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Questions and Answers
What is one of the main consequences of sepsis caused by severe infections?
What is one of the main consequences of sepsis caused by severe infections?
Which cytokines are primarily involved in mediating sepsis?
Which cytokines are primarily involved in mediating sepsis?
How do bacteria with polysaccharide-rich capsules evade phagocytosis?
How do bacteria with polysaccharide-rich capsules evade phagocytosis?
Which mechanism helps bacteria evade humoral immunity?
Which mechanism helps bacteria evade humoral immunity?
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What potential outcome can result from the production of antibodies against bacterial cell wall antigens after a streptococcal infection?
What potential outcome can result from the production of antibodies against bacterial cell wall antigens after a streptococcal infection?
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What type of immunity primarily protects against extracellular bacteria?
What type of immunity primarily protects against extracellular bacteria?
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Which cytokine is associated with the attraction of neutrophils by innate lymphoid cells (ILCs)?
Which cytokine is associated with the attraction of neutrophils by innate lymphoid cells (ILCs)?
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Which of the following is NOT a role of CD4+ helper T cells in the immune response to extracellular bacteria?
Which of the following is NOT a role of CD4+ helper T cells in the immune response to extracellular bacteria?
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What is a potential injurious effect of the immune response to extracellular bacteria?
What is a potential injurious effect of the immune response to extracellular bacteria?
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Which antibody isotype is primarily responsible for neutralizing toxins from extracellular bacteria?
Which antibody isotype is primarily responsible for neutralizing toxins from extracellular bacteria?
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What is a primary event that occurs during the development of an infectious disease?
What is a primary event that occurs during the development of an infectious disease?
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Which of the following represents a method by which microbes produce disease?
Which of the following represents a method by which microbes produce disease?
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What role do toxins play in microbial disease?
What role do toxins play in microbial disease?
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What is meant by 'immune evasion' in the context of pathogens?
What is meant by 'immune evasion' in the context of pathogens?
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Which mechanism is primarily involved in the phagocytosis of extracellular bacteria?
Which mechanism is primarily involved in the phagocytosis of extracellular bacteria?
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What type of immunity is activated by the presence of extracellular bacteria?
What type of immunity is activated by the presence of extracellular bacteria?
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Inherited and acquired defects in which type of immunity can lead to increased susceptibility to infections?
Inherited and acquired defects in which type of immunity can lead to increased susceptibility to infections?
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How do microbes establish persistent infections in a host?
How do microbes establish persistent infections in a host?
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What is the role of IFN-γ in protozoal infections?
What is the role of IFN-γ in protozoal infections?
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Which of the following mechanisms primarily mediates defense against helminthic infections?
Which of the following mechanisms primarily mediates defense against helminthic infections?
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What happens when IgE binds to eosinophils and mast cells?
What happens when IgE binds to eosinophils and mast cells?
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What is a characteristic of stage-specific antigenic variation in malaria parasites?
What is a characteristic of stage-specific antigenic variation in malaria parasites?
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What best describes the continuous variation of major surface antigens in parasites?
What best describes the continuous variation of major surface antigens in parasites?
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What is one primary mechanism that influenza viruses use for antigenic variation?
What is one primary mechanism that influenza viruses use for antigenic variation?
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Which of the following is NOT a method by which some viruses inhibit immune responses?
Which of the following is NOT a method by which some viruses inhibit immune responses?
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Which immune cells are primarily involved in responding to helminth infections?
Which immune cells are primarily involved in responding to helminth infections?
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What is a significant reason for the chronic nature of many parasitic infections?
What is a significant reason for the chronic nature of many parasitic infections?
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Which step do some viruses block to inhibit MHC class I presentation?
Which step do some viruses block to inhibit MHC class I presentation?
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Which immune mechanism is critical for targeting protozoa that survive inside macrophages?
Which immune mechanism is critical for targeting protozoa that survive inside macrophages?
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What role do TLR2 and TLR4 play in the immune response to protozoa?
What role do TLR2 and TLR4 play in the immune response to protozoa?
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What outcome is associated with chronic viral infections regarding CTL responses?
What outcome is associated with chronic viral infections regarding CTL responses?
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What is the primary mechanism by which intracellular bacteria evade elimination by the immune system?
