Self-Recognition and Innate Immune System
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Questions and Answers

In the context of immune self-recognition, what is the most critical implication of a host cell exhibiting reduced or absent MHC class I molecule expression in conjunction with detectable stress signals?

  • It triggers the release of regulatory cytokines, such as IL-10 and TGF-β, to dampen potential autoimmune responses.
  • It compromises the cell's ability to interact successfully with other cells, impairing essential immune functions.
  • It induces a compensatory upregulation of MHC class II molecules, enhancing antigen presentation to CD4+ T helper cells.
  • It flags the cell as a target for elimination by natural killer (NK) cells, indicative of viral infection or malignant transformation. (correct)

How do pattern recognition receptors (PRRs) orchestrate an immune response upon encountering pathogen-associated molecular patterns (PAMPs) in a previously unexposed host?

  • By directly activating the complement cascade via the classical pathway, leading to opsonization and lysis of the pathogen.
  • By presenting processed PAMP peptides on MHC class II molecules to stimulate naive CD4+ T helper cells, initiating a T cell-dependent adaptive immune response.
  • By initiating V(D)J recombination in B and T lymphocytes to generate antibodies and T cell receptors specific to the encountered PAMPs. (correct)
  • By triggering intracellular signaling cascades that induce the expression of inflammatory cytokines and chemokines, thus activating innate immune cells.

In the context of immunologic memory, what is the most critical distinction between the responses of memory T cells and naive T cells upon re-encountering their cognate antigen?

  • Memory T cells undergo a process of clonal deletion to prevent hyperactivation, whereas naive T cells undergo clonal expansion.
  • Memory T cells primarily secrete regulatory cytokines such as IL-10 to suppress inflammation, while naive T cells primarily secrete pro-inflammatory cytokines.
  • Memory T cells require co-stimulation through CD28, whereas naive T cells can be activated solely through TCR signaling. (correct)
  • Memory T cells exhibit altered trafficking patterns, allowing for more rapid migration to sites of inflammation compared to naive T cells.

Given the multifaceted defense strategies employed by the immune system, what is the most critical advantage provided by the formation of granulomas in response to persistent intracellular pathogens such as Mycobacterium tuberculosis?

<p>Granulomas promote widespread dissemination of the pathogen to secondary lymphoid organs, improving the development of systemic immunity. (D)</p> Signup and view all the answers

Suppose a novel virus emerges that is capable of directly inhibiting MHC class I molecule expression in infected host cells. What is the most likely consequence of this viral immune evasion strategy?

<p>Enhanced susceptibility to natural killer (NK) cell-mediated cytotoxicity. (D)</p> Signup and view all the answers

Bacterial pathogens employ diverse strategies to evade host immune defenses. What represents the most significant advantage conferred by molecular mimicry, where bacterial surface structures resemble host molecules?

<p>It induces immunological tolerance by suppressing the activation of autoreactive T and B cells. (C)</p> Signup and view all the answers

What is the functional significance of T helper cells in adaptive immunity?

<p>Enhancing antibody production by B cells through cytokine secretion and co-stimulatory molecule expression. (B)</p> Signup and view all the answers

Consider a scenario where a previously healthy individual develops a novel mutation that impairs the function of their Toll-like receptors (TLRs). What is the most likely consequence of this mutation on their immune response?

<p>Impaired activation of the adaptive immune system. (C)</p> Signup and view all the answers

In the context of immune responses to viral infections, what is the most critical role of cytotoxic T lymphocytes (CTLs) in resolving the infection and preventing chronic disease?

<p>Recognizing and killing virally infected cells, eliminating the source of viral production. (D)</p> Signup and view all the answers

What is the most accurate description of the evolutionary trade-off between the speed and specificity of the innate and adaptive immune systems?

<p>The innate immune system responds slowly but can generate long-lasting immunity, whereas the adaptive immune system responds rapidly but provides only short-term protection. (A)</p> Signup and view all the answers

Given the process of central tolerance in T cell development, what is the most significant implication of the deletion of T cells that react strongly with self-antigens presented on MHC molecules in the thymus?

