Immunology: Extracellular Infection Responses
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Questions and Answers

Streptococcus pneumoniae is a type of bacteria that can cause infections in humans.

True

Isotype switching primarily leads to the production of IgM antibodies.

False

Candida is a type of fungus that can lead to infections in humans.

True

Minimal isotype switching results in the production of long-lived plasma cells.

<p>False</p> Signup and view all the answers

Memory B cells reside in the marginal zones of secondary lymph organs.

<p>True</p> Signup and view all the answers

Antibodies are ineffective in neutralizing pathogens.

<p>False</p> Signup and view all the answers

The generation of IgA is important for mucosal protection.

<p>True</p> Signup and view all the answers

There are no memory cells produced in the B cell response to streptococci.

<p>False</p> Signup and view all the answers

Mast cells assist in getting rid of killed worms.

<p>True</p> Signup and view all the answers

Eosinophil granules contain proteins that are harmful to parasites.

<p>True</p> Signup and view all the answers

IgE antibodies have no effect on secondary infections.

<p>False</p> Signup and view all the answers

Increased levels of IgE are associated with a higher vulnerability to asthma and allergies.

<p>True</p> Signup and view all the answers

IL-4 and IL-5 are not related to TH2 associated diseases.

<p>False</p> Signup and view all the answers

Hyposplenism refers to an increase in splenic function.

<p>False</p> Signup and view all the answers

The spleen is a crucial secondary lymphoid organ.

<p>True</p> Signup and view all the answers

B cells produce antibodies in the spleen after their development is completed.

<p>True</p> Signup and view all the answers

Surgical removal of the spleen can lead to hyposplenism.

<p>True</p> Signup and view all the answers

Prophylactic antibiotics are recommended only for patients with congenital asplenia.

<p>False</p> Signup and view all the answers

Functional hyposplenism can be caused by conditions like Coeliac disease.

<p>True</p> Signup and view all the answers

Annual antibody titer measurements are not necessary for patients with hyposplenism.

<p>False</p> Signup and view all the answers

Vaccination should take place two weeks after a splenectomy.

<p>False</p> Signup and view all the answers

Streptococci and helminths are examples of organisms involved in extracellular infections.

<p>True</p> Signup and view all the answers

B cells are not involved in the elimination of extracellular infections.

<p>False</p> Signup and view all the answers

Macrophages and dendritic cells are part of the adaptive immune response.

<p>False</p> Signup and view all the answers

Complement activation is a mechanism involved in innate immunity.

<p>True</p> Signup and view all the answers

Viruses are classified as extracellular organisms.

<p>False</p> Signup and view all the answers

Phagocytosis is a process used by immune cells to engulf and digest extracellular pathogens.

<p>True</p> Signup and view all the answers

Hyposplenism refers to an overactive spleen condition.

<p>False</p> Signup and view all the answers

The immune response to intracellular infections involves T cells.

<p>True</p> Signup and view all the answers

Inflammation is not a part of the innate immune response.

<p>False</p> Signup and view all the answers

Antigen presentation is critical for the activation of T helper cells.

<p>True</p> Signup and view all the answers

Haemophilus influenza is an example of an intracellular pathogen.

<p>False</p> Signup and view all the answers

T cell memory is established as part of the adaptive immune response.

<p>True</p> Signup and view all the answers

Cytokines are involved in the adaptive immune response only.

<p>False</p> Signup and view all the answers

Staphylococcus aureus is an example of an extracellular infection.

<p>True</p> Signup and view all the answers

IL-4 is an instructive cytokine that causes T cell differentiation into the Th2 subset.

<p>True</p> Signup and view all the answers

Mast cells and eosinophils are involved in IgE & Eosinophil/mast cell-mediated reactions against helminths.

<p>True</p> Signup and view all the answers

The cytokine IL-5 is not significant in the response against helminths.

<p>False</p> Signup and view all the answers

The release of secretory antigens involves the activation of cells and the initiation of inflammation.

