Cytokines & T helper Cell Mediated Responses Flashcards

1
Q

What are Costimulatory signals are required for ?

A

T-cell activation and proliferation

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2
Q

Positive costimulatory receptors facilitate ?

A

Activation, help turn T cell on e.g. CD28

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3
Q

What is meant by Clonal Anergy ?

A

The inactivation of immune cells resulting from their interaction with antigen in the absence of a second antigen signal

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4
Q

Negative costimulatory (coinhibitory) receptors help?

A

Turn activation off. E.g. CTLA-4 & PD-1 (checkpoint blockade)
- These are important for the treatment of chronic immune-
mediated diseases

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5
Q

What are two types of communication in the immune system ?

A
1. Cell-cell direct receptor 
communication 
2. Cytokine mediated communication - Small, soluble glyoprotein messengers <30 kDa a 
communication network 
for the immune system
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6
Q

How can cytokines act specifically ?

A
  • Only cells expressing specific cytokine receptors can be activated
  • Short-lived
  • High concentrations needed
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7
Q

What happens when adaptive immune cells are stimulated by APCs ?

A

They proliferate & differentiate into effector cells with a range of functions appropriate for the immunological challenge

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8
Q

Effector T cell differentiation into functionally distinct

subsets depending on the type of infection?

A
  • Th1 cells
  • Th2 cells
  • Th17 cells
  • Tregs
  • TFH cells
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9
Q

How does CD4+ T cells help the activity of other immune cells ?

A
  1. Releasing a variety of cytokines with direct effector functions
  2. B cell antibody class switching
  3. Activation & growth of cytotoxic CD8+ T cells
  4. Maximizing bactericidal activity of macrophages
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10
Q

What is proliferation and differentiation of naive T cells is driven by ?

A

Autocrine IL-2

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11
Q

What are Tacrolimus (FK506).. Cyclosporin A and Rapamycin (Sirolimus) and what are they used for ?

A

Immunosuppressive drugs used to mediated T cell mediated rejection of transplants via
inhibition of IL-2 production/signalling

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12
Q

What can the Helper T cells be divided into at least five distinct subsets ? and explain what each one does?

A
  • Th1 regulate immunity to intracellular bacteria and viruses
  • Th2 regulate immunity to worms & are responsible for allergy
  • Th17 regulate immunity to extracellular bacteria anf fungi
  • Treg are inhibitory in terminating immune responses and inhibiting autoimmunity
  • Tfh regulate humoral immunity (B cells and antibodies)
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13
Q

What do the differentiating IL-12 cytokine produce ?

A
  • Transcription factor = T-bet

- Produces the IFN-γ and favours the differentiation of T helper 1

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14
Q

What do the differentiating IL-4 cytokine produce ?

A
  • Transcription factor = GATA-3
  • Produces characteristic cytokines IL-4, IL-5 and IL-13
  • Produces Th2 cells
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15
Q

What do the differentiating TGF-β, IL-6 and IL-23 cytokines produce?

A
  • Transcription factor = RORγ
  • Produces characteristic cytokines IL-17 and IL-22
  • Produces Th17 cells
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16
Q

What does only the IL-6 cytokine produce ?

A
  • Transcription factor = Bcl-6
  • Produces characteristic cytokines IL-21
  • Produces Tfh cells
17
Q

What do the TGF-β and IL-2 cytokines produce ?

A
  • Transcription factor = FoxP3
  • Produces characteristic cytokines TGF-β and IL-10
  • iTreg cells
18
Q

What is the major actions of CD4+ T helper 1 cells ?

A
  • Activate specialised killing mechanisms of macrophages

- Support CD8+ T cell response

19
Q

What types of infection do CD4+ T helper 1 cells target ?

A
  • Extracellular bacteria & microbes that persist in macrophage vesicles (e.g. Listeria, mycobacteria,
    Leishmania donovani, Pneumocystis carinii)
  • Must be tightly regulated to avoid tissue damage
20
Q

Chronic activation of
macrophages by Th1 cells
mediates formation of ?

A

Granulomas to contain pathogens e.g. M. tuberculosis

21
Q

What is the major actions of CD4+ T helper 2 cells ?

A
  • Promote enhanced barrier function & mediate contraction
    of smooth muscle(IL-13)
  • Activate & recruit eosinophils (IL-5)
  • Activate & recruit basophils & mast cells (IL-4).
  • Induce antibody class switching to IgE (IL-4)
22
Q

What types of infection do CD4+ T helper 2 cells target?

A

Helminths parasites, allergy

23
Q

What is the major actions of CD4+ T helper 17 cells ?

A
  • Activate barrier epithelial cells to upregulate anti-microbial peptides
  • Recruit neutrophils
24
Q

What types of infection do CD4+ T helper 2 cells target?

A

Extracellular bacteria (e.g., Klebsiella pneumoniae), Fungi (Candida Albicans)

25
What is the major actions of CD4+ T follicular helper cells?
- Traffic to B cell areas of lymph node & form cognate interactions with naive B cells through linked recognition of antigen - Promote germinal center formation facilitating isotype switching, and affinity maturation
26
What is the major actions of CD4+ T regulatory cells?
Generally suppress T cells & innate immune cell activity
27
What types of infection do CD4+ T regulatory cells?
- Promote tolerance to, rather than clearance of, the antigens they recognise - Prevent development of autoimmunity
28
What does T cell plasticity allow ?
Effector cells to adapt to the nature/stage of response
29
Give an example of this T cell plasticity ?
- Salmonella response begins with Th17 cells. - Bacteria evade response by hiding within macrophages. - This necessitates the Th17 response to evolve into Th1 response
30
What signals induce memory cell commitment?
Unclear but the more proliferation induced the better the memory response
31
Do memory cells reflect the heterogeneity of effector cells from a primary response?
Unclear—memory cell response appears diverse