What is the primary mechanism by which intracellular bacteria evade elimination by the immune system?
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Which cells are predominantly involved in the innate immune response to intracellular bacteria?
Which cells are predominantly involved in the innate immune response to intracellular bacteria?
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What role do CD4+ T cells play in the adaptive immune response to intracellular bacteria?
What role do CD4+ T cells play in the adaptive immune response to intracellular bacteria?
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Which of the following is NOT a primary mediator of innate immunity against fungi?
Which of the following is NOT a primary mediator of innate immunity against fungi?
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What mechanism primarily allows cytotoxic T lymphocytes (CTLs) to eliminate virus-infected cells?
What mechanism primarily allows cytotoxic T lymphocytes (CTLs) to eliminate virus-infected cells?
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How do type I interferons function in the context of viral infections?
How do type I interferons function in the context of viral infections?
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Which type of immune response is primarily effective against extracellular fungal infections?
Which type of immune response is primarily effective against extracellular fungal infections?
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What cytokines are produced by phagocytes which are essential for the activation of NK cells during the immune response to intracellular bacteria?
What cytokines are produced by phagocytes which are essential for the activation of NK cells during the immune response to intracellular bacteria?
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Which immune mechanism primarily functions during the extracellular stage of a viral infection?
Which immune mechanism primarily functions during the extracellular stage of a viral infection?
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Which of the following statements about immune evasion by intracellular bacteria is true?
Which of the following statements about immune evasion by intracellular bacteria is true?
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Which cells are primarily responsible for the secretion of cytokines that induce leukocyte infiltration during the inflammatory response?
Which cells are primarily responsible for the secretion of cytokines that induce leukocyte infiltration during the inflammatory response?
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Which antibody isotype is most effective in blocking infections and neutralizing toxins from extracellular bacteria?
Which antibody isotype is most effective in blocking infections and neutralizing toxins from extracellular bacteria?
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What is a key function of CD4+ helper T cells in the immune response to extracellular bacteria?
What is a key function of CD4+ helper T cells in the immune response to extracellular bacteria?
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Which of the following best describes a consequence of inflammation caused by the immune response to extracellular bacteria?
Which of the following best describes a consequence of inflammation caused by the immune response to extracellular bacteria?
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Which cytokines can innate lymphoid cells (ILCs) secrete to attract neutrophils during an immune response?
Which cytokines can innate lymphoid cells (ILCs) secrete to attract neutrophils during an immune response?
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What is a common pathological consequence of severe infections caused by certain bacteria?
What is a common pathological consequence of severe infections caused by certain bacteria?
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Which of the following antibodies can cross-react with myocardial proteins leading to myocarditis?
Which of the following antibodies can cross-react with myocardial proteins leading to myocarditis?
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How do pathogenic bacteria use surface structures to evade immune responses?
How do pathogenic bacteria use surface structures to evade immune responses?
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What is one potential outcome of the immune evasion tactics employed by extracellular bacteria?
What is one potential outcome of the immune evasion tactics employed by extracellular bacteria?
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What role do bacterial superantigens, such as staphylococcal enterotoxin B, play in immune responses?
What role do bacterial superantigens, such as staphylococcal enterotoxin B, play in immune responses?
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Which factor primarily contributes to the progression of infections after a pathogen enters the host?
Which factor primarily contributes to the progression of infections after a pathogen enters the host?
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What is the primary means by which extracellular bacteria induce inflammation in host tissues?
What is the primary means by which extracellular bacteria induce inflammation in host tissues?
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Which mechanism of innate immunity helps recognize extracellular bacteria by using specific receptors?
Which mechanism of innate immunity helps recognize extracellular bacteria by using specific receptors?
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Which of the following statements best describes one role of the complement system in response to Gram-positive bacteria?
Which of the following statements best describes one role of the complement system in response to Gram-positive bacteria?
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How do some pathogens establish persistent infections within a host?
How do some pathogens establish persistent infections within a host?
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Which of the following is an injurious effect of the immune response to extracellular bacteria?
Which of the following is an injurious effect of the immune response to extracellular bacteria?
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What type of bacteria are characterized by their ability to replicate outside of host cells?
What type of bacteria are characterized by their ability to replicate outside of host cells?
