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Host defences. Resistance to and recovery from bacterial infections. Barriers to infection and innate host defences. And. Phagocytic cells polymorphonuclear phagocytes (PMNs, neutrophils) macrophages and monocytes Complement system lyse and bacteria opsonise bacteria
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Host defences Resistance to and recovery from bacterial infections
Barriers to infection and innate host defences And Phagocytic cells polymorphonuclear phagocytes (PMNs, neutrophils) macrophages and monocytes Complement system lyse and bacteria opsonise bacteria Iron binding proteins Starve microbes for iron
Phagocytes Polymorphonuclear leucocytes – neutrophils Macrophages
Only found in inflamed tissues Single mature form Rapidly form pus Short lived Die after phagocytosis Found in healthy tissues Variety of mature forms Slowly form granuloma – with T-cell help Long lived Survive after phagocytosis Neutrophils V Macrophages Neutrophils Macrophages
Phagosome Lysosome Phagolysosome H+ Phagocytosis and bacterial destruction Phagocytosis Oxidative burst
Activated macrophages • Enhanced antibacterial activity • Enhanced respiratory burst • Production of nitric oxide • Enhanced phagolysosome fusion • Enhanced secretion of pro-inflammatory cytokines
How do host cells recognise foreign invaders? • Recognise conserved molecules present on many pathogens • Recognise essential component • little opportunity to vary • Bacterial molecules that have these characteristics • Lipid A (LPS), G –ve bacteria • Peptidoglycan, mainly G +ve bacteria • Bacterial DNA, all bacteria • Bacterial lipoproteins, all bacteria
TLR-2 TLR-4 TLR-5 TLR-9 Pattern-recognition receptors Toll-like receptors (TLRs) Peptidoglycan, Lipoproteins LPS, lipid A Flagellin Bacterial DNA
Cytokine production by macrophages and their effects LPS, peptidoglycan etc Inflammation IL-1, IL-6, TNF TH2 T cell development IL-1 Fever IL-1, IL-6 TH1 T cell development IL-12 Enhanced IFN production by TH1 T cells IL-18 Acute phase response IL-1, IL-6, TNF Activation of M TNF IL-12 (via NK cells producing IFN) B cell development IL-6 Attract Neutrophils, monocytes & T cells IL-8, CCL2, CCL3, CCL4, CCL5.
Figure 2-45 Inflammatory response
Adaptive immune response • Function of the adaptive immune response • Amplify, focus and augment the activity of components of the innate immune system • Complement • Phagocytes • Memory of contact with pathogen • rapid, amplified response on subsequent contact
Antigen processing and presentation Dendritic cells (DC), macrophages, B cells Secretion of cytokines Macrophages, DC, NK cells, others MHC class I - CD8+ T cells MHC class II - CD4+ T cells Activation, proliferation and differentiation of Lymphocytes T helper cells (CD4+) Cytotoxic T cells (CD8+) B cells, Plasma cells Provide help for B cells, Macrophage activation, Cytotoxic T cells Lysis of infected cells Produce antibodies Induction of the acquired immune response Encounter of leucocytes with bacteria or their products
Roles of effector T helper cells TH1 T cell TH2 T cell IFN TNF TNF others IL-4 IL-5 IL-6 IL-10 IL13 others Attraction and activation of macrophages Proliferation and secretion of antibody by B cells
Function of antibodies in bacterial infections Antibody mediated immunity Inhibit nutrient uptake Anti-transporter Anti-capsules Anti-LPS Anti-surface antigen Opsonisation Anti-adhesins, anti-invasins Anti-toxins Inhibit adhesion and invasion Neutralisation of toxins
Immunoglobulin A • Major Ig at mucosal surfaces • IgA plasma cells –Lamina Propria • IgA good: • Neutralisation • Anti-adhesion • Agglutination • IgA poor: • C’ activation • Phagocytosis • Poor inflammation