<p>True</p> Signup and view all the answers

Th2 cells are primarily responsible for antibody isotype switching towards IgM in response to helminths.

<p>False</p> Signup and view all the answers

Secretory antigens include IL-1, TNF, and IL-8.

<p>True</p> Signup and view all the answers

PAMP stands for pathogen-associated molecular patterns.

<p>True</p> Signup and view all the answers

The classical pathway is activated by antibody recognition from previous infections.

<p>True</p> Signup and view all the answers

Insect bites pose no risk to individuals with splenectomy.

<p>False</p> Signup and view all the answers

The alternative pathway of complement activation is triggered by proteins released by viruses.

<p>False</p> Signup and view all the answers

Mannose receptors play a role in initiating phagocytosis.

<p>True</p> Signup and view all the answers

Histamine secretion by mast cells contributes to gut mucus secretion and helps with peristalsis.

<p>True</p> Signup and view all the answers

The main role of IL-4 is to inhibit inflammation in response to helminths.

<p>False</p> Signup and view all the answers

Reactive oxygen species (ROS) are not involved in the killing of microbes in phagolysosomes.

<p>False</p> Signup and view all the answers

TNF, IL-1, and IL-6 are examples of inflammatory mediators.

<p>True</p> Signup and view all the answers

Streptococcus pneumoniae is a gram-negative bacterium.

<p>False</p> Signup and view all the answers

Pharyngitis is a common condition caused by streptococci.

<p>True</p> Signup and view all the answers

TH17 cells are important for defense against extracellular bacterial infections.

<p>True</p> Signup and view all the answers

The alternative pathway can be activated by mannose on bacterial surfaces.

<p>False</p> Signup and view all the answers

Nitric oxide (NO) is involved in the killing of microbes during phagocytosis.

<p>True</p> Signup and view all the answers

Antigen presentation to CD4+ T helper cells is a part of the immune response to streptococci.

<p>True</p> Signup and view all the answers

The immune response to streptococci does not involve the recruitment of neutrophils.

<p>False</p> Signup and view all the answers

PAMP stands for pathogen-associated molecular patterns.

<p>True</p> Signup and view all the answers

IL-23 is an instructive cytokine that promotes T cell differentiation into the Th1 subset.

<p>False</p> Signup and view all the answers

Isotype switching primarily leads to the production of long-lived plasma cells in the bone marrow and gut.

<p>True</p> Signup and view all the answers

Antibodies are primarily ineffective at activating complement and promoting opsonization.

<p>False</p> Signup and view all the answers

IL-17 is involved in promoting the B cell response to streptococci.

<p>True</p> Signup and view all the answers

Minimal isotype switching mainly leads to the production of IgG and IgA antibodies.

<p>False</p> Signup and view all the answers

Memory B cells generated against streptococci reside primarily in the spleen and mucosa.

<p>False</p> Signup and view all the answers

The immune response to streptococci includes the generation of long-lived plasma cells and memory B cells.

<p>True</p> Signup and view all the answers

Heavy chain isotype switching leads to the production of only IgG antibodies.

<p>False</p> Signup and view all the answers

Streptococcus species do not produce any exotoxins.

<p>False</p> Signup and view all the answers

The alternative pathway of complement activation is initiated by peptidoglycans in the cell walls of fungi.

<p>False</p> Signup and view all the answers

Phagocytosis involves the use of mannose receptors and complement receptors to initiate the process.

<p>True</p> Signup and view all the answers

Th17 cells are important in fighting intracellular bacterial infections.

<p>False</p> Signup and view all the answers

Streptococcus pneumoniae is a strain that falls under the category of encapsulated gram negative bacteria.

<p>False</p> Signup and view all the answers

Reactive oxygen species (ROS) and nitric oxide (NO) play a role in killing microbes within phagolysosomes.

<p>True</p> Signup and view all the answers

High levels of IgE are not related to increased mast cell activity.

<p>False</p> Signup and view all the answers

Eosinophil granules contain proteins that are beneficial for parasites.

