Immunology Year 1: Extracellular Infection Responses
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Questions and Answers

What type of immunoglobulin is predominantly produced in response to Streptococcus pyogenes?

  • IgM
  • IgA
  • IgE
  • IgG (correct)

What is the primary site for long-lived plasma cells generated in response to protein antigens?

  • Gut
  • Bone marrow (correct)
  • Lymph nodes
  • Spleen

Which type of T helper cell is associated with the antibody response to streptococci?

  • Th2
  • Th1
  • Th17 (correct)
  • Treg

In contrast to the response to protein antigens, what is the main feature of antibody production in response to toxins?

<p>Minimal isotype switching (C)</p> Signup and view all the answers

Which cytokine is linked to the activation of Th17 responses?

<p>IL-23 (C)</p> Signup and view all the answers

What is a distinguishing feature of the immune response to Staphylococcus aureus compared to Streptococcus pyogenes?

<p>Isotype switching to produce IgM (A)</p> Signup and view all the answers

Which statement is true about memory B cells in response to Streptococcus pyogenes?

<p>They reside in marginal zones of secondary lymph organs. (C)</p> Signup and view all the answers

Which antibody function is crucial in preventing the entrance of Streptococcus into host tissues?

<p>Neutralization (C)</p> Signup and view all the answers

What condition is defined as a reduction or loss of splenic function?

<p>Hyposplenism (D)</p> Signup and view all the answers

Which antibodies are primarily produced by short-lived plasma cells in the spleen?

<p>IgM (D)</p> Signup and view all the answers

What is a common cause of hyposplenism related to surgical intervention?

<p>Surgical removal of the spleen (C)</p> Signup and view all the answers

Which of the following is NOT a recommended vaccine for patients with hyposplenism?

<p>Hepatitis B (B)</p> Signup and view all the answers

What do eosinophil granules contain that is specifically harmful to parasites?

<p>Toxic proteins (A)</p> Signup and view all the answers

What is the primary goal of managing hyposplenism in patients?

<p>To prevent recurrent bacterial infections (C)</p> Signup and view all the answers

What type of clinical condition is functional hyposplenism associated with?

<p>Coeliac disease (D)</p> Signup and view all the answers

In the context of TH2 associated diseases, what is a key indicator of increased susceptibility to asthma?

<p>High levels of IgE (B)</p> Signup and view all the answers

What is one method used to monitor patients with hyposplenism?

<p>Annual measurement of antibody titers (D)</p> Signup and view all the answers

What role do mast cells play regarding infections?

<p>They assist with the removal of killed parasites. (D)</p> Signup and view all the answers

Which interleukins are commonly associated with TH2 responses?

<p>IL-4 and IL-5 (A)</p> Signup and view all the answers

What type of infection does the spleen help clear from the bloodstream?

<p>Extracellular bacterial infections (D)</p> Signup and view all the answers

What is one consequence of increased mast cell activity?

<p>Increased susceptibility to allergies (B)</p> Signup and view all the answers

What should individuals at risk carry or wear to identify their condition?

<p>Splenectomy card or Medic-Alert bracelet (D)</p> Signup and view all the answers

Which cytokine is primarily involved in T cell differentiation towards the Th2 subset?

<p>IL-4 (D)</p> Signup and view all the answers

What do toll-like receptors (TLRs) primarily recognize?

<p>Pathogen-associated molecular patterns (PAMPs) (C)</p> Signup and view all the answers

Which type of infections are Th2 cells particularly important against?

<p>Helminth infections (A)</p> Signup and view all the answers

What is one of the key functions of IL-4 in immune response?

<p>Isotype switching towards IgE and IgG (D)</p> Signup and view all the answers

What do mast cell granules primarily contain to combat helminths?

<p>Proteases and other harmful substances (C)</p> Signup and view all the answers

What is the role of histamine in the immune response against helminths?

<p>Increasing gut mucus secretion and promoting peristalsis (A)</p> Signup and view all the answers

Which pathogen is NOT listed as an example of a helminth infection?

<p>Staphylococcus aureus (C)</p> Signup and view all the answers

Which interleukin is known for recruiting mast cells and eosinophils?

<p>IL-5 (A)</p> Signup and view all the answers

What triggers inflammation in the innate immune response?

<p>Cytokine release such as IL-1 and TNF (C)</p> Signup and view all the answers

Which TLR is responsible for recognizing the surface of Streptococcus?

<p>TLR2 (C)</p> Signup and view all the answers

What are the main cytokines produced by macrophages?

<p>TNF and IL-1 (C)</p> Signup and view all the answers

What role do antibodies play against Streptococcus?

<p>Opsonisation (C)</p> Signup and view all the answers

Which TLR is NOT involved in recognizing Streptococcus?

<p>TLR6 (D)</p> Signup and view all the answers

Which cytokine is primarily associated with acute inflammation by macrophages?

<p>TNF-alpha (B)</p> Signup and view all the answers

Which mechanism is NOT a function of antibodies against Streptococcus?

<p>Direct lysis of bacteria (C)</p> Signup and view all the answers

What type of immune response do antibodies mediate against Streptococcus?

<p>Adaptive immune response (B)</p> Signup and view all the answers

Which TLR is involved in recognizing a broader range of pathogens, including viruses?

<p>TLR3 (B)</p> Signup and view all the answers

Which of the following is a characteristic of extracellular infections?

<p>They multiply outside of host cells. (D)</p> Signup and view all the answers

What role do antibodies play in response to extracellular infections?

<p>They help in the elimination of extracellular pathogens. (D)</p> Signup and view all the answers

Which of the following cells is primarily involved in detecting extracellular infections?

<p>Antigen-presenting cells (D)</p> Signup and view all the answers

What condition may result from the absence of spleen function?

