Lecture 17: Innate Immunity II: receptors & Cytokines

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Questions and Answers

Which outcome is associated with the activation of innate immune receptors upon antigen exposure?

  • Decreased phagocytosis
  • Reduced antigen presentation
  • Production of cytokines and chemokines (correct)
  • Inhibition of cell signaling

Which of the following cytokines are classified as inflammatory cytokines?

  • IFN-α, IFN-β, IFN-γ
  • IL-2, IL-7, IL-15
  • IL-10, TGF-β, IL-4
  • IL-1β, TNF-α, IL-6 (correct)

What is the primary function of Type I interferons?

  • Enhancing the acute phase response
  • Blocking viral infection in neighboring cells (correct)
  • Activating the complement cascade
  • Promoting bacterial phagocytosis

Which acute phase protein activates the lectin pathway of complement?

<p>Mannose-binding lectin (MBL) (A)</p> Signup and view all the answers

What is the role of selectins during inflammation?

<p>Initiating cell rolling (A)</p> Signup and view all the answers

What is the function of integrins during the process of inflammation?

<p>Enabling the firm adhesion of immune cells to the endothelium (C)</p> Signup and view all the answers

Which of the following outcomes is associated with local TNF-α release?

<p>Platelet adhesion and blood clotting (C)</p> Signup and view all the answers

What cellular process do most innate receptors trigger without initiating cell signaling?

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

Which domain of Toll-like receptors (TLRs) is responsible for PAMP engagement?

<p>Leucine-rich repeat region (LRR) (C)</p> Signup and view all the answers

What is the immediate consequence of MD2 binding to the LPS-CD14 complex associated with TLR4?

<p>Conformational change in the TIR domain (A)</p> Signup and view all the answers

Which transcription factor is activated by TLR signaling and leads to the production of inflammatory cytokines?

<p>NF-κB (C)</p> Signup and view all the answers

A deficiency in the γ subunit of IKK leads to which condition?

<p>Failure to activate NF-κB (A)</p> Signup and view all the answers

After TLR signaling, what is the direct effect of IL-1β and TNF-α on capillary endothelial cells?

<p>Increased vascular permeability and cell adhesion (B)</p> Signup and view all the answers

What is the role of prostaglandin E2 (PGE2) in the development of fever?

<p>Binding to EP-3 receptors on glial cells to release cAMP (C)</p> Signup and view all the answers

What condition results from the systemic presence of TNF-α leading to blood clotting in small vessels and organ failure?

<p>Disseminated intravascular coagulation (C)</p> Signup and view all the answers

What is the role of the NLRP3 protein in the inflammasome complex?

<p>It oligomerizes to form a scaffold for the complex. (C)</p> Signup and view all the answers

Which of the following best describes the role of C-reactive protein (CRP) in the complement pathway?

<p>It activates the classical pathway by binding phosphorylcholine on pathogens. (D)</p> Signup and view all the answers

How does mannose-binding lectin (MBL) contribute to the innate immune response?

<p>By triggering phagocytosis of opsonized pathogens (C)</p> Signup and view all the answers

What process does CXCL8 (IL-8) facilitate in the inflammatory response?

<p>Recruitment of neutrophils to the site of infection (B)</p> Signup and view all the answers

Which of the following occurs during the 'rolling' phase of leukocyte extravasation?

<p>Weak adhesion mediated by selectins (C)</p> Signup and view all the answers

What is the role of RIPK2 in NOD-like receptor signaling?

<p>It phosphorylates TAK1 to activate IKK. (A)</p> Signup and view all the answers

Which event directly follows the binding of viral RNA to RIG-I and MDA-5 in RLR signaling?

<p>Interaction with MAVS via CARD domains (C)</p> Signup and view all the answers

What direct effect do type I interferons have on viral protein synthesis?

<p>Activation of RNase L to degrade viral RNA (C)</p> Signup and view all the answers

What is the significance of a nonfunctional MBL allele in approximately 10% of the population?

<p>Increased risk of meningitis caused by <em>Neisseria meningitidis</em> (B)</p> Signup and view all the answers

In a patient with Cryopyrin-Associated Periodic Syndrome (CAPS), what is the primary mechanism driving the inflammatory symptoms?

<p>Mutation in the <em>NLRP3</em> gene leading to excessive IL-1β production (C)</p> Signup and view all the answers

Which of the following is the MOST accurate description of how deficiency of C5-C9 affect complement function?

<p>Impairs formation of the membrane attack complex (MAC), increasing vulnerability to certain infections (B)</p> Signup and view all the answers

A researcher is studying the effects of a novel drug on the innate immune system. They discover that the drug significantly enhances the production of type I interferons in response to viral infection in vitro. Which of the following receptors is the MOST likely target of this drug?

