Podcast
Questions and Answers
Which of the following is the primary function of neutrophils upon infiltrating infected tissues?
Which of the following is the primary function of neutrophils upon infiltrating infected tissues?
- Secreting antibodies to neutralize pathogens
- Activating T cells to initiate adaptive immunity
- Phagocytosing microbes upon receptor ligation (correct)
- Releasing histamine to promote inflammation
Which of the following pathways do neutrophils and macrophages utilize to eliminate engulfed pathogens?
Which of the following pathways do neutrophils and macrophages utilize to eliminate engulfed pathogens?
- Oxygen-dependent pathways only
- Both oxygen-dependent and oxygen-independent pathways (correct)
- Neither oxygen-dependent nor oxygen-independent pathways
- Oxygen-independent pathways only
Which immune cell is responsible for secreting type I interferons upon detecting viral presence?
Which immune cell is responsible for secreting type I interferons upon detecting viral presence?
- pDC (plasmacytoid dendritic cells) (correct)
- Eosinophils
- Mast cells
- NK cells
What is the outcome of NK cells being stimulated by IL-1, IL-2, IL-12, and type I IFNs?
What is the outcome of NK cells being stimulated by IL-1, IL-2, IL-12, and type I IFNs?
Which process involves neutrophils releasing DNA fibers decorated with histones and granular proteins to trap microbes?
Which process involves neutrophils releasing DNA fibers decorated with histones and granular proteins to trap microbes?
Which of the following is NOT a characteristic of neutrophils?
Which of the following is NOT a characteristic of neutrophils?
What is the effect of vasodilation and increased vascular permeability during inflammation?
What is the effect of vasodilation and increased vascular permeability during inflammation?
Receptor ligation on phagocytes triggers which of the following?
Receptor ligation on phagocytes triggers which of the following?
What is the purpose of opsonization in the context of phagocytosis?
What is the purpose of opsonization in the context of phagocytosis?
What is the role of NADPH oxidase (Phox) in the early reactions within the phagosome?
What is the role of NADPH oxidase (Phox) in the early reactions within the phagosome?
What is the function of inducible nitric oxide synthase (iNOS) within the phagosome?
What is the function of inducible nitric oxide synthase (iNOS) within the phagosome?
What is the role of the vacuolar ATPase in the late reactions within the phagosome?
What is the role of the vacuolar ATPase in the late reactions within the phagosome?
Which of the following is NOT a typical component of Neutrophil Extracellular Traps (NETs)?
Which of the following is NOT a typical component of Neutrophil Extracellular Traps (NETs)?
What is the primary function of plasmacytoid dendritic cells (pDCs)?
What is the primary function of plasmacytoid dendritic cells (pDCs)?
What is the function of NK cells expressing CD56 and CD16?
What is the function of NK cells expressing CD56 and CD16?
What role does inflammation play in NK cell function?
What role does inflammation play in NK cell function?
Which of the following cytokines do NOT activate NK cells?
Which of the following cytokines do NOT activate NK cells?
What is the role of MHC class I molecules in the regulation of NK cell cytotoxicity?
What is the role of MHC class I molecules in the regulation of NK cell cytotoxicity?
What is the effect of interferon-gamma (IFN-γ) released by activated NK cells on macrophages?
What is the effect of interferon-gamma (IFN-γ) released by activated NK cells on macrophages?
What generally induces M2 macrophage polarization?
What generally induces M2 macrophage polarization?
What is the primary role of eosinophils in innate immunity?
What is the primary role of eosinophils in innate immunity?
Which of the following best describes the primary function of mast cells in innate immunity?
Which of the following best describes the primary function of mast cells in innate immunity?
Which cell type secretes histamine, heparin, TNF-α, proteases, and degrading enzymes?
Which cell type secretes histamine, heparin, TNF-α, proteases, and degrading enzymes?
What is the initial response of a mast cell upon activation?
What is the initial response of a mast cell upon activation?
What is the role of Leukotrienes that are produced by mast cells?
What is the role of Leukotrienes that are produced by mast cells?
What is the MOST important function of VEGF (vascular endothelial growth factor) that is produced by mast cells?