<p>Hyposplenism (D)</p> Signup and view all the answers

Which of the following organisms is an example of a helminth involved in extracellular infection?

<p>Schistosoma mansoni (D)</p> Signup and view all the answers

Which immune response is coordinated between innate and adaptive immunity during extracellular infections?

<p>Antigen presentation to T cells is necessary. (D)</p> Signup and view all the answers

Complement activation contributes to the immune response by which of the following mechanisms?

<p>Enhancing phagocytosis. (B)</p> Signup and view all the answers

Inflammatory responses during extracellular infections are important for which of the following?

<p>Attracting immune cells to the site of infection. (C)</p> Signup and view all the answers

Which of the following types of infections require a distinct type of immune response?

<p>Extracellular infections and fungal infections. (A)</p> Signup and view all the answers

Which immune cells are important for the inflammatory response to extracellular infections?

<p>Macrophages and dendritic cells (A)</p> Signup and view all the answers

What is a key feature of B cell memory after an extracellular infection?

<p>B cells generate a fast response upon reinfection. (B)</p> Signup and view all the answers

Which of these is NOT considered a constituent of innate immunity?

<p>Memory cell formation (C)</p> Signup and view all the answers

Which type of infections necessitates cytotoxic T cells for an effective immune response?

<p>Intracellular infections (A)</p> Signup and view all the answers

What type of immune response is specifically involved in clearing extracellular bacteria?

<p>Humoral immunity (A)</p> Signup and view all the answers

What type of antibody is primarily produced in response to non-protein toxins?

<p>IgM (A)</p> Signup and view all the answers

What is the main site where long-lived plasma cells reside after responding to protein antigens?

<p>Bone marrow (C)</p> Signup and view all the answers

Which characteristic distinguishes the B cell response to Streptococcus pyogenes from that to other types of antigens?

<p>Generation of memory B cells (B)</p> Signup and view all the answers

Which antibody function is essential for opsonization against Streptococcus pyogenes?

<p>Promotion of phagocytosis (D)</p> Signup and view all the answers

What type of B cell response is characterized by minimal isotype switching and the generation of short-lived plasma cells?

<p>Response to non-protein toxins (B)</p> Signup and view all the answers

In which area do memory B cells primarily reside after responding to Streptococcus pyogenes?

<p>Marginal zones of secondary lymph organs (D)</p> Signup and view all the answers

What type of antibodies primarily neutralize and activate complement against Streptococcus?

<p>IgG and IgA (D)</p> Signup and view all the answers

In the immune response to Streptococcus, what is the role of neutralizing antibodies?

<p>To prevent bacterial entry and neutralize exotoxins (D)</p> Signup and view all the answers

What are the immediate health measures recommended for an individual with asplenia?

<p>Prophylactic antibiotics and immunisation (A)</p> Signup and view all the answers

Which immunization is NOT recommended for patients with hyposplenism?

<p>Rabies vaccine (C)</p> Signup and view all the answers

What is a primary consequence of hyposplenism on the immune system?

<p>Reduced ability to clear extracellular bacterial infections (D)</p> Signup and view all the answers

What is the role of the spleen in developing B cells?

<p>Completion of B cell maturation (D)</p> Signup and view all the answers

Which of the following conditions is a cause of functional hyposplenism?

<p>Sickle-cell anaemia (D)</p> Signup and view all the answers

What is the primary goal of managing hyposplenism?

<p>Reducing bacterial infections (A)</p> Signup and view all the answers

What is a characteristic feature of short-lived plasma cells in the context of hyposplenism?

<p>They secrete large amounts of IgM antibodies (D)</p> Signup and view all the answers

Why is it important to measure antibody titers annually in patients with hyposplenism?

<p>To monitor the effectiveness of vaccines (D)</p> Signup and view all the answers

What is the primary function of antibodies in the elimination of extracellular infections?

<p>Neutralizing toxins produced by pathogens (B), Facilitating phagocytosis of pathogens (C)</p> Signup and view all the answers

Which cells are primarily responsible for detecting extracellular infections?

<p>Macrophages (C), Neutrophils (D)</p> Signup and view all the answers

How does the innate immune system respond to extracellular infections?

<p>Through the process of complement activation (B)</p> Signup and view all the answers

What role do macrophages play in the immune response to extracellular infections?

<p>Generating cytokines for T cell activation (C), Presenting antigens to T cells (D)</p> Signup and view all the answers

What condition is characterized by a reduction or loss of splenic function during an immune response?

<p>Hyposplenism (C)</p> Signup and view all the answers

Which type of immune response is coordinated between innate and adaptive immunity during extracellular infections?

<p>Antigen-specific response (B), Inflammatory response (C)</p> Signup and view all the answers

What is the main purpose of phagocytosis in response to extracellular infections?

<p>To engulf and destroy pathogens (D)</p> Signup and view all the answers

What types of pathogens are primarily targeted by B cells during an extracellular immune response?

<p>Extracellular bacteria (B), Helminths (C)</p> Signup and view all the answers

Which of the following conditions may lead to hyposplenism?

<p>Autoimmune diseases (A), Spleen injury or removal (B), Chronic viral infections (D)</p> Signup and view all the answers

Which immune cells are activated following antigen presentation to T helper cells during an extracellular infection?

<p>B cells (A), Cytotoxic T cells (C)</p> Signup and view all the answers

What is a distinguishing feature of extracellular infections compared to intracellular infections?

<p>They live and multiply outside of host cells (D)</p> Signup and view all the answers

What is primarily the role of the complement system in extracellular infections?

<p>Enhancing phagocytosis and inflammation (D)</p> Signup and view all the answers

What type of infections require a distinct immune response that involves B cells and antibodies?

<p>Extracellular bacterial infections (A)</p> Signup and view all the answers

What is the role of eosinophil granules in combating parasites?

