Innate Host Resistance Lecture Notes PDF

32 Innate Host Resistance 1 2 33.2 Physical and Mechanical Barrier Defenses of Innate Resistance 1. Identify the barriers that help prevent microbial invasion of the host 2. Explain how the physical and chemical barriers function to prevent microbial invasion of the host 3. Relate host anatomy and s...

32 Innate Host Resistance 1 2 33.2 Physical and Mechanical Barrier Defenses of Innate Resistance 1. Identify the barriers that help prevent microbial invasion of the host 2. Explain how the physical and chemical barriers function to prevent microbial invasion of the host 3. Relate host anatomy and secretions to the success of innate resistance strategies 3 Physical Barriers in Nonspecific (Innate) Resistance Effectiveness impacted by: – direct factors nutrition, physiology, fever, age, and genetics – indirect factors personal hygiene, socioeconomic status, and living conditions Along with host’s secretions (flushing), barriers = first line of defense against microbes 4 Skin Strong mechanical barrier to microbial invasion – keratin produced by keratinocytes in outer layer Inhospitable environment for microbes – attached organisms removed by shedding of outer skin cells – pH is slightly acidic – high NaCl concentration – subject to periodic drying 5 Mucous Membranes Form protective covering that resists penetration and traps many microbes Are often bathed in antimicrobial secretions which contain a variety of antimicrobial substances – lysozyme hydrolyzes bond connecting sugars in peptidoglycan – lactoferrin secreted by activated macrophages and PMNs sequesters iron from plasma – lactoperoxidase produces superoxide radicals 6 Respiratory System Turbulent air flow deposits microbes onto mucosal surfaces Mucociliary blanket – mucous secretions trap microbes – once trapped, microbes transported away from the lungs (mucociliary escalator) expelled by coughing or sneezing salivation washes microbes to stomach Alveolar macrophages – phagocytic cells in alveoli of lungs 7 Gastrointestinal Tract Stomach – gastric acid Intestines Intestines – shedding of columnar epithelial cells – pancreatic enzymes – secretory IgA – bile – normal microbiota – intestinal enzymes – Paneth cells – GALT produce lysozyme – peristalsis produce cryptins 8 Genitourinary Tract Unfavorable environment for foreign microbes – low pH of urine and vagina – vagina has lactobacilli – urea and other toxic metabolic end products in urine – hypertonic nature of kidney medulla Flushing with urine and mucus Distance barrier of male urethra 9 The Eye Mucus secreting epithelial membrane Flushing action of tears Lysozyme, lactoferrin, and secretory IgA in tears 10 Question 1 The skin surface (epidermis) is a very unfavorable environment for colonization by many different microorganisms. True False 11 33.3 Chemical Mediators in Innate Resistance 1. Discuss host mediators that have antimicrobial actions 2. Describe in general terms the activation of the host complement system and its three outcomes 3. List the four categories of cytokines and discuss their major functions 4. Correlate host protection from microbial invasion with specific mediators 12 Chemical Mediators in Nonspecific (Innate) Resistance Many already noted (e.g., gastric juices, lysozyme, urea) A variety of defensive chemicals such as defensins and other polypeptides are also found in blood, lymph, and other body fluids 13 Antimicrobial Peptides Cationic peptides – highly conserved through evolution – three classes whose biological activity is related to their ability to damage bacterial plasma membranes – first class: linear, alpha-helical peptides that lack cysteine amino acid residues e.g., cathelicidin, produced by a variety of cells 14 Cationic Peptides… Second class: defensins – peptides that are open-ended, rich in arginine and cysteine, and disulfide linked – found in neutrophils, intestinal Paneth cells and intestinal and respiratory epithelial cells Third class: larger peptides that are enriched for specific amino acids and exhibit regular structural repeats – e.g., histatin, present in human saliva and has anti-fungal activity 15 Bacteriocins Peptides produced by normal microbiota Lethal to related species Produced by Gram-positive and Gramnegative cells e.g., colicins produced by E. coli e.g., lantibiotics produced by Gram-positive bacteria 16 The Complement System Composed of >30 serum proteins Augments (or “complements”) the antibacterial activity of antibody Three major activities: – defending against bacterial infections – bridging innate and adaptive immunity – disposing of wastes 17 Opsonization Process in which microbes are coated by serum components (opsonins) in preparation for recognition/ingestion by phagocytic cells Some complement proteins are opsonins – bind to microbial cells, coating them for phagocyte recognition 18 Other Functions of Complement Proteins Function as chemotactic signals that recruit phagocytes to their activation site Puncture cell membranes causing cell lysis Many complement activities unite the nonspecific and specific arms of the immune system to destroy and remove invading pathogens 19 Complement Activation Produced in inactive forms Activated following enzymatic cleavage Must be activated in cascade fashion Three pathways of activation – alternative – lectin – classical 20 21 Cytokines Soluble proteins or glycoproteins that are released by one cell population that act as intercellular mediators or signaling molecules Three proposed groups based on function – regulators of innate resistance mechanisms – regulators of adaptive immunity – stimulators of hematopoiesis 22 23 Cytokines… Monokines – released from mononuclear phagocytes Lymphokines – released from T lymphocytes Interleukins – released from one leukocyte and act on another leukocyte Colony stimulating factors (CSFs) – stimulate growth and differentiation of immature leukocytes in bone marrow 24 More about Cytokines Cytokine production is induced by nonspecific stimuli (infection), inflammation, T cell-antigen interactions Autocrine function – affect same cell responsible for their production Paracrine function – affect nearby cells Endocrine function – spread by circulatory system to distant target cells 25 Cytokines Biological Effects Must bind to specific receptors on target cells Many activities – e.g., differentiation, proliferation, apoptosis – chemokines stimulate chemotaxis and chemokinesis (direct cell movement) 26 Acute Phase Proteins Macrophage activation by bacteria  cytokine release  liver stimulation  acute phase protein production – includes C-reactive protein (CRP), mannanbinding lectin (MBL), surfactant proteins A (SP-A) and D (Sp-D) can bind bacterial surfaces and act as opsonins 27 33.4 Cells, Tissues, and Organs of the Immune System 1. Recognize the different types of leukocytes involved with innate resistance 2. Outline the leukocyte response to microbial invasion 3. Integrate leukocyte distribution within the host with host resistance 4. Differentiate between primary and secondary lymphoid organs and tissues in terms of structure and function 5. Predict connections between innate host resistance and specific immune responses 28 Cells of the Immune System Granulocytes Mast cells Monocytes and macrophages Dendritic cells Lymphocytes Each has specialized role in defending host Leukocytes – white blood cells – involved in both specific and nonspecific immunity – all arise from pluripotent stem cells 29 30 31 Mast Cells Bone marrow-derived cells Differentiate in blood and connective tissue Contain granules containing histamine and other pharmacologically active chemicals Play important role in development of allergies and hypersensitivities 32 Granulocytes Irregularly-shaped nuclei with two to five lobes Cytoplasm has granules with reactive substances – kill microbes, enhance inflammation Three types – basophils, eosinophils, neutrophils (polymorphonuclear neutrophil (PMN)) 33 Basophils Stain bluish-black with basic dyes Nonphagocytic Release vasoactive mediators – e.g., histamine, prostaglandins, serotonin, and leukotrienes from granules Play important role in development of allergies and hypersensitivities 34 Eosinophils Stain red with acidic dyes Defend against protozoan and helminth parasites Release cationic proteins and reactive oxygen metabolites May play a role in allergic reactions 35 Neutrophils Stain at neutral pH Highly phagocytic Circulate in blood then migrate to sites of tissue damage Kill ingested microbes with lytic enzymes and reactive oxygen metabolites contained in primary and secondary granules 36 Monocytes and Macrophages Highly phagocytic cells Monocytes – are mononuclear phagocytic leukocytes – after circulating for ~8 hours, mature into macrophages Macrophages – larger than monocytes, reside in specific tissues, highly phagocytic – have a variety