<p>It ensures that all T cells leaving the thymus are capable of recognizing and responding to foreign antigens effectively. (B)</p> Signup and view all the answers

In the context of B cell development and antibody production, what is the functional significance of somatic hypermutation in the germinal center reaction?

<p>It enhances the secretion of cytokines that stimulate T helper cell activation and promote antibody production. (B)</p> Signup and view all the answers

Considering the role of regulatory T cells (Tregs) in maintaining immune homeostasis, what is the most critical mechanism by which Tregs suppress immune responses and prevent autoimmunity?

<p>Inducing apoptosis of antigen-presenting cells (APCs) that present self-antigens. (C)</p> Signup and view all the answers

Given the importance of antigen presentation in initiating adaptive immune responses, what is the most significant distinction between the processing and presentation of antigens by MHC class I and MHC class II molecules?

<p>MHC class I molecules are expressed only on professional antigen-presenting cells (APCs), whereas MHC class II molecules are expressed on all nucleated cells. (D)</p> Signup and view all the answers

What is the most critical consequence of immune checkpoint blockade therapies (e.g., anti-CTLA-4 and anti-PD-1 antibodies) in the context of cancer immunotherapy?

<p>Suppression of regulatory T cell (Treg) activity within the tumor microenvironment. (C)</p> Signup and view all the answers

Considering the potential risks associated with passive antibody therapy, what is the most concerning complication arising from the administration of intravenous immunoglobulin (IVIG) prepared from pooled plasma of thousands of donors, especially in immunocompromised individuals?

<p>Immediate hypersensitivity reactions, such as anaphylaxis, due to antibody aggregates or diverse antibody specificities. (C)</p> Signup and view all the answers

What is the significance of Natural Killer (NK) cells in the context of antiviral immunity?

<p>They activate complement-dependent cytotoxicity against virus-infected cells. (A)</p> Signup and view all the answers

The process of clonal selection is crucial for adaptive immunity. How does clonal selection contribute to the specificity and effectiveness of the immune response?

<p>By enhancing the production of antibodies with broad cross-reactivity to diverse pathogens. (B)</p> Signup and view all the answers

What is the best strategy that microorganisms can use to resist a host?

<p>Displaying structurally different antigens compared to the host's own cells. (D)</p> Signup and view all the answers

Microbes secrete high doses of antigens into the bloodstream. What is the intended effect of this mechanism?

<p>Causing the immune system to produce T cells that recognize the microbe (B)</p> Signup and view all the answers

Microbes are able to coat themselves with host proteins such as fibronectin and antibodies. What is the resulting action?

<p>Activating a strong immune response (C)</p> Signup and view all the answers

How does the immune system recognize non-self?

<p>By using pattern recognition receptors that recognize structure produced by organisms. (B)</p> Signup and view all the answers

Contrast how the innate and adaptive immune systems deal with subsequent encounters with stimuli.

<p>Innate system causes decreased inflammation. (C)</p> Signup and view all the answers

Choose the statement that most accurately describes the nature of the innate immune system.

<p>Provides protection from general invaders and is considered nonspecific (C)</p> Signup and view all the answers

What is the most important method of achieving active immunity?

<p>Post-exposure prophylaxis. (C)</p> Signup and view all the answers

What are the main properties of acquired and passive immunity?

<p>Most often involves temporary post-exposure prophylaxis (D)</p> Signup and view all the answers

In the context of a bacterial skin infection leading to abscess formation, what is the MOST ACCURATE description of the role of fibrinogen in this process?

<p>It hardens into a barrier, forming a wall around the pus-filled area to contain the infection. (C)</p> Signup and view all the answers

What is the most crucial distinction between active and passive immunity regarding the duration of protection and the mechanism of action?

<p>Active immunity is immediate and provides short-term protection, whereas passive immunity is delayed but offers long-term immunity. (C)</p> Signup and view all the answers

What would be the MOST LIKELY outcome if a person lacked the ability to produce somatically generated receptors?