<p>They contain proteins that are toxic to parasites. (B)</p> Signup and view all the answers

Which of the following conditions is associated with high levels of IgE and mast cell activity?

<p>Asthma and allergy. (C)</p> Signup and view all the answers

Which interleukins are primarily involved in promoting TH2 responses?

<p>IL-4 and IL-5. (B)</p> Signup and view all the answers

What kind of infections are TH2 cells particularly adept at combating?

<p>Extracellular parasitic infections. (A)</p> Signup and view all the answers

What is the role of Th2 cells in the immune response?

<p>They facilitate isotype switching towards IgE and IgG. (D)</p> Signup and view all the answers

Which cytokine is crucial for instructing T cell differentiation towards the Th2 subset?

<p>IL-4 (A)</p> Signup and view all the answers

What is the function of mast cell granules in response to helminth infections?

<p>They contain proteases and substances that directly kill the worm. (B)</p> Signup and view all the answers

What initiates inflammation in the innate immune response?

<p>Release of secretory antigens like IL-1 and TNF (B)</p> Signup and view all the answers

Which of the following statements about IgE is true?

<p>It is involved in the immune response to helminths. (D)</p> Signup and view all the answers

Which pathogens are recognized as extracellular pathogens by innate immune cells?

<p>Bacteria, viruses, and fungi (D)</p> Signup and view all the answers

What is a significant consequence of histamine secretion during immune responses?

<p>It promotes increased mucus secretion and peristalsis. (C)</p> Signup and view all the answers

Which of the following is an example of a helminth infection?

<p>Ascaris lumbricoides (C)</p> Signup and view all the answers

What should individuals at risk due to hyposplenism carry or wear for identification?

<p>A splenectomy card or medic-alert bracelet (B)</p> Signup and view all the answers

What is the primary role of PRRs (pattern recognition receptors) in the immune response?

<p>To recognize pathogen-associated molecular patterns (PAMPs) (C)</p> Signup and view all the answers

What activates the classical pathway of complement activation?

<p>Antibody recognition (B)</p> Signup and view all the answers

What initiates phagocytosis during an immune response?

<p>Mannose receptors and complement receptors (B)</p> Signup and view all the answers

Which cytokines mediate inflammation during an immune response?

<p>IL-1, TNF, and IL-6 (B)</p> Signup and view all the answers

What is a characteristic feature of Streptococcus bacteria?

<p>They are gram-positive and encapsulated (D)</p> Signup and view all the answers

Which condition is commonly associated with Streptococcus infections?

<p>Pharyngitis (strep throat) (C)</p> Signup and view all the answers

What type of immune cell is primarily involved in the recruitment process during inflammation?

<p>Neutrophils (B)</p> Signup and view all the answers

What instructs T cells in their differentiation during an immune response?

<p>Antigen presenting cells (A)</p> Signup and view all the answers

Which immune response is particularly important against extracellular bacterial infections?

<p>Humoral immunity (C)</p> Signup and view all the answers

What role do TH17 cells play in the immune response?

<p>They recruit neutrophils and enhance barrier integrity (B)</p> Signup and view all the answers

What triggers the production of inflammatory mediators during an immune response to streptococci?

<p>TLR activation (D)</p> Signup and view all the answers

Which type of infection primarily relies on the activation of innate immune cells?

<p>Extracellular bacterial infections (B)</p> Signup and view all the answers

What is a common result of macrophage activation during inflammation?

<p>Increased production of reactive oxygen species (D)</p> Signup and view all the answers

What is the primary immune response immediate upon detection of an extracellular infection?

<p>Phagocytosis by neutrophils (D)</p> Signup and view all the answers

Which statement best describes the role of the immune response to extracellular bacteria?

<p>It requires a coordinated response between innate and adaptive immunity. (B)</p> Signup and view all the answers

What is the main outcome of isotype switching in response to protein antigens?

<p>Production of IgG and IgA antibodies for enhanced protection (A)</p> Signup and view all the answers

In the context of antibody production, what is a characteristic feature of the response to toxins?

<p>Minimal isotype switching resulting in mainly IgM (D)</p> Signup and view all the answers

What is the significance of long-lived plasma cells generated from a response to protein antigens?

<p>They provide ongoing antibody production over time (A)</p> Signup and view all the answers

Which cytokine is associated with producing a Th17 response?

<p>IL-17 (A)</p> Signup and view all the answers

What is a correct statement about memory B cells generated during the immune response to protein antigens?

<p>They reside in the bone marrow and gut. (B)</p> Signup and view all the answers

Which of the following is true regarding the antibody response to Streptococcus pyogenes?

<p>Antibodies counteract both the bacteria and its exotoxins. (C)</p> Signup and view all the answers

What is the function of complement activation in the immune response?

<p>It aids in opsonization and promotes inflammation. (B)</p> Signup and view all the answers

In terms of antibody longevity and affinity, how do antibodies from short-lived plasma cells differ from those produced in response to protein antigens?

<p>Antibodies from short-lived plasma cells are generally lower affinity and short-lived. (A)</p> Signup and view all the answers

What is the role of eosinophil granules in combating parasitic infections?

<p>They contain proteins that can kill parasites. (B)</p> Signup and view all the answers

Which interleukins are primarily associated with promoting TH2 responses?

<p>IL-4 and IL-5 (C)</p> Signup and view all the answers

What immunological structure is indicated by high levels of IgE and mast cell activity?

<p>TH2 associated diseases (A)</p> Signup and view all the answers

How does mast cell activity contribute to the immune response against infections?

<p>By recruiting eosinophils to the site of infection. (A)</p> Signup and view all the answers

What consequence can result from high levels of IgE antibodies in the body?