<p>False</p> Signup and view all the answers

TNF, IL-1, IL-6, and IL-8 are all inflammatory mediators produced in response to infections.

<p>True</p> Signup and view all the answers

The phagocytic process leads to the direct killing of microbes through antibodies released by B cells.

<p>False</p> Signup and view all the answers

The presence of IgE antibodies can aid in secondary infections.

<p>True</p> Signup and view all the answers

The recruitment of neutrophils is an essential part of the immune response to extracellular microbes.

<p>True</p> Signup and view all the answers

IL-4 and IL-5 are associated with TH2 immune responses.

<p>True</p> Signup and view all the answers

The lectin pathway is activated by the recognition of mannose on the surface of extracellular bacteria.

<p>True</p> Signup and view all the answers

Mast cells are ineffective in eliminating helminth infections.

<p>False</p> Signup and view all the answers

Streptococcus pyogenes and Streptococcus pneumoniae are classifications of gram negative bacteria.

<p>False</p> Signup and view all the answers

Classical pathway activation occurs without prior antibody recognition.

<p>False</p> Signup and view all the answers

Antigen presentation by resident macrophages induces inflammation in response to bacterial invasions.

<p>True</p> Signup and view all the answers

IL-23 is secreted by antigen presenting cells and it affects T cell differentiation.

<p>True</p> Signup and view all the answers

Staphlococcus aureus is an example of an organism that causes intracellular infections.

<p>False</p> Signup and view all the answers

B cell memory is established through direct exposure to the pathogen.

<p>True</p> Signup and view all the answers

The primary role of macrophages is in the adaptive immune response.

<p>False</p> Signup and view all the answers

Phagocytosis is utilized by immune cells to eliminate extracellular pathogens.

<p>True</p> Signup and view all the answers

Hyposplenism is characterized by increased splenic function.

<p>False</p> Signup and view all the answers

Cytokines are released exclusively during the adaptive immune response.

<p>False</p> Signup and view all the answers

Helminths are primarily considered intracellular pathogens.

<p>False</p> Signup and view all the answers

B cells produce antibodies in response to extracellular pathogens.

<p>True</p> Signup and view all the answers

Antigen presentation is crucial for the activation of cytotoxic T cells.

<p>True</p> Signup and view all the answers

Complement activation is a mechanism unique to the adaptive immune response.

<p>False</p> Signup and view all the answers

Inflammation only occurs in response to extracellular infections.

<p>False</p> Signup and view all the answers

IL-5 is important for the differentiation of T cells during humoral responses.

<p>True</p> Signup and view all the answers

The immune response to viral infections primarily involves B cells.

<p>False</p> Signup and view all the answers

Streptococci are an example of intracellular pathogens that can cause infections.

<p>False</p> Signup and view all the answers

Hyposplenism can occur due to surgical removal of the spleen.

<p>True</p> Signup and view all the answers

Helminth infections are not influenced by the Th2 immune response.

<p>False</p> Signup and view all the answers

B cells complete their development in the bone marrow.

<p>False</p> Signup and view all the answers

Annual measurement of antibody titers is unnecessary for patients with hyposplenism.

<p>False</p> Signup and view all the answers

Cytokine IL-4 plays a key role in instructing T cell differentiation.

<p>True</p> Signup and view all the answers

Prophylactic antibiotics are recommended for patients who have had their spleen removed.

<p>True</p> Signup and view all the answers

Eosinophils are not involved in responses to helminth infections.

<p>False</p> Signup and view all the answers

Secretory antigens include signaling molecules that initiate inflammation.

<p>True</p> Signup and view all the answers

Functional hyposplenism can be caused by sickle cell anemia.

<p>True</p> Signup and view all the answers

IgM antibodies are produced primarily by long-lived plasma cells.

<p>False</p> Signup and view all the answers

People who have undergone a splenectomy should be particularly cautious of insect bites.

<p>True</p> Signup and view all the answers

Immunization should occur at least two weeks after a splenectomy.

<p>False</p> Signup and view all the answers

Histamine secretion primarily leads to decreased mucus production in the gut.