<p>The person's immune responses are quicker. (C)</p> Signup and view all the answers

What is the significance of immunologic memory in the adaptive immune system?

<p>It allows the immune system to respond the initial encounter with a stimulus (D)</p> Signup and view all the answers

What is the MOST important consequence of the absence of self indicators on cells?

<p>Signaling the beginning of cell growth. (B)</p> Signup and view all the answers

How does the ability to recognize something that is not self and has not been seen represents a challenge?

<p>Due to overactivation of healthy cells (D)</p> Signup and view all the answers

How is the specificity of the adaptive immune system mediated?

<p>By specialized killing cells (D)</p> Signup and view all the answers

How do pathogens trick force of the immunological response.

<p>They display antigens that are similar to self. (A)</p> Signup and view all the answers

What is the function of cells in the complement system?

<p>Releasing high doses of antigens. (D)</p> Signup and view all the answers

With respect to immunization, which agent requires a host-pathogen interaction.

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

What is the long term result from active immunization?

<p>Long lasting with several days of antibody onset. (B)</p> Signup and view all the answers

What does the immune system do once it decides to eliminate a threat?

<p>All of the above (D)</p> Signup and view all the answers

Considering the stochastic nature of V(D)J recombination and junctional diversity, what is the probability that two unrelated individuals will generate a T cell receptor (TCR) with identical complementarity-determining region 3 (CDR3) sequences capable of recognizing the same cognate antigen presented on an identical MHC molecule?

<p>Approaching certainty, given the conserved nature of MHC molecules and the limited repertoire of antigens. (C)</p> Signup and view all the answers

Given the intricate interplay between innate and adaptive immunity, what is the most likely outcome of a mutation that selectively ablates the capacity of dendritic cells to migrate from peripheral tissues to secondary lymphoid organs?

<p>A hyper-inflammatory state characterized by systemic cytokine release due to unchecked innate immune activation in the periphery. (B)</p> Signup and view all the answers

If a pharmaceutical company aims to develop a novel adjuvant to enhance vaccine efficacy, what molecular target would provide the most comprehensive stimulation of both innate and adaptive immune responses, while minimizing the risk of inducing autoimmunity?

<p>A STING (Stimulator of Interferon Genes) agonist conjugated to a tumor-associated antigen, specifically targeting tumor-infiltrating immune cells. (A)</p> Signup and view all the answers

Considering the principle of immunological tolerance, what is the most critical factor determining whether a self-antigen expressed in the thymus will induce central tolerance (T cell deletion or development of regulatory T cells) versus triggering autoimmunity in the periphery?

<p>The signaling strength of the T cell receptor (TCR) interaction with the self-antigen/MHC complex, coupled with the presence or absence of co-stimulatory signals. (B)</p> Signup and view all the answers

Given the complexities of immune responses against intracellular pathogens, what is the most critical factor determining the efficacy of a CD8+ T cell-mediated response in clearing a persistent viral infection?

<p>The absolute number of virus-specific CD8+ T cells in the peripheral blood, regardless of their functional status. (C)</p> Signup and view all the answers

In the context of cancer immunotherapy, what represents the most significant challenge in engineering a chimeric antigen receptor (CAR) T cell therapy that can effectively eradicate solid tumors while minimizing off-target toxicity?

<p>The lack of high-affinity CARs that can effectively bind to tumor-associated antigens with sufficient avidity. (D)</p> Signup and view all the answers

Considering the intricate mechanisms of immune regulation, what is the most likely consequence of a genetic defect that selectively impairs the function of FoxP3+ regulatory T cells (Tregs) in an otherwise healthy individual?

<p>Severe, multi-organ autoimmunity characterized by aggressive inflammation and tissue destruction, potentially leading to fatal complications. (B)</p> Signup and view all the answers

Given the diverse mechanisms of immune evasion employed by pathogens, what is the most significant advantage conferred by a virus that establishes latency within long-lived hematopoietic stem cells?

<p>Circumvention of cellular immunity by avoiding antigen presentation on MHC class I molecules. (D)</p> Signup and view all the answers

In the context of transplantation immunology, what is the most critical factor determining the long-term survival of an allogeneic organ graft?