<p>Heightened allergic responses and asthma. (D)</p> Signup and view all the answers

What is a potential consequence of reduced splenic function related to antibody production?

<p>Decreased production of IgM antibodies (B)</p> Signup and view all the answers

What is a recommended management strategy for patients with hyposplenism?

<p>Prophylactic antibiotics from birth (B)</p> Signup and view all the answers

Which of the following conditions is associated with functional hyposplenism?

<p>Celiac disease (C)</p> Signup and view all the answers

Which vaccine should be administered as early as possible to patients at risk of infection due to hyposplenism?

<p>Meningitis C vaccine (D)</p> Signup and view all the answers

What is a common trigger for patients to experience hyposplenism?

<p>Surgical removal of the spleen (B)</p> Signup and view all the answers

In what aspect does the spleen play a role in immune responses?

<p>Finalization of B cell development (B)</p> Signup and view all the answers

What is an essential component of preventive care in patients with a congenital absence of spleen?

<p>Annual measurement of antibody levels (A)</p> Signup and view all the answers

What type of antibody do short-lived plasma cells produce after spleen development?

<p>IgM antibodies (C)</p> Signup and view all the answers

Which feature is primarily associated with the Th2 immune response against helminth infections?

<p>Isotype switching towards IgE (C)</p> Signup and view all the answers

What is the primary function of IL-4 in relation to T helper cells?

<p>Inducing differentiation towards Th2 cells (B)</p> Signup and view all the answers

What is a key role of mast cells in the immune response against helminths?

<p>Containing granules that release proteases (A)</p> Signup and view all the answers

Which of the following is NOT a consequence of mast cell activation during helminth infections?

<p>Suppression of eosinophil activity (D)</p> Signup and view all the answers

What induces the secretion of inflammatory cytokines such as IL-1, TNF, and IL-8 during innate immunity?

<p>Release of secretory antigens (D)</p> Signup and view all the answers

Which interleukin specifically instructs T cell differentiation into the Th2 subset?

<p>IL-4 (C)</p> Signup and view all the answers

What type of receptors do pathogens interact with to activate the innate immune response?

<p>Pathogen recognition receptors (PRRs) (A)</p> Signup and view all the answers

In cases of splenic dysfunction, which precaution should individuals take when traveling?

<p>Carry a splenectomy card or wear a Medic-Alert bracelet (A)</p> Signup and view all the answers

What impact does IL-5 have in the immune response against helminths?

<p>Enhances eosinophil activity (A)</p> Signup and view all the answers

Which cytokine is primarily responsible for inflammation initiation in the innate immune response?

<p>TNF (A)</p> Signup and view all the answers

What distinguishes extracellular bacteria from intracellular bacteria?

<p>Extracellular bacteria multiply outside of host cells. (B)</p> Signup and view all the answers

Which component of the immune system plays a major role in both detecting and responding to extracellular infections?

<p>Innate immune cells and antibodies (B)</p> Signup and view all the answers

How do antibodies assist in the elimination of extracellular infections?

<p>By neutralizing toxins produced by pathogens (C)</p> Signup and view all the answers

Which condition is characterized by reduced or absent splenic function affecting susceptibility to infections?

<p>Hyposplenism (C)</p> Signup and view all the answers

Which immune response mechanisms are primarily utilized during innate immunity to combat extracellular infections?

<p>Phagocytosis and inflammatory responses (B)</p> Signup and view all the answers

What role do macrophages and dendritic cells play in the immune response to extracellular infections?

<p>They act as the first line of defense. (B)</p> Signup and view all the answers

Which cytokines are primarily produced by macrophages to mediate inflammatory responses?

<p>IL-1 and IL-6 (B)</p> Signup and view all the answers

What describes the primary function of phagocytosis in the context of extracellular infections?

<p>Engulfing and destroying pathogens (B)</p> Signup and view all the answers

What is the role of complement activation in the immune response to extracellular infections?

<p>To enhance phagocytosis and induce inflammation (C)</p> Signup and view all the answers

Which class of infections primarily elicits a TH2 immune response?

<p>Fungi and helminths (D)</p> Signup and view all the answers

How is B cell memory established following an extracellular infection?

<p>Through antibody production and memory cell formation (C)</p> Signup and view all the answers

Which of the following is a common consequence of hyposplenism?

<p>Increased susceptibility to certain bacterial infections (D)</p> Signup and view all the answers

What type of immune responses are involved when cooperating between innate and adaptive immunity during extracellular infections?

<p>A mix of cellular and antibody-mediated responses (D)</p> Signup and view all the answers

What initiates phagocytosis in the immune response?

<p>Complement receptors (B), Mannose receptors (D)</p> Signup and view all the answers

What is the primary mechanism for killing microbes within the phagolysosome?

<p>Reactive oxygen species and nitric oxide (D)</p> Signup and view all the answers

Which pathway is activated by peptidoglycans in bacterial cell walls?

<p>Alternative pathway (B)</p> Signup and view all the answers

Which cytokine serves as an instructive mediator during T cell differentiation to the Th17 subset?

<p>IL-23 (D)</p> Signup and view all the answers

What is a major inflammatory mediator produced during innate immune cell activation?

<p>IL-8 (D)</p> Signup and view all the answers

Which medical condition is most commonly associated with Streptococcus infections?

<p>Pharyngitis (C)</p> Signup and view all the answers

Which type of immune cells play a key role in the process of antigen presentation to CD4+ T helper cells?

<p>Resident macrophages (B)</p> Signup and view all the answers

What type of bacteria is specifically characterized as gram positive and aerobic?

<p>Streptococcus pneumoniae (A)</p> Signup and view all the answers

Which factor is associated with the release of inflammatory cytokines during the innate immune response?

<p>Pathogen-associated molecular patterns (A)</p> Signup and view all the answers

What is the primary purpose of the complement activation in the immune response?

