Antigen presentation and T lymphocytes Flashcards

Major histocompatibility complex (MHC) molecules: recall the outline structure, cellular distribution and functions of major histocompatibility complex (MHC) class I and class II molecules Antigen presenting cells (APCs): list examples of antigen presenting cells, explain the mechanisms by which they process and present antigens, and list their locations T lymphocyte subsets: summarise the origins and functions of T lymphocyte subsets T lymphocyte activation: explain the importance of antigen

1
Q

Why are T lymphocytes important when we have B cells and antibodies? (x2 points)

A

T-cells detect and combat INTRACELLULAR pathogens (B cells work in the circulation). Antibodies can only destroy EXTRACELLULAR pathogens but cannot get inside cells.

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2
Q

What do T cell receptors detect (TCR)?

A

Detect antigens (presented as a peptide fragment) on MHC molecules – they therefore detect infected cells. BIND TO THE MHC COMPLEX.

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3
Q

What is the structure of a T cell receptor? Associated with?

A

Analogous (similar) in structure to FAB region of an antibody (shown by the photo). There is an alpha and beta chain (these are both immunoglobulin domains – a SMALL number of TCRs use gamma and delta chains instead) with variable and constant regions. Charged residues in membrane allow for association with CD3 polypeptides (expressed by all T cells and are found near the TCR) for signalling.

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4
Q

What are the different types of T cell? (x2)

A

CD4 cell have CD4 co-receptor that recognises antigens on MHC Class II molecules – “CLASS II RESTRICTED”. CD8 cell have CD8 co-receptor that recognises antigens on MHC Class I molecules – “CLASS I RESTRICTED”. They are NOT TCRs. They are ASSOCIATED with the TCR (see photo).

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5
Q

What are co-receptors?

A

Bind to the relevant MHC (conserved part, not the antigenic peptide), increase the avidity of T cell-target cell interaction and are important in signalling.

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6
Q

What are alternative names for CD8 and CD4 T-cells? (x2 and x2)

A

CD8 = Tc or CTL (cytotoxic T lymphocytes). CD4 = T helper cells, Th.

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7
Q

How do the two types of T-cell destroy their target? (x2 mechanisms)

A

CD8: most are cytotoxic and kill target cells by inducing apoptosis in target cells – programmed cell death. They also secrete cytokines. CD4: secrete cytokines to recruit effector cells (of innate immunity), activate macrophages, amplify CD8 responses, help B cell responses, delayed type hypersensitivity, and involved in regulation – covered more in future flashcards.

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8
Q

What is the thymus: in relation to T cells?

A

Site of maturation of T cells. T-cells mature by moving from the cortex to the medulla. T-cells do originate in the bone marrow though!

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9
Q

What is the process of T cell development in the thymus?

A

□ Immature T-cell precursors arrive in cortex and are CD4-CD8-TCR- (‘-‘means negative – so do NOT express CD4, CD8 or a TCR receptor, they are just a cell!). The cell is so-called ‘double negative’. □ On arrival to cortex of the thymus, gene segments are rearranged. The first beta chain is paired up with a ‘surrogate alpha’ chain to form preTCR (hence CD4-CD8-preTCR+). This gene rearrangement is what produces the 10^10 different TCRs that are antigen-MHC specific. □ When there is a function TCR, cells express CD4 and CD8 – so are called ‘double positive’ (hence CD4+CD8+TCR+). Meaning that it expresses both co-receptors. □ In medulla, selection process occurs to remove one coreceptor by presenting to MHC Classes I and II (if TCR binds to MHC Class I, it becomes a CD8+ cell). Whichever the T-cell bounds to determines finishing cell type (CD8+TCR+ or CD8+TCR+). □ Once mature, T cells return to the blood and circulate.

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10
Q

How does the alpha and beta chain on a TCR compare to the heavy and light chains of an antibody? Why? How does recombination therefore happen in the alpha and beta chains?

A

Alpha is comparable to the light chain because it contains just VJ regions. Beta chain is comparable to the heavy chain because it contains VDJ. MECHANISM: recombination occurs using the same principles as in the BCR – look at photo. Don’t really need to know details.

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11
Q

What are the two thymus checkpoints?

