Lecture 18

1.
What are the key events during infection?= Transmission, adhesion, overcome barriers, spread, evasion, disease.
2.
What microbial factors effect our response to microbes? (3)
Type of microbe, dose, virulence
3.
What host factors affect our response to microbes? (3)
Physical barriers, adaptive immune system, genetic capacity
4.
What are our physical barriers against microbes? (4)
Skin, oral mucosa, respiratory epithelium, intestine.
5.
What complement is first to encounter pathogens?
C3
6.
Which innate immune cells respond rapidly to infection? (3)
Macrophages, granulocytes, natural killer cells
7.
Which adaptive immune cells respond to pathogens? (3)
B cells, T cells, plasma cells
8.
What are immune factors that oppose infection?
Neutralisation by antibodies, opsonisation, complement, MHC cytotoxicity, inflammation, antiviral cytokines
9.
What is the most common receptor of macrophages?
TLR 4
10.
What does TLR 4 bind? (2)
LPS from gram negative bacteria, lipoteichoic acid from gram positive bacteria
11.
What are some CD 4 +ve T cells? (4)
TH1, TH2, TH17, Treg
12.
13.
What do TH2 cells do?
B cell interaction, IgE antibody production, eosinophil activation
14.
What do TH17 cells do?
Activation  of neutrophils, AMPs, G-CSF, M-CSF
15.
What are the activation paths of complement? (3)
Lectin, classical, alternative
16.
What are the effects of complement activation?
Lysis, chemotaxis, opsinisation
17.
18.
What binds the pathogen in the classical pathway?
CIq
19.
What binds the pathogen in the alternative pathway?
C3 cleaved into C3a and C3b, C3b binds pathogen
20.
What do all pathways have in common?
C3b binds pathogen
21.
How do bacteria evade complement?
Capsule
22.
What bacteria has genes for capsule production?
S. pnemonia
23.
What bacteria grow inside immune cells? (2)
Mycobacterium tuberculosis, M. leprae
24.
How does the sarcs-cov virus affect the IFN response?
Delays release of IFN causing dysregulation of the immune response