L10 - Innate immunity I

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What are the Four Functions of the Immune System?

  1. Clear damaged tissue

  2. Manage beneficial microbes

  3. Defend against pathogens

  4. Destroy abnormal or cancerous cells


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What is the Difference between Commensals, Symbionts, and Pathogens?

  • Commensals are generally harmless

  • Symbionts provide benefits

  • Pathogens can cause disease


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What is the Colonizing Microbiota, and Why is It Important?

Microbes inhabiting host surfaces that:

  • Support nutrient metabolism

  • Immune development

  • Immunological balance


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How do Pathogens Manipulate Host Physiology?

They exploit host processes for:

  • Adhesion, invasion, replication, and spread

  • Some manipulate the actin cytoskeleton


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What are the Common Routes of Infection and their Examples?

  • Respiratory: influenza A

  • GI: parvovirus

  • Reproductive: T. foetus

  • Skin: S. pseudintermedius

  • Vectors: West Nile virus


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What are the Two Perspectives on Immune System Evolution?

  • Prevailing view: Control pathogens

  • Paradigm Shifting Idea: Also shape and maintain beneficial resident microbes


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What are the Three Major Components of Innate Immunity?

  1. Epithelial barriers

  2. Innate immune cells

  3. Soluble components

    • Complement

    • Acute-phase proteins


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QUESTION: What Organisms have an Innate Immune System?

a) All Animals, but not plants

b) Invertebrates only (Jellyfish…tunicates)

c) Vertebrates only (lamprey and sharks on figure)

d) All plants and animals

ANSWER → All organisms have an innate immune system, including plants, invertebrates, and vertebrates

  1. Plants

  2. Fungi

  3. Invertebrates

  4. Vertebrates


<p><span style="color: green;"><strong><mark data-color="green" style="background-color: green; color: inherit;">ANSWER</mark></strong> → All organisms have an innate immune system, including <strong>plants, invertebrates, and vertebrates</strong></span></p><ol><li><p><strong>Plants</strong></p></li><li><p><strong>Fungi</strong></p></li><li><p><strong>Invertebrates</strong></p></li><li><p><strong>Vertebrates</strong></p></li></ol><p></p>
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What Organisms have Both Innate and Adaptive Immunity?

Vertebrates, including lampreys, sharks, and mammals

<p><strong>Vertebrates</strong>, including lampreys, sharks, and mammals</p>
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What are the Key Features of Innate Immunity?

  1. Present before pathogen exposure

    • Germline-encoded, not acquired in lifetime of the host

    • No long-term memory after exposure

  2. Rapid response (vs adaptive immunity)

    • Defenses in place or rapidly induced (minutes-days)

  3. Recognizes conserved categories of microbial molecules

    • Broad specificity compared to high specificity of antibodies

    • Diversity is limited to conserved microbial molecules


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How do Innate and Adaptive Immunity Differ?

  • Innate: Rapid, germline-encoded PRRs recognize conserved motifs

  • Adaptive: Delayed primary response, diverse B/T receptors, memory


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<p><span style="background-color: transparent;"><strong><u>QUESTION</u>: Who has an innate AND and adaptive immune system?</strong></span></p><p><span style="background-color: transparent;"><strong>a)</strong> 4</span></p><p><span style="background-color: transparent;"><strong>b)</strong> 3 + 4</span></p><p><span style="background-color: transparent;"><strong>c)</strong> 2 + 3 +4</span></p><p><span style="background-color: transparent;"><strong>d)</strong> 1 + 2 + 3 +4</span></p>

QUESTION: Who has an innate AND and adaptive immune system?

a) 4

b) 3 + 4

c) 2 + 3 +4

d) 1 + 2 + 3 +4

ANSWER → b) 3 + 4


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Why does Innate Immunity use Pattern Recognition?

Recognizing conserved microbial motifs allows rapid detection of multiple microbes without prior exposure

<p>Recognizing conserved microbial motifs <strong>allows rapid detection of multiple microbes without prior exposure</strong></p>
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What are Pattern Recognition Receptors (PRRs)?