<p>To facilitate phagocytosis and lyse pathogens (B)</p> Signup and view all the answers

During which immune response do TH2 cells primarily exert their function?

<p>Response to parasitic infections (D)</p> Signup and view all the answers

Which type of receptor is primarily associated with the recognition of pathogens by the innate immune system?

<p>Pattern recognition receptors (C)</p> Signup and view all the answers

What specific function does IL-17, produced by TH17 cells, serve in an immune response?

<p>Recruit neutrophils (B)</p> Signup and view all the answers

Flashcards

Streptococcus pyogenes

A type of bacteria that causes strep throat and other illnesses.

Streptococcus pneumoniae

A bacteria that can lead to pneumonia and other infections.

Staphylococcus aureus

A bacteria known to cause skin infections and other health issues.

B Cell Response to Streptococci

Immune response using B cells against Streptococcus bacteria.

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Isotype switching

Process where B-cells change antibody type to get better immune protection.

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IgG and IgA antibodies

Antibodies crucial for mucosal protection and long-term immunity.

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Neutralizing antibodies

Antibodies that prevent pathogens from entering cells.

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Antibody Functions

Antibodies neutralize pathogens, activate complement, and promote opsonization.

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Extracellular Infections

Infections caused by microbes that live and multiply outside of host cells.

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Innate Immunity

Early immune defense mechanism that's fast and non-specific, identifying and reacting to a range of pathogens.

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Adaptive Immunity

Immunity involving highly specific, tailor-made responses to pathogens, that learns from previous encounters.

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Complement Activation

A part of innate immunity where proteins complement other immune cells to kill pathogens.

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Phagocytosis

The process where cells engulf and destroy pathogens.

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Inflammation

The body's response to tissue damage or infection, characterized by redness, swelling, heat, and pain.

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Antigen Presentation

Displaying pathogen pieces on the surface of immune cells to activate other immune cells.

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T cells

Cells of the adaptive immune system crucial in fighting intracellular and extracellular pathogens.

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B cells

Cells of the adaptive immune system producing antibodies, important for recognizing & neutralizing extracellular pathogens.

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Antibodies

Proteins that bind to specific pathogens, marking them for destruction.

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Helper T cells

A type of T cells that activate other immune cells, like B-cells, for a stronger response.

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Cytotoxic T cells

A type of T cell directly attacking and killing infected cells.

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B cell memory

Long-lived B cells that 'remember' past infections, enabling quicker and stronger responses upon re-exposure.

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Hyposplenism

Reduced spleen function, impacting the immune system's ability to remove pathogens.

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Streptococci

A kind of bacteria that cause extracellular infections like strep throat.

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Streptolysin O

A toxin produced by Streptococcus pyogenes that damages red blood cells and contributes to the severity of infection.

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Opsonisation

A process where antibodies or complement proteins coat a pathogen, marking it for destruction by phagocytic cells.

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TLR2

A Toll-like receptor that recognizes bacterial components like peptidoglycan found on the surface of Streptococcus.

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TNF and IL-1

Cytokines produced by macrophages in response to bacterial infection, triggering inflammation and immune responses.

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Antibodies against Strep

Specific antibodies that target and bind to Streptococcus pyogenes antigens.

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Opsonisation by Antibodies

Antibodies bind to Streptococcus, enhancing phagocytosis by macrophages and neutrophils.

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Neutralisation by Antibodies

Antibodies block the binding of Streptococcus to host cells or neutralize its toxins.

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Spleen's role in immunity

The spleen, a vital secondary lymphoid organ, plays a crucial role in immunity by providing a site for B cell maturation, antigen presentation, and antibody production.

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What happens in hyposplenism?

Hyposplenism leads to a decrease in short-lived plasma cells responsible for producing IgM antibodies. This weakens the immune response and makes the body more susceptible to bacterial infections.

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Causes of hyposplenism

Hyposplenism can be caused by congenital absence of spleen, surgical removal, or functional impairment due to conditions like celiac disease or sickle cell anemia.

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Managing hyposplenism

Management of hyposplenism focuses on preventing infections. This includes prophylactic antibiotics, vaccinations, and monitoring antibody levels.

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Prophylactic antibiotics in hyposplenism

Prophylactic antibiotics are crucial for individuals with hyposplenism, especially those with congenital absence of spleen or post-splenectomy, to prevent bacterial infections.

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Hyposplenism vaccinations

Individuals with hyposplenism require specific vaccinations to boost their immune response. These include pneumococcal, Haemophilus influenzae b, meningitis C, and annual influenza vaccines.

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Monitoring antibody levels

Regular monitoring of antibody titers is essential in individuals with hyposplenism to assess the effectiveness of the immune system and guide management strategies.

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Helminth Infections

Infections caused by parasitic worms, like Schistosoma mansoni, Ascaris lumbricoides, and Ancylostoma duodenale.

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Th2 Immune Response

A specialized part of the adaptive immune system that targets helminth infections by producing specific antibodies and activating cells like eosinophils and mast cells.

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IgE Antibody

A type of antibody specifically produced by the Th2 response to bind to helminths and activate effector cells like mast cells and eosinophils.

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Eosinophils

White blood cells that are recruited by IgE and contain granules with substances that kill helminths.

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Eosinophils and Parasites

Eosinophils are white blood cells that release toxic proteins, targeting and killing parasites like worms. They play a crucial role in fighting parasitic infections.

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Mast Cell Granules

Small sacs within mast cells that contain various substances that kill helminths directly.

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Histamine

A substance released by mast cells that increases mucus production in the gut and aids in expelling parasites.

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IgE Antibodies and Allergies

IgE antibodies are associated with allergic reactions. They bind to allergens, triggering mast cell activation and the release of histamine, which contributes to allergy symptoms.

