Toll-like Receptors: Innate Immunity

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Questions and Answers

Explain how the discovery of Toll in Drosophila melanogaster revolutionized our understanding of the innate immune system in mammals?

The discovery of Toll in fruit flies revealed a crucial link between pathogen recognition and the induction of host defense. This led to the identification of Toll-like receptors (TLRs) in mammals, demonstrating a conserved mechanism of innate immunity across species.

What is the structural feature of TLRs that allows them to bind to a diverse array of ligands, and how does this contribute to their function in pathogen recognition?

TLRs have an extracellular region composed of leucine-rich repeats (LRRs) that form a scaffold protein. This adaptable structure enables TLRs to bind to a wide range of pathogen-associated molecular patterns (PAMPs).

Contrast the location and function of TLRs found on the cell surface versus those found in endosomes.

Cell surface TLRs detect microbes in extracellular spaces, while endosomal TLRs detect microbes that have been internalized via phagocytosis. This compartmentalization allows the immune system to detect a broader range of pathogens in different cellular locations.

Describe the immediate downstream signaling events that occur upon ligand binding to a TLR, and explain how this initiates an immune response.

<p>Ligand binding to a TLR induces the formation of a dimer or conformational changes in a preformed TLR dimer, initiating downstream signaling cascades. This leads to the activation of transcription factors and the subsequent expression of cytokines and chemokines, which promote inflammation and activate other immune cells.</p> Signup and view all the answers

How does the recognition of PAMPs by TLRs lead to the activation of macrophages, and what are the major downstream effects of this activation on the immune response?

<p>The recognition of PAMPs by TLRs triggers the production of cytokines and chemokines by macrophages. These molecules recruit and activate other immune cells, enhance antigen presentation, and promote inflammation to clear the infection.</p> Signup and view all the answers

Compare and contrast the mechanisms by which macrophages and neutrophils eliminate pathogens, highlighting the unique roles of NETs and the respiratory burst.

<p>Macrophages eliminate pathogens through phagocytosis, forming phagolysosomes for pathogen destruction, and the respiratory burst. Neutrophils, recruited to infection sites, also use phagocytosis and the respiratory burst, but uniquely employ NETs to trap microorganisms extracellularly. Macrophages are tissue-resident, while neutrophils are recruited, contributing to pus formation upon death.</p> Signup and view all the answers

Explain how defects in NADPH oxidase lead to chronic granulomatous disease (CGD), and why patients with CGD are particularly susceptible to certain types of infections.

<p>Defects in NADPH oxidase impair the respiratory burst in phagocytes, reducing their ability to kill ingested microbes. CGD patients are susceptible to bacterial and fungal infections due to ineffective intracellular killing by phagocytes.</p> Signup and view all the answers

Propose a targeted therapeutic approach to augment NET formation in immunocompromised individuals with impaired neutrophil function, while mitigating potential off-target inflammatory damage.

<p>A targeted approach could involve administering modified cytokines or chemokines specifically at infection sites to stimulate NET formation by neutrophils. Simultaneously, co-administering localized inhibitors of NET-induced inflammation, such as DNase I, could mitigate off-target damage.</p> Signup and view all the answers

Describe the key differences between pattern recognition receptors (PRRs) of the innate immune system and the antigen receptors (T cell receptors and antibodies) of the adaptive immune system, focusing on their mechanisms of antigen recognition and the scope of pathogens they can detect.

<p>PRRs recognize conserved molecular patterns on pathogens (PAMPs), offering broad but limited specificity. T cell receptors and antibodies recognize specific antigens, allowing for highly targeted responses but requiring prior sensitization or genetic rearrangement to generate diverse receptors.</p> Signup and view all the answers

Predict how the disruption of phagolysosome formation would impact the ability of macrophages to clear intracellular pathogens, and suggest a potential mechanism by which pathogens could evade this cellular defense.

<p>Disruption of phagolysosome formation would prevent the degradation of pathogens within macrophages, allowing intracellular survival and proliferation. Pathogens could evade this defense by producing proteins that inhibit phagosome-lysosome fusion or by escaping from the phagosome into the cytoplasm.</p> Signup and view all the answers

Describe how the speed of blood flow impacts the initial stages of leukocyte extravasation.

<p>The relatively high blood flow (0.5-1 mm/sec) causes leukocytes to initially roll along the endothelium, allowing selectins to bind to carbohydrate epitopes, which slows them down to facilitate the next steps in extravasation.</p> Signup and view all the answers

What crucial role do chemokines play in the extravasation of leukocytes, specifically relating to integrin activation?