<p>False</p> Signup and view all the answers

The spleen plays a role in the storage of antibodies produced by plasma cells.

<p>True</p> Signup and view all the answers

Pathogen-associated molecular patterns (PAMPs) are recognized by pattern recognition receptors (PRRs).

<p>True</p> Signup and view all the answers

Mast cells do not contain substances that can directly kill worms.

<p>False</p> Signup and view all the answers

Toll-like receptors (TLRs) are involved in recognizing extracellular pathogens.

<p>True</p> Signup and view all the answers

IL-13 is not important for the immune response against helminths.

<p>False</p> Signup and view all the answers

In the B cell response to Streptococci, isotype switching predominantly leads to the production of IgA and IgD antibodies.

<p>False</p> Signup and view all the answers

Long-lived plasma cells generated from IgM production reside in the spleen.

<p>False</p> Signup and view all the answers

The presence of memory B cells is crucial for mounting a swift immune response upon re-exposure to strep antigens.

<p>True</p> Signup and view all the answers

Streptococcus pyogenes primarily elicits a B cell response that results in the production of IgM as the major antibody.

<p>False</p> Signup and view all the answers

Antibodies produced in response to Streptococci primarily function by neutralizing the pathogen without activating complement.

<p>False</p> Signup and view all the answers

The minimal isotype switching associated with the B cell response generates high-affinity, long-lived plasma cells.

<p>False</p> Signup and view all the answers

IL-17 plays a critical role in the recruitment of neutrophils during the immune response.

<p>True</p> Signup and view all the answers

The primary function of IgM antibodies is to provide long-term immunity against infections.

<p>False</p> Signup and view all the answers

TLR7 is responsible for the recognition of the surface of the Streptococcus.

<p>False</p> Signup and view all the answers

Macrophages primarily produce IL-22 and IL-17 as their main cytokines.

<p>False</p> Signup and view all the answers

The role of antibodies against Streptococcus includes opsonization.

<p>True</p> Signup and view all the answers

Complement activation is primarily driven by IL-4 and IL-5.

<p>False</p> Signup and view all the answers

The adaptive immune response does not involve antibodies against Streptococcus.

<p>False</p> Signup and view all the answers

Opsonization can lead to phagocytosis of Streptococcus by immune cells.

<p>True</p> Signup and view all the answers

TLR2 is the only Toll-like receptor involved in responding to Streptococcus.

<p>False</p> Signup and view all the answers

Cytokines produced by macrophages include TNF and IL-1.

<p>True</p> Signup and view all the answers

The presence of IgE antibodies reduces susceptibility to asthma and allergies.

<p>False</p> Signup and view all the answers

IL-4 and IL-5 levels are associated with the suppression of TH2 associated diseases.

<p>False</p> Signup and view all the answers

Mast cells are responsible for the secretion of proteins that inhibit inflammatory responses.

<p>False</p> Signup and view all the answers

The role of IL-5 is significant in the response against helminths.

<p>True</p> Signup and view all the answers

Hyposplenism is characterized by an increase in splenic function.

<p>False</p> Signup and view all the answers

B cells complete their development in the spleen before producing antibodies.

<p>True</p> Signup and view all the answers

Prophylactic antibiotics are recommended only for patients with surgical removal of the spleen.

<p>False</p> Signup and view all the answers

Functional hyposplenism can arise from diseases like Sickle-cell anaemia.

<p>True</p> Signup and view all the answers

Administration of vaccines should occur two weeks after splenectomy.

<p>False</p> Signup and view all the answers

Macrophages and dendritic cells are primarily involved in the adaptive immune response.

<p>False</p> Signup and view all the answers

Phagocytosis is primarily a mechanism of the adaptive immune system.

<p>False</p> Signup and view all the answers

Short-lived plasma cells primarily produce IgG antibodies.

<p>False</p> Signup and view all the answers

Annual measurement of antibody titers is not recommended for individuals with hyposplenism.

<p>False</p> Signup and view all the answers

Streptococci pyogenes is considered an intracellular pathogen.

