MIIM20001 Lecture 25: Lecture 25

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To cause disease most pathogens must: enter the body, colonise the host, evade host defences, multiply & disseminate, cause damage to host. Avoid complement fixation (serum resistance: antibodies. Destroy antibodies, avoid detection by antibodies: cytokines. Cytotoxic (cd8) t cells: shutdown antigen presenting to avoid stimulating t-cells and/or kill t cell. Alternative pathway most easily activated: initiates secondary cascade. Classical pathway: requires additional component where there is already antibodies bound to antigen, recruits proteins from complement pathway. Membrane attack complex: forms large pores in surface of cell it is being activated on, recruitment of initiating protein, formation of pore ring, large complex. Opsonisation: enhance ability of phagocytes to enhance the bacteria (antibody and complement) Avoid complement fixation: use capsule to prevent activation of complement, bind antibody by fc end: Avoid detection by antibodies: remain inside host cells, strategy used by viruses and some bacteria, key is not to display antigens on cell surface, harsh intracellular environment.

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