Adaptive immunity against viruses and viral evasion strategies Flashcards

1
Q

What are the Effector mechanisms of Antibodies

A
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2
Q

List the steps of the virus life cycle

A
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3
Q

How do antibodies limit viral spread?

A

Antibodies can neutralize the infectivity of viruses

Virus are only outside of a host cell whilst
spreading to new cells. These would be targeted by neutralising antibodies.

Antibodies provide a major barrier to virus spread between cells and tissues and are particularly important in restricting virus spread in the bloodstream. IgA production becomes focused at mucosal surfaces where it serves to prevent reinfection.

An important mechanism of IgA-mediated neutralization occurs intracellularly as IgA passes from the luminal to the apical surface of the cell. During this transcytosis vesicles containing IgA interact with those containing virus, leading to neutralization.

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4
Q

Q. Which proteins are likely to be the most important targets of antibody-mediated defenses?

A

A. Only antibodies directed against glycoproteins that are expressed on the virion envelope or on the infected cell membrane are of importance in controlling infection.

Infected cells can have viral proteins on
their surface

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5
Q

Summarise the mechanisms by which antibody acts to neutralize virus or kill virally infected cells

A
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6
Q

How is the Complement involved in the neutralization of some free viruses?

A

Complement can also damage the virion envelope, a process known as virolysis, and some viruses can directly activate the classical and alternative complement pathways. However, complement is not considered to be a major factor in the defense against viruses because individuals with complement
deficiencies are not predisposed to severe viral
infection.

This should be contrasted with those herpesviruses and poxviruses that carry viral homologues of complement regulatory proteins (CD46, CD55) that regulate complement activation. Presumably these viruses are susceptible to control by complement-dependent mechanisms

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7
Q

How do antibodies mediate the destruction of virus-infected cells

A

This can occur by antibody-mediated
activation of the complement system, leading to the assembly of the membrane attack complex and lysis of the infected cell

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8
Q

Q. How can NK cells use antibody to recognize and destroy virus-infected cells?

A

A. The IgG-coated target cells are bound using the NK cell’s FcgRIII (CD16), and are rapidly destroyed by a perforin-dependent killing mechanism

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9
Q

T cells mediate viral immunity in several ways

Describe this

A

T cells exhibit a variety of functions in antiviral immunity:
* CD8+ T-cells are important effector cells
* most of the antibody response is T-dependent, requiring the presence of helper CD4+ T-cells for class switching and affinity maturation;
* CD4+ T-cells also help in the induction of CD8+
T-cell responses and in the recruitment and activation of macrophages at sites of virus infection;
* memory CD8+ T cells are effective in combating reinfection with viruses such as influenza virus and respiratory syncytial virus – however, even memory T cells need time to develop a response when infection is re-encountered, so antibodies typically assume a more dominant role in protection against reinfection by neutralizing incoming virus, containing the infection and preventing spread to other tissues.

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10
Q

Q. How do CD4+ T cells help to induce and recruit CD8+ T-cells?

A

A. CD4+ T cells interact with dendritic cells and help to activate them to stimulate an effective CD8+ T cell response. Cytokines, including IL-2, released by CD4+ T-cells are also required for division of CD8+ T cells. CD4+ T cells can recruit CD8+ T cells to sites of infection by the release of chemokines and induction of chemokine synthesis by endothelium.

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11
Q

How do CD8+ T cells target virus-infected cells?

A

CD8+ T cells identify virus-infected cells by recognizing MHC class I molecules presenting virus-derived peptides on the cell surface, and are triggered to mediate effector functions that clear the infection.

CD8+ T cells:
* kill infected cells through the release of perforin, granzymes, and other cytolytic proteins;
* trigger the death of infected cells through binding of soluble factors (e.g. TNFa) or ligands they express (e.g. FasL) to cell-surface receptors (such as Fas) that signal the cell to undergo apoptosis
* produce soluble factors such as IFNg and/or TNFa that can ‘cure’ infection with some viruses (e.g. hepatitis B virus) without death of the cell. This can result in eradication of virus from not only the target cell with which the CD8+ T cell is interacting, but also from neighboring cells.

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12
Q

Q. Why might it be advantageous to the host to present viral peptides that are produced early in the replication cycle, and which may not be part of the assembled virus?

A

A. Viral proteins expressed early in the replication cycle can be
presented on infected cells relatively soon after they have been
infected, enabling T cell recognition to occur long before new viral progeny are produced.