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Peristalsis

The rhythmic contractions of muscles in the gut that help to move food and expel parasites.

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Th2 Cells and Allergy

Th2 cells are a type of T helper cell that promote allergic responses. They secrete cytokines like IL-4 and IL-5, which contribute to IgE production and mast cell activation.

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Mast Cells and Allergy

Mast cells are immune cells found in tissues. They release histamine and other inflammatory mediators when activated by IgE antibodies, causing allergy symptoms like sneezing, itching, and swelling.

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Increased Susceptibility to Asthma and Allergy

Th2-associated diseases, like asthma and allergies, are characterized by high levels of IgE antibodies and mast cell activity. This leads to an increased susceptibility to allergic reactions and airway inflammation.

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Medic-Alert Bracelet

A bracelet that alerts medical professionals to specific medical conditions, such as hyposplenism, allowing for appropriate care during emergencies.

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Innate Immune Response

The body's first line of defense against infections, providing a rapid and non-specific reaction.

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Adaptive Immune Response

A highly specific and targeted immune response that learns from previous encounters with pathogens.

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How does the Innate Immune System respond to Extracellular Infections?

The innate immune system responds to extracellular infections using mechanisms like complement activation, phagocytosis, and inflammation.

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Role of Antibodies in Extracellular Infections

Antibodies are proteins that bind to specific pathogens, marking them for destruction by other immune cells.

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Clinical Consequences of Hyposplenism

Hyposplenism can cause a higher risk of bacterial infections, particularly encapsulated bacteria, due to impaired clearance of pathogens.

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Management of Hyposplenism

Managing hyposplenism involves preventing infections with prophylactic antibiotics, vaccinations, and monitoring antibody levels.

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Streptococci Infections

Infections caused by Streptococcus pyogenes, a bacteria that can cause strep throat, scarlet fever, skin infections, and other illnesses.

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Why is Hyposplenism Dangerous?

Hyposplenism increases susceptibility to bacterial infections because the spleen's role in B cell maturation and antibody production is compromised.

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Prophylactic Antibiotics

Regularly taken antibiotics to prevent infections in individuals with hyposplenism, especially after spleen removal or congenital absence.

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Importance of Antibody Monitoring

Regularly checking antibody levels is vital for individuals with hyposplenism to assess immune strength and adjust management strategies.

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Th2 Response

A type of immune response that mainly targets parasitic worms (helminths). It involves producing antibodies like IgE and activating cells like mast cells and eosinophils.

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Th2 Diseases

Diseases that involve an overactive Th2 response, leading to increased IgE production and mast cell activity, making individuals more susceptible to allergies like asthma.

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Risk Factors for Hyposplenism

Conditions that increase the likelihood of having a poorly functioning spleen. This includes congenital absence of the spleen, surgical removal (splenectomy), or functional impairment due to diseases like celiac disease or sickle cell anemia.

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What is a splenectomy card?

A card that carries important medical information about a person's hyposplenism, including the need for preventive measures and the risk of infections. It's often used alongside a Medic-Alert bracelet for emergencies.

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Helminths

Parasitic worms, such as Schistosoma mansoni, Ascaris lumbricoides, Trichuris trichiura, Necator americanus, and Ancylostoma duodenale. These worms can cause infections in humans.

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What is IgE?

A type of antibody that is produced during the Th2 response. It binds to helminths and helps activate other immune cells like mast cells and eosinophils to fight them.

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Role of Histamine

Histamine is a substance released by mast cells that increases mucus production in the gut. This helps to expel parasites and prevent them from staying in the body.

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Streptococci: What are they?

Streptococci are a group of gram-positive bacteria known for causing infections like strep throat. They are spherical, encapsulated, and release toxins.

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What does 'encapsulated' mean?

Encapsulated means that the bacteria have a protective coating made of polysaccharides, which helps them evade the immune system.

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How do Streptococci evade the immune system?

Streptococci evade the immune system by a combination of factors, including their capsule, toxins, and the ability to resist phagocytosis by macrophages.

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What are some infections caused by Streptococci?

Streptococci can cause a range of infections, including pharyngitis (strep throat), skin infections like impetigo and cellulitis, and more serious conditions like pneumonia and necrotizing fasciitis.

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What recognizes Streptococci?

Innate immune cells, like macrophages and neutrophils, recognize Streptococci through their pattern recognition receptors (PRRs), particularly TLR2, which detects peptidoglycan on bacterial surfaces.

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Immune Response: How does the body fight Streptococcal infections?

The body fights Streptococcal infections using innate and adaptive immune responses involving macrophages, neutrophils, T helper cells (Th17), and B cells.

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Th17 Cells: What's their role?

Th17 cells are a type of T helper cell specifically important in fighting extracellular bacterial infections like those caused by Streptococci. They produce IL-17, which recruits neutrophils and helps clear the infection.

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What are PAMPs and PRRs?

PAMPs (pathogen-associated molecular patterns) are molecules found on the surface of pathogens, recognized by PRRs (pattern recognition receptors) present on innate immune cells.

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What is IL-23?

IL-23 is a cytokine released by antigen-presenting cells (APCs) that promotes differentiation of Th17 cells, further enhancing the immune response.

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What are the functions of IL-17?

IL-17 is a cytokine produced by Th17 cells that has various functions, including recruiting neutrophils to the site of infection, inducing the production of antimicrobial peptides, and enhancing barrier integrity.

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What is the role of antibodies against Streptococci?

Antibodies against Streptococci play a crucial role in fighting infection. They neutralize toxins, promote opsonization (marking bacteria for destruction), and activate complement, which can directly lyse bacteria.

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Can Streptococci be bad for the body?