<p>Achieving a state of operational tolerance, where the recipient's immune system is selectively tolerant to the donor antigens while maintaining the ability to respond to other pathogens. (C)</p> Signup and view all the answers

Considering the principles of vaccine design, what is the most significant advantage of using a recombinant viral vector vaccine that expresses multiple conserved epitopes from a highly variable virus, such as HIV, compared to traditional subunit vaccines?

<p>Reduced risk of allergic reactions due to the absence of adjuvant. (C)</p> Signup and view all the answers

Given the mechanisms of immunologic memory, what is the most likely outcome of administering a booster dose of a vaccine years after the primary vaccination series?

<p>A rapid and robust recall response characterized by increased antibody affinity, enhanced T cell activation, and the generation of long-lived plasma cells, leading to sustained immunity. (B)</p> Signup and view all the answers

Within the context of bacterial pathogenesis, what represents the most significant advantage conferred by the formation of biofilms on implanted medical devices?

<p>Protection from antibiotic penetration and phagocytosis by immune cells, leading to chronic infections that are difficult to eradicate. (C)</p> Signup and view all the answers

Considering the intricate balance between immune protection and immunopathology during infection, what represents the most significant risk associated with an excessive or dysregulated type I interferon (IFN-I) response to a viral infection?

<p>Impaired viral clearance and increased viral replication due to inhibition of cytotoxic T lymphocyte (CTL) activity. (B)</p> Signup and view all the answers

Given the complexities of immune responses in immunodeficient individuals, what is the most likely consequence of a complete deficiency in the recombination activating gene (RAG), preventing V(D)J recombination?

<p>Selective loss of B cells with normal T cell function. (C)</p> Signup and view all the answers

Assessing the role of commensal microbes, what is the MOST ACCURATE statement regarding the impact of broad-spectrum antibiotic use on the human immune system?

<p>It leads to a permanent enhancement of the adaptive immune response due to increased antigen exposure (C)</p> Signup and view all the answers

Considering the role of the thymus, what is the most consequential outcome of a thymectomy performed in early infancy?

<p>Selective loss of B cell function due to impaired T cell help. (B)</p> Signup and view all the answers

Within the intricate framework of the complement system, what signifies the most consequential advantage conferred by the formation of the membrane attack complex (MAC) on a bacterial cell?

<p>Activation of the classical complement pathway and amplification of the immune response. (B)</p> Signup and view all the answers

If scientists are engineering novel cytokines, what would be the effect of mutating a cytokine to enhance its receptor-binding affinity while simultaneously reducing its half-life in circulation?

<p>Diminished efficacy due to rapid clearance and reduced interaction with target cells. (B)</p> Signup and view all the answers

Considering the concept of herd community, what is the most crucial factor that determines the level of vaccine coverage required to achieve herd immunity and protect unvaccinated individuals from a contagious pathogen?

<p>The basic reproduction number (R0) of the pathogen and the vaccine's efficacy; higher R0 and lower efficacy require higher coverage. (C)</p> Signup and view all the answers

If a new infectious agent is discovered. what cellular mechanism would likely lead to the most devastating outcome of the host's immune system?

<p>Inhibition of complement activation. (C)</p> Signup and view all the answers

Following trauma, which event is least likely to occur?

<p>Recognition of DAMP. (A)</p> Signup and view all the answers

What is the least likely microbial defense strategy, given the host challenges?

<p>Secreting high does antigens. (D)</p> Signup and view all the answers

What is the MOST ACCURATE reason the the adaptive immune system is usually recruited when microbes penetrate cellular barriers?

<p>Adaptive immune system is faster than innate immune system. (D)</p> Signup and view all the answers

Which statement has the LEAST ACCURATE usage of memory cells?

<p>Decreases severity of illness. (C)</p> Signup and view all the answers

With respect to the nature of a barrier, choose the most appropriate option.

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

With respect to memory properties, choose the most appropriate option.

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

How does the fibrinogen response in the body work?