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Which component of the immune system primarily mediates responses to extracellular pathogens such as bacteria?
Which component of the immune system primarily mediates responses to extracellular pathogens such as bacteria?
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What is the primary mechanism of antigenic variation employed by influenza viruses?
What is the primary mechanism of antigenic variation employed by influenza viruses?
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How do some viruses inhibit class I MHC presentation?
How do some viruses inhibit class I MHC presentation?
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Which characteristic is associated with chronic viral infections?
Which characteristic is associated with chronic viral infections?
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What is the primary innate immune response to protozoa?
What is the primary innate immune response to protozoa?
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What cell type primarily responds to helminth infections?
What cell type primarily responds to helminth infections?
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What role do Th1 cell-derived cytokines play in defending against protozoa?
What role do Th1 cell-derived cytokines play in defending against protozoa?
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Which of the following factors contributes to the chronic nature of parasitic infections?
Which of the following factors contributes to the chronic nature of parasitic infections?
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What is one way that viruses can inhibit the immune response?
What is one way that viruses can inhibit the immune response?
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What is the role of IL-4 in the immune response to helminthic infections?
What is the role of IL-4 in the immune response to helminthic infections?
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Which cells are primarily activated in response to IgE coating helminths?
Which cells are primarily activated in response to IgE coating helminths?
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What type of antigenic variation occurs in malaria parasites between their infective sporozoite stage and the merozoite stage?
What type of antigenic variation occurs in malaria parasites between their infective sporozoite stage and the merozoite stage?
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How does the cytokine IFN-γ contribute to the immune response against protozoal infections?
How does the cytokine IFN-γ contribute to the immune response against protozoal infections?
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What is the significance of IL-5 in the defense against helminthic infections?
What is the significance of IL-5 in the defense against helminthic infections?
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Which immune cells are primarily responsible for recognizing intracellular bacteria?
Which immune cells are primarily responsible for recognizing intracellular bacteria?
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What is the main immune mechanism used by CD4+ T cells to combat intracellular bacteria?
What is the main immune mechanism used by CD4+ T cells to combat intracellular bacteria?
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Which cytokines are produced by phagocytes to activate natural killer (NK) cells during the immune response to intracellular bacteria?
Which cytokines are produced by phagocytes to activate natural killer (NK) cells during the immune response to intracellular bacteria?
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How do type I interferons inhibit viral replication?
How do type I interferons inhibit viral replication?
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What is the role of CD8+ cytotoxic T lymphocytes (CTLs) in the immune response to viral infections?
What is the role of CD8+ cytotoxic T lymphocytes (CTLs) in the immune response to viral infections?
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What characterizes the immune response to fungal infections?
What characterizes the immune response to fungal infections?
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Why do intracellular bacteria often cause chronic infections?
Why do intracellular bacteria often cause chronic infections?
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What role do antibodies play in the immune response to viral infections?
What role do antibodies play in the immune response to viral infections?
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Which of the following is true regarding the immune response to intracellular fungi?
Which of the following is true regarding the immune response to intracellular fungi?
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Study Notes
Immunity to Pathogens
- Immunity to pathogens is mediated by innate and adaptive immunity effector mechanisms
- The immune system responds in specialized ways to different types of microbes
- Microbes' survival and pathogenicity depend on their ability to evade or resist the host's immunity
- Microbes can establish latent infections where the immune system controls but doesn't eliminate the pathogen
- Inherited and learned immune defects influence susceptibility to infections
Development of Infectious Disease
- Key events during infection include pathogen entry, invasion, colonization of host tissues, evasion of host immunity, and tissue injury/functional impairment
Microbe-Induced Disease
- Microbes cause disease by directly killing host cells
- Release toxins that damage tissue
- Stimulate immune responses, harming normal tissue
Progression and Outcome of Infections
- Infections progress from an incubation period, through disease, to either complete eradication by the host or to chronic, recurrent disease or death, depending on innate and adaptive responses. The outcome can vary based on the type of pathogen and the host's immune response.
