Immunology lecture 5- CD4 T cells master controllers of the immune system Flashcards
What are the unconventional T cells?
Intraepithelial
lymphocytes (IELs)
NKT cells
What are the conventional T cells
CD4 helper
CD8 Cytotoxic
What happens to CD4 T helper cells during HIV infection
They are progressively lost
What happens when a T cell recognises a correct peptide plus MHC? Which cytokine drives this?
Clonal expansion over many days.
This is driven by the cytokine Interleukin 2
Function of interlukin 2 in clonal expansion of CD4 T cells?
It is secreted by the T cells and it acts on the CD4 T cells (autocrine) to enable clonal expansion
What happens to CD4 T cells once activated?
They differentiate into different types of effector T cells
What are the two main types of effector T cells? What do they do?
TH1 and TH2
They make cytokines
List cytokines made by TH1 effector T cells
IFN-g
TNFa
List cytokines made by TH2 effector T cells
IL-4
IL-5
IL-13
What type of immunuty does Th1 induce?
Cell-mediated
Immunity
(i.e. intracellular pathogens)
What type of immunuty does Th2 induce?
Humoral Immunity
i.e. extracellular pathogens
Which immune cell does Th1 help? How does it help it?
Macrophages
Through secreting IFN-g it activates the macrophages to kill the viruses and bacteria is has engulfed
What happens in the case of TB infection?
IFN-g released from Th1- stimulates macrophages- macrophages can’t kill TB well- produces Caseating granulomas, walls off the infected macrophages and bacteria. Th1 cells guard the site
What is Caseating granulomas
Occurs in lungs
Walling off of infected lung tissue and macrohages
Which immune cell does Th2 help? How does it help it?
Helps B cells to make antibodies.
Dendritic cells present antigen on MHC class 2 molecule.
CD4 sees this via TCR, binds and becomes activated.
B cell present antigen from the same pathogen on its own MHC class 2 molecule. T cell recognises this and binds to B cell.
T cell releases cytokines- (IL.4,5,13).
This causes B cell to be activated and class switch if needed
What does IL-4 help B cells class switch to?
IgE
How do T cells develop into Th1 and Th2 cells?
They start off as Th0 and then cytokines cause them to switch into Th1 AND Th2
Which cytokine cause Th0 to become Th2?
IL-4
Which cytokine cause Th0 to become Th1?
IL-12/IL-23
Which other immune cell makes IL4?
Mast cells
Function of mast cells
Binds to IgE, Releases histamines when activated. Responsible for anaphylatic shock. Parasitic worms
Which immune cell makes IL-12 and IL-23 to cause Th1 production?
Dendritic cells which have interacted with intracellular bacteria and viruses
What are the two main types of leprosy?
Tuberculoid leprosy
Lepromatous leprosy
Which type of T helper responce is dominant in Tuberculoid leprosy? Describe the immune response
Th1
Cytokines: IFN-g
Activated Macrophages
Low Numbers of Organisms (limited disease)
Which type of T helper responce is dominant in Lepromatous Leprosy
? Describe the immune response
Th2 Cytokines: IL-4, IL-5, IL-13 Hyperglobulinemia High Numbers of Organisms Disseminated disease (immune response ineffective)
Which type of T helper response is dominant in Lepromatous TB?
Th1 dominant
Limited Disease
Which type of T helper response is dominant in Miliary TB?
Th2 dominant
Disseminated
Disease
How to T cells cause allergies?
CD4 T cells produce Th2
Th2 leads to IL-4 production
This leads to IgE production which causes allergies
What type of hypersensitivity does allergies fall under?
Type 1 hypersensitivity
What is hypersensitivity 1?
IgE mediated allergy
Give 2 examples of type 1 hypersensitivity
Eczema
Rhinitis
CD4 Th1 cells what is the 1. Transcription factor? 2. Cytokines it produces? 3. Type of immunity it activates
- T beta
- IFN-g, TNFa
3.Cell-mediated
Immunity: Defence against intracellular
pathogens
CD4 Th2 cells what is the 1. Transcription factor? 2. Cytokines it produces? 3. Type of immunity it activates
- GATA-3
- IL-4, IL-5, IL-13
- Humoral
Immunity Defence against parasitic worms
(allergies)
CD4 Th17 cells what is the 1. Transcription factor? 2. Cytokines it produces? 3. Type of immunity it activates
- RORyt -y = gamma
- IL-17,IL-22
- Defence against
extracellular bacteria
(involved in autoimmunity)- promotes inflammation
CD4 T-Reg cells what is the 1. Transcription factor? 2. Cytokines it produces? 3. Type of immunity it activates
- Foxp3
- TGF beta, IL10
- Immunosuppression
(involved in autoimmunity,
cancer)
Which immune cells have the capacity to become memory cells?
Cytotoxic T cells
Helper T cells
B cells
Purpose of memory cells?
Stored” for rapid
deployment if infection
re-occurs
Describe the concept of Immunological Memory
the ability of
the immune system to respond
QUICKER and BETTER to pathogens
that have been encountered previously