For example, CD8+ T cell mediated immunity against murine cytomegalovirus (MCMV) is mediated predominantly by T cells recognizing an epitope in the immediate early protein pp89 (80–90% of the T cell response is directed against pp89). Immunization of mice
with a recombinant vaccinia virus containing pp89 is sufficient
to confer complete protection from MCMV-induced disease.

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13
Q

Describe the development of CD4+ T-cells during a viral infection

A
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14
Q

Other cell types can up-regulate MHC class II during
infection and can by lysed by cytolytic CD4+ cells

Describe how CD4+ T cells are a major effector cell population in the response to some virus infections (use HSV-1) as an example

A

A good example is in HSV-1 infection of epithelial
surfaces. Here, CD4+ T cells participate in a delayed-type hypersensitivity responsethat results in accelerated clearance of virus. They produce cytokines such as IFNg and TNFa, which mediate direct antiviral effects and also help to activate macrophages at the site of infection.

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15
Q

Describe how CD4+ T cells are a major effector cell population in the response to some virus infections (use EBV + Measles) as an example

A

In measles virus and Epstein–Barr virus (EBV) infections, CD4+ CTLs are generated that recognize and kill MHC class II-positive cells infected with the virus using the cytolytic mechanisms also employed by CD8+ CTLs. This suggests that measles virus and EBV peptides are generated by normal pathways of antigen presentation (i.e. following phagocytosis and degradation). However, other pathways have been implicated in which some measles proteins/peptides enter class II vesicles from the cytosol.

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16
Q

How do Th1 cells kill virus-infected cells?

A

Interacting Th1 cells secrete IFN-g which triggers intracellular membrane fusion and ROI/NO killing of pathogens
Macrophages play an important role in inhibiting virus infection, probably through the generation and action of nitric oxide

17
Q

Describe antibody memory

A
  • Two components (both need antigen exposure and CD4+ help to form)
    – Long-lived plasma cells secrete Ig of high specificity in the absence of continued antigen
    – Memory B cells divide very slowly to maintain specific population, also in the absence of antigen, but can be rapidly expanded in the presence of antigen
18
Q

Describe Memory T cells

A
  • Mature T cells live for weeks, but undergo apoptosis if not stimulated
  • Memory T cells live for months (probably not as long as memory B cells). Express survival factors such as Bcl2, Bcl-XL
  • There are memory populations for both CD4+ (all Th subtypes) and CD8+ cells
  • Memory T cells divide slowly, stimulated by IL-7 and IL-15 (does not require foreign antigen stimulation)
  • Expansion of memory T cells can be driven by either DCs or macrophages as APCs
  • Central memory = lymph nodes; poor effectors, but generate effector cells when challenged
  • Effector memory = peripheral; effectors
19
Q

How does antigen expression change during latency

A

Herpes virus latency reduces antigen expression
* EBV, CMV, Chicken pox all establish latent infections and only express 5 – 10 antigens during these infections

20
Q

Viruses avoid recognition by T cells by reducing
MHC expression on infected cells

Describe how they do this

A

MHC class I expression can be disrupted by:
* downregulating MHC class I synthesis (e.g. HIV-1);
* reducing the generation of epitope peptides in the
cytoplasm (e.g. EBV);
* blocking peptide uptake into the endoplasmic reticulum (e.g. HSV-1);
* preventing maturation, assembly and migration of the trimolecular MHC complex (e.g. human cytomegalovirus [HCMV])
* recycling of MHCclass I molecules from the cell surface (e.g. HIV-1).

Similar mechanisms apply for MHC class II molecules
where some herpesviruses block transcription, whereas other mechanisms involve premature targeting of MHC class II for degradation.

Downregulation ofMHCclass I may disrupt CD8+ T cell
recognition, but NK cells are more efficient killers in the absence of MHC class I

21
Q

Mutation of viral target antigen allows escape from
recognition by antibodies or T cells

Describe this

A

T cells so that these sites are no longer recognized. Antigenic variation can promote virus persistence within a given host, e.g. during HIV-1 infection

It can also promote virus persistence at the population level, as exemplified by the antigenic shift and drift seen with influenza virus

22
Q

Viruses can impair the host immune response

Describe how

A

Many viruses instead induce impairments in host immunity that are more localized, more limited and/or target virus-specific cellular or humoral responses.

viruses have evolved elaborate strategies
for disrupting the chemokine network. The herpesviruses encode:
* chemokine homologues (e.g. CCL3);
* chemokine receptor homologues; and
* chemokine-binding proteins, which have powerful
effects on delaying or inhibiting cell migration during
inflammation.

