Innate and Adaptive Immune Mechanisms

  • What are centroblasts, centrocytes, immunoblasts, and plasmablast (8)
    • Centroblasts: Activated B cell, enlarged, rapidly proliferating in the germinal centre of a lymphoid follicle
    • Centrocytes: Non-dividing progeny of centroblasts
    • Immunoblast: Lymphocyte that has been activated by an antigen, that further undergoes clonal expansion
    • Plasmablast: precursor of plasma cell that is derived from an antigen-presenting B cell that has been activated and proliferated
  • Briefly describe the effectors of innate immunity under the following: Cellular effectors, Non-cellular effectors
    • Cellular effectors
      • Granulocytes:
        • Eosinophils: Allergic reactions, Helminth infections
        • Basophils: Allergy
        • Neutrophils: Acute inflammation
      • Natural Killer cells: Immune-surveillance
      • Mast cells: Allergic reactions
      • Macrophages and Dendritic cells: Antigen presenting cells
    • Non-cellular effectors
      • Physical barriers:
        • Skin and mucous membranes: Tight junctions, ciliary function, symbiosis with microorganisms, MALT
        • Coughing and sneezing reflex
      • Biochemical barriers:
        • Body secretions: Lactoferrin, Lysozyme, Acid Hydrolysase, RNAses, Defensins, Acids
        • Exocytosis of cytotoxic molecules and proteins: Major basic protein, Superoxide, Hypochlorite, Hydrogen peroxide, Hydroxyl radicals, Nitric oxide
      • Humoral defenses
        • Acute phase proteins: Hepcidin, C-reactive protein, transferrin
        • Complement proteins: Bind to Fc complement binding portion on Immunoglobulins, Lectin or antimicrobial surfaces

What are the differences between the key features of the Innate and adaptive immunity

Innate immune systemAdaptive immune system
Key componentsPhysical and Biochemical barriers, Complements, Antigen presenting cells, Granulocytes, NK cellsB cells, T cells, Immunoglobulins
GeneticsGermline encoded. Does not change over the course of a lifetime.Encoded as V(D)J recombination and hypervariation
InheritanceInheritedNot inherited
Response timeFast – within minutes to hoursSlower – longer gap between antigen exposure and full effect
SpecificityNon-specificHighly specific. Constant expansion over time.
Memory responseAbsentPresent. More potent and faster after subsequent antigen exposure
Effector proteinsLysozyme, Defensins, Cytokines, Complement, CRPIgA, IgM, IgG, IgD and IgE. Bridges the innate and adaptive immune system.
ReceptorsPattern Recognition ReceptorsT-cell and B-cell antigen specific receptors
  • Innate and specific immunity play a complementary role in microbial protective immunity . Discuss the statement (5)
    • Antigen presenting cells (Macrophages and Dendritic cells) activate T-cells
    • Cytokines secreted by T-cells upregulate Acute phase reactants (IL-6) and activate innate immune cells (Macrophages via IFN-y)
    • Antibodies activate complement cascade
    • Antibodies act as opsonins for neutrophils
    • Antibodies facilitate Antibody-dependent-cell-cytotoxicity (ADCC) by NK cells
  • Describe the mechanisms by which extracellular bacteria cause disease and the specific immune responses involved (5)
    • Colonization**:** Acute inflammation
    • Antigenic variation: Antibody production
    • Intracellular survival: Phagolysosome killing by Macrophages
    • Bacterial nutrition: Lactoferrin denies bacteria Iron
    • Inflammatory response: Bacteria contained within granulomas
    • Inflammatory response
Dr. Jeffrey Kalei
Dr. Jeffrey Kalei

Author and illustrator for Hyperexcision. Interested in emergency room medicine. I have a passion for medical education and drawing.

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