What is the MOST important function of VEGF (vascular endothelial growth factor) that is produced by mast cells?
What is the significance of neutrophils undergoing NETosis?
What is the significance of neutrophils undergoing NETosis?
How does the absence of MHC class I molecules on a target cell affect NK cell activity?
How does the absence of MHC class I molecules on a target cell affect NK cell activity?
A researcher is investigating a new drug that aims to enhance the innate immune response against viral infections. Which cell type should the drug target to maximize type I interferon production?
A researcher is investigating a new drug that aims to enhance the innate immune response against viral infections. Which cell type should the drug target to maximize type I interferon production?
A biopsy from a patient with a helminth infection shows a large number of immune cells surrounding the parasite. Which of the following cell types is MOST likely to be present in high numbers and directly involved in killing the worm?
A biopsy from a patient with a helminth infection shows a large number of immune cells surrounding the parasite. Which of the following cell types is MOST likely to be present in high numbers and directly involved in killing the worm?
A patient with a chronic inflammatory condition has elevated levels of both pro-inflammatory and anti-inflammatory cytokines. Which of the following macrophage phenotypes is MOST likely to be contributing to this mixed inflammatory profile?
A patient with a chronic inflammatory condition has elevated levels of both pro-inflammatory and anti-inflammatory cytokines. Which of the following macrophage phenotypes is MOST likely to be contributing to this mixed inflammatory profile?
A researcher discovers a novel protein that inhibits the fusion of lysosomes with phagosomes in macrophages. How would this protein MOST likely affect the macrophage's ability to clear intracellular bacteria?
A researcher discovers a novel protein that inhibits the fusion of lysosomes with phagosomes in macrophages. How would this protein MOST likely affect the macrophage's ability to clear intracellular bacteria?
A patient has a genetic defect that results in non-functional myeloperoxidase (MPO) in their neutrophils. Which of the following processes would be MOST directly impaired in these neutrophils?
A patient has a genetic defect that results in non-functional myeloperoxidase (MPO) in their neutrophils. Which of the following processes would be MOST directly impaired in these neutrophils?
A novel virus has evolved a mechanism to specifically inhibit the production of IL-12 by macrophages. Which of the following immune cell functions would be MOST directly compromised by this viral strategy?
A novel virus has evolved a mechanism to specifically inhibit the production of IL-12 by macrophages. Which of the following immune cell functions would be MOST directly compromised by this viral strategy?
Imagine a scenario where a new drug selectively blocks the S1PR receptor on mast cells. How would you anticipate this drug influencing the immediate and delayed phases of an allergic reaction, considering the role of mast cell activation?
Imagine a scenario where a new drug selectively blocks the S1PR receptor on mast cells. How would you anticipate this drug influencing the immediate and delayed phases of an allergic reaction, considering the role of mast cell activation?
Which of the following is the MOST accurate description of NETosis?
Which of the following is the MOST accurate description of NETosis?
During an inflammatory response, a tissue is infiltrated with immune cells, including mast cells. What is a primary mechanism by which mast cells contribute to vasodilation?
During an inflammatory response, a tissue is infiltrated with immune cells, including mast cells. What is a primary mechanism by which mast cells contribute to vasodilation?
A researcher is investigating the activation of NK cells in response to a viral infection. The researcher notices that the cells infected with the virus do not express Interferon Type 1. How will this affect the NK cell's response?
A researcher is investigating the activation of NK cells in response to a viral infection. The researcher notices that the cells infected with the virus do not express Interferon Type 1. How will this affect the NK cell's response?
Which of the following represents the correct order of granule mobilization in neutrophils upon activation, from earliest to latest?
Which of the following represents the correct order of granule mobilization in neutrophils upon activation, from earliest to latest?
A patient presents with a genetic defect leading to the inability of neutrophils to produce Arginase 1 upon rolling contact with the endothelium. How will this affect the inflammatory response?
A patient presents with a genetic defect leading to the inability of neutrophils to produce Arginase 1 upon rolling contact with the endothelium. How will this affect the inflammatory response?
Given the sequential mobilization of neutrophil granules, which granule type's deficiency would MOST severely compromise the early stages of neutrophil transmigration across the endothelium during acute inflammation?