Yes. Some strains of Streptococci can cause serious health complications like toxic shock syndrome, pneumonia, and necrotizing fasciitis. These infections can be life-threatening and require immediate medical attention.

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Adaptive Immune Response: What is the role of B cells?

B cells play a crucial role in the adaptive immune response to Streptococcal infections. They produce antibodies that specifically target these bacteria and help neutralize their toxins, promoting their destruction by phagocytes.

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Macrophages: How do they help?

Macrophages are phagocytic cells that engulf and destroy Streptococci. They also present processed bacterial antigens to T cells, initiating an adaptive immune response.

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Neutrophils: What do they do?

Neutrophils are abundant white blood cells that are recruited to the site of infection. They are phagocytic and release antimicrobial substances that help clear the infection.

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What is the job of Th17?

Th17 cells are a type of T helper cell that are specifically important in fighting extracellular bacterial infections like those caused by Streptococci.

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What is 'encapsulated'?

Encapsulated means that the bacteria have a protective coating made of polysaccharides, which helps them evade the immune system.

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What do neutrophils do?

Neutrophils are abundant white blood cells that are recruited to the site of infection. They are phagocytic and release antimicrobial substances that help clear the infection.

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Classical Pathway

A way to activate complement, triggered by antibodies from past infections. This pathway recognizes bacterial invaders that have previously been encountered.

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Alternative Pathway

Another way to activate complement, triggered by molecules found in the cell walls of bacteria. It recognizes bacteria directly, unlike the classical pathway.

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Lectin Pathway

This pathway is triggered by lectins, which are proteins that bind to specific sugars on the surface of bacteria. It recognizes bacteria with certain sugars.

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Phagolysosome

This is where the bacteria are killed inside the cell. Imagine it as a special compartment inside a cell where toxic chemicals break down the bacteria.

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Mannose Receptors

These are found on immune cells and help to recognize bacteria. They are like special receptors that recognize specific sugars on the bacterial surface.

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Complement Receptors

These are found on immune cells and help to recognize bacteria. They are like sensors for complement proteins that have attached to the bacteria.

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Reactive Oxygen Species (ROS)

These are chemicals that are toxic to bacteria. Think of them as dangerous chemicals that can destroy bacteria.

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Nitric Oxide (NO)

Another toxic chemical that helps kill bacteria. It's like a gas that poisons the bacteria.

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Inflammatory Mediators

These are chemicals released by immune cells that cause inflammation, a process that helps fight infection. Think of them as alarm signals that bring reinforcements to the site of infection.

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TNF, IL-1, IL-6, IL-8

These are specific examples of inflammatory mediators, causing inflammation. They are like different alarm signals that tell the body to send immune cells to the fight.

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Prostaglandin

Another type of inflammatory mediator, contributing to inflammation. Think of this as a chemical that helps to regulate the inflammation.

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Instructive Cytokines

These chemicals released by immune cells guide the immune system to fight infection. Think of them as special instructions that help the immune system focus its fight.

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Innate Immune Response to Extracellular Infections

The body's first line of defense against extracellular infections. It involves mechanisms like complement activation, phagocytosis, and inflammation.

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Adaptive Immune Response to Extracellular Infections

A targeted response against specific pathogens that are recognized by lymphocytes (T cells and B cells). This response involves antibody production, antigen presentation, and the activation of specific immune cells to fight the infection.

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Examples of Extracellular Infections

Infections caused by microbes that are free-living outside of cells. These include infections caused by bacteria like Streptococcus pyogenes and Staphylococcus aureus, as well as some parasites like helminths.

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Immune Response to Streptococcal Infections

The body fights Streptococcal infections using innate and adaptive immune responses. Macrophages, neutrophils, T helper cells (Th17), and B cells all contribute to defending against these bacteria.

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Role of Antibodies in Fighting Streptococcal Infections

Antibodies play a crucial role in fighting Streptococcus infections. They neutralize toxins, promote opsonization, and activate complement to destroy the bacteria.

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PAMPs and PRRs: How we recognize bacteria

PAMPs (Pathogen-Associated Molecular Patterns) are molecules on the surface of pathogens, like peptidoglycan on bacteria, that are recognized by PRRs (Pattern Recognition Receptors) on immune cells.

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IL-17: A key cytokine for fighting bacteria

IL-17 is a cytokine produced by Th17 cells that helps recruit neutrophils to the site of infection, enhancing antimicrobial defenses.

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Helminths: The parasitic worms

Helminths are parasitic worms that can infect humans. Examples include roundworms (Ascaris lumbricoides) and flukes (Schistosoma mansoni) .

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Th2 Immune Response to Helminths

A type of immune response specifically targeting parasitic worms. It involves producing IgE antibodies and activating mast cells and eosinophils to fight the infection.

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What are Th2 cells?

A type of helper T cell crucial in fighting parasitic worm infections (helminths), which triggers a specific immune response involving IgE antibodies and cells like mast cells and eosinophils.

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What does IgE do?

A type of antibody specifically produced during the Th2 response, binding to parasites and activating mast cells and eosinophils to fight them.

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What does histamine do?

A substance released by mast cells that increases mucus production in the gut, helping to expel parasites and prevent them from staying in the body.

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What are Streptococci?

A group of gram-positive bacteria known for causing various infections, including strep throat. They are spherical, encapsulated, and release toxins.

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IgE

A type of antibody produced during the Th2 response. It binds to helminths and activates other immune cells to fight them.

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PAMPs and PRRs

PAMPs are molecules found on the surface of pathogens, recognized by PRRs on innate immune cells. Think of them as 'flags' that signal a pathogen's presence.