Germline-encoded receptors that recognize conserved microbial molecular patterns

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What is the Sequence of Host Defenses during Infection?

  1. Barrier containment

  2. Local phagocyte response

  3. Induced inflammation and leukocyte recruitment

  4. Adaptive immunity


<ol><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Barrier containment</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Local phagocyte response</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Induced inflammation and leukocyte recruitment</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Adaptive immunity</mark></strong></p></li></ol><p></p>
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What is the Primary Function of Epithelial Barriers?

Contain resident and environmental microbes, preventing entry into underlying tissues

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What are the Three Categories of Epithelial Defense?

  1. Mechanical/physical

    • Tight junctions

  2. Chemical

    • Antimicrobial peptides

  3. Microbiological defenses (competition)

    • Microbiota


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What are the Three Major Epithelial Barrier Sites?

  1. Skin

  2. Respiratory tract

  3. Gastrointestinal tract


<ol><li><p><span style="color: rgb(249, 143, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Skin</mark></strong></span></p></li><li><p><span style="color: rgb(249, 143, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Respiratory tract</mark></strong></span></p></li><li><p><span style="color: rgb(249, 143, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Gastrointestinal tract</mark></strong></span></p></li></ol><p></p>
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What Protective Features are Shared by Major Epithelial Surfaces?

  1. Tight junctions

  2. Antimicrobial peptides

  3. Resident microbiota


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What are the Major Protective Features of the Skin?

  • Multiple epithelial layers

  • Keratinization

  • Secreted lipids

  • Lamellar bodies


<ul><li><p>Multiple epithelial layers</p></li><li><p>Keratinization</p></li><li><p>Secreted lipids</p></li><li><p>Lamellar bodies</p></li></ul><p></p>
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What are the Major Protective Features of the Respiratory Tract?

  • Thin epithelium

  • Mucus

  • Cilia

  • Antimicrobial surfactant


<ul><li><p>Thin epithelium</p></li><li><p>Mucus</p></li><li><p>Cilia</p></li><li><p>Antimicrobial surfactant</p></li></ul><p></p>
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What are the Major Protective Features of the Gastrointestinal Tract?

  • Single-layer epithelium

  • Mucus

  • Peristalsis

  • Antimicrobial substances


<ul><li><p>Single-layer epithelium</p></li><li><p>Mucus</p></li><li><p>Peristalsis</p></li><li><p>Antimicrobial substances</p></li></ul><p></p>
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How do Cilia and Peristalsis Protect Epithelial Surfaces?

Cilia

  • Move respiratory mucus and trapped microbes

Peristalsis

  • Moves intestinal contents and microorganisms


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What are the Major Chemical Defenses of Epithelial Barriers?

  1. Low pH

  2. Lysozyme

  3. Defensins, cathelicidins, fatty acids, and surfactant


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What is the Antimicrobial Function of Lysozyme?

Breaks down bacterial cell walls

  • Found in tears, saliva, and other secretions


<p><strong>Breaks down bacterial cell walls</strong></p><ul><li><p>Found in <span style="color: rgb(232, 150, 2);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">tears</mark></strong></span><span style="color: rgb(0, 0, 0);"><strong>, </strong></span><span style="color: rgb(232, 150, 2);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">saliva</mark></strong></span><span style="color: rgb(0, 0, 0);">, and </span><span style="color: rgb(232, 150, 2);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">other secretions</mark></strong></span></p></li></ul><p></p>
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How do Defensins and Cathelicidins Protect against Microbes?

Cationic, amphipathic peptides that disrupt microbial membranes, including through pore formation

<p>Cationic, amphipathic peptides that <strong>disrupt microbial membranes</strong>, including through pore formation</p>
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How does the Normal Microbiota Protect Epithelial Surfaces?

Competes with pathogens for nutrients and colonization sites

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QUESTION: What Happens When Epithelial Barriers are Breached?

Resident macrophages and dendritic cells detect invading microbes and initiate local defenses

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QUESTION: Which Cells are the Main Tissue-Resident Sentinels?

