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40 Cards in this Set

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What are the first lines of defense against infection?
Physical barriers (epithelium)
- Skin
- Mucuous

Chemical
- Lysozyme
- Low pH of stomach

Normal flora
- Compete with invaders
What are the two basic divisions to defense against pathogens?
Soluble

Cellular
What are collectins and where are they found?
Part of the soluble defense found in serum and mucus
What is the general structure of collectins?
"Col" - collagen helix
"Lectin" - sugar-binding domain (x2)
What happens with a collectin deficiency?
Increased susceptibility to infection and disease
What do collectins do?
Bind microbes via carbohydrate receptors

Opsonizes pathogens

Activate complement
What is "opsonization?"
Making microbes more appetizing to phagocytes by attaching molecular handles to them
What is complement?
A series of 11 proteins in the serum that undergo a protease cleavage cascade to either:
- Stimulate inflammation
- Opsonize pathogen
- Kill pathogen
What are the three major ways of activating complement?
Innate:
- Lectin pathway
- Alternative pathway

Adaptive:
- Classical
Describe the lectin pathway of complement activation (mechanism)
1. Collectins bind microbe

2. Proteases recruited to cleave early complement components and start cascade
Describe the alternative pathway of complement activation (mechanism)
1. Since 3rd component of complement spontaneously hydrolyzes and is inactivated, C3b must bind microbe

2. C3b activated and recruits more complement activation
Describe the classical pathway of complement activation (mechanism)
1. Antibody binds microbe and initiates complement cascade
After when in the complement cascade are all three pathways identical?
C3
What happens when a complement component is cleaved?
Cleaved into two parts:
- Cxa: soluble, inflammatory
- Cxb: binds microbe surface
What does C3a do?
Inflammatory response
What does C3b do?
Opsonizes pathogen

Punches pores in the cell leading to lysis
What does C5a do?
Inflammatory response
What do the later complement components do?
Generally lead to lysis of the cell
What are TLRs, NLRs, and RLRs?
Receptors of the innate immune response
Where are TLRs, NLRs, and RLRs found?
TLR - Cell surface of endosomes and phagosomes

NLR - Cytososl

RLR - Cytosol
How does the innate immune response accomplish broad detection with so few sensors?
Notice that:
- Cells are different than mammalian cells
- Have characteristics shared by a variety of microbes and are different than the host
By what immune response are RNA viruses in endocytic vacuoles recognized
TLR3
By what immune response are RNA viruses in the cytosol recognized?
RLRs
What to TLR3 and RLRs do when they encounter dsRNA from viruses?
Express IFN-1
What does IFN-1 do?
Antiviral when there's dsRNA present:
- Interferes with virus reproduction via PKR, oligo A-synthetase, MX)
- Stimulates NK cells
What condition is IFN-1 used to treat?
Chronic viral hepatitis
What are macrophages and what do they do?
Leukocytes:
- Phagocytosis of microbes and debris
- Produce inflammatory mediators
What is the reticuloendothelial system?
Mononuclear phagocyte system
What sites in the body have the most reticuloendothelial cells and why?
Liver

Spleen

Bone marrow

These all filter blood
What is bacteremia?
Circulating bacteria
What do mast cells do?
Landmines that degranulate histamine with trauma and in immune responses

Also produce cytokines
What are monocytes and what do they do?
Circulating patrollers that are drawn to sites of inflammation and differentiate into macrophages
What do neutrophils do?
Phagocytic granulocyte that kill bacteria by:
- Highly reactive O2 species
- Toxic granules
What do eosinophils do?
Kill parasites

Allergies
What do basophils do?
Allergies (?)

~ Mast cells
What are the cardinal signs of inflammation?
Heat

Redness

Pain

Swelling

(Pus if bacterial)

(Loss of function)
What is the modern definition of inflammation?
A response to injury of vascularized tissues whereby fluid and blood cells accumulate
What are the basic threats from an injury?
Bleeding

Infection

Cell death
What are the purposes of inflammation?
Destroy and wall off injurious agents

Remove casualties

Repair damage
How long can infection last?
As long as is needed to eliminate the cause and repair damage

Acute: hours/days

Chronic: weeks/years or persistent