Describe conditions and mechanisms associated with tolerogenic and inflammatory responses occurring
in barrier tissues including cell types and cytokines involved. - Answers Tolerogenic: Microorganisms
come into contact with tolerogenic DCs that release IL-10 and TGF-B and activate IgA releasing B cells, IL-
10 and TGF-B dampen the pro inflammatory responses
Proinflammatory response: microorganisms activate a DC either through the surface of the epithelial
cells or a n M cell engulfs the microorganism giving it access to the DC. The active DC recruits and
activates TH1, TH17, and CD4+T cells (innate lymphoid cells) that produce pro-inflammatory cytokines
including IFN-y, IFN-a, and IL-17 that also recruit granulocytes
Name and describe the basic functions of cells involved in lung immunology. - Answers club cells, goblet
cells, M cell
Describe differences between type 1 and type 2 inflammatory responses in the lung. - Answers Type 1:
robust and cell mediated, infected by viruses, bacteria, and fungi, that attach to TLRs on DC which either
activate NF-kB or NLRs that activate caspases then they activate IL-17, IL-23, and IL-1B which activate
Cytotoxic T cells, TH1, and TH17 ad take further steps that result in amps cytokines recruiting
granulocytes, NK cells, or macrophages that will kill infected cells or clear the pathogen
Type 2: caused by worms and allergens through cell damage, recruits Il-25, IL-33, TSLP and use TH2, and
TH9 that either will induce mucus production or will kill the worm/recruit effector cells
Describe how the type of infectious agent and its route of entry influences the immune response. -
Answers
Describe the basic attributes of a virus and plausible effector responses the immune system uses to
counter a virus. - Answers TLRs - activate inflammasome
NLRs- secrete cytokines
RLRs- CTL and NK cell activity
CTLs activated by TH1-lisenced DC are the primary method of killing a virus
Understand how evolution has shaped long-standing relationships between hosts and pathogens and
how it can shape the response in an individual. - Answers pathogens evolve ways to evade the immune
system
,Describe several ways in which a virus can evade the immune system. - Answers - viruses have time and
numbers on their side
- evade IFN-a/B by inhibiting PKR (stops viral synthesis)
- Inhibit antigen presentation by inhibiting TAP on MHC 2
-attacks immune cells (immunosuppression) by reducing number of cells we have and shuts off
inflammatory response by expressing an inhibitory cytokine
- constantly changes surface antigens so it stays undetectable
Describe some of the causes and challenges associated with emerging and reemerging infectious
disease. - Answers - combinations of disease
- improper antibiotic use confers antibiotic resistance
- changes in virulence factors
- environmental and geographic changes
- zoonotic pathogens
-laxity in vaccination
Describe different types of vaccines and their advantages and disadvantages. - Answers vaccines provide
active immunity
- they should be safe, effective, and achievable delivery in desired population
IL-10 and TGF-B - Answers Suppress immune responses , inhibit anti tumor response, tolerogenic, anti-
inflammatory
IL-17 - Answers combats extracellular pathogens in barrier tissue, autoimmunity tissue inflammation,
pro-inflammatory
type 1 lung response
IFN-a IFN-y - Answers combats intracellular pathogens, activates macrophages, tissue inflammation
T reg, TH1, TH17 - Answers TReg recruits IL-10 and TGF-B : anti-inflammatory
TH17 recruits IL-17 : pro-inflammatory
TH1 recruits IFN-y and TNF: pro-inflammatory
ILCs - Answers innate lymphoid cells aka NK cells
, - no memory or specificity
- kill *tumors*
- kill viral infected cells
two mechanisms
- MHCI receptor
- *ADCC*
Club Cell - Answers Respiratory tract-specific epithelial cell that secretes protective molecules
Goblet Cell - Answers epithelial cells that secrete gel-forming mucins; implicated in delivery of
tolerogenic antigens to CD103+ DC
M cell - Answers epithelial cells that play a special role in antigen uptake
Type 1 inflammatory response - Answers Intracellular pathogens inducing cell-mediated immunity (most
viruses, some bacteria & fungi)
ex: NK cells recognize and kill infected cells displaying influenza hamagglutinin
Type 2 inflammatory response - Answers pathogens inducing humoral immunity particularly
extracellular parasites (worms) using Phils and mast cells
Virulence - Answers is a pathogens ability to infect or damage a host cell
Infectious Dose - Answers amount of an infectious agent necessary to make a person sick
Antigenic Drift - Answers A process by which point mutations in influenza virus genes cause differences
in the structure of viral surface antigens. This causes year-to-year antigenic differences in strains of
influenza virus.
slow accumulation of mutations in surface antigens
Antigenic Shift - Answers the process by which two or more different strains of a virus, or strains of two
or more different viruses, combine to form a new subtype having a mixture of the surface antigens of
the two or more original strains.