A

preTCR CHECKPOINT: if the new beta chain is FUNCTIONAL (not autoimmune, for example), it survives and develops (–> CD4+CD8+TCR+). If not, then the cell dies by apoptosis. (Remember, TCR can be self-destructive because the recombination process is random.) LEVEL OF BINDING: only weakly binding abTCRs survive. Those that can’t bind MHC (termed useless – if binding is too weak, then receptor will be able to bind to the peptide (antigen), but not the MHC – binding to both is needed) or bind it dangerously (binds too strongly) are destroyed by apoptosis.

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12
Q

What is a major histocompatibility complex?

A

The MHC is a group of tightly linked genes important in specific immune responses because they present antigens to T lymphocytes. Display sample of internal cell contents at cell surface for immune cell recognition – markers of self and indicate health of cells: CONTINUOUSLY present peptides even when not infected.

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13
Q

What are the two classes of MHC molecule responsible for?

A

MHC Class I molecules – expressed on nearly all our cells, so it is the MHC Class I molecule that is responsible for transplant rejection – MCH Class I molecules on the transplanted organ holds out a sample of the internal cell contents (transplantation antigen) for CD8 T cells of the person receiving the organ. MHC Class II molecules mount an immune, antibody response – mediated by CD4 T cells.

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14
Q

What is the structure of MHC Class I?

A

Has one transmembrane and cytoplasmic region. Has three domains: alpha 1, 2 and 3 – comprising the heavy chain of the MHC. The B2-microglobulin is the light chain – NON-COVALENTLY associated with the heavy chain. The alpha 3 domain and B2-microglobulin are similar in structure to Ig – so are part of the immunoglobulin super-family. The bit that binds the peptide (the thing the MHC holds out for T cells) if between the alpha 1 and 2 regions. This region can only hold peptides of 8-10 amino acids.

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15
Q

What is the structure of MHC Class II?

A

Like MHC Class I, there are two polypeptides, but they are both the same size (one polypeptide has alpha 1 and 2, the other beta 1 and 2 – unlike MHC Class I which has alpha 1, 2 and 3, and B2-microglobulin). Has two transmembrane and cytoplasmic regions. Peptide binding region is the same. This region can hold peptides of more than 13 amino acids.

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16
Q

Where do the CD4 and CD8 co-receptors bind to the MHC?

A

CD8 bind to alpha 3 domain of MHC Class I. CD4 bind to beta 2 domain of MHC Class II. Remember, co-receptors are not found on the same cell as the MHC – the co-receptors are found on a T cell and bind to MHCs on target cells with TCR – as shown in the photo.

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17
Q

What are the differences between structure of MHC Class I and II? (x3)

A

Two polypeptides in each, though in MHC Class I, they’re different sizes (alpha 1, 2, 3 vs B2); in MHC Class II, they’re the same size. MHC Class I has one transmembrane and one cytoplasmic region; MHC Class II has two. MHC Class I can accommodate peptides of 8-10 amino acids; MHC Class II can accommodate peptides of >13 amino acids.

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18
Q

What is the Human Leukocyte Antigen (HLA)?

A

A gene complex encoding the MHC proteins in HUMANS. Found on Chromosome 6. (The HLA does not just code for MHC Class I and II molecules – they code for other proteins too.)

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19
Q

How are the MHC classes encoded by the HLA?

A

DP, DQ and DR genes encode the alpha and beta chains of Class II molecules. A, B and C genes encode the HEAVY chain of Class I molecules – HLA does not encode for B2-microglobulin because it is the same for each MHC Class I molecule sub-type. The subsequent sub-type names are given in the photo. HLA may be used interchangeably with MHC; hence why these are name HLA-DP… and not MHC-DP.

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20
Q

What are the characteristics of HLA genes? (x3 points)

A

MHC is POLYGENIC with several class I and II loci i.e. there is more than one gene locus involved in expression of MHC. Expression of MHC is CO-DOMINANT meaning that maternal and paternal genes both expressed. Human MHC genes are highly POLYMORPHIC: meaning there are lots of different alleles (thousands) for the same gene in the population. These alleles are LINKED on the SAME chromosome (Chr 6) – this collection of alleles is called MHC HAPLOTYPE.

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21
Q

What does polymorphism in HLA genes mean for phenotype in the population?

A

Means that there’s lots of phenotypic variation – explains why different people have different immune responsiveness.

