9. Helper T cells and cytokines Flashcards

1
Q

properties of cytokines

A

secreted proteins that regulate the duration and amplitude of immune and inflammatory responses

bind to specific cell surface receptors and trigger intra-cellular signalling pathway

produced transiently and locally

potent

change cell behaviour

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2
Q

what are the 5 different types of cytokines?

A

interleukins

tumour necrosis factors-> anti tumour properties, pro-inflammatory

interferon

colony stimulating factors

chemokines- help with chemotaxis

cytokines produced by t cells are particularly important

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3
Q

what is the action of cytokines on their receptors?

A
  1. cytokine receptors have at least 2 chains, cytoplasmic domains bind JAKs
  2. cytokine binding dimerises receptor, bring JAKs together-> activate each other and phosphorylate receptor
  3. transcription factors bind to phosphorylated receptors and are in turn phosphorylated by JAKs
  4. phosphorylated STATs form dimers- move into nucleus- transcription
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4
Q

why are cytokines important between dendritic cells and t cells

A

influence type of t cell generated

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5
Q

what is the main cytokine present in the environment

A

IL4-> Th2

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6
Q

role of Treg

A

produce cytokines to dampen immune response

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7
Q

role of Th17

A

produce cytokines and chemokines for inflammation

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8
Q
A
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9
Q

Th2 and B cell activation

A

in paracortex of lymph node

  1. Th cells with TCR specific for peptides are activated by surface interactions with DC and cytokines from DC (IL 1)
  2. Th cells interact with peptides and HLA II- activates B cells as cytokines secreted (IL 4)
  3. B cells differentiate into plasma cells

B cells can also take up pathogen and present it on MHC II

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10
Q

what happens in germinal centres?

A

Division - increases size of response

•Somatic mutation - increases affinity of the response

  • Class switching - increases defenceeffector functions
  • Formation of plasma cells and memory cells
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11
Q

explain this diagram

A

antigens in immune complexes (antibody bound to antigen) are recognised by follicular dendritic cells in follicles

antigen transported by dendritic cells into paracortex (interdigiating dendritic cells)- activate Th cells and B cells

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12
Q

how do lymphocytes enter lymph node

A

B cells: post capillary venules- migrate through T cell area to follicle

T cells PCV, high endothelial venule

leave via efferent

some lymphocytes enter nodes via afferent and subcapsular sinus (most via HEV)

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13
Q

how to lymphocytes adhere to HEV

A

selectins and intergrins

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14
Q

dendritic cell migration to lymph node and characteristics

A

enter via afferent lymph vessels

large SA so many T cells can contact to increase chance of correct specific receptor

DC secrete IL 1 that induces Th to secrete Il 2 that induces own proliferation

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15
Q

characteristic of B cell so it can be physically linked to T cell

A

T cell epiptope can be taken up by B cell

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16
Q

what is tissue homing of lymphocytes determined by?

A

expression of adhesion molecules (selectins and intergrins) and chemokine receptors

17
Q

can high levels of cytokines cause issues?

A

yes- it can cause disease

18
Q

Th2 cells and atopic (type 1 allergy) responses

A

Th2 cells release IL4 causing Ig class switchingof B cells to IgE which causes mast cells to degranulate as they express Fcgamma receptors

Th2 can also release IL5 which activates eosinophiles (also bind to IgE)

important in large parasites but can cause atopic allergies

19
Q

Th1 and macrophage activation

A

Th1 release interferon gamma that activates macrophages

20
Q

what can chronic stimulation of Th1 cells lead to

A

increase lymphocytic infiltration of tissues thus resulting in granuloma formation

(macrophage in granuloma= epitheloid)

leakage of digestive enzymes from macrophage can cause destruction of tissues

fusing of macrophages can result in multinucleated giant cell

21
Q

how does TB arise

A

some microbes resist destruction, survive and replicate inside the macrophage- this can lead to chronic stimulation thus causing epitheloid cells

activate Th2 cells

22
Q

what are the two types of leprosy and how do they differ?

A

tuberculoid leprosy: activation of Th1-> IFNγ → phagocytosis

  • tissue damage, inflammation, but mycobacterium is destroyed

Lepromatous leprosy: activation of Th2 and also inhibits Th1 → IL4 → antibodies (not useful as bacteria inside macrophage) so mycobacteria proliferates

  • severe tissue damage, growth of bacteria

borderline leprosy: both

23
Q

what do mycobacteria release and what effect does this have

A

release lipoarabinomannan - blocks ability of macrophages to respond to activating effects of IFNγ

24
Q
A
25
Q
A