<p>False</p> Signup and view all the answers

The spleen plays a key role in storing short-lived plasma cells for antibody production.

<p>True</p> Signup and view all the answers

Complement activation is essential for the adaptive immune response.

<p>False</p> Signup and view all the answers

The release of secretory antigens is crucial for the activation of innate immune cells.

<p>True</p> Signup and view all the answers

Th2 cells are essential for isotype switching towards IgG and not IgE.

<p>False</p> Signup and view all the answers

B cell memory is established mainly through the activation of T helper cells.

<p>True</p> Signup and view all the answers

IL-4 functions as an instructive cytokine that causes T cell differentiation into the Th1 subset.

<p>False</p> Signup and view all the answers

Histamine secretion from mast cells does not have any impact on gut function.

<p>False</p> Signup and view all the answers

Inflammation is not a response associated with innate immunity.

<p>False</p> Signup and view all the answers

Viruses can be classified as both intracellular and extracellular organisms.

<p>False</p> Signup and view all the answers

Helminths can be effectively combated by the immune response mediated by IgE and eosinophils.

<p>True</p> Signup and view all the answers

Helper T cells are activated through antigen presentation by B cells.

<p>False</p> Signup and view all the answers

The cytokine IL-5 is crucial for IgE isotype switching and effective against helminths.

<p>True</p> Signup and view all the answers

PAMPs are recognized by pattern recognition receptors to trigger adaptive immune responses.

<p>False</p> Signup and view all the answers

Eosinophils are involved in responses against intracellular pathogens.

<p>False</p> Signup and view all the answers

Helminths are examples of multicellular parasites that can trigger an immune response.

<p>True</p> Signup and view all the answers

IL-4, IL-5, and IL-13 are all produced predominantly by Th3 cells.

<p>False</p> Signup and view all the answers

Antibodies play no role in the elimination of extracellular infections.

<p>False</p> Signup and view all the answers

Increased secretion of mucus in the gut due to mast cell activity assists in clearing intruding pathogens.

<p>True</p> Signup and view all the answers

The primary function of the spleen is to serve as a storage site for red blood cells.

<p>False</p> Signup and view all the answers

Intracellular bacteria survive by evading the detection of the immune system.

<p>True</p> Signup and view all the answers

Chemokines are involved primarily in the adaptive immune response.

<p>False</p> Signup and view all the answers

Study Notes

Extracellular Infection Responses

  • Focuses on the immune response to extracellular pathogens, like bacteria and parasites.

Immunology Lectures Outline

  • Barrier Immunity: Physical, mechanical, and chemical barriers provide initial defense.
  • Innate Immunity: Cytokines, inflammation, complement, and antigen presentation are key components of the innate response.
  • Adaptive Immunity: T cells (cytotoxic and helper) and B cells (antibodies) target extracellular infections.

Lecture Learning Outcomes

  • Students will be able to describe how the immune system responds to extracellular infections, using streptococci and helminths as examples.
  • Understand how innate immune cells detect these infections.
  • Describe the roles of antibodies in eliminating the infection.
  • Explain how B cell memory is established.
  • Outline conditions causing hyposplenism and its management.

Immune Response to Different Infections

  • Viruses
  • Extracellular bacteria
  • Intracellular bacteria
  • Fungi
  • Protozoan
  • Multicellular parasites

Extracellular vs. Intracellular Infections

  • Extracellular pathogens (bacteria, fungi, protozoa, helminths) live and multiply outside host cells.
  • Intracellular pathogens (viruses, some bacteria) infect and replicate inside host cells.

Examples of Extracellular vs. Intracellular Pathogens

  • Extracellular:
    • Streptococcus pyogenes
    • Staphylococcus aureus
    • Haemophilus influenzae
    • Schistosoma mansoni
  • Intracellular:
    • Listeria monocytogenes
    • Mycobacterium tuberculosis
    • Viruses (truly intracellular)

Cooperation Between Innate and Adaptive Immunity

  • Macrophages and dendritic cells are initial defenses.
  • Circulating antibodies target extracellular pathogens.
  • Antigen presentation activates T helper cells and cytotoxic T cells.