Macrophages and dendritic cells; neutrophils are recruited after inflammation begins

<p><strong>Macrophages</strong> and <strong>dendritic cells</strong>; <strong>neutrophils</strong> are recruited after inflammation begins</p>
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What are the Origins of Tissue-Resident Macrophages?

  • Fetal: Some arise from embryonic yolk sac or fetal liver progenitors and self-renew

  • Adult: Others derive from adult monocytes


<ul><li><p><strong>Fetal: </strong>Some arise from <span style="color: rgb(255, 139, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">embryonic yolk sac</mark></strong></span> or <span style="color: rgb(255, 139, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">fetal liver</mark></strong></span> progenitors and self-renew</p></li><li><p><strong>Adult:</strong> Others derive from <span style="color: rgb(255, 139, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">adult monocytes</mark></strong></span></p></li></ul><p></p>
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<p>Where are <strong>Sentinel Macrophages Located near Epithelial Barriers</strong>?</p>

Where are Sentinel Macrophages Located near Epithelial Barriers?

  • Skin & GI: Macrophages are located BEHIND epithelial barrier

  • Lung (lower airways): No great physical barrier present, alveolar macrophages in in FRONT of epithelium/in lumen of alveoli


<ul><li><p><span><strong>Skin &amp; GI: </strong>Macrophages are located <strong><em><u>BEHIND</u></em></strong> epithelial barrier</span></p></li><li><p><span><strong>Lung (lower airways): </strong>No great physical barrier present, alveolar macrophages in in <strong><em><u>FRONT</u></em></strong> of epithelium/in lumen of alveoli</span></p></li></ul><p></p>
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What are Kupffer Cells and Microglia?

  • Kupffer cells: liver macrophages that intercept gut-derived microbes

  • Microglia: CNS macrophages involved in tissue maintenance


<ul><li><p><strong>Kupffer cells: </strong><span style="color: rgb(239, 138, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">liver macrophages</mark></strong></span> that intercept gut-derived microbes</p></li><li><p><strong>Microglia:</strong> <span style="color: rgb(239, 138, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">CNS macrophages</mark></strong></span> involved in tissue maintenance</p></li></ul><p></p>
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What are the Major Functions of Macrophages?

  1. Phagocytose

  2. Clear Apoptotic Cells (healthy tissues)

  3. Many Microbicidal Mechanisms

  4. Antigen Presentation

  5. Cytokine Production


<ol><li><p><span style="background-color: transparent;"><strong>Phagocytose</strong></span></p></li><li><p><span style="background-color: transparent;"><strong>Clear Apoptotic Cells (healthy tissues)</strong></span></p></li><li><p><span style="background-color: transparent;"><strong>Many Microbicidal Mechanisms</strong></span></p></li><li><p><span style="background-color: transparent;"><strong>Antigen Presentation</strong></span></p></li><li><p><span style="background-color: transparent;"><strong>Cytokine Production</strong></span></p></li></ol><p></p>
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What are the Major Functions of Neutrophils?

Rapidly recruited phagocytes that kill microbes through antimicrobial mechanisms and contribute to pus formation

  • Recruited during inflammation


<p>Rapidly recruited <strong>phagocytes</strong> that kill microbes through <strong>antimicrobial mechanisms</strong> and <strong>contribute to pus formation</strong></p><ul><li><p><span style="background-color: transparent; color: rgb(255, 130, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Recruited during inflammation</mark></strong></span></p></li></ul><p></p>
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What are the Major Functions of Dendritic Cells?

  1. Antigen sampling

  2. Phagocytose

  3. Cytokine Production

  4. Activate Innate and Adaptive Immunity

  5. Bridge both via Antigen Presentation


<ol><li><p><strong>Antigen sampling</strong></p></li><li><p><span style="background-color: transparent;"><strong>Phagocytose</strong></span></p></li><li><p><span style="background-color: transparent;"><strong>Cytokine Production</strong></span></p></li><li><p><span style="background-color: transparent;"><strong>Activate Innate and Adaptive Immunity</strong></span></p></li><li><p><span style="background-color: transparent;"><strong>Bridge both via Antigen Presentation</strong></span></p></li></ol><p></p>
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How do Macrophages and Neutrophils Differ?