of surface receptors (including pattern recognition receptors) bind pathogen associated molecular patterns (PAMPs) – named according to tissue in which they reside 37 Dendritic Cells Heterogeneous group of cells with neuron-like appendages – from lymphoid and myeloid lines Present in small numbers in blood, skin, and mucous membranes of nose, lungs, and intestines – also express pattern recognition receptors – contact, phagocytose, and process antigens  display foreign antigens on their surfaces (antigen presentation) 38 Lymphocytes Major cells of the immune system Major populations include T cells, B cells, and natural killer (NK) cells B and T lymphocytes differentiate in bone marrow from stem cells – are only activated by binding of specific antigen onto lymphocyte surface receptors – after activation replication continues as lymphocytes circulate and enter lymphoid tissue – memory cells are activated lymphocytes that do not immediately replicate, but will do so later in host’s life when antigen is again present 39 B Lymphocytes B cells (B lymphocytes) – mature in bone marrow – circulate in blood – can settle in lymphoid organs – after maturation and activation are called plasma cells and produce antibodies 40 T Lymphocytes (T cells) Mature in thymus Can remain in thymus, circulate in blood, or reside in lymphoid tissue Like B cells, require antigen binding to surface receptors for activation and continuation of replication Activated T cells differentiate into helper T cells (TH) and cytotoxic lymphocytes (CTLs) Secrete cytokines, chemicals that have effects on other cells, are produced and secreted by activated T cells 41 42 Natural Killer (NK) Cells Small population of large non-phagocytic granular lymphocytes – important role in innate immunity – kill malignant cells and cells infected with pathogens by releasing granzymes (cytotoxic enzymes) Two ways of recognizing target cells – bind to antibodies which coat infected or malignant cells (antibody-dependent cell-mediated cytotoxicity (ADCC) – recognizes cells that have lost their class I major histocompatibility antigen due to presence of virus or cancer 43 44 Organs and Tissues of the Immune System Primary organs and tissues – sites where lymphocytes mature and differentiate into antigen-sensitive mature B and T cells Secondary organs and tissues – areas where lymphocytes may encounter and bind antigen followed by proliferation and differentiation into fully mature effector cells 45 Primary Lymphoid Organs and Tissues Thymus – precursor cells move / enter from bone marrow and proliferate – thymic deletion removes T cells recognizing self antigens – remaining cells become mature T cells – enter bloodstream and recognize nonself antigens Bone marrow – site of B cell maturation in mammals – maturation involves removal of nonfunctioning and self-reactive cells 46 Secondary Lymphoid Organs and Tissues Spleen – most highly organized lymphoid organ – filters blood – macrophages and dendritic cells trap microbes and antigens present antigens to B and T cells – most common way that lymphocytes become activated to carry out their immune functions 47 Secondary Lymphoid Organs and Tissues Lymph nodes – most highly organized lymphoid tissue – filter lymph – microbes and antigens trapped and phagocytosed by macrophages and dendritic cells – B cells differentiate into memory and plasma cells within lymph nodes 48 Secondary Lymphoid Organs and Tissues Lymphoid tissue – located throughout the body – serve as interface between innate and acquired host immunity – act as areas of antigen sampling and processing – some lymphoid cells are found closely associated with specific tissues e.g., skin-associated lymphoid tissue (SALT) e.g., mucous-associated lymphoid tissue (MALT) 49 Skin Associated Lymphoid Tissue (SALT) Contains specialized cells – Langerhans cell dendritic cell that can phagocytose antigens differentiates into interdigitating dendritic cell – presents antigen to and activates T cells – intraepidermal lymphocyte function as T cells 50 Mucosal-Associated Lymphoid Tissue (MALT) Specialized immune barrier – gut-associated lymphoid tissue (GALT) – bronchial-associated lymphoid tissue (BALT) – urogenital system MALT 51 Question Which of the following releases histamine? A. mast cells B. natural killer cells C. plasma cells D. eosinophils E. none of the choices 52 33.5 Phagocytosis 1. Explain the methods by which pathogens are