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22
Q

Where are MHC Class I and II found? How is expression of these classes on cells regulated? (x2 and x1)

A

MHC class I: found on ALL nucleated cells, though levels of expression may be altered during infection, or by cytokines e.g. cytokines such as integrins upregulate MHC Class I during infection to present more antigens to the immune system = amplify response by immune system. MHC class II: found only on “professional” antigen presenting cells: may be regulated by cytokines – activated naïve T cells.

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23
Q

What are antigen-presenting cells?

A

Present processed antigens to T cells to initiate adaptive immune response. Cells include dendritic cells (skin and mucosal tissue), B cells (lymphoid tissues) and macrophages (lymphoid tissues).

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24
Q

What is the difference between endogenous and exogenous antigens?

A

ENOGENOUS: come from inside cells e.g. virus infected cells – therefore use CD8 Class I restricted T cells. EXOGENOUS: captured from external environment e.g. phagocytic cells and antigens captured and presented on B cells – therefore use CD4 Class II restricted T cells.

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25
Q

What is meant by an effector T cell?

A

An encountered antigen, that’s proliferated and differentiated into cells that participate in the host defence.

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26
Q

What is meant specifically by a memory cell?

A

A B or T cell that has encountered an antigen, contracted and ready to respond to future infections.

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27
Q

Why are antibodies sometimes insufficient? (x2)

A

Some pathogens are intracellular – antibodies are in the circulation only. Organisms evolve to escape antibody recognition – either by changing shape (influenza) or by coating antigen in a carbohydrate (HIV) or producing decoy antigens. Hence, in these cases, T cell mediated immunity is required.

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28
Q

How does cell-mediated immune response fight infection? (x2)

A

ENABLES DIGESTION OF PATHOGENS e.g. macrophages are activated by T helper cells which secrete cytokines (CD4+ effector cells). Kill infected cells – CD8+ cells are killer cells which cause apoptosis.

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29
Q

What do dendritic cells do in the context of cell-mediated immunity?

A

Dendritic cells are model antigen presenting cells that initiate T cell response. They survey tissues. When they acquire an antigen, they move to LYMPH NODES where they mature and present to T cell with an MHC Class II (because dendritic cells are ‘professional APCs’).

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30
Q

How do T cells travel throughout the body? Why?

A

They are part of the cell-mediated response – but this doesn’t mean that they have to always reside in tissues. The reason why they are involved in the cell-mediated response is because they RESPOND to pathogens in tissues.

Naïve T cells circulate through the blood, lymph and lymphoid organs to raise chance of encounter with dendritic cell (remember D cell migrates to lymph node when it captures an antigen), entering lymph nodes via High Endothelial Venules found in post-capillary venules.

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31
Q

What are three phases of cell mediated immunity? SUMMARY

A
  1. INDUCTION: cell infected – dendritic cell collects material. 2. EFFECTOR: MHC-peptide-TCR interaction, naïve T cell becomes effector cell and performs function on infected cell. 3. MEMORY: effector pool contracts to memory.
32
Q

What is the 3-signal licensing model?

A

Describes the three signals needed to trigger a response in a T cell. 1. Antigen recognition. 2. Co-stimulation – surface-surface interactions that enable clustering of receptors on T cell. 3. Cytokine release – produced by D cells and activate T cells.

33
Q

What is the mechanism of CD8 Cytotoxic T cells?

A

Recognising MHC I Peptide complexes causes TCRs and their associated co-receptors to cluster to the site of cell-cell contact. This signals CD8 cell vesicle polarisation i.e. cytoskeleton is rearranged, focusing all vesicles towards the side of the T cell that’s in contact with the infected cell. Vesicles can then be released for two mechanisms of apoptosis (characterised by fragmentation of nuclear DNA): 1. PERFORIN molecules polymerise to form pores to allow granzymes to be injected into target cell to drive apoptosis. 2. Fas ligands on CD8 can interact with target cell Fas receptors to induce cell death (so does not involve puncturing through membrane).

34
Q

What type of killers are CD8 cells referred to?

A

Are SERIAL KILLERS. As will kill multiple cells before they are no longer effector cells.

35
Q

What are the five T helper cell (CD4+) subtypes?