<p>RIG-I (D)</p> Signup and view all the answers

What is the MOST critical mechanistic difference between the action of C-reactive protein (CRP) and antibodies on pathogen surfaces with respect to complement activation?

<p>CRP binds to phosphorylcholine and directly activates C1q, while antibodies require prior opsonization and Fc receptor binding to activate complement (B)</p> Signup and view all the answers

Which intracellular sensor is responsible for detecting the presence of cytoplasmic dsDNA, typically associated with bacterial or viral infection, and subsequently activating the production of type I interferons?

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

Based on the provided information, what is NOT a primary mechanism by which Type 1 Interferons (IFNs) establish an antiviral state?

<p>Direct enzymatic degradation of viral DNA within the host cytoplasm (D)</p> Signup and view all the answers

Which statement accurately differentiates the local versus systemic effects of TNF-α release?

<p>Local TNF-α increases vascular permeability in a controlled manner, whereas systemic TNF-α leads to widespread vascular leakage and septic shock (D)</p> Signup and view all the answers

In the context of extravasation, which event typically occurs IMMEDIATELY after a leukocyte establishes tight binding to the endothelium via chemokine-mediated integrin activation?

<p>Diapedesis through the endothelial cell layer (D)</p> Signup and view all the answers

A researcher discovers a novel pathogen-associated molecular pattern (PAMP) that triggers a strong innate immune response. Initial experiments indicate that this PAMP primarily activates intracellular receptors. Which of the following receptor types would BEST fit this characteristic?

<p>NOD-like receptors (NLRs) (B)</p> Signup and view all the answers

In a patient undergoing treatment for a severe bacterial infection, a physician observes a significant increase in the level of serum amyloid A (SAA). What is the MOST likely role of SAA in modulating the immune response in this scenario?

<p>Interacting with bacterial lipoproteins and triggering TLR signaling (D)</p> Signup and view all the answers

A pharmaceutical company is developing a therapeutic agent targeting the inflammasome to treat chronic inflammatory diseases. Which of the following mechanisms of action would be MOST effective in reducing IL-1β production?

<p>Blocking the oligomerization of NLRP3 (A)</p> Signup and view all the answers

Select the TLR homodimer-ligand pair with incorrect pairing.

<p>TLR5 homodimer - Double-stranded viral RNA (B)</p> Signup and view all the answers

Match the acute phase protein with its correct function.

<p>Mannose-binding lectin (MBL) - Can trigger classical pathway of complement activation (B)</p> Signup and view all the answers

Assuming an individual has a mutation that disrupts the function of MyD88, which function is most likely to be impaired?

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

Which cellular component is responsible for initiating intracellular signaling following PAMP recognition by Toll-like receptors (TLRs)?

<p>Toll Interleukin-1 receptor (TIR) domain (D)</p> Signup and view all the answers

What is the MOST immediate consequence of type I interferon (IFN) secretion from a virus-infected cell?

<p>Induction of an antiviral state in neighboring cells. (D)</p> Signup and view all the answers

What direct effect does the binding of lipopolysaccharide (LPS) and LBP to CD14 have on TLR4?

<p>It facilitates the association of MD2 with TLR4. (D)</p> Signup and view all the answers

Which acute phase protein directly enhances the phagocytosis of pathogens?

<p>C-reactive protein (CRP) (B)</p> Signup and view all the answers

In the context of leukocyte extravasation, what event is mediated by the interaction between integrins and their respective ligands?

<p>Tight binding and arrest of leukocytes on the endothelium. (B)</p> Signup and view all the answers

Which of the following best describes the function of NOD-like receptors (NLRs) in innate immunity?

<p>Sensing of intracellular damage and bacterial components, leading to inflammasome activation. (B)</p> Signup and view all the answers

What is the MOST direct mechanism by which TNF-α contributes to increased vascular permeability during the inflammatory response?

<p>Disrupting tight junctions between endothelial cells. (C)</p> Signup and view all the answers

A patient presents with a genetic defect resulting in non-functional IKKγ. Which of the following would MOST accurately describe the immunological consequence?

<p>Impaired activation of NF-κB, resulting in increased susceptibility to infections. (A)</p> Signup and view all the answers

In the absence of inflammation, what is the MOST likely state of neutrophils?

<p>Circulating freely in the bloodstream, with low-affinity adhesion molecules. (B)</p> Signup and view all the answers

A novel therapeutic agent is designed to specifically inhibit the interaction between C4b and C2b. Which complement pathway would be MOST directly affected by this agent?