<p>Enhance inflammation. (D)</p> Signup and view all the answers

What is the MOST ACCURATE impact an immunocompromised patient would experience with respect to memory?

<p>Enhanced passive immunity. (D)</p> Signup and view all the answers

What is the anticipated affect of cell surface non self indicators trigger?

<p>Initiation of an inflammatory cascade. (A)</p> Signup and view all the answers

If a receptor is blocked, what event does this MOST LIKELY impact

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

How would you best described the role of IVIG?

<p>Bypass pathogen interaction. (D)</p> Signup and view all the answers

Between the options, what is the BEST description that summarizes passive immunity?

<p>Production of antibodies (A)</p> Signup and view all the answers

After a viral infection is cleared, how does active immunization provide?

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

Why is it important to consider how to respond to an overactive response?

<p>Prevent cytokine storm. (A)</p> Signup and view all the answers

Following recognition of an infectious agent by the immune system of a human what would be least expected to occur?

<p>Isolation of threat. (C)</p> Signup and view all the answers

With respect to the innate and adaptive immune system response to cells, what would be LEAST associated feature with the adaptive immune system?

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

With respect to adaptive and passive immunity in babies, choose the conclusion that isn't accurate.

<p>Given via breast milk (B)</p> Signup and view all the answers

With respect to the nature of the cell surface, what would the effect be of microbes coating surface with host proteins?

<p>Make less infective (A)</p> Signup and view all the answers

Given the stochastic nature of V(D)J recombination and junctional diversity in adaptive immunity, what is the MOST COMPLEX problem the body faces in order to leverage an appropriate adaptive immune response?

<p>The paradoxical need for regulatory T cells (Tregs) to maintain immune homeostasis while simultaneously permitting robust effector T cell responses against established infections. (B)</p> Signup and view all the answers

Within the multifaceted strategies employed by microbes to evade host immune defenses, what is the MOST nuanced implication of a bacterial pathogen's capacity to undergo phase variation, altering the expression of surface-exposed antigens?

<p>It promotes the formation of biofilms, thereby shielding the bacterial population from phagocytic clearance and antibiotic penetration. (C)</p> Signup and view all the answers

Among the various mechanisms by which the innate immune system discriminates between self and non-self, what represents the MOST critical limitation inherent in the use of pattern recognition receptors (PRRs) that recognize pathogen-associated molecular patterns (PAMPs)?

<p>PRRs are exclusively expressed on professional antigen-presenting cells (APCs), preventing other cell types from directly sensing and responding to pathogens. (E)</p> Signup and view all the answers

Considering the dynamic interplay between the innate and adaptive immune systems, what is the MOST consequential implication of impaired dendritic cell migration from peripheral tissues to secondary lymphoid organs following antigen capture?

<p>It would cause the accumulation of immature dendritic cells in peripheral tissues, exacerbating local inflammatory responses and hindering tissue repair. (B)</p> Signup and view all the answers

Given the complex role of commensal microbes in shaping host immunity, what represents the MOST paradoxical outcome of broad-spectrum antibiotic usage on the development and maintenance of immune homeostasis?

<p>Reduced microbial diversity impairs the education of the immune system, leading to increased susceptibility to both infectious diseases and immune-mediated inflammatory disorders. (B)</p> Signup and view all the answers

Flashcards

Human Immune System

Defensive mechanisms identifying and neutralizing threats to the body.

First Line of Defense

Mechanical, chemical, and biologic barriers protecting the body.

Innate Immune System

Immune system using fixed receptors encoded in the genome.

Adaptive Immune System

Immune system generating diverse receptors through somatic gene rearrangement.

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Pathogen-Associated Molecular Patterns (PAMPs)

Molecular structures found in microbes but not human cells and are recognized by innate immune receptors.

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Pattern Recognition Receptors (PRRs)

Receptors of the innate immune system that recognize PAMPs.

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V(D)J Recombination

Random assembly of gene segments encoding receptors on B and T cells.

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Junctional Diversity

Random nucleotide changes during V(D)J recombination adding more diversity.