A

Naïve CD4+ T cells can differentiate into distinct subsets AFTER antigen encounter: T helper 1 cells (Th1), T helper 2 cells (Th2), Follicular helper T cells (Tfh), Th17 cells, Treg.

36
Q

What are the major functions of T helper (CD4+) cells? (x4)

A

Macrophage activation, delayed type hypersensitivity, B cell activation, regulation.

37
Q

What are the functions of T helper 1 cells? (x2)

A

Produce interferon gamma (cytokine) which works with interferon-gamma to activate macrophages – which are very good at killing VIRUSES. Also boosts CD8 cells.

38
Q

What are the functions of T helper 2 cells? (x1)

A

Produce IL-4, IL-5, IL-13 (interleukins, which are cytokines) that inform the immune response to be anti-multicellular organism. The immune system therefore interacts with eosinophils which are very good at killing PARASITES.

39
Q

What are the functions of Tfh cells?

A

Probably don’t need to know this information as in detail — don’t fuss over remembering. Involved in activation of B cells! Part of their function involves residing in B cell follicles where they produce interleukin-21 – trigger germinal centres (contain mutating and dividing B cells) in the lymph nodes and help with selection and survival of B cells that differentiate into plasma or memory cells (Look at Affinity Maturation in Immunology: Antibodies and B lymphocytes).

40
Q

What are the functions of T helper 17 cells (Th17)? (x2)

A

Secrete IL-17 – involved in autoimmune diseases. Talk to neutrophils – suited to killing BACTERIA.

41
Q

What are the functions of Treg cells? (x2)

A

T cells that regulate the activation or effector functions of other T cells. Necessary to maintain tolerance to self-antigens.

42
Q

What defines the different subsets of T helper cells? (x2)

A

They each are defined by the cytokines they produce and the transcription factors they use. This determines their FUNCTIONS. SO, CD4 cells determine the downstream response to the pathogen – note how different CD4 subsets target different types of pathogens differently e.g. one is more effective at targeting parasites… This is all because of the variant cytokines (and TFs).

43
Q

What is delayed type hypersensitivity?

A

Can be protective and pathological. PROTECTIVE: Primary role is to defend against intracellular pathogens. PATHOLOGICAL: when there is chronic immune stimulation (e.g. if antigen is not eradicated such as pollen in hay fever), it leads to granuloma stimulation (collection of macrophages formed during inflammation. If there is not a pathogen, this granuloma stimulation leads to tissue damage. Delayed type hypersensitivity occurs in two stages: 1. Sensitisation phase: dendritic cell must first take up antigen, presenting to T cells. This builds up a memory pool. This memory is important – you cannot be allergic to something without seeing it first. 2. Effector phase: on second exposure, a severe response is triggered in T cells (like a secondary immune response – more rapid, more significant): proteins/cytokines are released that lead to inflammation and rash = allergic reaction!

44
Q

What are the different types of delayed type hypersensitivity? (x2)

A

Th2 cells signal to eosinophils which release mediators, which causes the swelling reaction. Th1 cells signal to macrophages.

45
Q

How do T helper cells lead to B cell activation?

A

Infection! Dendritic cells and B cells will BOTH take up same pathogen, which they both process and put antigen on MHC II. Relevant Tfh cell recognises the MHC-antigen complex on the dendritic cell and becomes active. It then goes and finds the same B cell that recognised the same antigen. Tfh cell locates and instructs the B cell to perform its effector function.

46
Q

What are the stages that naïve T cells go through to become memory cells – in terms of numbers?

A

Memory cells go through expansion and contraction stage – see photo.

47
Q

How do memory cells differ from naïve T cells? (x3)

A

Memory T cells: less stringent (strict, precise, exact), proliferate faster and express different chemokine receptors.

48
Q

What is T cell exhaustion and why does it come about?

A

T cell exhaustion – if infection does not clear, means T cells are constantly exposed to the antigen e.g. cancer, so continue proliferating = dangerous. If stimulation happens for too long and is too strong, T cells become exhausted. So, they shut down and CD8 pool contract to prevent excess damage.

49
Q

SUMMARY – What are the pathological reactions that can be caused by T cells? (x2)

A

Autoimmunity and rejection in transplants.