Given the sequential mobilization of neutrophil granules, which granule type's deficiency would MOST severely compromise the early stages of neutrophil transmigration across the endothelium during acute inflammation?
A researcher is investigating therapeutic strategies to modulate NETosis in severe sepsis. Targeting which of the following enzymatic activities would MOST effectively inhibit NET formation while preserving other neutrophil functions?
A researcher is investigating therapeutic strategies to modulate NETosis in severe sepsis. Targeting which of the following enzymatic activities would MOST effectively inhibit NET formation while preserving other neutrophil functions?
In the context of macrophage polarization, consider a scenario where a novel cytokine selectively inhibits the expression of transcription factor IRF5. How would this cytokine MOST likely influence macrophage phenotype and function in a tumor microenvironment?
In the context of macrophage polarization, consider a scenario where a novel cytokine selectively inhibits the expression of transcription factor IRF5. How would this cytokine MOST likely influence macrophage phenotype and function in a tumor microenvironment?
Following a bee sting, an individual experiences a severe allergic reaction characterized by systemic vasodilation and bronchoconstriction. To counteract these effects rapidly, which of the following therapeutic interventions would be MOST physiologically effective, considering the immediate mediators released by activated mast cells?
Following a bee sting, an individual experiences a severe allergic reaction characterized by systemic vasodilation and bronchoconstriction. To counteract these effects rapidly, which of the following therapeutic interventions would be MOST physiologically effective, considering the immediate mediators released by activated mast cells?
A pharmaceutical company is developing a novel drug to enhance the cytotoxic activity of NK cells against tumor cells that have downregulated MHC class I expression. Which of the following approaches would be MOST effective in selectively amplifying NK cell responses in this context?
A pharmaceutical company is developing a novel drug to enhance the cytotoxic activity of NK cells against tumor cells that have downregulated MHC class I expression. Which of the following approaches would be MOST effective in selectively amplifying NK cell responses in this context?
In a patient with chronic granulomatous disease (CGD) characterized by a defective NADPH oxidase enzyme, which of the following intracellular events would be MOST directly impaired in their neutrophils and macrophages, leading to increased susceptibility to catalase-positive organisms?
In a patient with chronic granulomatous disease (CGD) characterized by a defective NADPH oxidase enzyme, which of the following intracellular events would be MOST directly impaired in their neutrophils and macrophages, leading to increased susceptibility to catalase-positive organisms?
Consider a scenario where macrophages are exposed to immune complexes opsonized with IgG1. Which intracellular signaling pathway within the macrophage would be MOST directly activated, leading to enhanced phagocytosis and cytokine production?
Consider a scenario where macrophages are exposed to immune complexes opsonized with IgG1. Which intracellular signaling pathway within the macrophage would be MOST directly activated, leading to enhanced phagocytosis and cytokine production?
A researcher is investigating the role of eosinophils in an experimental model of allergic asthma. If they selectively ablated eosinophils in this model, which of the following outcomes would be MOST likely?
A researcher is investigating the role of eosinophils in an experimental model of allergic asthma. If they selectively ablated eosinophils in this model, which of the following outcomes would be MOST likely?
A patient presents with a novel genetic mutation that results in a complete loss of Arginase-1 production specifically in neutrophils. During an acute inflammatory response, how would this deficiency MOST likely impact vasodilation and endothelial permeability at the affected site?
A patient presents with a novel genetic mutation that results in a complete loss of Arginase-1 production specifically in neutrophils. During an acute inflammatory response, how would this deficiency MOST likely impact vasodilation and endothelial permeability at the affected site?
Considering the role of plasmacytoid dendritic cells (pDCs) in antiviral immunity, which of the following mechanisms would be MOST effective for a virus to evade detection and subsequent activation of innate immune responses mediated by pDCs?
Considering the role of plasmacytoid dendritic cells (pDCs) in antiviral immunity, which of the following mechanisms would be MOST effective for a virus to evade detection and subsequent activation of innate immune responses mediated by pDCs?
Within the context of neutrophil-mediated NETosis, what consequence would arise MOST directly from inhibiting histone citrullination by peptidylarginine deiminase 4 (PAD4)?