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Somatically Generated Receptors

Receptors on B and T cells generated through gene rearrangement.

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Immunologic Memory

Ability of the adaptive immune system to modify responses to encountered substances.

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Natural Killer (NK) cells

Cells that can detect and kill host cells lacking MHC I molecules.

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MHC Class I Molecules

Molecules that can recognize the absence of self indicators.

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Microbe

Any microscopic organism, including bacteria, viruses, fungi, etc.

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Isolation

Separating a threat to restrict spread to other parts of the body.

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Disruption

Physical or chemical destruction of nonself cells.

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Ingestion and Consumption

Capture, ingestion, and degradation of microbes by cells.

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Pattern Recognition Receptors

Genomically determined receptors binding molecules on microbes

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T and B Lymphocytes

Cells capable of producing somatically generated receptors

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Humoral Immunity

Branch of adaptive immunity mediated by B cells and antibodies

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Abscess Formation

A battle between an invading microbe, the immune system, and subsequent pus

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Pattern Recognition Receptor

Generalized receptors that can be attached to the surface of host cells

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Active Immunity

Antibodies are produced by the body

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Passive Immunity

Antibodies are passed to the body

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Natural Immunity

Immunity is acquired from exposure to the disease organism through infection

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Passive Immunity

Protection passed to the body; not produced

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Natural/Active Immunity

Host acquires immunity from exposure through infection, Host produces antibodies to the disease

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Acquired and Passive Immunity

Host receives immunity through the introduction of a vaccine or artificial method - not producing their own immunity; passive and temporary

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Acquired and Active Immunity

Acquired immunity through a vaccine or artificial method - host produces long lasting immunity

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Damage-Associated Molecular Pattern molecules (DAMPs)

Cell-derived DAMPs initiate and perpetuate immunity in response to trauma

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Overwhelming the Immune System with Tolerance

Microbes can release large amounts of antigens confusing or exhausting the immune system for reduces immunity against them.

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Molecular Mimicry

Microbe antigens look very similar to the host's own proteins, weakening responses.

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Hiding from Immune system

Microbes avoid targeted by hiding their unique antigens and coat themselves with host proteins, appearing to the immune system as "self".

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Suppressing the Host Immune System

Microbes directly weaken or suppress host immune system response.

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Intracellular Evasion

Pathogens that live inside host cells evade detection from the immune system by staying hidden inside.

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Antigenic Variation

Microbes change their antigens over time to stay ahead of the immune response.

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Study Notes

The Need for Self-Recognition

  • The human immune system distinguishes "nonself" organisms/molecules (threats) from "self" (body components).
  • Threats originate externally (infectious organisms, toxins) or internally (cancerous transformation).
  • The immune system has three defense layers: mechanical, chemical, and biological barriers; the innate immune system; and the adaptive immune system.
  • The first line of defense consists of mechanical (skin), chemical (stomach acid), and biological (commensal microbes) barriers.
  • Commensal microbes are microorganisms living in or on a host without causing harm, often part of the normal microbiota.
  • Innate and adaptive immune systems sense threats using cell-surface and soluble receptors, generated differently in each system.

Innate Immune System

  • Employs a limited set of receptors encoded in the genome.
  • Innate immune receptors recognize Pathogen-Associated Molecular Patterns (PAMPs), common microbial structures absent in human cells.
  • Toll-like receptors (TLRs), NOD-like receptors (NLRs), and RIG-I-like receptors (RLRs) exemplify PRRs.
  • Provides broad but non-specific pathogen detection due to the limited, unchanging number of receptors.

Adaptive Immune System

  • Generates a vast array of B cell (antibodies) and T cell (TCRs) receptors via somatic gene rearrangement.
  • V(D)J recombination randomly assembles receptor genes from a pool of segments (Variable, Diversity, Joining).
  • Junctional diversity introduces random nucleotide changes during recombination.
  • Recognizes virtually any antigen, including those undetectable by the innate immune system.
  • Lymphocytes generate unique receptors through gene rearrangement before encountering self or nonself.
  • This vetting process retains receptors individualized to recognize that particular self and its nonself environment.
  • The initial cellular responses can be modified during subsequent encounters, forming immunologic memory.
  • Immunologic memory is a hallmark differentiating the adaptive system from the innate.