Overview of Immune Response to Extracellular Infections

  • Innate Immunity to Extracellular Infections:
    • Complement activation
    • Phagocytosis
    • Inflammatory response

Complement Activation

  • Classical pathway: Activated by antibodies binding to pathogens.
  • Alternative pathway: Activated by pathogen cell wall components.
  • Lectin pathway: Activated by lectins binding to carbohydrates on pathogens.

Phagocytosis and Inflammation

  • Phagocytosis, initiated by host cell receptors, kills microbes through reactive oxygen species (ROS) and nitric oxide (NO).
  • Inflammatory response also plays a vital role.

Adaptive Immunity to Extracellular Microbes

  • T helper cells: Activate B cells for antibody production and promote inflammation.
  • Antibody production (by B cells): Creates antibodies to neutralize the infection.

Summary of Extracellular Bacterial Infection

  • The graph shows data related to the extracellular bacterial infection.

Immune Response to Streptococci

  • Gram-positive, spherical bacteria
  • Encapsulated, release toxins.
  • Includes Streptococcus pyogenes and Streptococcus pneumoniae.

Medical Conditions (Streptococci)

  • Pharyngitis (strep throat)
  • Skin infections (impetigo, scarlet fever, cellulitis)
  • More serious conditions (toxic shock syndrome, pneumonia, necrotizing fasciitis)

Overview of Immune Response to Streptococci

  • Extracellular microbe
  • Macrophages initiate phagocytosis and inflammation.
  • Neutrophils recruited.
  • Antigen presentation to CD4+ T helper cells.
  • Antibody production by B cells and isotype switching.

Recognition and Activation of Innate Immunity

  • PAMPs (pathogen-associated molecular patterns) trigger innate immune responses.
  • PRRs (pattern recognition receptors) like TLRs recognize PAMPs.
  • This activation initiates inflammation and innate immune responses.

TH17 Cells

  • Important in fighting extracellular bacteria like Streptococcus pyogenes, Streptococcus pneumoniae, Staphylococcus aureus and Candida.
  • Involved in inflammatory responses, recruiting neutrophils and releasing antimicrobial peptides.

B Cell Response to Streptococci

  • T-dependent: IgG and IgA antibodies for general protection.
  • T-independent: IgM antibodies, mainly for initial response.
  • Long-lived plasma cells and memory B cells for sustained protection.

Antibody Responses

  • Antibodies neutralize pathogens, activate complement, and promote opsonisation.
  • IgG and IgM antibodies are crucial for neutralisation, opsonisation, and complement activation.

Hyposplenism

  • Reduced or lost splenic function.
  • Causes include congenital absence, surgical removal, or functional issues.
  • Increased risk of bacterial infections, especially encapsulated bacteria.

Management of Hyposplenism

  • Prophylactic antibiotics
  • Immunizations
  • Annual antibody titers measurement
  • Patient education

Immune Response to Other Extracellular Pathogens

  • Focus on examples like helminths (Schistosoma mansoni, Ascaris lumbricoides, etc.).

Th2 Cells and Helminth Infections

  • Crucial for fighting helminth infections.
  • Promote IgE-mediated inflammation.
  • Recruit mast cells and eosinophils.
  • Increase mucus secretion and peristalsis.

IgE and Eosinophil/Mast Cell-Mediated Reactions

  • Mast cells release proteases and histamine during helminth infections.
  • Eosinophils release toxic proteins.
  • This response aids in killing or clearing the helminth.

Th2-Associated Diseases

  • Increased susceptibility to asthma and allergies is associated with elevated Th2 activity and IgE.

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Description

This quiz focuses on how the immune system responds to extracellular pathogens such as bacteria and parasites. Students will explore barrier immunity, innate immunity, and adaptive immunity, specifically regarding T cells and B cells. By the end of the quiz, students will be able to describe key immune responses and their roles in combating infections.

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