Within the context of neutrophil-mediated NETosis, what consequence would arise MOST directly from inhibiting histone citrullination by peptidylarginine deiminase 4 (PAD4)?
A researcher is investigating the mechanisms by which mast cells contribute to the pathogenesis of rheumatoid arthritis. Which of the following mast cell-derived mediators would MOST directly promote joint inflammation and cartilage degradation?
A researcher is investigating the mechanisms by which mast cells contribute to the pathogenesis of rheumatoid arthritis. Which of the following mast cell-derived mediators would MOST directly promote joint inflammation and cartilage degradation?
A novel bacterial pathogen has evolved a mechanism to secrete a protease that specifically cleaves and inactivates C3a and C5a anaphylatoxins. How would this virulence strategy MOST effectively compromise the host's innate immune response?
A novel bacterial pathogen has evolved a mechanism to secrete a protease that specifically cleaves and inactivates C3a and C5a anaphylatoxins. How would this virulence strategy MOST effectively compromise the host's innate immune response?
A patient with a genetic defect exhibits impaired production of both IL-4 and IL-13. Considering the coordinated action of innate immune cells, which of the following processes would be MOST significantly affected in the context of helminth infection?
A patient with a genetic defect exhibits impaired production of both IL-4 and IL-13. Considering the coordinated action of innate immune cells, which of the following processes would be MOST significantly affected in the context of helminth infection?
An experimental drug is designed to selectively inhibit the interaction between the leukocyte function-associated antigen-1 (LFA-1) and intercellular adhesion molecule-1 (ICAM-1). During an inflammatory response, which of the following stages of neutrophil recruitment would be MOST directly affected by this drug?
An experimental drug is designed to selectively inhibit the interaction between the leukocyte function-associated antigen-1 (LFA-1) and intercellular adhesion molecule-1 (ICAM-1). During an inflammatory response, which of the following stages of neutrophil recruitment would be MOST directly affected by this drug?
Upon encountering a microbial pathogen, a tissue-resident macrophage initiates phagocytosis. Which signaling molecule predominantly governs non-inflammatory phagocytosis?
Upon encountering a microbial pathogen, a tissue-resident macrophage initiates phagocytosis. Which signaling molecule predominantly governs non-inflammatory phagocytosis?
What is the MOST LIKELY reason that a neutrophil's secretion of resistin would be beneficial during an inflammatory immune response?
What is the MOST LIKELY reason that a neutrophil's secretion of resistin would be beneficial during an inflammatory immune response?
What is the MOST LIKELY outcome from a virally infected, stressed or tumor cell developing a complete loss of MHC-1 molecules?
What is the MOST LIKELY outcome from a virally infected, stressed or tumor cell developing a complete loss of MHC-1 molecules?
You are investigating the MOA (mechanism of action) in a novel immune cell. You find it up-regulates stress-induced ligands to promote the killing of altered self-cells, What is the MOST LIKELY cell type?
You are investigating the MOA (mechanism of action) in a novel immune cell. You find it up-regulates stress-induced ligands to promote the killing of altered self-cells, What is the MOST LIKELY cell type?
How can the cytokine IFN-γ facilitate innate immune cellular responses?
How can the cytokine IFN-γ facilitate innate immune cellular responses?
If someone had a significant helminth infection, how would that MOST LIKELY affect the body overall?
If someone had a significant helminth infection, how would that MOST LIKELY affect the body overall?
During the innate immune response to a pathogenic threat, how do mast cells and other sentinel innate immune cells MAINTAIN the integrity of the tissue.
During the innate immune response to a pathogenic threat, how do mast cells and other sentinel innate immune cells MAINTAIN the integrity of the tissue.
If a patient has the novel genetic defect of a non-functioning vacoular ATPase, what is the MOST likely direct outcome of this mutation?
If a patient has the novel genetic defect of a non-functioning vacoular ATPase, what is the MOST likely direct outcome of this mutation?
Within the context of NETosis, how would a deficiency in histone citrullination by peptidylarginine deiminase 4 (PAD4) affect the biophysical properties of NETs and their subsequent interaction with circulating immune complexes?
