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Mahardika AW

Parasitologi- FK UGM

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The cartoon illustrates the threat to the body from various


pathogens (viruses, bacteria, parasites, worms) and the
various types of immune responses. The illustration shows
leucocytes, which are killing worms, B cells (bombers) which
form specific antibodies that destroy bacteria, and cytotoxic T
cells (police with truncheons), which destroy virus-infected
cells. ( Eric Reits)
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Innate immunity

Adaptive immunity

Humoral
Immune
response

Cellular
Immune
response

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Mucosal
Immune
response

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Protozoa

Helminth
Arthropod
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Antigen E. histolitica
20-32 component
Soluble
Un-soluble

Surface :12 glycoprotein


strong hydrophobic
attachment
Somatic

The triad :Gallectin,


cysteine proteinases and
amoebapores major
proteins involved in the
pathogenesis of amoebiasis.

Other amoebic molecules:


lipophosphopeptidoglycan,
perioxiredoxin, arginase,
and lysine and glutamic
acid-rich proteins are also
implicated

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Attachment

Lectin

Surface Ag:
-Lectin
-Cystein proteinase
-Amebaphore
Amoebas surface Ag bind
to fibronectin & Laminin

Attachment &
Migration into
solid tissue
Matrix extracell:
- Collagen
- Fibronectin
- Laminin

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Amoeba
cysteine
proteases
manipulate
and destroy
host
defences to
facilitate
nutrient
acquisition,
parasite
colonization
and/or
invasion.

RELM-: Resistin like mol homeostatis of GI & inflamation; TFF3: Trefoil


factor Family 3 parameter fungsi sel goblet
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Cysteine proteases of the protozoan parasite Entamoeba


histolytica are key virulence factors involved in
overcoming host defences. These proteases are
cathepsin-like enzymes with a cathepsin-L like structure,
but cathepsin-B substrate specificity.
In the host intestine, amoeba cysteine proteases cleave
colonic mucins and degrade secretory immunoglobulin
(Ig) A and IgG rendering them ineffective.

They also act on epithelial tight junctions and degrade


the extracellular matrix to promote cell death.
They are involved in the destruction of red blood cells and
the evasion of neutrophils and macrophages and they
activate pro-inflammatory cytokines IL-1b and IL-18.
Strategies to inhibit the activity of amoeba cysteine
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proteases could contribute significantly to host protection
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against E. histolytica.

Invasion of
intestinal
epithelial

Ulcus Ameba

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Lytic activity

Combined chemical & mechanical action:


Chemotaxis
Adhesion
Cytolysis following contact
Phagocytosis
Intracellular degradation

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Chemotaxis:
Locomotion toward target cells
Contact/ adhesion

Lysis of target cells

Liberation of enzym & Toxins of amoeba


Intracellular Degradation
Amoeba :- ingest lysed cells
- engulf living cells (RBC)
Nonpathogen : lose their erythrophagocytic activity
(Entamoeba dispar similar morphology, distinc
pathogenicity)
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Inhibition of colonic epithelial cell functions by E.


histolytica.

(A) Soluble amoebic proteins activate HSF-1 in epithelial cells causing it to


trimerize. Activation of HSF-1 induces expression of Hsp 27 and Hsp 72. (B)
Increased levels of Hsp 72 have anti-apoptotic effects and lead to increased
enterocyte survival. (C) Hsp 27 becomes phosphorylated and associates with
IKK, inhibiting its activity and suppressing nuclear factor-B activation induced
by proinflammatory cytokines (IL-1, TNF) released in response to amoebic
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invasion.
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HSF = Heat shock protein transcription factor; Hsp = Heat shock protein.

Phagocytosis of host cells by E. histolitica

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Immune Response against E. histolitica

LPPG:lipopeptidophosphoglycan
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Antibody respons
Rapid

1week

Intestinal

Circulating

IgA/ IgM/ IgG


-Diagnostic Value

ELISA

-No Protective Value

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Antibody in Amebiasis

Resistance to
Complement lysis
Ab against surface Ag
-Immobilization

Shedding of
Ag-Ab complex

Evade Humoral
Immune response

Ab against lectin :
-inhibit adhesion

Reduce Cytophatic Effect

-phagocytosis (+)
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Proposed model of IgA-based protection against


intestinal infection of E. histolitica
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The life cycle of the malaria parasite Plasmodium falciparum


and acquisition of immunity in an area of endemic
transmission.

M
A
L
A
R
I
A

Ab

Ab

Ab
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Jean Langhorne, Francis M Ndungu, Anne-Marit Sponaas
& Kevin Marsh
Nature Immunology 9, 725 - 732 (2008) doi:10.1038/ni.f.205

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Clinical manifestation of malaria


in relation to host immunity in
endemic area

Change over time of


various indices of
malaria in a population
living in an endemic
area of P. falciparum
transmission:
asymptomatic infection
(pink), mild disease
(febrile episodes
caused by malaria;
blue) and severe or
life-threatening disease
(green). The data are
normalized and are
presented as the
percent of maximum
cases for each
population index.
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Linking innate and adaptive immunity to blood-stage


malaria.

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Host
immune
responses
against
Plasmodium

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Vaccine against
malaria

Type of vaccines could be used in each specific stage of


the parasite's life cycle.
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Sporozoite

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ROLE OF NEUTROPHIL IN EARLY DEFENDS AGAINST T. GONDII


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BRADIZOITE FORMATION
Immunocompetent host : CMI cyst
formation

Slow rate bradiz tachiz control by


RNI

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Protozoa
Helminth

Arthropod
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Immune
Response
against
Intestinal
Nematode

To combat intestinal worms, mammals rely on adaptive immune


responses mediated by T cells. However, it seems that, initially,
innate immune cells mimic T-cell activity,
while T cells get ready
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for action.

The intestinal epithelium: sensors to effectors in


nematode infection
D Artis and R K Grencis

TLSP: Tymic Stromal Prot.


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Mucosal Immunology (2008) 1, 252264;4/3/2013
doi:10.1038/mi.2008.2

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parasite-specific CD4 T-cell responses elicit


nonspecific "modular" type-2 responses

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Intestinal Helminths provoke


strong TH2-mediated immune
responses

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Eosinophils use
FcgR1 Receptor
to mediate to kill
helminth

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Antibody-coated target cells (i.e: worm)


can be killed by NK cells in Antibody
Dependent cell-mediated Cytotoxicity
(ADCC)

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Protozoa
Helminth

Arthropod
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Venomous Arthropods

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Arthropods Venom:

Hypersensitivity reactions
are mediated by
immunological mechanism
that cause tissue damage

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Mast-cell activation
has different
effects on different
tissues

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Antihistamines block HistamineReceptors from joining with Histamine


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