Overview of Immune Responses to Pathogens
- Effector mechanisms of innate and adaptive immunity mediate immunity against microbes
- The immune system responds differently based on microbe type
- Microbe survival and pathogenicity are linked to their ability to evade or resist immune mechanisms
Immunity to Extracellular Bacteria
- Extracellular bacteria replicate outside host cells (e.g., blood, connective tissue, respiratory/GI tracts)
- They cause inflammation and release toxins, causing tissue injury
- Innate immunity to extracellular bacteria involves complement activation (alternative and lectin pathways), phagocytosis (using e.g., mannose/scavenger, Fc, complement receptors), and the inflammatory response (using cytokines from phagocytes and innate lymphoid cells like IL-17, IL-22)
- Adaptive immunity involves a humoral response with antibodies that neutralize toxins and opsonize bacteria for phagocytosis via Fc-receptors
- Helper T cells stimulate antibody production, enhance phagocytic activity of macrophages and neutrophils.
- Injurious effects include inflammation, often characterized by ROS/lysosomal enzyme release and ultimately self-limiting, and sepsis, a systemic effect of severe infection (G+/G-bacteria). Sepsis includes disruptions in tissue perfusion, coagulation, metabolism and organ failure, potentially leading to septic shock.
Immunity to Intracellular Bacteria
- Intracellular bacteria live and replicate within host cells, making them inaccessible to circulating antibodies
- Their elimination requires cell-mediated immunity
- Innate immunity involves phagocytes and natural killer cells (recognizing bacteria with TLRs and NOD-like receptors, activating NK cells with IL-12/IL-15), which disrupt bacterial replication
- Adaptive immunity relies on CD4+ T cells activating phagocytes, and CD8+ T cells killing infected cells.
- Inappropriately activated macrophages and the damage that follows can cause tissue injury
Immune Evasion by Intracellular Bacteria
- Bacteria can avoid phagocytic mechanisms, like inhibiting phagolysosome formation or disrupting phagosome function, and escape into the cytoplasm. Some bacteria can avoid reactive oxygen species/nitrogen species.
Immunity to Fungi
- Fungal infections, or mycoses, are opportunistic diseases in immunocompromised hosts
- Some fungi reside within and/or between host cells, such as within phagocytes
- Innate immunity involves neutrophils, macrophages, and ILCs; detecting them through TLRs and Dectins. These use cytokines to recruit neutrophils, stimulating phagocytosis via ROS and lysosomal enzymes
- Adaptive immunity involves cell-mediated immunity (CD4+/CD8+ T cells) for intracellular fungal killing
Immunity to Viruses
- Viruses are obligatory intracellular pathogens
- Replication interferes with normal cellular function leading to cytopathic effects
- Innate immunity involves antiviral states, type I interferons that inhibit replication in infected/uninfected cells and NK cell-mediated killing of infected cells
- Adaptive immunity involves neutralizing antibodies when the virus is extracellular and CTLs (CD8+ T cells) to kill infected cells
Immune Evasion by Viruses
- Viruses evade the immune response through antigenic shift/variation, inhibition of MHC molecules' function (e.g., blocking MHC molecule presentation, preventing antigen processing/transport/presentation, producing NK cell inhibitory receptors, inhibiting access of the innate immunity sensor systems, interfering with signaling of the innate sensor systems like PKR/signaling by IFN receptors).
- Viruses generate soluble cytokine receptors and inhibit CTL responses (e.g., exhaustion of CTLs through sustained antigen stimulation/PD-1 receptor expression).
- Viruses may directly target immune cells such as CD4+T cells.
Immunity to Parasites
- Parasites include protozoa, helminths, and ectoparasites
- Many parasitic infections are chronic due to limited innate immunity, evasion/resistance to adaptive immune responses, and limited antiparasitic drugs
- Innate immunity to protozoa depends primarily on phagocytosis by phagocytes, with recognition by TLR2/TLR4
- Eosinophils play a large role in response to helminths
- Adaptive immunity to parasites demonstrates distinct responses depending on parasite type
Challenges of Parasitic Antigens
- Antigens vary in their expression levels and type at different stages of the parasite's life cycle
- Antigenic variation (stage or continuous) are a significant challenge for the host immune system to combat infections appropriately.
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Description
This quiz covers essential concepts from Microbiology Chapter 5, focusing on the immune response to extracellular bacteria and the consequences of sepsis. Test your knowledge on cytokines, immune mechanisms, and the role of antibodies in combating bacterial infections.