Mechanisms of Innate Immunity Chapter 4

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Questions and Answers

Which of the following cells are phagocytic and play a role in the innate immune response?

  • Natural Killer Cells
  • Macrophages (correct)
  • Mast Cells
  • Neutrophils (correct)

Which cells are responsible for activating T cells in the adaptive immune response?

  • Dendritic Cells (correct)
  • Natural Killer Cells
  • Macrophages
  • Mast Cells

What is the function of cytokines in the immune response?

  • Mediate cell-cell communication (correct)
  • Induce apoptosis
  • Form pores in microbial membranes
  • Bind to microbial DNA

Which pathway is NOT part of the innate immune system?

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

Natural Killer (NK) cells are primarily involved in the innate response to which type of infection?

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

Which of these proteins is an acute phase protein?

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

What is the primary role of antimicrobial peptides in the innate immune system?

<p>Form pores in microbial membranes (A)</p> Signup and view all the answers

Which of the following cells release inflammatory mediators in response to parasites?

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

What is the main characteristic difference between the innate and adaptive immune responses?

<p>Innate response shares several effector mechanisms with adaptive response. (B)</p> Signup and view all the answers

Which of the following is NOT a role of inflammation in combating infections?

<p>Preventing immune cells from reaching the infection site. (C)</p> Signup and view all the answers

Which of the following is a cardinal sign of inflammation?

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

Which cells are the first to be attracted to the site of infection during acute inflammation?

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

What leads to the accumulation of fluid and proteins at the infection site during inflammation?

<p>Increased vascular permeability (A)</p> Signup and view all the answers

How do inflammatory cells find their way to the site of infection in the tissues?

<p>By following concentration gradients of inflammatory mediators (C)</p> Signup and view all the answers

What happens when a pathogen evades or overwhelms the innate immune response?

<p>An infection occurs (D)</p> Signup and view all the answers

Which of the following cell types are considered professional phagocytes?

<p>Macrophages, neutrophils, and immature dendritic cells (D)</p> Signup and view all the answers

Phagocytosis involves what key initial process?

<p>Binding of the phagocyte receptor to a molecular structure on the pathogen (B)</p> Signup and view all the answers

Which of these barriers serves to prevent infection by facilitating expulsion?

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

Which of the following mechanisms directly involves the destruction of bacterial cell walls?

<p>Lysosomal anti-microbial activity (B)</p> Signup and view all the answers

Reactive Oxygen Intermediates (ROI) produced during phagocytosis include which of the following?

<p>O2-, OH-, H2O2, HOCI (B)</p> Signup and view all the answers

Phagosome acidification is a step that precedes which of the following?

<p>Fusion with lysosomes to form phagolysosomes (A)</p> Signup and view all the answers

Which component in the innate immune system serves to prevent pathogens from colonizing surfaces?

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

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Study Notes

Mechanisms of Innate Immunity

  • Humoral elements are soluble molecules that contribute to the innate response:
    • Cytokines: large group of proteins and glycoproteins that mediate cell-cell communication and orchestrate inflammatory and immune responses
    • Produced by various cell types, including macrophages, natural killer (NK) cells, and dendritic cells (DCs)
    • Examples: interferons, interleukins

Cellular Elements

  • Macrophages (sentinel cells):
    • Phagocytose microbes immediately
    • Release inflammatory mediators (cytokines, lipid mediators, peptides) -> initiates inflammatory response
    • Migrate to lymphatic tissue and activate lymphocytes (initiates adaptive response)
    • Long-lived cells, undergo multiple rounds of phagocytosis
  • Neutrophils:
    • Recruited to infection site during inflammatory response
    • Highly phagocytic but short-lived
  • Dendritic cells (interdigitating):
    • Phagocytose microbes
    • Migrate to lymphatic tissue and activate T cells (adaptive response)

Antimicrobial Peptides

  • Expressed by epithelial cells and neutrophils
  • 29-35 amino acids long
  • Widespread activity against microbes
  • Bind to microbial membranes and form pores
  • Some microbes alter cell surface to confer resistance against these peptides

Complement System

  • Group of serum proteins
  • Important innate mechanism (and adaptive)
  • Complement proteins activated by 3 pathways:
    • Classical pathway (Ab:Ag complex - adaptive response)
    • MBL pathway (innate)
    • Alternative (Innate)
  • Form pores in target microbes, generate inflammatory mediators, 'activate' phagocytes

Natural Killer Cells

  • Found in blood and tissues
  • Recognize and kill virus-infected cells (and tumor cells)
  • Innate response to viral infection

Mast Cells

  • Found in tissues
  • Release inflammatory mediators in response to parasites

Other Humoral Elements

  • Acute phase proteins (e.g. CRP)
  • Collectins (e.g. MBL)
  • Lipid inflammatory mediators (e.g. prostaglandins, leukotrienes)

Innate Response

  • Important defense system
  • Utilizes many effector mechanisms
  • Effector mechanisms are shared by adaptive response, making them more efficient
  • Inflammation accompanies immune responses and is induced during innate response

Inflammation

  • Local response of tissue to damage/infection
  • Four roles in combating infections:
    • Deliver additional immune effector molecules and cells to infection site
    • Activate incoming immune cells
    • Provide physical barrier preventing spread of infection
    • Promote repair of injured tissue (non-immunological)
  • Characterized by redness, heat, swelling, and pain
  • These cardinal signs reflect changes in local vasculature:
    • Increased vascular diameter -> increased blood flow (heat and redness)
    • Increased vascular permeability -> fluid and proteins accumulating at infection site (swelling and pain)

Cellular Migration

  • Cells find their way to infection site by following concentration gradient of inflammatory mediators (chemokines)
  • During acute inflammation, first cells attracted to site are neutrophils, followed by monocytes (innate)
  • In later stages, lymphocytes (adaptive) are also present at infection site
  • Mechanisms of cellular migration: Inflammatory mediators produced by macrophages and mast cells 'activate' surrounding endothelium

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