Within the context of NETosis, how would a deficiency in histone citrullination by peptidylarginine deiminase 4 (PAD4) affect the biophysical properties of NETs and their subsequent interaction with circulating immune complexes?
Following exposure to a novel fungal pathogen, a subset of macrophages upregulates the expression of both iNOS and Arginase-1. How does this simultaneous expression influence the regulation of the inflammatory response and tissue homeostasis in the immediate microenvironment, taking into account the compartmentalization of enzymatic activity?
Following exposure to a novel fungal pathogen, a subset of macrophages upregulates the expression of both iNOS and Arginase-1. How does this simultaneous expression influence the regulation of the inflammatory response and tissue homeostasis in the immediate microenvironment, taking into account the compartmentalization of enzymatic activity?
Upon activation by pathogen-associated molecular patterns (PAMPs), plasmacytoid dendritic cells (pDCs) initiate a signaling cascade culminating in the secretion of copious amounts of type I interferons (IFN-I). Which post-translational modification of interferon regulatory factor 7 (IRF7) is indispensable for its nuclear translocation and subsequent transcriptional activation of IFN-I genes, and how does this modification integrate with other signaling events?
Upon activation by pathogen-associated molecular patterns (PAMPs), plasmacytoid dendritic cells (pDCs) initiate a signaling cascade culminating in the secretion of copious amounts of type I interferons (IFN-I). Which post-translational modification of interferon regulatory factor 7 (IRF7) is indispensable for its nuclear translocation and subsequent transcriptional activation of IFN-I genes, and how does this modification integrate with other signaling events?
In the context of helminth infections, how does the interplay between mast cell-derived TNF-α and eosinophil-derived major basic protein (MBP) contribute to the pathogenesis of tissue damage, considering the impact on both innate and adaptive immune responses?
In the context of helminth infections, how does the interplay between mast cell-derived TNF-α and eosinophil-derived major basic protein (MBP) contribute to the pathogenesis of tissue damage, considering the impact on both innate and adaptive immune responses?
Considering the sequential mobilization of neutrophil granules, what is the most plausible implication of a genetic polymorphism that selectively impairs the translocation of Arginase-1 into gelatinase granules, and how would this impact the regulatory balance of the inflammatory response?
Considering the sequential mobilization of neutrophil granules, what is the most plausible implication of a genetic polymorphism that selectively impairs the translocation of Arginase-1 into gelatinase granules, and how would this impact the regulatory balance of the inflammatory response?
Flashcards
What are Neutrophils?
What are Neutrophils?
First cells to infiltrate tissues; phagocytose microbes upon receptor ligation.
Phagocytosis Pathways
Phagocytosis Pathways
Neutrophils and macrophages use O2-dependent and independent pathways to kill pathogens.
Other Immune Cells
Other Immune Cells
Mast cells, eosinophils, basophils, NK cells and pDC prime adaptive immunity.
Neutrophil Degranulation
Neutrophil Degranulation
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Mast Cell Action
Mast Cell Action
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pDC and Eosinophil Functions
pDC and Eosinophil Functions
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NK Cells
NK Cells
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Neutrophil Activation
Neutrophil Activation
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Rapid Response
Rapid Response
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Neutrophils & Inflammation
Neutrophils & Inflammation
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Neutrophil Resilience
Neutrophil Resilience
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Pus Formation
Pus Formation
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Phagocytosis Process
Phagocytosis Process
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Opsonization Importance
Opsonization Importance
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PRR Ligation
PRR Ligation
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NADPH Oxidase Action
NADPH Oxidase Action
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SOD Function
SOD Function
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MPO Role
MPO Role
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iNOS Function
iNOS Function
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Late reactions function