Macrophages:

  • Found in healthy tissues → Resident

  • Slightly increased during inflammation

  • Long-lived, survive after phagocytosis

  • Slowly form granuloma with help from T cells

Neutrophils:

  • Found only in inflamed tissues → Recruited

  • Rapid increase in numbers during acute phase response

  • Short-lived, die after phagocytosis

  • Rapidly form pus


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What are the Major Phagocytic Receptors and their Targets?

  1. Mannose receptors/dectins → Microbial sugars

  2. Complement receptors → Complement-coated microbes

  3. Fc receptors → Antibody-coated microbes


<ol><li><p><strong>Mannose receptors/dectins → </strong>Microbial sugars</p></li><li><p><strong>Complement receptors → </strong>Complement-coated microbes</p></li><li><p><strong>Fc receptors → </strong>Antibody-coated microbes</p></li></ol><p></p>
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What is the Sequence of Phagocytosis?

  1. Recognition

  2. Engulfment

  3. Phagosome formation

  4. Lysosome fusion

  5. Phagolysosome-mediated microbial destruction


<ol><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Recognition</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Engulfment</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Phagosome formation</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Lysosome fusion</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Phagolysosome-mediated microbial destruction</mark></strong></p></li></ol><p></p>
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What are the Major Antimicrobial Mechanisms of Phagocytes?

  1. Acidification

  2. Reactive oxygen species

  3. Nitric oxide

  4. Antimicrobial peptides

  5. Lysozyme

  6. Iron sequestration


<ol><li><p><strong>Acidification</strong></p></li><li><p><strong>Reactive oxygen species</strong></p></li><li><p><strong>Nitric oxide</strong></p></li><li><p><strong>Antimicrobial peptides</strong></p></li><li><p><strong>Lysozyme</strong></p></li><li><p><strong>Iron sequestration</strong></p></li></ol><p></p>
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What is the Difference between Bacteriostatic and Bactericidal?

  • Bacteriostatic inhibits bacterial growth

  • Bactericidal kills bacteria


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Why is Lactoferrin Important for Antimicrobial Defense?

Sequesters iron required for microbial metabolism, restricting microbial growth

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What is the Respiratory Burst?

Rapid production of antimicrobial reactive oxygen species by phagocytes, initiated by NADPH oxidase

<p><strong>Rapid production of antimicrobial reactive oxygen species</strong> by <span style="color: purple;"><strong>phagocytes</strong></span>, <span style="color: rgb(253, 138, 0);"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">initiated by NADPH oxidase</mark></strong></span></p>
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What is the Sequence of Reactive Oxygen Species Production?

  1. NADPH oxidase generates superoxide from oxygen

  2. Superoxide dismutase produces hydrogen peroxide

  3. Myeloperoxidase uses peroxide and chloride to produce hypochlorite


NADPH oxidase: superoxide → superoxide dismutase: hydrogen peroxide → myeloperoxidase: hypochlorous acid

<ol><li><p><span style="background-color: transparent;"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">NADPH oxidase</mark></strong><mark data-color="yellow" style="background-color: yellow; color: inherit;"> generates superoxide from oxygen</mark></span></p></li><li><p><span style="background-color: transparent;"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Superoxide dismutase</mark></strong><mark data-color="yellow" style="background-color: yellow; color: inherit;"> produces </mark><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">hydrogen peroxide</mark></strong></span></p></li><li><p><span style="background-color: transparent;"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Myeloperoxidase</mark></strong><mark data-color="yellow" style="background-color: yellow; color: inherit;"> uses peroxide and chloride to produce </mark></span><span style="background-color: transparent; color: red;"><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">hypochlorite</mark></strong></span></p></li></ol><p></p><p>NADPH oxidase: superoxide → superoxide dismutase: hydrogen peroxide → myeloperoxidase: hypochlorous acid</p>
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What are Neutrophil Extracellular Traps (NETs)?

