Immune system regulation & Immunotherapy - 1 Flashcards

1
Q

goals of an immune system

A
  • recognise invader
  • generate response sufficient to protect
  • prompt effective down regulation after resolution of danger
  • elminate effector cells so response doesn’t persist
  • keep memore for future
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2
Q

factors influencing outcome of immune response

A
  • antigens
  • antibodies
  • cytokines
  • APC
  • T cells
  • MHC
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3
Q

T-reg cells

A
  • negatively regulate ( i.e. prevent exaggerated, chronic responses )
  • develop mainly in thymus as CD4+CD25+ cells
  • in periphery from classic CD4+CD25+ –> adaptive T reg cells
  • their development is induced in response to tigger
  • not naturally present
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4
Q

what receptors do natural CD25+ T-reg cells express?

A
  • CD25 receptor
  • CTLA-4 receptor - inhibits T cell responses
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5
Q

what is Foxp3?

A
  • expressed by CD25+ cells
  • transcription factor which promotes T cell differentiation into T-reg cells
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6
Q

majority of CD25+ cells are …

A

CD4+ cells that suppress different cell types like :
* CD4+
* CD8+
* B cells
* APC

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7
Q

CD+25 T-regs play a key role in …

A

establishing immune homeostasis

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8
Q

is suppression mediated by T-reg cells antigen dependent?

A
  • to acquire suppressive function, T-reg cells needs to be activated through its TCR
  • TCR needs to interact with an Ag to activate T-reg
  • so it is Ag-dependent
  • once activated - T-reg suppresses T cells with Ag specificities
  • effector activity ( suppressive function ) not Ag-specific but Ag-dependent
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9
Q

what are immunosuppressive cytokines secreted by T-regs?

A

TGF-beta + IL-10

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10
Q

function of TGF-beta?

A
  • blocks activation of T cells through inhibition of co-stimulatory pathways
  • induces CD4+ cells to differentiate to T-regs
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11
Q

function of IL-10

A
  • inhibits production of pro-inflammatory cytokines
  • inhibits expression of MHC class II on APC & blocks macrophage function —-> preventing Ag presentation
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12
Q

what happens when T-reg secretes IL-35?

A

inhibits proliferation of T cells & induces CD4+ cells to differentiate into T-reg cells

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13
Q

does suppression need CTLA-4?

A
  • CTLA-4 is a receptor expressed by CD4+ cells
  • binds CD80/CD86 lignads on APC + inhibits T cell function
  • generates inhibitory signals directly inhibit CD28 expression
  • enhances Fox3p expression
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14
Q

does suppression involve APC?

A
  • T-reg cells directly bind APC & down-regulate expression of co stimulatory ligands CD80/CD86
  • inhibit dendritic cell maturation & activation by inhibiting effector Th cells —-> Ag presentation inhibited
  • induce phenotypic changes in macrophages
  • inhibiting matrix metalloproteinase production by macrophages —-> less tissue destruction and less inflammation
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