<p>Chemokines activate integrins on the leukocyte surface, which then bind tightly to adhesion molecules on the endothelium. This tight binding is essential for the firm arrest of the leukocyte before transmigration.</p> Signup and view all the answers

How might blocking selectin-mediated interactions affect the subsequent steps of leukocyte extravasation, and what implications does this have for inflammation?

<p>Blocking selectin-mediated interactions would prevent the initial slowing and rolling of leukocytes, impairing their ability to firmly adhere and transmigrate. This could reduce inflammation by limiting leukocyte recruitment to the affected tissues.</p> Signup and view all the answers

Explain the significance of endothelial activation in inflammation. How does it facilitate leukocyte recruitment and contribute to the overall inflammatory response?

<p>Endothelial activation increases vascular diameter and permeability and promotes clotting in microvessels. It is crucial for inflammation as it induces the expression of adhesion molecules, which are necessary for leukocyte rolling, adhesion, and transmigration into the inflamed tissue.</p> Signup and view all the answers

How do lipid mediators such as prostaglandins and leukotrienes contribute to the process of endothelial activation during an inflammatory response?

<p>Lipid mediators such as prostaglandins and leukotrienes induce endothelial activation, which then increases vascular permeability. This makes it easier for leukocytes to move from the blood into the infected tissue.</p> Signup and view all the answers

Considering the steps of leukocyte extravasation, how would the absence or dysfunction of integrins on the leukocyte surface specifically impede the process, and what would be the physiological consequences?

<p>Without functional integrins, leukocytes would be unable to firmly adhere to the endothelium following the initial rolling phase. This would prevent stable arrest and subsequent transmigration, thus impairing the ability of leukocytes to enter the inflamed tissue and combat infection, potentially leading to increased susceptibility to pathogens and unresolved inflammatory responses.</p> Signup and view all the answers

Describe how intravital microscopy (IVM) enhances our understanding of leukocyte extravasation beyond what traditional in vitro methods offer.

<p>IVM allows direct, real-time visualization of leukocyte behavior within a living organism. It enables the observation of complex interactions between leukocytes and the endothelium in the context of blood flow and tissue microenvironment, providing insights that static in vitro assays cannot capture.</p> Signup and view all the answers

Describe the mechanism by which cGAS/STING pathway detects cytosolic dsDNA and initiates an immune response, including the specific molecules involved and the ultimate outcome.

<p>cGAS binds to cytosolic dsDNA, synthesizing cGAMP from ATP and GTP. cGAMP then binds to STING, causing its dimerization and activation. This leads to IRF3 phosphorylation and activation, resulting in the production of type I interferons.</p> Signup and view all the answers

Explain how RIG-I discriminates between host and viral RNA, leading to the activation of type I interferon and inflammatory cytokine production.

<p>RIG-I distinguishes between host and viral RNA by recognizing uncapped 5' ends on viral ssRNA transcripts, while host RNA is typically capped. Upon recognition, RIG-I activates NF-kB and IRF3, inducing the production of type I interferon and inflammatory cytokines.</p> Signup and view all the answers

How does the activation of innate sensors in macrophages and dendritic cells contribute to the development of adaptive immunity?

<p>Activation of innate sensors in macrophages and dendritic cells (DCs) triggers the expression of co-stimulatory molecules like CD80 and CD86. These molecules are essential for priming naive T cells by antigen presented on DCs, leading to proper T cell activation and the induction of adaptive immunity.</p> Signup and view all the answers

What role do adjuvants play in vaccines, and how does this relate to the activation of cytosolic PRRs?

<p>Adjuvants in vaccines mimic PAMPs and DAMPs, aiming to induce increased MHC expression and co-stimulatory molecule expression in antigen-presenting DCs. While not directly activating cytosolic PRRs, adjuvants enhance the overall immune response by activating other PRRs, leading to improved antigen presentation and T cell activation.</p> Signup and view all the answers

In the context of viral infection, what differences between self and non-self nucleic acids are exploited by cytosolic PRRs?

<p>Cytosolic PRRs exploit differences such as the presence of uncapped 5' ends on viral RNA (recognized by RIG-I) and the presence of dsDNA in the cytoplasm (recognized by cGAS/STING), locations where these nucleic acids are not normally found in healthy cells.</p> Signup and view all the answers

Describe how signaling via STING ultimately results in the transcription of interferon genes.