recognized by phagocytes 2. Describe the process of autophagy and phagocytosis 3. Forecast how biochemical activities within the phagocyte result in pathogen destruction 53 Phagocytosis Process by which phagocytic cells (monocytes, tissue macrophages, dendritic cells, and neutrophils) recognize, ingest, and kill extracellular microbes Two mechanisms for recognition of microbe by phagocyte – opsonin-independent (nonopsonic) recognition – opsonin-dependent (opsonic) recognition Phagocytosis can be greatly increased by opsonization 54 Pathogen Recognition Opsonin-independent mechanism – pathogen recognition common pathogen components are non-specifically recognized to activate phagocytes – signaling mechanism involved – involves nonspecific/specific receptors on phagocytes – four main forms: recognition by lectin-carbohydrate interactions recognition by protein-protein interactions recognition by hydrophobic interactions detection of pathogen-associated molecular patterns (PAMPs) by pattern recognition receptors (PRRs) 55 Pathogen-Associated Molecular Patterns (PAMPs) Based on detection, by phagocytes, of conserved microbial molecular structures that occur in patterns PAMPs are unique to microbes, not present in host – e.g., lipopolysaccharide (LPS) of Gram-negative bacteria – e.g., peptidoglycan of Gram-positive bacteria PAMPs recognized by pattern recognition receptors (PRRs) on/in phagocytic cells – PRRs can work alone or together to trigger phagocytes 56 Toll-Like Receptors (TLRs) A class of PRRs that function exclusively as signaling receptors Recognize and bind unique PAMPs of viruses, bacteria, or fungi – the binding triggers an evolutionarily ancient signal and is communicated to the host cell nucleus which initiates the host response 57 58 Intracellular Digestion Once bound, microbes can be internalized and delivered to a lysosome to become a phagosome – respiratory burst reactions occur once phagosome forms – toxic oxygen products are produced which can kill invading microbes 59 Intracellular Digestion phagolysosome – vacuole which results from fusion of phagosome with lysosome – Contains toxic chemicals e.g., degradative enzymes e.g., toxic reactive oxygen intermediates (ROIs) e.g., reactive nitrogen intermediates (RNIs) 60 Exocytosis Process used by neutrophils to expel microbial fragments after they have been digested – Phagolysosome unites with cell membrane – results in extracellular release of microbial fragments Macrophages and dendritic cells undergo process called antigen presentation – move fragments from phagolysosome to endoplasmic reticulum – peptide fragment components combine with glycoproteins, becoming part of cell membrane peptides bound so they are ultimately presented outward from the cell 61 Antigen Presentation Important process because it allows wandering lymphocytes to become activated Links nonspecific and specific immune responses 62 33.6 Inflammation 1. Outline the sequence of innate host responses that result in inflammation 2. Distinguish acute and chronic inflammation in terms of the host responses involved in each 3. Construct a concept map relating host cells and processes that remove pathogens 63 Inflammation Nonspecific response to tissue injury – can be caused by pathogen or physical trauma – acute inflammation is the immediate response of body to injury or cell death Cardinal signs of acute inflammation – – – – – redness (rubor) warmth (calor) pain (dolor) swelling (tumor) altered function (functio laesa) 64 Acute Inflammatory Response The release of inflammatory mediators from injured tissue cells initiates a cascade of events which result in the signs of inflammation Involves chemical mediators – selectins cell adhesion molecules on activated capillary endothelial cells – integrins adhesion receptors on neutrophils – chemotaxins chemotactic factors released by injured cells 65 Acute Inflammatory Response Various processes occur – margination – diapedesis – extravasion 66 Chronic Inflammation Slow process Involves formation of new connective tissue Usually causes permanent tissue damage Dense infiltration of lymphocytes and macrophages at site of inflammation – granuloma walled off area formed when phagocytic cells can’t destroy pathogen 67 Question 2 Pathogen associated molecular patterns (PAMPs) include: A. lipopolysaccharide. B. peptidoglycan. C. phospholipids of the cytoplasmic membrane. D. two of the choices E. all of the choices 68