Viruses may also inhibit the induction of adaptive responses by infecting and interfering with the functions of key antigen presenting cells such as DCs, or by producing cytokine homologues such as vIL-10 (herpesviruses) that modulate the nature of the response induced.

23
Q

Viruses may also inhibit the induction of adaptive responses by producing cytokine homologues such as vIL-10 (herpesviruses) that modulate the nature of the response induced.

Q. From this observation, what can you infer about an
effective immune response to herpesviruses?

A

A. The vIL-10 will deviate the immune response, inhibiting a TH1-type reaction with macrophage activation. One can therefore infer that this type of immune response is the key to anti-herpes immunity and the type of response the viruses aims to deflect.

24
Q

Viral strategies for resisting control by immune
effector mechanisms

Describe how they escape the antiviral activity of type I IFNs and other cytokines;

A

Viruses may also resist control by other antiviral cytokines, e.g. several poxviruses encode soluble receptors to interfere with TNF function.

many different families of viruses have evolved strategies for blocking type I IFN production in the cells they infect
infect plasmacytoid DCs and impair their functions to reduce type I IFN

Other viral proteins produced in infected cells protect
the cells from lysis by TNF

  • Homologues of cellular cytokines that influence
    the development of the immune response.
  • Homologues of cellular cytokine receptors, e.g.
    TNF, IFN, IL-1, IL-18
  • Binds chemokines (bind CKs or CK receptors)
  • Inhibit intracellular signalling pathway, e.g. induction of chemokines/cytokines (via NF-kB activation) or IFN response.
  • Block cytokine secretion
25
Q

Viral strategies for resisting control by immune
effector mechanisms

Describe how they escape the lytic mechanisms by which NK cells and CD8+ T cells destroy infected cells

A
  • Viral IgG Fc receptors, binding of IgG and
    inhibition of Fc-dependent immune activation
    – Varicella Zoster (HHV3)
    – CMV (HHV4)
26
Q

Viral strategies for resisting control by immune
effector mechanisms

Describe how they escape antibodies and complement.

A

Some herpesviruses and poxviruses encode homologues for CD46 and CD55 (complement regulatory proteins that block C3 activation) and also for CD59, which blocks formation of the membrane attack complex. HIV makes use of cellular CD59, which is incorporated into the viral envelope, thereby blocking complement-mediated lysis of the virion.

27
Q

Describe the status of the influenza virus vaccine

A

Very effective neutralising antibody vaccines against ‘flu, but these are only useful against very specific strains of virus (e.g. seasonal H3N2). Recognise HA and NA

  • The “internal” genes (e.g. M1) do not show much change between strains (unlike HA and NA)
  • Several of the non-HA and NA ‘flu genes present strong CD8+ epitopes, and hence should trigger protective immunity, which should not be strain-specific
  • Despite this, we repeatedly get re-infected by ‘flu (although perhaps these infections are less severe or shorter)
28
Q

Describe the HCV vaccine status

A
  • HCV generates hardly any antibody response
  • Currently no vaccine available against HCV
    – Ig can be raised against envelope proteins E1 and E2, but these offer only partial protection against HCV infection – prevents chronic infection, but does not
    give sterilising immunity
    – A vaccine containing 5 T cell epitopes is in Phase II clinical trials – gives a significant reduction in viral load, but not protective immunity
29
Q

Describe the HIV vaccine status

A
  • Currently no vaccine available against HIV
    – Vast amount of work – there is a promising T cell vaccine that recognises HIV epitopes, but this does not give protective immunity – it is hoped that it will be effective at lowering titres sufficiently to prevent transmission by chronically infected individuals
30
Q

T cells and the control of COVID-19

A
  • Poor correlation between antibody levels and clinical course of disease; good correlation with T cell response
  • Enhanced vulnerabity of the elderly correlates with T cell decline due to immunosenescence
  • Reports of individuals with agammaglobulinemia making full recoveries from COVID-19
  • Many people are asymptomatic – since they have never seen SARS-CoV-2 before this cannot be antibodies. It is either T cells or innate immunity
  • Several reports of pre-existing T cell populations that react to SARS-CoV-2; maybe up to 70% of individuals
    – T cell recognised SARS-CoV-2 proteins in addition to Spike (e.g. nsp7)
    – This does not seem to prevent infection or mild disease, but may prevent severe
    disease
    – It is unclear what pre-exposure this would have been. It is postulated that this is a
    previous coronavirus infection, but the bulk of the human population has not been
    infected by anything closely related to SARS-CoV-2 before