<p>STING activation leads to the phosphorylation of IRF3, which then translocates to the nucleus. In the nucleus, phosphorylated IRF3 binds to interferon-stimulated response elements (ISREs) in the promoter region of interferon genes, initiating their transcription.</p> Signup and view all the answers

Explain why the induction of co-stimulatory molecules CD80 and CD86 is essential for effective T cell activation. What happens in their absence?

<p>CD80 and CD86 provide the crucial second signal needed for T cell activation. In their absence, T cells may become anergic (unresponsive) or undergo apoptosis (programmed cell death), preventing an effective adaptive immune response.</p> Signup and view all the answers

How do cytosolic PRRs contribute to the elimination of intracellular pathogens that do not directly infect immune cells (e.g., viruses in non-immune cells)?

<p>Cytosolic PRRs detect pathogen-associated molecules within infected cells, triggering the production of type I interferons and inflammatory cytokines. These molecules induce an antiviral state in neighboring cells and recruit immune cells to the site of infection, leading to the elimination of infected cells and the pathogens within them.</p> Signup and view all the answers

Inhibitory NK receptors trigger activation signals via immunoreceptor tyrosine-based activation motifs (ITAMs) following ligand binding.

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

The functional outcome of NK cell activity (cytokine production and cytotoxicity) is solely determined by the strength of activating signals, disregarding the influence of inhibitory signals.

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

Innate immune effector mechanisms are primarily regulated by receptors generated through somatic recombination, similar to the adaptive immune system.

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

Pathogen-associated molecular patterns (PAMPs) are exclusively derived from viral pathogens and do not include any bacterial components.

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

The breaching of epithelial barriers leads to an immediate and direct activation of adaptive immunity, bypassing the steps involving tissue-resident cells and inflammatory mediators.

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

Danger-associated molecular patterns (DAMPs) are exclusively recognized by B cell receptors to initiate humoral immune responses.

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

Tyrosine phosphorylation within ITAM motifs of activating NK receptors leads to the direct inhibition of cytotoxic granule release.

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

Mannose-binding lectin (MBL) and ficolin exemplify free receptors present in the serum, acting as pattern recognition receptors.

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

The invariable region of T cell receptors directly recognizes and binds to microbial surface patterns during an infection.

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

Cytoplasmic signaling receptors like NOD receptors are primarily involved in the detection of extracellular pathogens.

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

Tissue inflammation is solely detrimental and does not contribute to pathogen clearance or tissue repair.

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

Endothelial activation, induced by inflammatory mediators, results in decreased leukocyte adhesion and transmigration into tissues.

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

Natural Killer (NK) cells exert their antiviral effects exclusively through the release of antibodies.

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

Cytokines and chemokines function primarily to suppress the immune response, preventing excessive inflammation post-infection.

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

The detection of pathogen-associated molecular patterns (PAMPs) by sensor cells leads to the down regulation, rather than the induction, of inflammatory mediators.

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

Membrane-bound phagocytic receptors such as mannose receptor, are primarily involved in intracellular signaling rather than pathogen engulfment.

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

NLRP3 inflammasome activation results in the exclusive production of anti-inflammatory cytokines, limiting the extent of pyroptosis.

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

NLRP3, a crucial component of the inflammasome, contains a CARD domain, similar to NOD2, enabling direct interaction with caspase-1 for cytokine processing.

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

The CGAS-STING pathway is activated exclusively by extracellular pathogens, triggering a localized inflammatory response via the production of type I interferons.

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

Uric acid crystals, elevated ATP levels, and disruption of lysosomes inhibit NLRP3 inflammasome.

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

Endothelial activation, as part of the inflammatory response, exclusively inhibits blood clotting to ensure continuous leukocyte recruitment to the infection site.

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

The essential roles of inflammation include inhibiting effector molecule delivery, suppressing leukocyte recruitment, and preventing tissue repair.

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

Cytosolic PRRs, such as NOD-like receptors and RIG-I-like receptors, exclusively recognize pathogen-associated molecular patterns (PAMPs) derived from extracellular bacteria.

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

Following tissue injury, the primary role of inflammation is to suppress immune cell activity to prevent excessive damage and promote rapid tissue regeneration.

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

NLRP3 inflammasome activation is exclusively triggered by pathogen-associated molecular patterns (PAMPs), ensuring a specific immune response against infectious agents.

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

Flashcards

Toll-like Receptors (TLRs)

Pathogen-recognition receptors that signal cytokine and chemokine production in macrophages.

Toll Signaling in Flies

In fruit flies, Toll signaling induces host-defense mechanisms.