<p>Both classical and lectin pathways (C)</p> Signup and view all the answers

If an individual exhibits a complete absence of functional TLR signaling, which subsequent immunological process would be MOST severely compromised?

<p>Initiation of inflammatory cytokine production and subsequent recruitment of immune cells to the site of infection. (A)</p> Signup and view all the answers

Considering the intricacies of TLR4 signaling, what outcome would be expected in a patient with a homozygous loss-of-function mutation in the MD2 gene?

<p>Profoundly impaired response to Gram-negative bacteria owing to the inability of TLR4 to bind LPS. (D)</p> Signup and view all the answers

Given the complex interplay of intracellular signaling cascades downstream of PRRs, what cellular event would be MOST directly affected by a mutation that prevents the phosphorylation of IκB?

<p>Impaired nuclear translocation of NF-κB and subsequent transcription of inflammatory genes. (A)</p> Signup and view all the answers

In the context of systemic inflammation, which of the following best illustrates the mechanistic link between TNF-α and the development of disseminated intravascular coagulation (DIC)?

<p>TNF-α induces the downregulation of tissue factor pathway inhibitor (TFPI) on endothelial cells, promoting coagulation. (A)</p> Signup and view all the answers

Assuming a genetically engineered mouse lacks the capacity to produce prostaglandin E2 (PGE2), what specific physiological response would be MOST directly affected following peripheral IL-1β release?

<p>Attenuation of fever due to the inability to modulate the thermoregulatory set point in the hypothalamus. (A)</p> Signup and view all the answers

Considering the pathogenesis of Cryopyrin-Associated Periodic Syndromes (CAPS), which therapeutic intervention would MOST directly target the underlying mechanism of disease?

<p>Monoclonal antibody therapy targeting IL-1β to neutralize its activity and downstream inflammatory effects. (A)</p> Signup and view all the answers

What is the MOST consequential difference between the activation of the lectin pathway by mannose-binding lectin (MBL) versus C-reactive protein (CRP) with respect to initiating complement activation?

<p>MBL directly activates MASP-1 and MASP-2, whereas CRP requires C1q for activation. (A)</p> Signup and view all the answers

In the cellular context of a virally infected cell undergoing apoptosis, what would be the MOST direct effect of type I interferon (IFN) secretion on neighboring, uninfected cells?

<p>Establishment of an antiviral state by upregulating ribonucleases and inhibiting viral protein synthesis. (C)</p> Signup and view all the answers

Given the redundancy and specificity of NOD-like receptors (NLRs), how would a targeted mutation eliminating the CARD domain of NOD2 MOST directly impact downstream signaling?

<p>Abolished interaction with RIPK2 and subsequent NF-κB activation in response to muramyl dipeptide. (A)</p> Signup and view all the answers

What would be the MOST critical mechanistic consequence of a genetic defect leading to the production of a non-functional form of the Mx GTPase proteins?

<p>Reduced inhibition of intracellular transport of viral components, preventing effective virion assembly. (A)</p> Signup and view all the answers

A researcher is investigating the effects of a novel compound that selectively enhances the generation of 'Oligo A'. Which cellular process would be MOST directly affected by this compound?

<p>Enhanced degradation of viral RNA molecules via activation of RNase L. (B)</p> Signup and view all the answers

Given the complexity of leukocyte extravasation, what would be the immediate consequence of blocking the function of CXCL8 (IL-8) at a site of infection?

<p>Reduced integrin activation and firm adhesion of neutrophils to the endothelium. (A)</p> Signup and view all the answers

If a patient's neutrophils expressed a constitutively active form of LFA-1, independent of chemokine signaling, what would be the MOST likely immunological outcome?

<p>Uncontrolled neutrophil accumulation in tissues, potentially leading to tissue damage and chronic inflammation. (B)</p> Signup and view all the answers

Considering the multistep nature of leukocyte trafficking, which event is MOST immediately dependent on TNF-α-mediated changes to endothelial cell-cell junctions?

<p>Diapedesis of leukocytes through the endothelium into the surrounding tissue. (D)</p> Signup and view all the answers

In a scenario where a novel immunosuppressive drug selectively inhibits the function of selectins in vivo, what would be the MOST immediate effect on leukocyte migration during an inflammatory response?

<p>Leukocytes would be unable to initially tether and roll along the endothelium. (B)</p> Signup and view all the answers

A newly discovered viral pathogen expresses a protein that directly inhibits IRF3 dimerization. What would be the MOST immediate effect of this viral protein on the host's innate immune response?