Speed vs. Specificity of Immune Systems

  • The innate immune system responds rapidly (minutes to hours) but is less specific.
  • The adaptive immune system has a slower initial response (days) but offers high specificity and long-term immunity.
  • The innate system detects a wide range of microbes using a few conserved pattern receptors.
  • The adaptive system can recognize highly specific and novel antigens.
  • Innate receptors are evolutionarily conserved, ensuring reliability against common pathogens.
  • Adaptive receptors provide evolutionary flexibility, adapting to new or mutating pathogens.

Self vs. Nonself

  • Immune cells undergo selection to recognize "self" and consider everything else as "nonself."
  • Self-recognition confirms whether encountered molecules or cells belong to the body, ensuring safe interactions.
  • Absence of self indicators (e.g., MHC I molecules) can trigger attacks on cells lacking them.
  • Natural killer cells use receptors to detect stress signals and assess MHC I levels, killing cells with reduced expression.
  • Nonself recognition achieves success through pattern recognition receptors (PRRs) and somatically generated receptors.
  • PRRs are genetically stable receptors evolved to recognize structures from distantly related organisms or stressed host cells.
  • Lymphocytes' somatically generated receptors are based on genes rearranged within each cell to create a vast, random set.

Pattern Recognition Receptors (PRRs)

  • PRRs bind to nonself structures abundant in microbes but not normal host cells.
  • They are directly encoded in the genome and expressed identically across individuals.
  • PRRs are characteristic of the innate immune system.
  • PRRs identify structures associated with microbes, not host cells.
  • Some PRRs are on cell membranes (toll-like receptors), while others are soluble (complement system).

Somatically Generated Receptors

  • T and B lymphocytes produce somatically generated receptors in the adaptive immune system.
  • Each lymphocyte rearranges DNA to develop a unique receptor recognizing a single structure.
  • The process leads to a receptor pool recognizing over 10^10 different structures.
  • Random receptor generation results in some cells recognizing self, necessitating an "education" process to remove them.
  • Lymphocytes that are unable to interact properly are also eliminated.
  • Activated T and B lymphocytes launch immune responses to eliminate nonself cells and molecules.

Immunologic Memory

  • Innate immune system treats each microbial encounter as novel.
  • The adaptive system modifies its responses based on initial encounters, creating immunologic memory.
  • Immunologic memory allows tailored responses to frequently encountered cells or molecules.
  • Subsequent responses can be rapid and vigorous or depressed against harmless entities, providing context-specific reactions.

Microbes Defined

  • Are microscopic organisms, ubiquitous on Earth, and include bacteria, viruses, fungi, protozoa, algae, and archaea.
  • Can be neutral (commensal), harmful (pathogens), or beneficial (mutualists).

Defense Mechanisms

  • Threats are addressed through isolation, disruption, or ingestion.
  • Mechanical, chemical, and biologic barriers prevent microbe entry.
  • Invasive microbes may be isolated within structures like granulomas.
  • Nonself cells are disrupted via physical damage or apoptosis induction.
  • Phagocytic cells ingest microbes and debris, also secreting molecules to activate the immune system.
  • Natural killer cells destroy abnormal host cells (e.g., virally infected).
  • Antibodies and complement initiate microbe destruction, while T lymphocytes attack microbes and infected cells.
  • Immune cells proliferate rapidly to combat threats effectively.

Review Questions Covered

  • Natural killer cells assess other cells by detecting MHC class I molecule types and levels.
  • Natural killer cells can detect reduced expression and kill those cells from viral infection or becoming cancerous.
  • Pattern recognition receptors (PRRs) bind to pathogen-associated molecular patterns (PAMPs).
  • Somatically generated receptors on B and T lymphocytes are randomly generated during development.
  • Influenza viruses are recognized by the human immune system due to pathogen-associated molecular patterns (PAMPs).
  • Initial activation of the immune response to infections results from pattern recognition receptors and coronavirus RNA interactions.