Late reactions function
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Defensins
Defensins
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Cathepsin H Function
Cathepsin H Function
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Phagolysosome Formation
Phagolysosome Formation
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NETosis Definition
NETosis Definition
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Plasmacytoid Dendritic Cells
Plasmacytoid Dendritic Cells
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Natural Killer (NK) Cells
Natural Killer (NK) Cells
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NK Cell Regulation
NK Cell Regulation
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Macrophages and Feedback
Macrophages and Feedback
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Eosinophils
Eosinophils
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Mast Cells
Mast Cells
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Additional activation with IL-3
Additional activation with IL-3
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Vascularization with Mast Cells
Vascularization with Mast Cells
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Mast Cells Positioning
Mast Cells Positioning
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Mast Cells Activation
Mast Cells Activation
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Histamines and Muscles
Histamines and Muscles
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Myeloperoxidase and Serprocidins
Myeloperoxidase and Serprocidins
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Interferon Types
Interferon Types
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IFN Function
IFN Function
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Immunity Purpose
Immunity Purpose
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The Immune System Effect
The Immune System Effect
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M1 Macrophages
M1 Macrophages
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M 2 Macrophages
M 2 Macrophages
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What are cytokines
What are cytokines
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Neutrophils lifespan
Neutrophils lifespan
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Neutrophil gelatinase-associated lipocalin (NGAL)
Neutrophil gelatinase-associated lipocalin (NGAL)
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Resistin
Resistin
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SIRPa (Signal regulatory protein alpha)
SIRPa (Signal regulatory protein alpha)
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Myeloperoxidase (MPO)
Myeloperoxidase (MPO)
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Alpha-defensin
Alpha-defensin
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BPI (bacterial/permeability-increasing protein)
BPI (bacterial/permeability-increasing protein)
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Macrophage Polarization
Macrophage Polarization
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Eosinophil Response
Eosinophil Response
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Eosinophil Granule Proteins
Eosinophil Granule Proteins
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Eosinophil location
Eosinophil location
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Differentiate to macrophages
Differentiate to macrophages
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Study Notes
- Neutrophils are the first responders to infections, capable of phagocytosis upon receptor activation
- Both neutrophils and macrophages use oxygen-dependent (NADPH oxidase, SOD, MPO) and oxygen-independent (iNOS, vacuolar ATPase, secretory vesicles) mechanisms to destroy engulfed pathogens
Other Immune Cells
- Mast cells, eosinophils, basophils, NK cells, and pDCs contribute to innate immunity while setting the stage for adaptive immune responses
Neutrophil Degranulation and Killing
- Activated neutrophils release granules upon encountering microbes, including secretory/ficolin-1, gelatinase, specific, and azurophilic granules
- Neutrophils undergo NETosis, a form of programmed cell death, to eliminate microbes
Mast Cells
- Mast cells bind to PRRs, release cytokines, and degranulate in tissues
- pDCs detect viruses and secrete type I IFNs
- Eosinophils respond to IL-5 and target parasitic worms with cytotoxins
NK Cells
- NK cells are stimulated by IL-1, IL-2, IL-12, and type I IFNs
- Activated NK cells use activating receptors to target infected or abnormal cells for cytotoxicity
Learning Objectives
- Neutrophils, macrophages (M1 and M2), mast cells, eosinophils, basophils, NK cells, and pDCs have unique characteristics, including neutrophilia vs. neutropenia