Extracellular DNA coated with histones and antimicrobial proteins that traps microbes and aids their clearance

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When is NETosis particularly useful?

When microbes are too large or clustered for efficient phagocytosis

  • ROS may trigger NET formation


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How is Inflammation Initiated after Pathogen Recognition?

Resident immune cells recognize microbes and release pro-inflammatory cytokines and lipid mediators

<p>Resident immune cells <strong>recognize microbes</strong> and <strong>release pro-inflammatory cytokines</strong> <strong>and lipid mediators</strong></p>
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What are the Major Effects of Inflammatory Mediators?

  • Vasodilation

  • Increased vascular permeability

  • Endothelial activation

  • Leukocyte recruitment


<ul><li><p><strong>Vasodilation</strong></p></li><li><p><strong>Increased vascular permeability</strong></p></li><li><p><strong>Endothelial activation</strong></p></li><li><p><strong>Leukocyte recruitment</strong></p></li></ul><p></p>
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What are the Major Steps of Neutrophil Extravasation?

  1. Rolling

  2. Chemokine activation

  3. Firm adhesion

  4. Transmigration

  5. Migration toward infection


<ol><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Rolling</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Chemokine activation</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Firm adhesion</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Transmigration</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Migration toward infection</mark></strong></p></li></ol><p></p>
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Which Molecules Mediate Neutrophil Rolling and Firm Adhesion?

  • Rolling: selectins and sialyl Lewis X

  • Firm adhesion: leukocyte integrins (LFA-1/Mac-1) bind endothelial ICAMs.


<ul><li><p><strong>Rolling: </strong>selectins and sialyl Lewis X</p></li><li><p><strong>Firm adhesion: </strong>leukocyte integrins (LFA-1/Mac-1) bind endothelial ICAMs.</p></li></ul><p></p>
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What is the Role of Chemokines in Leukocyte Recruitment?

They attract immune cells and activate adhesion mechanisms that support migration into inflamed tissues

<p>They <strong>attract immune cells</strong> and <strong>activate adhesion mechanisms</strong> that support migration into inflamed tissues</p>
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Which Chemokines Recruit Neutrophils and Monocytes?

  • CXCL8 recruits neutrophils

  • CCL2 recruits inflammatory monocytes


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How do Dendritic Cells Bridge Innate and Adaptive Immunity?

They sample antigens, detect pathogens, migrate to lymph nodes, and present antigens to T cells

<p>They <strong>sample antigens</strong>, <strong>detect pathogens</strong>, <strong>migrate to lymph nodes</strong>, and <strong>present antigens to T cells</strong></p>
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What are the Major Antigen-Sampling Mechanisms of Dendritic Cells?

Phagocytosis and macropinocytosis, including sampling across epithelial barriers

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What are the Main Stages of the Innate Response to Infection?

  1. Epithelial containment

  2. Resident phagocyte defense

  3. Cytokine-driven inflammation

  4. Neutrophil/monocyte recruitment and DC activation


<ol><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Epithelial containment</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Resident phagocyte defense</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Cytokine-driven inflammation</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Neutrophil/monocyte recruitment and DC activation</mark></strong></p></li></ol><p></p>
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Innate vs. Adaptive Immunity SUMMARY

Feature

Innate Immunity

Adaptive Immunity

Response time

Immediate (minutes–days)

Delayed during initial exposure

Receptors

Pattern recognition receptors (PRRs)

B-cell and T-cell receptors

Specificity

Conserved microbial patterns

Highly specific epitopes

Receptor diversity

Limited

Extensive

Receptor origin

Germline-encoded

Somatic gene recombination

Memory

No classical long-term memory

Long-term immunological memory

Main cells

Macrophages, neutrophils, dendritic cells, NK cells

B cells and T cells

Distribution

Plants, fungi, and animals

Vertebrates

Key takeaway: Innate immunity recognizes conserved microbial patterns rapidly, whereas adaptive immunity provides highly specific responses and immunological memory.

