* has closely packed cells * continuous layering * presence of keratin * dryness and shedding of skin
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How are mucous membranes a protection for immunity?
they have goblet cells that produce and secrete mucus which covers and protects fragile cells underneath and traps debris and particulates (including microbes)
* they line the entire GI, respiratory, and urogenital tracts
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what is mechanical removal? How does it help with immunity?
* sebum → secreted fatty acids (low skin pH) * Lysozymes → cleaves peptidoglycan * found in saliva, mucus, intestines, tears, sweat * low pH of stomach
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What are 3 ways normal microbiota provides resistance to disease?
1. competitive exclusion (example the microbia use up the nutrients in teh GI tract so bacteria have none) 2. inhibiting or killing pathogens 3. facilitating development of immune system
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what can inhibiting or killing pathogens produce?
antimicrobial peptides (AMPs)
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what are antimicrobial peptides?
* short peptides (10-100aa) that exert broad-spectrum antimicrobial activity * most are cationic (+2→ +9 net charge) and amphiphilic * AMPs can directly inhibit microbes, coordinate immune response, disrupt biofilmes, etc.
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What are **defensins** and **cathelicidin**?
they destroy cytoplasmic membranes of microbiata
* expressed by many epithelial cells and stored in neutrophil granules
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How does the positive charge of AMPs help them target bacterial membranes?
bacteria is negatively charged (acids have negative charge, lipopolysaccaride, etc)
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What does IFN, IFNAR, and ISG stand for?
IFN = interferon
IFNAR= IFN alpha receptor
ISG= IFN-stimulated gene
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______ cells can both produce and respond to type I IFN
ALL
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What are Type I Interferons?
IFN-alpha and IFN-beta
1. when a virus enters a cell, the sensors start a cascade of events 2. sensors trigger the IRF’s 3. IRF’s trigger IFN in the nucleus and then travels out out of nucleus into cytoplasm and then all the way outside the cell 4. IFN triggers IFNAR which triggers JAK/STAT which ultimately triggers ISGs
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what is an ISG’s purpose?
* it is an antiviral effector * it can degrade viral RNA, inhibit protein synthesis * It can increase MHC I expression and Ag presentation * it can activate NK cells to kill virally infected cells
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signaling of Type I Interferons is both _______ __and__ _________
autocrine and paracrine (signals itself and neighboring cells)
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What is our blood composed of?
* plasma * formed elements * erythrocytes * leukocytes * platelets
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what are formed elements? what is the process of forming them called?
elements created in the red bone marrow via hematopoiesis
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what connects the immune system?
blood and lymph
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what are the primary lymphoid organs?
where immature lymphocytes mature into Ag-sensitive B cells and T cells
* fluid in blood leaks out of capillaries, and the lymphatic system recovers the fluid. * drains every part of the body → passes through lymph nodes, ultimately returns to your veins
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Lymph carries microbes to __________ and ______+________destroy the pathogen
lymph nodes
lymphocytes and antigen-presenting cells (APCs)
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nodes are packed with _____________
leukocytes
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what are the gut-associated lymphoid tissues?
tonsils, adenoids, and Peyer's patches
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__________ cells sample intestinal microbes
microfold (M)
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what are pathogen-associated molecular patterns? (PAMPs)
structures unique to pathogens
* LPS, flagellin, PDG
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what are pathogen recognition receptors? (PRRs)
cellular receptors that bind to PAMPs
* embedded on the plasma membrane and inside endosomes * PAMP-PRR binding activates phagocytes
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What cells are REALLY important in innate immunity? (not exclusive list of all cells)
* monocyte * dendritic cell * macrophage * T cell * B cell * plasma cell * natural killer cell
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where are macrophages in the body? what is their function?
present in most tissues of the body and perform tissue-specific immune protection
both macrophages and dendritic cells destroy microbes by phagocytosis and are able to present antigens to T cells
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where are dendritic cells present in the body? what is their function?
present in spleen, lymph nodes, skin, and mucous membrane
function: can take up small soluble ags from environment and is the primary initiator of the adaptive immune response
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what first encounters pathogens? what directly kills invaders?
macrophages
invaders are directly killed by phaocytosis
in phagocytosis antigens are presented to adaptive immune cells
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is phagocytosis part of the innate or adaptive immune system?
it is part of the innate immune system but activates adaptive immunity
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what are phagocytic granulocytes?
neutrophils
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what are polymorphonuclear neutrophils? (PMNs)
they have distinctive multilobed nuclei
highly active in initial stages of an infection
phagocytic, motile
60-70% of all leukocytes
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which granulocytes release granules?
eosinophils, basophils, and mast cells
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what do granulocytes do?
release products that are toxic to microbes
important in inflammation and allergy
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which granulocyte acts agains parasites?
eosinophils
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which granulocytes release histamine? which ones travel where?
basophils and mast cells
basophils stay in blood
mast cells migrate into tissues, mucosa
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what are the agranulocytes?
natural killer cells
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what do natural killer cells do?
they can kill a wide variety of infected body cells and tumor cells
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what happens when a NK cell is bound to its target?
it releases toxic substances from lytic granules (perforin → forms a pore, granzymes → induce apoptosis)
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what is the first mechanism for NK activation?