- Phagocytosis of infectious agents or apoptotic cells is driven by receptor/ligand interactions
- The phagosome membrane uses key enzymes to generate ROS and RNS, which are involved in oxygen-independent reactions
- Release of neutrophil granules and their contents during the immune response has distinct effector functions
- NETosis contributes to the innate immune response
- Activation pathways of mast cells, eosinophils, and basophils, and their products, contribute to innate immunity, facilitating cooperation
- Plasmacytoid dendritic cells have a crucial role in innate immunity
- NK cell activation mechanisms, effector functions after stimulation, and coordination with macrophages occur during immune responses
The Main cells of the innate immune response
- Neutrophils are essential for phagocytosis and killing microbes
- Monocytes are precursors to macrophages
- Macrophages perform phagocytosis, kill microbes, activate T cells, and initiate immune responses
Recruitment of Neutrophils
- Neutrophils are short-lived phagocytes found in the blood, approximately 70% of white blood cells
- Neutrophilia, indicated by >70% neutrophils, points to acute bacterial infection and inflammation
- Neutropenia indicates chronic bacterial infection, often with bacterial/fungal overgrowth at injury sites
- Upon tissue macrophage activation, Neutrophils adhere to the blood vessel walls and infiltrate the tissue
- Neutrophils are the first cells recruited to infected tissues, arriving within 2 hours of pathogen detection
Inflammation
- Neutrophil infiltration is the first sign of acute inflammation and neutrophils function under anaerobic conditions
Mechanism of Action
- Neutrophils die quickly after entering tissues, forming pus
- Receptor ligation activates actin remodeling and engulfment for destruction in a phagosome
- Key molecules involved in receptor ligation and phagocytosis: Fibronectin binding to Integrin, Antibodies binding to Fc receptor, LPS binding to LPS receptor, Mannose-containing structures binding to Mannose receptor and Phosphotidylserine (PS) binding to PS receptor
- Bacteria that have capsules, such as Haemophilus influenzae, Streptococcus pneumoniae, Neisseria meningitidis, and Klebsiella pneumoniae need opsonization by C3b to facilitate effective uptake
- Syk (Spleen Tyrosine Kinase) in neutrophils triggers Rho-GTPases or PI3K -> PLC -> IP3/Ca2+ or PI3K -> PKC + ERK
- Macrophages trigger Syk (Spleen Tyrosine Kinase) which activates Rho-GTPases or PI3K -> PLC -> IP3/Ca2+ or PI3K -> PKC + ERK Pro-inflammatory cytokine (IL-1b, IL-6, TNF-a), Prostaglandin, Leukotriene, Degranulation, and Respiratory burst
Early Reactions within Phagosomes
- PRR ligation initiates enzymes within the cell and phagosome membranes
Oxygen Dependent Reactions
- Respiratory burst increases O2 uptake
- NADPH Oxidase (Phox) produces superoxide radicals from O2
- Superoxide dismutase (SOD) produces H2O2 and singlet oxygen from superoxide
- MPO generates hyperchlorous acid and hydroxyl radicals, using green heme pigment
Inducible nitric oxide synthase
- iNOS produces nitric oxide (NO) from arginine and O2
- NO is soluble in lipids and water
- NO combines with O2 and reactive oxygen species
- Reactive nitrogen species (RNS) like NO2, NO3, N2O3, ONOO are formed
- ROS and RNS cause mutations in DNA, preventing replication and gene expression
- ROS and RNS limit metabolic pathways by inactivating iron-sulfur enzymes
Oxygen Independent Reactions
- Secretory vesicles merge with phagosomes, delivering vacuolar ATPase
- Vacuolar ATPase, an ATP-driven proton pump, lowers the pH in the phagosome lumen allowing for reduced enzymatic action and activation of acid hydrolases arriving from fused vesicles and lysosomal fusion
Antimicrobial molecules released
- Defensins create microbial membrane pores
- Cathepsin H acts as an endopeptidase/aminopeptidase that damage microbial membranes
Phagosome-Lysosome Fusion
- Lysosome membranes fuse with phagosome membranes to form a phagolysosome
- Acid hydrolases such as lysosomal acid phosphatases, nucleases, proteases, lipases/phospholipases, and glycosidases become highly active due to the low pH (4-5)
Key Enzyme in Bacterial Cell Destruction
- Lysozyme destroys bacterial cell walls
Neutrophil Extracellular Traps
- NETosis, a programmed cell death distinct from apoptosis and necrosis, is triggered by recognition of PRRs
- Disintegration of membranes occurs, combining nuclear, granular, and cytoplasmic components with cellular membrane rupture
- NETs are primarily composed of chromatin fibers (DNA + histones) and proteins from azurophilic, specific, and gelatinase granules
Regulation of NET formation
- NET formation requires ROS/RNS production and the activity from NADPH oxidase and MPO