<p>Suppression of type I interferon production and antiviral state induction. (C)</p> Signup and view all the answers

How would a mutation that disrupts the ability of macrophages to synthesize and secrete IL-6 impact the acute phase response in the liver?

<p>Reduced synthesis of acute phase proteins such as CRP, serum amyloid A (SAA), and fibrinogen. (D)</p> Signup and view all the answers

If an individual possesses a mutation causing constitutive activation of the inflammasome, resulting in chronic IL-1β production, what compensatory mechanism, if any, would MOST likely mitigate the resulting inflammation?

<p>Increased expression of IL-1 receptor antagonist (IL-1Ra) to competitively inhibit IL-1β binding. (C)</p> Signup and view all the answers

What would be the PRIMARY consequence of a mutation leading to complete deficiency of MyD88 in an individual exposed to a bacterial infection?

<p>Profound defect in signaling downstream of most TLRs, impairing inflammatory cytokine production. (A)</p> Signup and view all the answers

Considering the role of acute phase proteins (APPs) in the inflammatory response, what would be the MOST direct consequence of significantly reduced serum levels of C4?

<p>Reduced activation of the classical and lectin pathways of complement, influencing downstream opsonization and lysis. (D)</p> Signup and view all the answers

A patient with a genetic mutation exhibits impaired function of plasmacytoid dendritic cells (pDCs). How would this MOST directly impact the initial immune response to a systemic viral infection?

<p>Diminished production of type I interferons, resulting in a failure to establish an antiviral state. (C)</p> Signup and view all the answers

If a novel pathogen evolved a mechanism to specifically inhibit the function of RNase L, what stage of the antiviral response initiated by type I interferons would be MOST directly compromised?

<p>Degradation of viral RNA molecules. (D)</p> Signup and view all the answers

In a scenario where an individual has a genetic mutation that leads to a complete loss of function of the protein kinase R (PKR), how would this MOST directly impact the cellular response to viral infection?

<p>Uninhibited protein synthesis, facilitating viral replication. (D)</p> Signup and view all the answers

Considering the critical role of selectins in leukocyte trafficking, what would be the MOST likely consequence of a genetic defect that results in a complete deficiency of E-selectin expression on endothelial cells?

<p>Diminished initial rolling and tethering of neutrophils along the endothelium at sites of inflammation. (A)</p> Signup and view all the answers

Given the physiological mechanisms underlying fever, which therapeutic intervention would MOST directly counteract the effects of prostaglandin E2 (PGE2) in the hypothalamus to reduce fever during an infection?

<p>Inhibition of cyclooxygenase (COX) enzymes to reduce prostaglandin synthesis. (D)</p> Signup and view all the answers

In the context of leukocyte adhesion deficiency (LAD), a genetic defect that prevents the expression of functional β2 integrins, what specific step in leukocyte extravasation would be MOST directly impaired?

<p>Firm adhesion of leukocytes to the endothelium. (C)</p> Signup and view all the answers

What would be the MOST direct consequence of a mutation leading to non-functional MASP-2 in the lectin pathway of complement activation?

<p>Diminished cleavage of C4 and C2, preventing C3 convertase formation. (C)</p> Signup and view all the answers

Assuming a researcher discovers a novel cytokine that selectively targets and activates tissue fibroblasts, leading to increased production of extracellular matrix (ECM) components, what downstream immunological event would be MOST directly influenced?

<p>Leukocyte migration through tissues due to alterations in the ECM structure. (B)</p> Signup and view all the answers

In a patient with a functional defect in the C-type lectin receptor Dectin-1, what would be the most direct impact on the immune response to fungal infections?

<p>Reduced phagocytosis of fungi, hindering the clearance of infection. (D)</p> Signup and view all the answers

A researcher is investigating the role of cellular location of various TLRs. What is the MOST accurate rationale for TLR3 being located in endosomes rather than the plasma membrane?

<p>TLR3’s ability to detect dsRNA from pathogens is exclusively intracellular since viruses replicate inside host cells. (D)</p> Signup and view all the answers

For a patient with a deficiency in nucleotide-binding oligomerization domain-containing protein 2 (NOD2), what innate immune event would be MOST directly compromised during a bacterial infection

<p>Intracellular recognition of muramyl dipeptide (MDP) derived from bacterial peptidoglycan. (B)</p> Signup and view all the answers

How would a loss-of-function mutation in the gene encoding serum amyloid A (SAA) PRIMARILY affect the host's response to bacterial infection?

<p>Compromised TLR signal modulation. (B)</p> Signup and view all the answers

Where are PAMP generally found?