PAMPs and DAMPs

  • PAMPs (Pathogen-associated molecular patterns) are microorganisms derived and recognized by pattern recognition receptor (PRR)-bearing cells.
  • DAMPs (Damage-associated molecular patterns) are cell-derived, initiating immunity, in response to trauma, ischemia, and tissue damage.

How Microbes Defend Against Host Recognition

  • Overwhelm the Immune System with Tolerance (Tolerance: reduced immune response to an antigen due to high persistent doses of antigens).
  • Molecular Mimicry (Microbe's antigens look very similar to the host’s own proteins).
  • Hiding from the Immune System (coating themselves with host proteins such as fibrin, fibronectin, or even antibodies).
  • Suppressing the Host Immune System (Certain microbes directly weaken or suppress the immune system; Viruses, protozoa, and some bacteria can cause immunosuppression).
  • Intracellular Evasion (Some pathogens live inside host cells to avoid detection by the immune system).
  • Antigenic Variation (periodically change antigens, i.e., to undergo antigenic variation).

Host Defenses

  • Innate (nonspecific) immune system provides general protection.
  • Includes physical barriers like skin and complement system cells.
  • Adaptive immune system offers specific protection.
  • B and T cells generate antibodies to tag/destroy invaders.
  • Failure of these defenses leads to infection or death.
  • AIDS patients with low CD4+ (T helper) cells are prone to bacterial, fungal, and viral infections.
  • Intravenous catheters breach skin barriers, increasing the risk of infections.
  • The host defense is interconnected and responsive.
  • Invading microbes evade physical/chemical defenses (skin, enzymes).
  • Microbes survive attacks by macrophages, neutrophils, complement.
  • They must also survive attacks by antibodies and cytotoxic T cells.

Humoral Immunity

  • Branch of adaptive immunity involves B cells and antibodies.
  • Targets extracellular pathogens and toxins.

Abscess Formation

  • Abscess means normal tissue, like skin if it's split apart and that new space is invaded by nearby pathogens like bacteria.
  • Abscesses are advantageous to bacteria because it is a formation of normal tissue; and roughly ten more bacteria cells are added. Abscesses are a mixture of bacteria, immune cells, and dead tissue. This makes it highly infectious if it gets spread from one place to another.

Self vs Nonself Recognition

  • "Self": Cells with the same unique structures as the rest of the body.
  • "Nonself": Absence of recognizable structures.
  • Receptors act as "lock and key" for recognition. Pattern recognition receptors (PRRs) attach to host cells, recognizing foreign proteins and sending warning signals.
  • B and T cells produce somatically generated receptors to unlock specific foreign structures.

Active vs Passive Immunity

  • Active Immunity (Antibodies are produced by the body - body is affected was alive or killed by organisms, or toxins we chose barriers). Requires a host pathogen interaction
  • Passive community (Antibodies are passed to the body. Mother of passive antibodies to baby through birth, and breast month). Implies preformed antibodies
  • Disadvantage of Passive immunity (The duration is temporary).

Immunity Categories

  • Natural and Passive means (Infant receives natural/passive immunity from mother.)
  • Natural and Active means (Host both acquired the immunity from exposure to the disease organism through infection and the host produced the antibodies to that disease).
  • Natural and Acquired means (Host received immunity through the introduction of a vaccine or artificial method, and the host is not producing their own immunity. The immunity is passive and temporary, most often a post-exposure prophylaxis (i.e., administered antivenom)).
  • Acquired and Active means (Host received immunity through the introduction of a killed, weakened, biologic form of the disease organism most often through vaccination. Resulting in the host actively producing their own immunity – long lasting immunity (i.e., COVID-19 vaccine)).

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The human immune system distinguishes between 'self' and 'nonself' to identify and neutralize threats. It employs mechanical, chemical, and biological barriers as the first line of defense. The innate immune system uses a limited set of receptors to recognize common microbial structures.

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