54. T Cell Activation & Generation of Effectors Flashcards

1
Q

The life stages of T lymphocytes

A
  • Generated in bone marrow => undergo maturation in thymus
  • Mature naïve T cells released from thymus into the blood
  • Recirculate between blood and peripheral lymphoid organs (lymph nodes, spleen, MALT)
  • If they encounter antigens that they recognise => lymphocyte activation, proliferation & differentiation into effector/memory cells
  • Effector T cells => specialised functions
  • Memory T cells => memory responses (faster, efficient)
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2
Q

T cell role in immune response

A

• Designed to fight intracellular microbes

  • intracellular bacteria in phagosomes of phagocytes
  • viruses: free in cytoplasm of cells (phagocytes or non-phagocytes e.g. epithelial cells)
  • cancer cells (mutated proteins from cancer cells)
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3
Q

Antigen recognition by T cells

A
  • T cells: do not recognise antigens directly
  • T cells: recognise antigens only after processing and presentation

• Most T cells (αβ TCR T cells) recognise peptides

  • T cells recognise cell-bound Ags (peptides)
  • peptides from foreign Ags only when bound to major histocompatibility complex (MHC) molecules

• T cells recognise antigens via their T cell receptor (TCR)
=> similar structure to B cell antigen receptor (BCR)
=> 2 chains:
- α and β (most common TCR type)
- γ and δ (TCR in γδ T cells)
- each chain: 1 variable (V) domain + 1 constant (C) domain
- Antigen binding site formed by: Vα + Vβ
- V and C domains of TCR and BCR are homologous

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4
Q

Major histocompatibility complex (MHC)

A

MHC molecules display peptides from processed Ag

•MHC I: presentation of peptides to CD8+ T cells composed of α chain + β2-microglobulin

  • all nucleated cells
  • e.g. HLA-A, HLA-B, HLA-C

• MHC II: presentation of peptides to CD4+ T cells composed of α chain + β chain

  • antigen presenting cells: dendritic cells macrophages
  • e.g. HLA-DP, HLA-DQ, HLA-DR
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5
Q

Antigen presenting cells (APC)

A

Cells that specialise in the capture and presentation of antigens (Ag) to CD4+ T cells

Professional APCs:
•Dendritic cells => the only APCs capable to present to naïve T cells
•Macrophages => present to previously activated effector T cells

  • CD8+ T cells recognise Ags displayed by nucleated cells (not just APC but also cells that are not APCs)
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6
Q

Dendritic cells

A
  • skin, mucosa, tissues
    capture microbes
  • transport microbes from tissues (e.g. epithelia) to draining lymph nodes
  • process microbes =>Ags
  • present Ags to naïve T cells
  • activate naïve T cells
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7
Q

Signal 1: recognition of Ag (peptide:MHC complex) on APC

A

=> not sufficient to induce T cell activation

=> without signal 2 => no response or anergy of T cell

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8
Q

Signal 2: co-stimulation

A

=> binding of co-stimulatory molecules (B7 family, e.g. CD80/CD86) on APC by co-stimulatory receptor (CD28) on T cell
=> together with signal 1 => activation of naïve T cells
=> more important for naïve T cells than for restimulation of previously activated effector or memory T cells
=> APCs exposed to infection increase the expression of co-stimulatory molecules (B7) and of MHC
Infection increases the antigen presenting function of APCs

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9
Q

Signal 3: cytokines produced by APCs (after infection)

A

=> regulate the differentiation of activated T cells into different types of effector T cells

e. g. IL-12 and IFN-γ from APC => differentiation into Th1
e. g. IL-4 from APC => differentiation into Th2

=> ensure the right type of effector T cell is generated
e.g. effector T cell type that is most suited to respond to the infection that triggered the response
Th1 <=> macrophage co-operation
Th2 <=> B cell and eosinophils / mast cell co-operation

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10
Q

Functions of macrophages

A

=> phagocytose microbes (e.g. Mycobacteria tuberculosis)
=> Ag presentation to effector CD4+ T cells (Th1)
=> activation of Th1 cells
=> Th1 cells activate macrophage to kill ingested microbes

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11
Q

Antigen presentation to CD8+ T cells

A

All nucleated cells can present peptides derived from proteins from antigens present in the cytosol to CD8+ T cells
=> all nucleated cells can get infected by viruses
=> all nucleated cells can get cancer-causing mutations
=> CD8+ T cells (cytotoxic T cells, CTLs) specialised to:
- recognise viral antigens and mutated proteins
- eliminate cells infected by viruses/malignant cells

