Immune Recognition and Immune Tolerance Flashcards

1
Q

Definition of immune tolerance

A

Prevents auto reactivity but permits appropriate anti pathogenic responses

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2
Q

Definition of thyme education

A

T cells learn how to work in the thymus and start to differentiate

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3
Q

Definition of anergy

A

T cell remains in circulation but is unresponsive to future stimulation

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4
Q

Why is the recognition of self and non self important

A

Prevents autoreactivity, allow appropriate responses

Random TCR diversity makes self reactivity

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5
Q

Where does thymic education

  • occur
  • how does thymic education start
  • function?
A

Location
-thymus, precursors seeded by BM and trained by specialist cells

Function

  • express functional TCRs, CD4/8
  • learn how to use TCRs safely
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6
Q

Describe Stage 1

  • function
  • conditions to pass
  • consequences of failing
A

Function
-TCR genes rearranged and paired => functional ab

Conditions

  • Functional receptor
  • Both CD4/8 expressed

Failure
-Apoptosis

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7
Q

Describe Stage 2

  • function
  • location
  • conditions to pass
  • consequences of failing
A

Function
-Positive weak selection for self MHC

Location
-Thymic cortex

Conditions

  • Weak MHC I affinity => CD4 lost
  • Weak MHC II affinity => CD8 lost

Failure
-No affinity => apoptosis

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8
Q

Describe Stage 3

  • function
  • location
  • conditions to pass
  • consequences of failing
A

Function
-Negative selection to eliminate high affinity self reactive TCRs

Location
-TMECs

Conditions
-Low/moderate affinity for self MHCs (TRA)
=> enter circulation

Failure
-High affinity => activation induced death

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9
Q

Describe the importance of TRAs

What are the consequences of non functional TRAs

A

Transcription factors => express exotic TRAs

Failure to express => autoimmune diseases (APS Type 1)

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10
Q

What TRAs represent these organs

  • liver
  • pancreas
  • islets of langerhans
  • eye
  • thyroid
A

Liver
-serum amyloid p

Pancreas
-trypsin

Islets of Langerhans
-insulin

Eye
-crystallin

Thyroid
-thyroglobulin

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11
Q

What is anergy
Describe the process
Why is this important

A

APC loses costimulatory molecule when constantly exposed to same self antigen
TCR, MHC binds => S2 lost =>T cell loses con stimulatory molecule

Allows for tolerance against

  • self antigens not represented in thymus
  • food antigens/commensal bacteria
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12
Q

What is the function of Tregs
What happens when Tregs are non functional

What are the 2 types of Treg and their differences

A

Alter effector T cell/APC function

Lack of nTreg => autoimmunity (IPEX)

nTreg

  • produced in thymus
  • respond to self antigens

Adaptive Tregs

  • develop in periphery
  • respond to food antigens
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13
Q

In what 2 situations would you benefit from Treg suppression

A

Vaccination

Antitumour responses

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14
Q

Describe the role of APCs in an immune response

A

PAMPs, DAMPs recognized by tissue dwelling APCs via PRRs => lead to activation

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15
Q

What happens after APC activation

How do lymphocytes get involved?

A

APCs move from tissue => lymph node and secrete cytokines/chemokines

Results in up regulation of adhesion molecules on high endothelial venules that line arterioles entering lymph nodes

Leads to increased migration of naive T cells => node
Increased size, cellularity of nodes, signals causing T cell exit blocked

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16
Q

Describe the response of CD4/8 after interacting with APCs

A

S1 between TCR and MHC
S2 between APC CD86 and T cell CD28
S3 cytokines => maturation of naive cells

17
Q

Th1

  • triggered
  • secretes
  • pathogens
A

Triggered
-IL12

Secretes
-IFNy, IL2

Pathogens
-intracellular

18
Q

Th2

  • triggered
  • secretes
  • pathogens
A

Triggered
-IL4

Secretes
-IL4, 13

Pathogens
-extracellular parasites

19
Q

Th17

  • triggered
  • secretes
  • pathogens
A

Triggered
-IL6, TGFb

Secretes
-IL17, 21, 22

Pathogens
-extracellular bacteria

20
Q

Treg

  • triggered
  • secretes
A

Triggered
-IL2, TGFb

Secretes
-TGFb, IL10

21
Q

CD8

  • triggered
  • secretes
  • action
A

Triggered
-IFNy, IL2

Secretes
-granzymes, perforin

Action

  • cytokine release
  • proliferation
22
Q

How does the no of T cells in serum change during the course of an infection

A
  1. No of T cells low in nodes
  2. Cells sequestered into nodes => differentiate and proliferate
  3. Burst out of lymph node => migrate to infection site with increased no, effector function
23
Q

How do T cells enter the bloodstream

A

Enter tissues when inflamed vessels encountered

If APCs with complementary MHC encountered => effector function
If APCs with complementary MHC not encountered => return to lymph nodes

24
Q

What happens after the pathogen is cleared

A

Inflammation removed => innate system deactivated

Most effectors => death by neglect/cytokine starvation, removed by macrophages

Some remain as memory cells

25
Q

What are the properties and the location of

  • B memory
  • T memory
  • plasma cells
A

B memory

  • Spleen
  • develop into plasma cells

T memory

  • Lymph node
  • immediate effector function

Plasma cells

  • Bone marrow
  • secrete AB