<p>Recognized structures among pathogens (E)</p> Signup and view all the answers

In the context of viral infections, what critical event is MOST directly dependent on the synthesis and activation of 2',5'-oligoadenylate synthetase (OAS) by interferon-stimulated genes (ISGs)?

<p>Activation of RNase L, leading to degradation of viral and cellular RNA. (C)</p> Signup and view all the answers

Considering the intricate crosstalk between innate immune cells and tissue cells, what is the MOST immediate consequence of IL-1β and TNF-α on tissue fibroblasts during the inflammatory response?

<p>Upregulation of matrix metalloproteinase (MMP) expression, leading to ECM remodeling. (D)</p> Signup and view all the answers

What is the MOST accurate description of how a deficiency in the γ subunit of IKK (IKKγ) would impact NF-κB activation in macrophages stimulated with LPS?

<p>IKKγ deficiency would result in a failure to degrade IκB, preventing NF-κB nuclear translocation. (C)</p> Signup and view all the answers

Given the complexity of leukocyte trafficking, what cellular event is MOST critically reliant upon the local effects of TNF-α on post-capillary venule endothelial cells during inflammation?

<p>Transmigration of leukocytes through endothelial cell junctions into the tissue. (D)</p> Signup and view all the answers

In the context of pathogen recognition, what feature is DISTINCTIVE about NOD-like receptors (NLRs) compared to Toll-like receptors (TLRs)?

<p>NLRs detect intracellular components of degraded pathogens , unlike TLRs which identify extra- and intra-cellular components alike. (B)</p> Signup and view all the answers

If an individual expresses a constitutively active form of protein kinase R (PKR), independent of dsRNA binding, what signaling outcome is MOST likely?

<p>Global shutdown of protein synthesis, resembling a persistent antiviral state. (B)</p> Signup and view all the answers

Considering the roles of acute phase proteins (APPs), what outcome would be expected from significantly reduced serum levels of C-reactive protein (CRP)?

<p>Impaired opsonization and classical complement pathway activation. (A)</p> Signup and view all the answers

Based on current understanding, what would be the MOST consequential difference between complement activation initiated by C-reactive protein (CRP) versus mannose-binding lectin (MBL)?

<p>CRP binds to phosphocholine, triggering the classical pathway, whereas MBL binds to mannose residues to activate the lectin pathway. (C)</p> Signup and view all the answers

In the context of viral infections, how does released type I interferon (IFN) MOST directly mediate resistance to viral replication in neighboring, uninfected cells?

<p>Up-regulating expression of interferon-stimulated genes (ISGs) that establish an antiviral state. (D)</p> Signup and view all the answers

A researcher discovers a novel pathogen-associated molecular pattern (PAMP) that strongly activates NF-κB in macrophages. Further investigation reveals that this PAMP's activity is ENTIRELY dependent on MyD88. Which Toll-like receptor (TLR) is MOST likely involved in the recognition of this PAMP?

<p>TLR5 (D)</p> Signup and view all the answers

Flashcards

Innate Receptor Activation

Bind antigens, trigger cell signaling, cytokine production, phagocytosis and antigen presentation.

Innate Immunity Receptors

Receptors activated upon antigen exposure resulting in cell signaling, cytokine production, enhanced phagocytosis & antigen presentation.

IL-1β, TNF-α & IL-6

Inflammatory cytokines. Promote cell extravasation, phagocytosis, BM output, fever, and aches.

Type I Interferons

Produced in response to viral infections to block infection of neighboring cells.

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Acute Phase Proteins

MBL, CRP, SAA are produced, leading to activation of the lectin pathway of complement.

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Selectins and Integrins

Facilitate cell rolling & arrest. Promote firm adherence for cellular diapedesis during inflammation.

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Pattern Recognition Receptors (PRR)

Cellular barriers that express innate receptors.

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Innate Immune Receptors

Recognize conserved structures among microbes (PAMPs) and trigger phagocytosis without cell signaling.

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Toll-Like Receptors (TLR)

Extracellular domain for PAMP engagement and cytoplasmic signaling domain (TIR).

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TLR Ligands TLR4/4, TLR 2/1 etc)

Gram-negative bacteria, Gram-positive bacteria, bacterial parasites, bacteria and flagellin bacteria, profilin, fungi

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LPS Binding to CD14

Lipopolysaccharide (LPS) is released upon death and binds to CD14 on the tissue macrophage.

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TLR Signalling

MyD88 binds TLR4 and activates IRAK4 to phosphorylate TRAF6, which leads to the phosphorylation and activation of IKK

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IKK phosphorylates IκB

Leads to its degradation and the release of NFKB, which enters the nucleus.