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12
Q

Antigen processing & presentation to CD4+ T cells

A

•Exogenous Ags (e.g. bacteria) taken up in cells, processed and presented by MHC II to CD4+ T cells
•Exogenous pathogens (bacteria that grow outside cells)
=> taken up by phagocytes
=> eliminated via killing in phagocytes
=> eliminated by antibodies (via neutralisation, opsonisation and complement activation)

CD4+ T cell effectors help macrophages (Th1) and B cells (Th2) to eliminate extracellular bacteria

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13
Q

Antigen processing & presentation to CD8+ T cells

A

Cytosolic Ags (e.g. viruses, mutated proteins in cancer cells) are processed and presented by MHC I to CD8+ T cells

Pathogens that grow free in the cytosol (viruses) or
Pathogens (bacteria, viruses) that are taken up in phagosomes but are then released into the cytosol

=> efficiently eliminated via killing by CD8+ T cells (CTLs)

CD8+ T cells specialised to eliminate cells infected by viruses and cancer cells

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14
Q

Types of effector T cells

A

•Th (helper) cells: express CD4 (CD4+ T cells)

  • Th1: help phagocytes to kill ingested microbes
  • Th2: help eosinophils/mast cells to kill helminths
  • Th17: role in defense against bacteria & fungi
  • Tfh (T follicular helper); help B cells (class switch and affinity maturation)

•Cytotoxic T lymphocytes (CTL):

  • express CD8 (CD8+ T cells)
  • kill cells infected by microbes that grow free in cytosol

•Regulatory T cells (CD4+CD25+FOXP3+):
- immune tolerance & inhibition of immune responses

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15
Q

Generation of Th1 effector cells & main roles

A

•Cytokines that induce differentiation into Th1

  • IL-12 and IFN-γ
  • from APC infected with bacteria (e.g. Mycobacteria, Listeria)

• Main cytokine produced by Th1: IFN-γ

• Main role Th1: activate phagocytes (macrophages)
=> inc. destruction of intracellular pathogens

• Other roles: stimulate production of IgG Abs
=> inc. phagocytosis of microbes

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16
Q

Th1 effector functions

A
  • Classical macrophage activation (enhanced microbial killing)
  • Complement binding and opsonizing IgG antibodies
17
Q

Generation of Th2 effector cells & main roles

A

•Cytokines that induce differentiation into Th2

  • Less well defined (IL-4, IL-25, IL-33)
  • from APC/cells infected with helminths

Main cytokines produced by Th2: IL-4, IL-5, IL-13

Main role Th2: help B cells produce IgE

  • IgE => opsonise helminths
  • activate eosinophils & mast cells
  • eosinophil & mast degranulation and killing of helminths
18
Q

Th2-mediated immune responses

A
  • Mast cell degranulation (IL-4)

- Eosinophil activation (IL-5)

19
Q

Overview of CD4+ T cell responses

A

Naïve T cells recognise Ags in peripheral lymphoid organs
Activation, proliferation, differentiation into effectors
Effector T cells leave activation site (PLO) via blood
Effector T cell migration to site of Ag entry
Effector T cells perform their effector functions to eliminate Ag together with other cells (macrophages, B cells, etc.)

20
Q

Generation of CTL CD8+ T effector cells

A

CD8+ effector T cells=cytotoxic T lymphocytes (CTL)

  • Ag recognition by naïve CD8+ T cells in PLOs
  • activation, proliferation, differentiation into effectors
  • Effector CD8+ T cells leave activation site (PLO) via blood
  • Effector CD8+ T cell migration to site of Ag entry
  • Effector CD8+ T cells perform their effector functions to eliminate Ag/infection
21
Q

CD8+ effector T cells main roles

A

CD8+ T cells (cytotoxic T cells, CTLs) specialised to:

  • recognise viral antigens and mutated proteins
  • eliminate cells infected by viruses/malignant cells

Main mechanism: kill infected cells

  • Killing is antigen-specific and contact-dependent
  • Uninfected/healthy cells are not killed by CTLs!
  • KILLING OF INFECTED CELLS by CTL => eliminates reservoirs of infection
22
Q

CD8+ effector T cells main roles

A

Killing mediated by cytolytic molecules:
•Perforin: forms pores => delivery of granzymes
•Granzymes A, B, C: initiate apoptosis
- delivered at the site of contact between CTL:target !
=> prevents killing of neighbouring healthy cells
•Killing mediated by death receptor pathway (Fas/FasL)