Mammalian TLRs

Homologs of Toll receptors found in mammals that recognize PAMPs.

TLR Specificity

Each recognizes a distinct set of pathogen-associated molecular patterns.

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TLR Structure

Single-pass transmembrane proteins with extracellular leucine-rich repeats for ligand binding.

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Pattern Recognition Receptors (PRRs)

Receptors on immune cells that recognize common molecular patterns on pathogens. Part of innate immunity.

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Resident Phagocytic Cells

Macrophages and dendritic cells that reside in tissues, readily engulfing pathogens.

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Recruited Phagocytes

Granulocytes (neutrophils) and inflammatory monocytes which differentiate into macrophages or dendritic cells.

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Phagocytosis

The process where phagocytes engulf and internalize microbes, leading to their destruction within phagolysosomes.

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NETs (Neutrophil Extracellular Traps)

Neutrophil Extracellular Traps: expelled chromatin to capture microorganisms for efficient phagocytosis.

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RIG-I-like receptors (RLRs)

Intracellular sensors that detect viral RNA within infected cells, inducing type I interferon and inflammatory cytokines.

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RIG-I

Distinguishes viral RNA from host RNA by sensing differences at the 5’ end of single-stranded RNA transcripts; human RNA is capped, viral RNA is not.

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cGAS/STING

Cytosolic sensor of dsDNA that induces type I interferon production.

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cGAS function

In the presence of cytosolic dsDNA, cGAS converts ATP and GTP to cGAMP, which induces STING dimerization, leading to IRF3 activation and type I interferon production.

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Innate sensor activation

Triggers expression of co-stimulatory molecules in macrophages and dendritic cells.

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CD80 and CD86

Important co-stimulatory molecules, induced by TLR signaling, that are crucial for priming naïve T cells.

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Role of Adjuvants

Act as PAMPs and DAMPs to induce MHC and co-stimulatory molecule expression in antigen-presenting DCs.

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NLRP proteins

Sensors of intracellular infection and cellular damage, with a similar structure to other NLRs.

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Endothelial Activation

Endothelial activation is the change in endothelial cells induced by inflammatory mediators, leading to increased vascular diameter, adhesion molecule expression, vascular permeability, and microvessel clotting.

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Inflammatory Mediators

These include lipid mediators (prostaglandins, leukotrienes, PAF), chemokines, cytokines (especially TNF⍺), and C5a.

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Leukocyte Extravasation

The process by which leukocytes leave blood vessels and enter inflamed tissue.

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First Responders

Neutrophils are typically the first immune cells to arrive at an inflamed tissue from the blood.

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Extravasation steps

Rolling, chemokine-mediated integrin activation & tight binding, transmigration (diapedesis), and migration.

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Cell Adhesion Molecules

These control leukocyte-endothelium interactions during extravasation.

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Selectins' Role

Selectins initiate leukocyte rolling. Carbohydrate epitopes on leukocyte adhesion molecules bind to selectins.

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Activating NK Receptors

Receptors on NK cells that trigger cell activation upon ligand binding.

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Inhibitory NK Receptors

Receptors on NK cells that inhibit cell activation upon ligand binding, preventing unwanted responses.

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ITIM

An intracellular signaling motif found in inhibitory NK receptors; its phosphorylation inhibits NK cell activation.

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ITAM

An intracellular signaling motif found in activating NK receptors; its phosphorylation triggers NK cell activation.

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Innate Immunity Receptors

Germline-encoded receptors detect microbial molecules or signs of host cellular damage.

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PAMP

Molecular patterns associated with pathogens recognized by the innate immune system.

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DAMP

Molecular patterns associated with host cell damage recognized by the innate immune system.

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ROS

Reactive oxygen species that can activate NLRP3.

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Inflammasome

The protein complex formed upon NLRP3 activation.

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Pyroptosis

A type of fiery cell death involving cell rupture and release of pro-inflammatory cytokines.

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Pathogen Recognition Receptors (PRRs)

Receptors that recognize PAMPs and DAMPs, triggering immune responses.

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Inflammation roles

Delivery of effector molecules, recruitment of leukocytes, induction of local blood clotting, and promotion of tissue repair.

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Innate Immunity

The body's immediate defense against pathogens, involving cells and mechanisms that respond non-specifically.

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Pathogen-Associated Molecular Patterns (PAMPs)

Molecules associated with pathogens that are recognized by the innate immune system.

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Damage-Associated Molecular Patterns (DAMPs)

Molecules released from damaged or stressed cells that activate the innate immune system.