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NEMO X-linked recessive disorder

Is a failure to activate NFKB which does not activate macrophages and is more frequent in males

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IL-1β and TNF-α

After TLR signaling, macrophages produce IL-1β and TNF-α, which act on endothelial cells, fibroblasts, and neurons.

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PGE2 increase

Increase in the periphery accounts for nonspecific myalgias and arthralgias often accompanying fever.

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cAMP activates

Activates neuron terminals that extend into the thermoregulatory center of the brain.

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Systemic vasodilation

Vasodilation and increased vascular permeability → loss of blood pressure → loss of plasma volume → septic shock

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Cryopyrin-associated periodic fever syndrome (CAPS.)

Leads to excessive production of IL-1β which Promotes fever, vasodilation & induction of other inflammatory cytokine production

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Soluble acute phase proteins

Produced and secreted by the hepatocytes of the liver

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Interacts with C1

Activates C1 (complement component 1) of the classical pathway of complement activation

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MBL complex

MBL complexed with MASP (MBL-associated serine proteases) in plasma.

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NOD1

Recognizes y-glutamyl diaminopimelic acid (degraded peptidoglycan of Gram-negative bacteria). Is expressed by many cell types.

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phosphorylation of IRF3

Results in phosphorylation of IRF3 → dimers → transcription factor for type I interferons (type I IFNs)

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The Pillars of Inflammation

Characterized by Pain (dolor) caused by low pH, Redness (rubor) caused by hyperemia, Heat (calor) caused by hyperemia, Loss of function caused by pain and swelling

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the process of Inflammation

TNFα, IL-1,IL-12 Cytokines produced by macrophages cause dilation of local small blood vessels

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What is Vascular adhesion

Weak selectin-mediated adhesion allows neutrophils to roll along the endothelium

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chemokines Diffuse

Binding Transiently stops the neutrophil

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Next Line of Defense

Limited specificity recognition using receptors for detecting pathogens and production of chemicals to mediate the inflammatory process.

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NOD-like receptors (NLR)

Serve as receptors to that detect products from degraded phagocytosed pathogens and recognize components of bacterial cell walls.

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NOD2 recognizes

Recognizes muramyl dipeptide (degraded peptidoglycan of many bacteria). It is restricted to myeloid and lymphoid cells

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Ligand binding to NOD

NOD binds the ligand which causes NOD to dimerize and RIPK2 binds via the CARD.

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RIG-I-like receptors (RLR)

Cytoplasmic detection proteins for viral RNA. Viral RNA binds to RIG-I and MDA-5, and through CARDs interact with MAVS.

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Secreted IL-1β & IL-1 receptors

Secreted IL-1β binds to the IL-1 receptors on activated macrophages in order to increase the amount of pro-IL-1β (inactive) gene expression.

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Integrins Interact

Integrins Interact with integrin ligand expression induced on the surface of endothelial cells by TNF-α

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Study Notes

  • Innate receptors activate upon antigen exposure, leading to cell signaling, cytokine and chemokine production, enhanced phagocytosis, and antigen presentation
  • Cytokines IL-1β, TNF-α, and IL-6, along with chemokine IL-8, instigate cell extravasation, phagocytosis, increased bone marrow output, heat, fever, and aches

Type I Interferons

  • Produced in response to viral infection
  • Block infection in neighboring cells

Acute Phase Proteins

  • Produced as the inflammatory response continues
  • Include MBL, CRP, and SAA
  • Activation of the lectin pathway of complement is done through MBL

Selectins, Integrins, and Chemokines

  • Key for immune cell trafficking during inflammation
  • Selectins mediate cell rolling
  • Integrins facilitate cell arrest
  • Chemokines promote firm adherence and diapedesis

Innate Immune Response

  • Involves receptors for detecting pathogens and chemicals to mediate inflammation
  • Limited specificity recognition
  • Can take up to 4 days to develop, involving soluble chemicals and cellular receptors

Detection and Response

  • If physical/chemical defenses successfully repel a pathogen, the encounter may not be perceived by the host
  • Involves soluble chemicals and cellular receptors - induced innate immune response

Pattern Recognition Receptors (PRR)

  • Cellular barriers express
  • Such as mannose-binding lectin (MBL), macrophage mannose receptor, scavenger receptors, Toll-Like Receptors (TLRs)
  • Include NOD-Like Receptors
  • Most trigger phagocytosis without cell signaling
  • Recognize structures conserved among microbe classes - pathogen-associated molecular patterns (PAMPs)