50
Q

Why is lymphocyte response regulation important? (x2)

A

To avoid excessive lymphocyte activation and tissue damage during normal protective responses against infections. PREVENTING TOO MUCH IMMUNE RESPONSE. To prevent inappropriate reactions against self-antigens (‘tolerance’). PREVENTING IMMUNE RESPONSE AGAINST THE WRONG THING.

51
Q

What are the three possible results of adaptive immune regulation failure? (x3)

A

Autoimmunity. Allergy. Hypercytokinemia and Sepsis.

52
Q

What are the causes of autoimmunity? (x2) What does this result in physiologically? !!!

A

Susceptibility genes. Environmental trigger like an infection. Results in imbalance between immune activation and control, leading to failure of tolerance (reaction against self-antigens) or regulation (excessive immune response).

53
Q

What are the characteristics of autoimmune diseases?

A

Chronic with permanent, prominent inflammation.

54
Q

What is an allergy caused by? What are the two types – in relation to the immune system?

A

Harmful immune response to non-infection antigens that cause tissue damage and disease, mediated by IgE antibodies and mast cells (in acute anaphylactic shock), or by T cells (in delayed type hypersensitivity).

55
Q

What is hypercytokinaemia/sepsis?

A

Excess immune response in positive feedback loop, triggered by pathogens entering wrong compartment/blood (sepsis) or failure to regulate immune response where too many immune cells are being brought into a localised area (cytokine storm).

56
Q

Just read this flashcard:

A

There is a sliding scale of damage that immune cells and effector functions can do to the body, indicated by this graph. Mucous and AMPs have no damage, macrophages have the ability to be more damaging, and CTLs have the potential to damage your cells the most (because they contain apoptotic granules). As you go up the scale of potential damage, the immune system has more regulatory mechanisms – so CTLs are very tightly controlled (look earlier at 3-signal licensing response), whereas mucous secretion is not.

57
Q

What are the mechanisms that regulation occurs? (x2)

A

Mechanism is SELF-LIMITATION which is manifested by decline of immune response over time, driven by two possible mechanisms: 1. Elimination of antigens removes stimulation, so stops lymphocytes being activated. 2. OR active control mechanisms: function to limit responses to PERSISTENT antigens (self-antigens, possibly tumour and some chronic infections) – grouped under ‘tolerance’ (tolerance to the persistent antigen - almost like immune system recognises antigen as ‘self’).

58
Q

What is immunological tolerance?

A

Specific unresponsiveness to an antigen that is induced by exposure of lymphocytes to that antigen. It is an ACTIVE process.

59
Q

What is the significance of immunological tolerance? (x2)

A

All individuals are tolerant to their own antigens (self-tolerance) – breakdown of self-tolerance results in auto-immunity. Inducing tolerance may be exploited to prevent graft rejection, treat autoimmune and allergic diseases.

60
Q

What are the two types of tolerance?

A

CENTRAL tolerance: destroy self-reactive T or B cells before they enter the circulation. PERIPHERAL tolerance: destroy or control any self-reactive T or B cells which do enter the circulation. In addition, some cells may later become self-reactive – particularly B cells, from mutation in affinity maturation.

61
Q

How does central tolerance occur for B cells?

A

Immature B cells in bone marrow scans through self-antigens as they mature – if it encounters antigen in a form which can cross-link their IgM, apoptosis is triggered.

62
Q

How does central tolerance for T cells occur? (x2)

A

Occurs in the thymus. T CELL NEEDS TO BIND TO SELF-MHC: If binding to self MHC is too weak, may not be enough to allow signalling when binding to MHC with foreign peptides bound in groove. If binding to self MHC is too strong, may allow signalling irrespective of whether self or foreign peptide is bound in groove. (RECAP: T cells are activated when a MATCHED TCR binds to a self-MHC AND a foreign peptide (found in MHC groove). T cells constantly survey and do nothing when a self-peptide is found in the MHC groove.)

63
Q

What is the problem with exposure of self-proteins in the thymus and how is this overcome?

A

T cells develop in thymus. But not all proteins in the body are encountered in the thymus. This would mean that there’s many self-proteins that T-cells aren’t removed for, so many T-cells will generate an autoimmune response. AIRE (AutoImmune Regulator) is a transcription factor that allows thymic expression of genes that are expressed in peripheral tissues i.e. it expresses every single protein in the body. Therefore, AIRE is what promotes self-tolerance of the whole body…by allowing the thymic expression of genes from other tissues. SO, AIRE mutations result in multi-organ autoimmunity.

