from E. coli
K. oxy
produces toxins that suppress salmonella
complement system
system of inante antimicrobial proteins
complement system steps
synthesized in liver
secreted into blood INACTIVE
attaches to pathogens + ACTIVATES
3 stages of complement activation
pattern recognition
enzymatic cascade
effector responses
3 pathways of complement initiation
classical pathway
lectin pathway
alternative pathway
classical pathway
attaches to pathogen via interaction w/ antibody
lectin pathway
attaches to pathogen via interaction w/ microbial sugars
alternative pathway
attaches to pathogen surface directly w/ enzymatic products
_____ binding to antibody initiates classical complement pathway
C1
C1 complex
C1q = binds to antibody
C1r/ C1s = proteolytic domains
C2 and C4 cleaved into 2 pieces each
lectin pathway initiation
bind to carbohydrate PAMPs
MBL + ficolin
also cleave C4 and C2 into 2 pieces each
C3 convertase for the classical and lectin pathways
C4bC2a
C3b is KEPT
which parts of C2 and C4 are kept?
C4b and C2a
alternative pathway using existing C3b
C3b attaches to microbe + factor B
factor Bb binds to C3bB
Ba is lost
C3bBb (C3 convertase is formed)
C3 binds to this new C3 convertase + makes new copies of C3b and C3a

alternative pathway using hydrolysis of C3
H2O binds to C3 → C3H2O
C3H2O binds to factor D
factor D binds to C3H2OB
Ba is lost
C3H2OBb (C3 convertase is formed)
C3 binds to this new C3 convertase + makes new copies of C3b and C3a

all complement pathways can form a _______
C5 convertase!
classical/ lectin C5 convertase
C4b2a3b

alternative C5 convertase
C3b2Bb

3 effector outcomes of complement reactions
MAC
opsonization for phagocytosis
anaphylatoxin-induced inflammation

membrane attack complex steps
C5b, C6 and C7 → C5b-7
C8 → C5b-8
C9 → MAC

membrane attack complex mechanism
causes fluid to rush into the cell, causing the cell to pop
anaphylatoxin-induced inflammation
USE GCPRs
C3a, C4a and C5a bind to their receptors: C3aR, C4aR and C5aR

immune effector functions stimulated from anaphylatoxins
degranulation
phagocytosis
cytokine production
chemotaxis
degranulation
releases contents of granules (antimicrobial/ inflammatory molecules)
cytokines
signal molecules
chemotaxis
direct movement of immune cells
properties of an inflammed capillary
extravasation of Ab + complement (LEAK)
leukocyte diapesis (WBCs LEAVE)
activated endothelium
vasodilation
opsonization for phagocytosis
extra C3b coats pathogen
coincidence detection
phagocytosis

coincidence detection
C5a → C5aR
C3b → CR1
C3b clearance of immune complexes
immune complex forms
opsonization
capture by erythrocyte
delivery to macrophages in liver + spleen
surface receptors of innate phagocytes
Fc receptors (FcRs)
C-type lectin receptors (CLRs)
complement receptors
scavenger receptors
Fc receptors (FcRs)
recognize pathogens bound to antibody
C-type lectin receptors (CLRs)
recognize microbial sugars
complement receptors
recognize phagocytosis-inducing proteins of the complement system
scavenger receptors
recognize wide array of surafce signals associated w/ pathogens + dead host cells
phagolysosome definition
produced by phagocytosis
phagosome + lysosome
phagolysosome mechanisms
acidic pH: 3.5-4
reactive oxygen + nitrogen species (RONS)
antimicrobial peptides
degradative enzymes
_______ enhance phagolysosome functions by using antimicrobial granules
neutrophils
phagocytosis antigen presentation via MHC-2
phagolysosome forms
MHC-2 fuses with phagolysosome
MHC-2 picks up antigen from phagolysosome
antigen is presented to CD4 T cell

efferocytosis
how phagocytic macrophages clear dead cells
find me signals
released by apoptotic cells
nucleotides (ATP, UTP)
phosphokipids (S1P, LPC)
chemokines (CX3CL1)
eat me signal
phosphatidylserine (PtdSer)
released by apoptotic cells
apoptosis
formation of blebs/apoptotic bodies
maintenance of membrane integrity
sequestration of DAMPs
necrosis
result of physical/chemical injurt
loss of membrane integrity
release of DAMPs = INFLAMMATORY
lytic cell death
result in release of DAMPs + highly inflammatory
necroptosis
MLKL -RIPK3→ MLKL phosphorylation
result: pore

pyroptosis
gasdermin-D -caspase 1→ subunit cleaved
result: HUGE pore

DAMPs
danger signals to other cells
nucleic acids (mtDNA)
metabolites (ATP, uric acid)
alarmins (HMGB1, IL-33)