1. there must be an absence of the “self” protein, MHC I 2. there must be the presence of “altered self” or “nonself” proteins
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what are the phagocyte cells?
neutrophils and macrophages
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what is inflammation?
a host response to tissue damage characterized by
* heat * edema * redness * pain * altered function or movement
(HERPA acronym)
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what is the difference between acute and chronic?
acute: mild and self-limiting (days to weeks)
chronic: severe and progressive; months to years
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how does inflammation fight infection?
1. it delivers additional effector molecules and cells to site of infection 2. provides a physical barrier to prevent spread of infection 3. promotes repair of injured tissues
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how are effector molecules delivered to the site of infection?
1. increase in vascular diameter (increase in blood volume) 2. decreased blood flow (heat & redness) 3. increase in vascular permeability
why is decreased blood flow important for inflammation?
allows leukocytes to better interact with the vascular endothelium → facilitates extravasation
* neutrophils and macrophages are recruitd from the blood to the site of infection
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what is diapedesis?
when macrophages squeeze through endothelial cells
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when you have an increase in vascular permeability how does that help in inflammation?
* it leads to swelling (edema) and pain * also leads to the accumulation of Abs, complement, and other blood proteins
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What controls trafficking of innate immune system cells?
appearance/disappearance of (1) adhesion molecules on endothelial cells and (2) their ligands on lymphocytes
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What are selectins and how do they relate to inflammation? What are the rest of the steps of diapedesis?
they are pro-adhesion molecules that are induced on endothelial cells by cytokines (which were secreted by macrophages) at the site of inflammation.
\ the next step was that the ligands on the WBCs bind and cells slowed down and roll.
\ this induces the expression of true adhesion molecules (integrins) on white blood cells
\ cell extravasates (diapedesis)
\ chemokines then induce cells to move towards site of inflammation
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What is the first responder of the inflammatory response? what do they do?
neutrophils
* destroy invading microbes via phaocytosis * predominate but die off quickly via apoptosis
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what follows neutrophils in inflammation?
monocytes
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after WBCs die, what happens to end inflammation?
tissue repair -- new cells are produced by stroma and parenchyma
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what happens if there is a lack of integrin in the blood?
it will cause a ton of neutrophils to build up in the blood.
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T/F: fever is a systemic response to infection
True
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how does a higher temperature (fever) fight infection?
reduces infectious potential of pathogens
stimulates innate and adaptive immunity
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what substance causes fever?
pyrogen
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internal pyrogens act on _____________ which releases what?
hypothalamus
prostaglandins
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what composes the proteins in the complement system?
liver and macrophages
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how does the complement system destroy microbes?
by cytolysis, opsonization, and inflammation
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what is the process called when one reaction triggers the next and more product is formed with each reaction?
amplification
happens in the complement system
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what are the three pathways of the complement system?
alternative pathway
classical pathway
lectin pathway
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what step do all complement pathways converge on?
the cleavage and activation C3. Spits into C3a and C3b
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what steps do the classical and lectin pathways differ on?
the initial pathogen recognition/activation step
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what are three possible consequences of the complement cascade?
inflammation, lysis, and opsonization
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what can one C3 convertase generate?
200 + C3b molecules
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what is anaphylatoxin?
small peptides that cause smooth muscle contraction, increased vascular permeability, increased phagocytosis, degranulation of granulocytes and mast cells
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anaphylatoxin triggers histamine release which →
increases vascular permeability
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what does chemotactic factor do? →
attracts phagocytes to site of complement activation
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what is opsonization?
immune adherence
* promotes attachment of phagocyte to a microbe
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which complement product is used in cell lysis?
C5b-C9 and the membrane attack complex (MAC)
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which complement product is used in the inflammatory response?
C3a and C5a
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Which complement product is used in opsonization?
C3b
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how does the innate immune system recognize foreign pathogens?
through pattern recognition receptors and opsonin receptors
triggering these receptors stimulates phagocytosis and activates phagocytes
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what are pattern recognition receptors?
they trigger an imediate response in teh innate immune system and recognize a broad class of pathogens and __recognize microbes directly__
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what are opsonin receptors?
they __recognize microbes indirectly__ and they have FcgammaR and complement receptors and their binding is mediated by Abs
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what initiates the acute-phase response?
inflammatory cytokines
* C-reactive protein (CRP): opsonin and classical pathways * Mannose-binding lectin (MBL): opsonin and lectin
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what cytokines are communicators between leukocytes?
interleukins
* stimulate cell proliferation, maturation, migration, and activation
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what cytokines induce leukocytes to migrate to areas of infection/tissue damage?
chemokines
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what happens if cytokines get caught in a positive feedback loop?
they create a cytokine storm which damages tissues
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What is different about adaptive immunity than innate?
* it’s a specific response that detects self from non-self * and has memory; faster and stronger the second time
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what is an antigen?
any molecule that binds specifically to an Ab or a T-cell receptor
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what is an epitope?
specific region of Ab that actually binds to the Ag receptor
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what is a hapten?
a “free” epitope that require a carrier molecule to elicit an immune response