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Serum PRRs

Soluble PRRs found in the blood that initiate the complement pathway and opsonization.

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Phagocytic Receptors

Receptors on phagocytes that bind to pathogens to promote engulfment.

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Membrane-bound signaling receptors

Membrane-bound receptors that, upon binding to PAMPs, initiate signaling cascades leading to cytokine production.

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Cytoplasmic Signaling Receptors

Intracellular receptors that detect pathogens within the cell and activate inflammatory responses.

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NOD receptors

A group of cytoplasmic signaling receptors that detect intracellular pathogens and activate inflammatory responses.

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Study Notes

Cell-Mediated Immunity

  • Janeway's Immunobiology Chapter 3 addresses questions about pathogen detection in cell-mediated immunity.
  • Innate immune response occurs in a min-days timeframe.
  • Adaptive immune response occurs in a days-weeks timeframe and can extend to potentially life-long immunity.
  • Innate immune response precedes the adaptive immune response

Pattern Recognition Vocabulary

  • Essential vocabulary includes PRRs, PAMPs, and DAMPs.

Defense Mechanisms

  • Microbes are ingested and killed by tissue resident and recruited phagocytes.

Phagocyte Antimicrobial

  • Antimicrobial mechanisms involve bacteriostatic or bactericidal processes at a pH of 3.5-4.0.
  • Neutrophils use α-Defensins (HNP1-4), β-defensin HBD4, cathelicidin, azurocidin, bacterial permeability inducing protein (BPI), lactoferricin.

Respiratory Burst

  • Bacterial fMet-Leu-Phe peptides activate Rac2 and begin phagocytosis in phagosomes.

Neutrophils

  • Dead and dying neutrophils are a major component of the pus, called Eiter.

Toll-like receptors

  • Cytokine and chemokine production is a result of PRR signaling and was predicted by Charles Janeway Jr. based on the observation that adjuvants are necessary to induce immunity of purified antigens.
  • Jules Hoffmann discovered the first example of such a receptor in 1996 as homologs of Toll, called Toll-like receptors (TLRs).
  • Toll signaling expression of host-defense mechanisms in fruit flies.

Mammalian TLRs

  • 10 expressed TLR genes exist in humans, and 12 exist in mice.
  • Each TLR recognizes a distinct set of pathogen-associated molecular patterns (PAMPs).
  • These act as sensors for microbes in extracellular/intracellular (endosomes) spaces.

Examples

  • TLR-3: double-stranded RNA – often present in viruses.
  • TLR-7 and TLR-8: single-stranded RNA – often in viruses.
  • TLR-9: DNA with unmethylated CpG motifs - often present in bacteria.

TLR4

  • LPS has multiple fatty acyl chains linked to a glycan head to bind to a pocket within MD-2.

TLR Signaling

  • Ligand-induced dimerization of two TLR ectodomains brings the cytoplasmic TIR domains together, and then Cytoplasmatic adaptor molecules interact.

Innate Cytosolic PRRs: NOD-like receptors (NLRs)

  • NLRs respond to bacterial infection and celluler damage in epithelial cells.
  • NOD proteins reside in the cytoplasm in an inactive form, however binding will stimulate.
  • NOD will then recruite RIP2 and active NFkB.

RLR

  • RIG-I discriminates between host and viral RNA by sensing differences at the 5' end of single-stranded RNA transcripts (ssRNA).
  • Human RNA is capped – viral RNA typically isn't

Pattern Recognition Receptors

  • Activation of innate sensors in macrophages and dendritic cells triggers expression of co-stimulatory molecules.

Extravasation

  • Extravasation has 4 steps, in a matter of seconds!
  • Flow
  • Rolling
  • Integrin
  • Migration

Morbus Crohn causes

  • Mutations in NOD2 decrease its ability to detect intracellular bacterial infections; no cytokines/antimicrobial peptides are induced.
  • Weakens the antimicrobial barrier.
  • Causes that the microbiota transcytosis leads to inflammation!
  • Leads to that it is caracteristic
  • Is treated in an acute phase reaction

Acute Response

  • Is when there is a virus, which has some clinical aspects
  • Neutrophils mobile,
  • Has produced more than the CRP in the liver
  • Response comes from endotoxins or exogenous, that is on fat or dendrite tissue response

NK Cells

  • Use a balance between activating and inhibitory receptors to determine if it kills a target cell
  • Missing MHC class I = Cannot stimulate negative signal

NKG2D receptors

  • Ligands for NKG2D are MHC like.
  • Expression is induced by cellular stress.

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