64
Q

Just read this one:

A

AIRE mutations result in multi-organ autoimmunity. People with mutations in AIRE rarely get sick of infections because viruses etc. have evolved to look very similar to self-proteins, as an evolutionary mechanism to evade the immune system. But many of these self-protein-recognising-T cells are not destroyed in the thymus during maturation because the AIRE does not work. As a result, the body is better at recognising and fighting infections because T-cells that recognise these structures are conserved. But do get a lot of autoimmune diseases instead, of course.

65
Q

What are the four mechanisms of peripheral tolerance in T cells?

A

Anergy, ignorance, deletion and regulation.

66
Q

Peripheral tolerance: what is anergy? Common? Real-world example?

A

T cell recognises antigen on MHCII on a dendritic cell, but there is no/incorrect co-stimulation (one of the three things needed in the 3-signal licensing model for T-cell activation) when T-cells encounter dendritic cells presenting antigens results in shut down of T cell. This is common because most cells lack co-stimulatory proteins AND MHC Class II anyway – remember, MHC Class II are only found on professional APCs like dendritic cells. Good example is in the gut – eating something allergic may not give you a response because cells in the gut have no co-stimulatory signals, but that same allergic food may induce a response if found in the blood.

67
Q

Peripheral tolerance: what is ignorance? (x3 types).

A

Antigen present in such a low concentration that it does not reach the threshold for T cell receptor triggering – so there is unresponsiveness to the antigen which is what defines tolerance. OR in a privileged site where T cells not present (e.g. eye or brain) Compartmentalisation of cells and antigen means that antigen and T cell may not be present in the same tissue at the same time, also preventing T cell activation.

68
Q

Peripheral tolerance: what is deletion? Alternative name?

A

Also known as antigen-induced cell death. Activation through TCR can result in apoptosis, often caused by Fas ligand which induces apoptosis.

69
Q

Peripheral tolerance: what is regulation? Mechanism of regulation?

A

Subset of T cells called Treg (regulatory T cells) can inhibit other T cells. Treg cells work by secreting immune-suppressive cytokines (such as IL-10, driven by transcription factor FoxP3 !!!), inactivating dendritic cells or responding lymphocytes.

70
Q

What are the two types of regulatory T cells?

A

NATURAL REGULATORY T CELLS: develop in the thymus and requires recognition of self-antigen during maturation. Reside in peripheral tissues to prevent harmful reactions against self. INDUCIBLE REGULATORY T CELLS: develop from mature CD4 T cells that are exposed to antigen in the periphery. Generated in all immune responses, to limit collateral damage.

71
Q

What is the nature of regulation in pregnancy?

A

Regulation is critical in pregnancy. Baby is technically a parasite and half of MHCs are foreign (remember, half from Mum and half from Dad). SO, to prevent attack from the immune system, women’s body is immunosuppressed.

72
Q

What are the three possible end-responses for remaining tissue after fighting an infection?

A

RESOLUTION: occurs when there is no tissue damage. Tissue returns to normal and there is phagocytosis of debris by macrophages. REPAIR: healing with scar tissue and regeneration. Fibroblasts and collagen synthesis (leading to permanent damage). CHRONIC INFLAMMATION: active inflammation and attempts to repair damage ongoing.

73
Q

Describe the cross-regulation between the different sub-sets of T helper cells? (x2)

A

All the different T helper sub-sets are cross regulated by T cell cytokines. When one T helper sub-set becomes dominant, its cytokines shuts down all the other T helper cells – this focuses the immune response (e.g. if you have a viral infection, there will be a Th1 response, so Th1 will become dominant, and its cytokines will shut down Th2 and Th17). The specific cytokines that T helper cells produce also produce a different response in macrophages – again focusing the immune system on the relevant pathogen.

74
Q

What is IL-10?

A

A cytokine – an interleukin. Master regulator cytokine that is multi-functional and acts on a range of cells, blocking pro-inflammatory cytokine synthesis and downregulating macrophages, produced by Tregs. SO, IL-10 shuts down (/regulates) the immune system.

75
Q

What are the signals required for T cell and B cell stimulation? SUMMARY

A

Remember the 3-signal licensing mechanism for T cells? B cells only require two of the signals.