Non-Signaling Innate Receptors

  • Trigger receptor-mediated phagocytosis
  • Macrophage receptors, such as ricin-like lectin domain that recognize microbial surface components
  • Microorganisms are internalized via endocytosis and degraded in phagolysosomes

Toll-like Receptors (TLR)

  • Family of 13 PRRs with an extracellular domain for PAMP engagement (leucine-rich repeat region, LRR) and a cytoplasmic signaling domain (Toll Interleukin-1 receptor, TIR)

Toll-like Receptor Distribution

  • Each TLR is either a homodimer or heterodimer
  • Some TLR are on the cell surface, while others are in endosome membranes

TLR Pathogen Recognition

  • TLRs each recognize different microbial components
  • Examples: TLR4 homodimers recognize LPS, TLR7 homodimers recognize single-stranded viral RNAs, etc.

Binding of Bacterial Lipopolysaccharide (LPS) to TLR4

  • Gram-negative bacteria infected tissue causes death
  • A component of the cell wall, LPS (lipopolysaccharide), binds to CD14 released upon death on the tissue macrophage
  • CD14 acts as a co-receptor to TLR4
  • LPS captured by LBP and delivered to CD14
  • MD2, associated with TLR4, binds the LPS-CD14 complex
  • Binding alters the TIR domain conformation, allowing adapter protein MyD88 binding

TLR Signaling

  • Activates NFκB and leads to inflammatory cytokine production.
  • MyD88 binds TLR4, activating IRAK4 to phosphorylate TRAF6, leading to IKK activation then phosphorylates IκB
  • IKB degradation releases NFκB, which enters the nucleus to activate genes for inflammatory cytokines
  • These cytokines are synthesized in the cytoplasm and secreted via the ER

NEMO Deficiency

  • X-linked hypohidrotic ectodermal dysplasia and immunodeficiency
  • Inherited as X-linked recessive disorder
  • Lack the γ subunit of IKK
  • Failure to activate NFκB, which does not activate macrophages
  • More frequent in males
  • Critical during development of skin and immune system in the womb

IL-1β and TNF-α Production by Macrophages

  • Macrophages produce IL-1β and TNF-α after TLR signaling, acting on endothelial cells, fibroblasts, and neurons
  • In endothelial cells, this leads to leukocyte attachment and cell migration into tissue
  • In fibroblasts, it leads to cell migration through the tissue ECM
  • In neurons, it leads to myalgia, arthralgia, and fever

Cytokines and Fever

  • Cytokines bind to receptors on the hypothalamic endothelium
  • It increases prostaglandin E2 (PGE2) levels
  • Increase causes myalgias and arthralgias, often accompanying fever
  • PGE2 binds to EP-3 on glial cells
  • Glial cells releases cAMP
  • cAMP activates neuron terminals extending into the thermoregulatory center of the brain
  • Microbial toxins induces fever by binding to TLR on hypothalamic endothelium

Local Effects of TNF-α

  • Macrophages activated to secrete TNF-α in the tissue
  • Increases plasma protein release into tissue
  • Increases phagocyte and lymphocyte migration into tissue
  • Increases platelet adhesion to blood vessel wall
  • Results in phagocytosis of bacteria, local vessel occlusion, and drainage to the local lymph node for adaptive immunity and removal of infection
  • Stimulates endothelial cell expression of receptors for platelets, promoting their adhesion and blood clotting
  • Prevents entry of pathogens into the bloodstream and dissemination

Systemic Effects of TNF-α

  • In sepsis, macrophages in the liver and spleen secrete TNF-α into the bloodstream
  • Systemic vasodilation and increased vascular permeability → loss of blood pressure and plasma volume → septic shock
  • Systemic presence leads to blood clotting in small vessels (disseminated intravascular coagulation) → organ failure

IL-12

  • Released by macrophages
  • Activates Natural Killer (NK) cells
  • Causes IFNy and cytotoxicity for CYTOTOXICITY

IL-6

  • Released by macrophages
  • Causes PHAGOCYTOSIS
  • Causes complement activation

Inflammasome

  • Secreted IL-1β binds to IL-1 receptors on activated macrophages, increasing pro-IL-1β (inactive) gene expression
    • Adapter protein
    • Procaspase-1
    • NLRP3: NLR family of pyrin domain
  • Uptake of ATP and release of K+ induces assembly of the inflammasome complex

Cryopyrin-Associated Periodic Fever Syndrome (CAPS)

  • Autosomal dominant inflammatory disorder
  • Mutations of NLRP3 gene (overactivation) Leads to excessive production of IL-1β
  • Promotes fever, vasodilation, and induction of other inflammatory cytokine production
  • Affects 1-3 per 1 million, onset at 8 months, and diagnosed at 15 years
  • Symptoms include fever, hives, red eyes, and joint pain and neurological symptoms
  • Symptoms resolve within 24 hours, ~50% have recurrent course