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Study Notes

Responses to Extracellular Infection

  • Module: BMF
  • Year: 1
  • Topic: Responses to extracellular infection
  • Presentation date: November 2024
  • Presenter: Dr. Patrick Walsh

Immunology Lecture Outline

  • Barrier Immunity:
    • Physical barrier (intro to immune system)
    • Mechanical barrier (intro to immune system)
    • Chemical barrier (intro to immune system)
  • Innate Immunity:
    • Cytokines (intro to immune system)
    • Inflammation (innate immune system lecture)
    • Complement (innate immune system lecture)
    • Antigen presentation (innate immune system lecture)
  • Adaptive Immunity:
    • Response to extracellular infections (immune response to specific types of infection)
    • Cytotoxic and Helper T cells (T cell lecture)
    • Response to intracellular infections (immune response to specific types of infection)
    • B cells, antibodies (B cell lecture)

Lecture Learning Outcomes

  • Describe the immune response to extracellular infections using streptococci and helminths as examples
  • Explain how innate immune cells detect extracellular infections
  • Describe how antibodies eliminate extracellular infections
  • Explain B cell memory establishment
  • Outline conditions causing hyposplenism
  • Describe the clinical consequences and management of hyposplenism

Types of Infection

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

Extracellular vs. Intracellular Infections

  • Extracellular: Bacteria, Fungi, Protozoa, Helminths, live and multiply outside of cells.
  • Intracellular: Organisms invade a cell for survival, multiplication, and evade detection. (Listeria monocytogenes, Mycobacterium tuberculosis, Viruses)

Cooperation Between Innate and Adaptive Immunity

  • Macrophages and dendritic cells are the crucial cells that detect and combat infection
  • Existing circulating antibodies specific for surface proteins or lipids of the invading organisms play a role in stimulating T cells and antibody production
  • Presentation of antigens to these cells activates them

Innate Immunity to Extracellular Infections

  • Complement activation
  • Phagocytosis
  • Inflammatory response

Complement Activation

  • Classical pathway: Activated by antibodies recognizing antigens from previous infection
  • Alternative pathway: Activated by peptidoglycans in cell walls of gram positive and gram negative bacteria
  • Lectin pathway: Activated by bacteria that express mannose on their surface.

Phagocytosis and Inflammation

  • Phagocytosis is initiated by mannose and complement receptors.
  • Killing of microbes occurs in phagolysosomes via reactive oxygen species (ROS) and nitric oxide (NO).
  • Production of inflammatory mediators (TNF, IL-1, IL-6, IL-8, prostaglandins)

Adaptive Immunity to Extracellular Microbes

  • T Helper Cells
  • Antibody production (B cells)

Summary of Extracellular Bacterial Infection

  • The video is available in the Moodle folder.

Immune Response to Streptococci

  • Gram positive aerobic bacteria
  • Spherical
  • Encapsulated
  • Polysaccharide rich coat
  • Releases toxins
  • Strains include Streptococcus pyogenes and Streptococcus pneumoniae

Medical Conditions of 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
  • Resident macrophages induce phagocytosis and inflammation
  • Recruitment of neutrophils
  • Antigen presentation to CD4+ T helper cells
  • Antibody production by B cells

Recognition and Activation of Innate Immunity

  • PAMPs (pathogen-associated molecular patterns)
  • PRRs (pattern recognition receptors)
  • TLRs (toll-like receptors)
  • Cytokines (e.g., IL-1, TNF, IL-8) initially promote inflammation
  • Antigen presentation in lymph nodes

Th17 Cells

  • Important against extracellular bacteria infections.
  • Functions: Recruitment of neutrophils, release of antimicrobial peptides, and increased barrier integrity
  • Example pathogenic organisms: Streptococcus pyogenes, Streptococcus pneumoniae, Staphylococcus aureus, Candida

B Cell Response to Streptococci

  • Isotype switching to production of IgG and IgA for mucosal protection.
  • Production of long-lived plasma cells for sustained protection
  • Production of memory B cells

Antibody Responses

  • Antibodies neutralize bacterial antigens activating complement and promoting phagocytosis
  • Opsonization 'tags' the Streptococcus for recognition and phagocytosis by macrophages

Follow the Streptococcus (Antigen Recognition and Signaling)

  • TLRs responsible for recognizing Streptococcus surface antigens
  • Signaling is mediated primarily by cytokines (IL-4, IL-5, IL-12, and IL-17)
  • Antibodies may promote opsonization, neutralization, and complement activation.

Hyposplenism

  • Reduction or loss of splenic function.
  • Causes: Congenital absence of spleen (asplenia), surgical removal of spleen, functional hyposplenism
  • Consequences: Recurrent bacterial infections

Management of Hyposplenism

  • Prophylactic antibiotics, starting at birth (asplenia) or after splenectomy.
  • Vaccination with polyvalent pneumococcal, Haemophilus influenzae b, and Meningitis C vaccines
  • Annual measurement of antibody titers.
  • Education and awareness of risks for travelers, and bites

Immune Response to Other Extracellular Pathogens

  • Helminth infections (Schistosoma mansoni, Ascaris lumbricoides, Trichuris trichiura, Necator americanus, and Ancylostoma duodenale)

Th2 Cells

  • Important against helminth infections
  • Functions: Isotype switching toward IgE and IgG, recruitment of mast cells, eosinophils, mucus production.

IgE & Eosinophil/Mast Cell-mediated Reactions

  • Mast cell granules contain proteases and other substances directly killing worms
  • Secretion of histamine increasing mucus in gut
  • Eosinophil granules contain proteins toxic for parasite, antibodies help in secondary infections.

Th2 Associated Diseases

  • Increased susceptibility to asthma and allergies

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Description

This quiz focuses on the immune response mechanisms to extracellular infections, covering aspects of barrier immunity, innate immunity, and adaptive immunity. Students will explore the roles of cytokines, inflammation, and T and B cells in responding to various infections. Perfect for Year 1 BMF students.

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