- Cytokines (IL-8, IL-17, TNF-α, IFN-γ), LPS, autoantibodies, and cholesterol induce NET formation
Granule Formation
- Azurophilic granules are the first granules to form in the neutrophil development, Specific granules are the second, followed by Gelatinase and lastly Secretory vesicles
Granule Mobilization After Activation
- The most exocytosed granules are critical for neutrophil attachment to endothelia and extravasation
- Cell membrane receptors are vital for adhesion to endothelium, diapedesis, and chemotaxis
- Fully mature segmented neutrophils form
- Secretory and Ficolin-1 are first to be mobilized upon activation
Granule Mobilization upon Rolling Contact with Endothelia
- Gelatinase secreted during rolling contact with endothelia
-
- Extracellular matrix-degrading enzymes. Gelatinase (matrix metallopeptidase-9, MMP-9)
-
- Arginase 1. Metabolizes Arg, ↓ NO production which alters endothelia for extravasation
Granules Mobilized Upon Microbe Contact
- Lactoferrin helps limit microbial expansion
- NGAL (Neutrophil gelatinase-associated lipocalin) Binds siderophores generated by microbes
- Operates to control pathogen expansion to phagocytosed and destroyed
- Resistin is a Cell surface cytokine that limits neutrophil chemotaxis (controls response size)
- SIRPa (Signal regulatory protein alpha) is a cell surface protein that limits chemotaxis
Serprocidins and Alpha-defensin
- Released and binds to receptors on other neutrophils promoting degranulation
- Zymogens that are activated to degrade ECM components and some direct antimicrobial action
BPI
- Binds/neutralizes lipid A effects of LPS; enhances phagocytosis
Role of Natural Killer Cells
- NK cells circulate in the blood and lymphatics
- NK cells are derived from the lymphocyte lineage and serve two functions: enhance phagocytosis by macrophages (IFN-γ) and wound healing (IL-22); cytotoxicity occurs in abnormal host cells
- CD56dim NK cells are highly cytotoxic and abundant in blood; CD56bright NK cells produce cytokines
- NK cell function does not require inflammation and is part of immunosurveillance
Granules
- NK cells contain cytotoxins
- Cytokine promotes NK cell regulation
- NK cell contact and the release of activated granules are dictated by complicated signaling via activated and inhibitory receptors
Activating Cytokines
- IL-1β, IL-2, IL-12, IL-15, type I IFNs, and TNF-α activate NK cells, requiring direct contact with the target cell
Role of MHC 1
- Resting and activated NK cells are primed to release granules, needing an inhibitory signal to halt release
- MHC class I molecules are on all nucleated cells and are often bind peptides
- Viruses/transformations lower MHC expression
Cytokine Production
- Macrophages produce IL-12 during an early immune response, which prompts the resident/infiltrating NK cells to activate
- Macrophages releasing IFN-γ are stimulated by the binding of this molecule to IFN-γ receptors
- IFN-γ enhances the phagocytosis of engulfed microbes, by boosting both NADPH oxidase and iNOS
Macrophage Differentiation and Polarisation
- GM-CSF and M-CSF help monocyte differentation
- Cytokines prompt gene expression
Macrophage types
- M1 macrophages, caused by GM-CSF + IFN-γ or TLR signals, produce cytokines
- M2 macrophages, caused by M-CSF + IL-4 and/or IL-10, produce anti-inflammatory chemicals for tissue repair and remodeling
Unique Granulocytes
- Eosinophils in gastrointestinal, respiratory, and urogenital tracts, that are activated by IL-5 fight against worms
- Express TLR
- Similar to mast cells, often degranulation occurs to amplify inflammation
- ECP (eosinophilic cationic protein) is released during degranulation
Cell Communication
- Mast cells, eosinophils, and basophils function together
- MBP induces eosinophil degranulation
- IL-5 recruits and activates eosinophils
Time of Defense
- Innate immunity contains an infection, before the development of microbes
Cell Action
- NK cells activate immature Dendritic cells to promote NK cell proliferation and differentiation
- NK cells are supressed by the Dendritic cells function
Mobilizing
- Histamine binds to H receptors on smooth muscle cells and endothelial cells to Increase vascular permeability to draw PMN
Plasmacytoid dendritic cells characteristics
- Primarily found in tissues with less than 1% of cells in blood
- Express TLR7 and TLR9 to recognize viral nucleic acids (viral infections)
- Can mature into antigen-presenting cells (not major role) which function to activate T cells during adaptative immunity
- Primary producer of type I interferons (IFN-alpha mainly) to induce antiviral state and activate NK cells
Neutrophil Degranulation question
- The function of azurophilic granules is to kill bacteria
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