IL-6

  • Produced by macrophages
  • Fever, myalgia, arthralgia
  • Leads to an increased output of neutrophils
  • Phagocytosis and complement activation
  • Increased glucose metabolism
  • Local heat

Acute-Phase Proteins

  • Induced primarily by IL-6 (lesser IL-1β and TNFα)
  • Secreted by hepatocytes
  • Approximately 30 impacted proteins, some increase, and some decrease, usually within 48 hours
  • For example, C-reactive protein (CRP) binds phosphorylcholine can trigger classical pathway
  • Triggers lectin pathway of complement activation.

Lectin Pathway of Complement Activation

  • MBL complexed with MASP (MBL-associated serine proteases) in plasma
  • When MBL binds to mannose on pathogen surface, MASP autocleaves, activating MASP-2
  • Active MASP-2 cleaves C4 and C2
  • It forms classical C3 convertase

CRP and Classical Pathway of Complement Activation

– CRP binds to phosphorylcholine of pathogens surface. – It interacts with C1 of Classical pathway of complement activation. – C1 includes C1q+C1r/C1s serine proteases.

  • It leads into formation of classical C3 convertase (C4bC2b)

Pathways of Complement

  • Alternative - Pathogen surface creates a local environment that's good for complement activation
  • Lectin - Mannose-binding lectin binds to the pathogen surface
  • Classical - C-reactive protein or antibody binds to a specific antigen on surface of pathogen

NOD-like receptors (NLR)

Detect products from degraded phagocytosed pathogens Recognize bacterial cell wall components Best studied are the intracellular NOD1 and NOD2 NOD1 recognizes γ-glutamyl diaminopimelic acid is expressed in many cell types NOD2 recognizes muramyl dipeptide restricted to myeloid/lymphoid cells. Terminal of NOD molecules express a CARD (caspase-recruitment domain)

NLR Signaling

  • NOD binds the ligand, then NOD dimerizes
  • RIPK2 binds via the CARD
  • IKK degrades Ikβ bound to NF-κB
  • NF-κB translocates to the nucleus, inducing cytokine production, phagocytosis, and defensin synthesis.

RIG-I-like receptors (RLR)

  • Most cells express RIG-I and MDA-5, viral RNA cytoplasmic detection proteins
  • Viral RNA binds to RIG-I and MDA-5
  • Interacts with MAVS through activation
  • Results in phosphorylation of IRF3 which leads to dimers and transcription factor for type I interferons (type I IFNs)

Interferon Response

  • IRF3 promotes the family of the type 1 IFNs
  • Includes IFN-α, IFN-β, IFN-γ, IFN-K, IFN-λ, IFN-0, IFN-0
  • Paracrine and Autocrine -Induces interferon response
  • Acts to synthesis the new virions

Type I IFNs

  • Includes Serine/threonine protein kinase that phosphorylates EIF2α preventing protein synthesis.
  • 2',5'-oligoadenylate synthetase produces Oligo A that actiavates RNase L and degrades RNA Mx GTPases involved interfering the transport of vital proteins

Inflammation Pillars

  • Pain (dolor) - Low pH is the reason
  • Redness (rubor) and Heat (calor) - Hyperemia is the reason for both
  • Swelling (tumor) - Vascular Permeability is the reason
  • Loss of function

Early Responder Cells

  • Include neutrophils, monocytes, and NK cells

Inflammatory Response

  • Cytokines produced by macrophages cause the small local blood vessels dilation
  • Leukocytes move with greater adhesion
  • Then leukocytes move to the location for the process the blood clot in microvessels
  • TNF-1, IL-12 and 1L -1 beta are involved.

Vascular Adhesion and Cell Rolling

  • Neutrophils roll while the endothelia are exposed

  • Weak selectin-mediated adhesion allows this to happen

  • The endotheilia cells constitutley expressed on the surface

  • IL-1 and TNF influence these expressions Lymphocytes are bind to the vascular with adhesion molecules that are

  • vascular addressin (CD34 neutrophil ,selectin (L-selectin) Integin Integrins and Ligands -Cell arested and neutrophils are now attached.

  • They have low affinity on inflammatory. Important with -Integrin ligand expresions CXCL 8 are produced by macrophages and released the Neutrophil.

  • Tissue infiltration via chemokine gradient and Neutrophil loosen the process - TNF α. -Concentration gradient chemokine migration causes .

  • Cells slide.

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