12 Cooperation leads to effective immune responses Flashcards

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1
Q

T cells can only recognise antigen presented by antigen presenting cells.

B cells can recognise antigens on surface of pathogen, or free antigen

Nevertheless, T cells need to “help” B cells to fully activate.

How do they do this?

A

Subsets of T helper cells help activate B cells

CD4 T helper cells can also activate CD8 T cells, and macrophages making them more effective at phagocytosis

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2
Q

What is role of antibodies?

A

Block toxins

Opsonise microbe - Fc portion binds to Fc receptor on phagocyte, to increase phagocytosis

Activate complement - Fc receptor activates C3b. Causes opsonisation/ chemotaxis/ increased vascular permeability. This shows innate and adaptive working together

IgE bind mast cells - cause degranulation and release of histamine causing chemotaxis and increased vascular permeability

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3
Q

Once T cell mature, it enters circulation, expressing T-cell receptor (TCR) which recognises antigens presented by MHC

Which cells can presents MHC to t-cell to activate it?

A

Antigen presenting cells -

  • dendritic cells most common, as can present large amounts of MHC. Usuaully present in lymphoid tissues
  • macrophages + B cells - although lower expression of MHC and other co-stimulatory molecules
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4
Q

What is life cycle of dendritic cell?

A

Bone marrow
Immature dendritic cell in blood
Update antigen in blood
Move in lymph to lymhoid tissue
Becomes mature dendritic cell in lymhpoid tissue
Presents MHC to naive T cell - thereby activating it

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5
Q

Which MHC molecules to CD4 and CD8 T cells respond to?

A

CD4 T - recognise antigens presented by MHC class II molecules derived from degradation from phagocytosed organisms

CD T - recognise peptides derived from antigens in cytoplasm presented by MHC class I molecules

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6
Q

How do antigens end up as part of MHC class II?

A

Once organism phagocytosed or antigen endocytosed from outside, then lysosomes breaks down peptides.

Then fuses with MHC class II, which then moves to cell surface

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7
Q

How do antigens end up as part of MHC class I?

A

Antigen must be in cytoplasm of cell
Proteasome degrades this
Transported to endoplasmic reticulum, where it is bound to MHC I
Moves through golgi region and via exocytic vesicles to present on cell surface

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8
Q

CD4/ CD8 T cell recognises MHC complex on surface of antigen presenting cell. But still needs second signal to become activated

How is this achieved?

A

CD28 molecule on T cell binds to B7 molecule on APC
CD40 molecule on T cell binds to CD40L molecule on APC

This binding occurs in what is known as the immunological synapse

This leads to activation of CD3, which triggers a chain of reactions which result in T cell activation and cytokine release from APC

Some super-antigens such as staphylococcal enterotoxin B stimulate extensive T-cell activation and a cytokine storm

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9
Q

Each T cell/ B cell expresses its own antigen receptor, either a TCR or Ig molecule

Cloncal expansion allows large increase in numbers of antigen-specific T/ B cells

Which interleukins are required for clonal expansion?

What can lymphocytes sub-roles can they eventually differentiate into?

A

IL2 and IL7

B-cell antibody synthesis
T-cell help
T-cell regulation
T-cell cytotoxicity
Cytokine release
Memory B cells
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10
Q

When B cells start clonal expansion to plasma cells, some mutation will occur, which will mean daughter cells may not be as effective at producing correct immunoglobulin

How is this process regulated?

A

B cells with disadvantageous mutations undergo apoptosis

Those which show correct immunoglobulin, are selected to continue dividing

They then encounter dendritic cell which is presenting antigen. With help of CD4 T helper cells, B cells then differentiate into plasma cells or memory B cells

Whole process aided by follicular T helper cells (Tfh) - these are significantly damaged in HIV infection

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11
Q

Similarly to T-cell superantigens, sometime B cells can be activated directly without T-cell help.

Antibody response not optimal, and not very good at creating memory response

What can activate them?

A

Lipopolysacharride on bacteria cell wall

Bacterial DNA

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12
Q

Once body has dealt with infection, adaptive immune system keeps some antigen-specific cells in standby as memory T and memory B cells.

Memory cells are much easier/ quicker to activate than naive cells, so generate faster immune response when re-stimulated.

How is immune response different during repeat infection?

A

Antibody response will mainly be IgG and IgA which will be of higher affinities to those usually produced during initial response

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13
Q

Where do these lymphocytes live -

  • central memory T cells
  • effector memory T cells
  • memory B cells
A
  • central memory T cells - peripheral lymphoid circulation
  • effector memory T cells - migrate to sight of inflammation
  • memory B cells - spleen/ lymph nodes
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14
Q

How do lymphocytes provide acquired immunity

A

B cells - humoral immunity - produce antibodies

T cells - cell-mediated immunity - destroy intracellular organisms

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15
Q

What is role of these interleukins?

IL-2

IL-7

IL-12

A

IL-2 - T-cell proliferation

IL-7 - B/T cell proliferation

IL-12 - induction of Th1 cells (CD4 cells)

Once infection resolves, IL-2 and IL-7 production drops, so cell division of lymphocytes slows.

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16
Q

What is the role of these interleukins?

IL-1

IL-6

IFN-gamma

A

IL-1 - induce inflammation

IL-6 - B cell differentiation, induce acute phase proteins

IFN-gamma - antiviral, activate macrophages, induce MHC class I and II presentation

17
Q

Once infection resolves, how does immune response keep itself in check?

Excessive immune response can damage body. Cytokine storm can occur in sepsis

A

Regulatory T cells (Treg) secrete cytokines (IL-10) which inhibit cytokine secretion and T cell function

18
Q

20 year old with recurrent sinopulmonary infections, admitted meningitis. Enterovirus on PCR.

Where is defect in immune system?

Cell mediated
Complement
Humoural immunity
Innate
Neutrophil function
A

Humoural immunity

Most common manifestation of humoural immunodeficiency is common variable immunodeficiency. Associated with sinopulmonary infections, and invasive enteroviral infections.

Check Ig, protein electrophoresis, B cell phenotype, functional Ab

19
Q

20 year old presents sepsis. N meningitidis in blood cultures

Where is defect in immune system?

Cell mediated
Complement
Humoural immunity
Innate
Neutrophil function
A

Complement

Complement and MAC formation is essential for immune response to Neisseria species

Check C3/C4

20
Q

4 year old with recurrent boils/ abscesses, swabs mostly S aureus. Now has osteomyelitis. Tissue samples grew aspergillus nidulans

Where is defect in immune system?

Cell mediated
Complement
Humoural immunity
Innate
Neutrophil function
A

Neutrophil function

Presentation in keeping with chronic granulomatous disease cause by defects in NADPH oxidase, so phagocytes cannot destroy certain microbes.

Test function with nitroblue-tetazolium (NBT) test