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Epithelial Barriers: Skin vs. Respiratory vs. GI SUMMARY

Feature

Skin

Respiratory Tract

Gastrointestinal Tract

Epithelium

Multiple layers

Thin epithelial barrier

Single epithelial layer

Primary function

Physical protection

Gas exchange

Nutrient absorption

Mechanical defenses

Keratinization, tight junctions

Cilia, mucus, tight junctions

Peristalsis, mucus, tight junctions

Chemical defenses

Fatty acids, defensins, cathelicidins

Surfactant, antimicrobial peptides

Low stomach pH, lysozyme, antimicrobial peptides

Microbiological defenses

Normal microbiota

Normal microbiota

Normal microbiota

Unique feature

Lamellar bodies secrete lipids and antimicrobial proteins

Mucociliary clearance

Peristalsis

Key takeaway: All three epithelial surfaces use mechanical, chemical, and microbiological defenses, but their protective mechanisms differ according to their physiological functions.

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Macrophages vs. Neutrophils vs. Dendritic Cells SUMMARY

Feature

Macrophages

Neutrophils

Dendritic Cells

Location

Healthy tissues

Primarily inflamed tissues

Healthy and inflamed tissues

Lifespan

Long-lived

Short-lived

Not emphasized

Phagocytosis

Yes

Yes

Yes

Microbial killing

Strong

Strong

Not primary function

Cytokine production

Yes

Not emphasized

Yes

Antigen presentation

Yes

Not emphasized

Major function

Primary role

Microbial killing and tissue maintenance

Rapid microbial killing

Connect innate and adaptive immunity

Special feature

Granuloma formation

Pus formation and NETs

Migration to lymph nodes

Key takeaway:

  • Macrophages: Resident defenders and tissue maintenance.

  • Neutrophils: Rapidly recruited microbial killers.

  • Dendritic cells: Antigen presentation and adaptive immune activation.


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Phagocyte Antimicrobial Mechanisms SUMMARY

Mechanism

Important Molecule/Process

Function

Acidification

Low phagolysosomal pH

Inhibits microbial growth

Reactive oxygen species

Superoxide, H₂O₂, hypochlorous acid

Damages and kills microbes

Reactive nitrogen species

Nitric oxide (NO)

Toxic to microorganisms

Antimicrobial peptides

Defensins, cathelicidins

Disrupt microbial membranes

Enzymatic degradation

Lysozyme

Degrades bacterial cell walls

Nutrient restriction

Lactoferrin

Sequesters iron needed for microbial metabolism

Extracellular trapping

NETs

Trap microorganisms and facilitate clearance

Key takeaway: Phagocytes use multiple antimicrobial mechanisms, including chemical toxicity, enzymatic degradation, and nutrient restriction.

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Respiratory Burst Pathway SUMMARY

Step

Enzyme

Reaction/Product

Function

1

NADPH oxidase

O₂ → Superoxide (O₂⁻)

Generates reactive oxygen species

2

Superoxide dismutase

Superoxide → H₂O₂

Produces hydrogen peroxide

3

Myeloperoxidase

H₂O₂ + Cl⁻ → HOCl

Produces a highly antimicrobial compound

Respiratory Burst Sequence

NADPH oxidase → Superoxide → Superoxide dismutase → Hydrogen peroxide → Myeloperoxidase → Hypochlorous acid

Key takeaway: The respiratory burst produces reactive oxygen species that help neutrophils and macrophages destroy microorganisms



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Neutrophil Recruitment and Extravasation SUMMARY

Step

Process

Important Molecules

Function

1

Vascular changes

Cytokines, lipid mediators

Vasodilation and increased permeability

2

Rolling

Selectins, sialyl Lewis X

Slow neutrophils along endothelium

3

Activation

CXCL8

Activates neutrophil integrins

4

Firm adhesion

Integrins (LFA-1, Mac-1), ICAMs

Firmly attaches neutrophils to endothelium

5

Transmigration

Endothelial adhesion machinery

Allows neutrophils to cross into tissues

6

Chemotaxis

CXCL8

Directs neutrophils toward infection

Key takeaway:

Rolling → Activation → Firm Adhesion → Transmigration → Chemotaxis