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BHCS2006 - Infection and Immunity - COMPLETE immune summary

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A complete summary of all of the aspects of immunity for the BHCS2006 infection and immuntity exam at University of Plymouth.

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November 10, 2023
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Immunity Cheat Sheet



Innate Immune System

 The innate immune system consists of

o Epithelial Barriers

o Inflammation

o Antimicrobial peptides

o Cytokines

o Complement

o Phagocytic cells

 Phylogenetically conserved

 Recognises PAMPs

o Binds to pattern recognition receptor which causes immune cell activation and
pathogen elimination

 Immediate response and non-highly specific



Cytokines and Chemokines

 Cytokines initiate an inflammatory response on endothelium and activate an acute phase
response

 Chemokines are secreted protein

 Cytokine production is induced from binding of a ligand to receptor to stimulate signalling
pathways that activate transcription factors to allow gene expression



Acute Phase Response

 The acute-phase response is the term given to the coordinated series of events that occur
non-specifically in response to infection, inflammation, or trauma

 IL1 and IL6 enter liver hepatocytes and release acute phase proteins which activate
complement opsonisation



Complement System

 3 Pathways for complement activation

o Classical

 Antibody/antigen complexes

, o Lectin

 Binding to mannose, glucose and lectin

o Alternative

 C3b binds to pathogen

 Opsonisation

o Enhancement of phagocytosis by coating with C3b to microbe

o Opsonisation of microbe by IgG

o Binding of opsonised microbes to phagocyte Fc receptors

o Fc receptor signals activate phagocyte and causes phagocytosis of microbe

 Inflammation

o Increase of blood vessel permeability and chemotactic attraction of phagocytes

o Binding of C3b to microbe causes release of C3a, proteolysis of C5, releasing C5a

o Recruitment and activation of leukocytes by C6a and C3a

o Destruction of microbes by leukocytes

 Cytolysis

o Bursting of microbe due to inflow of extracellular fluid through transmembrane
attack complex

o Binding of C3b to microbe activates complement components and forms membrane
attack complex

 The complement system is regulated by a number of factors like factor I, H and C1 inhibitor

o A deficiency is C1 inhibitor causes an increase in classical pathway activation



Immune Recognition

 The immune system recognises threats using microbial associated molecular patterns

 The recognition of PAMPs is mediated by

o Toll like receptors

o NOD-like receptors

o RigI like receptors

o C-type lectin receptors

 DAMPs (damage associated molecular patterns) are molecules released from necrotic
peptides

, Toll-Like Receptors

 TLR5 recognises flagellin

 TLR7 recognises viral ssRNA

 TLR9 recognises CpG DNA

 TLR4 recognises LPS



NFkB

 NFkB regulates

o Inflammatory cytokines

o Chemokines

o Adhesion molecules

o Immune effector molecules

o Pro-survival molecules



Inflammation

 In response to infection or injury, cells produce inflammatory mediators

o Inflammatory mediators act on blood vessels

o Immune cells and molecules in plasma enter the tissue

o Coagulation is initiated

o Inflammation switched off by anti-inflammatory mediators

 Inflammation is regulated by

o Cytokines

o Receptor antagonists

o Lipids

o Drugs like NSAIDs

 Inflammation is driven by the inflammasome

o PAMPs and DAMPs activate caspase 1 which activates IL1 beta and IL18 which drives
inflammation

 Inflammation causes

o Vasodilation

 Increases delivery, temperature and removes toxins
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