intro to the TME and immune system Flashcards

1
Q

differences in tissues of every organ

A

although we have these 4 different tissue types every organ is different
- , this is done by having different cells present, different cell Arrangement, different structures, oxygen levels sugar glucose lipids ,the availability of pH
- And then therefore the signaling between these different cells also Alters all of the above
.
So if we’ve got a different type of cell present the signals that it can give out will alter the cells that are surrounding it. So not just the cells that are touching each other But the cells that are in the proximal area

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2
Q

TME is not simple or clear

A

for everything that is said about the TME there will always be the caveat we know it in this cancer or from this model or a cancer located in that organ, there are far more expectations to the models/ rules that in the intracellular drivers of cancer

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3
Q

how much of that definition of cancer is not actually intracellular. So not actually based on the mutations to the genetic changes in cancer.

A
  • cancer cells have escaped the normal limitations of external cue driven cell division
  • have modified their local environment to excees the natural defined tissue borders
  • forms a multicelular mass driven by a transformed cancer cell
  • have mechanisms to survive immune surveillance and cell death
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4
Q

innate immune system

A
  • the innate immune system arrived in our bodies earlier and evolved alongside us
    ○ we’ve got macrophages neutrophils dendritic cells, esinophil and basophils
    ○ these innate immune cells Do not require learning.
    ○ That doesn’t mean that they can’t be changed or taught. They don’t need to learn what has happened to the body they can respond but they don’t need a learned response.
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5
Q

adaptive immunity

A
  • The Learned response comes from the adaptive immunity. So this is normally mediated by antibodies.
  • antibodies recognize antigens
  • antigens can be most substances that are organic. They can be altered lipids, They could be altered Sugar’s they could be altered proteins - anything that is not self
  • antigens are made up on cells that are normally infected in the first instances
  • they also recognize mutated proteins, which is important for cancer because mutations can cause extracellular or intracellular proteins to change their shape and therefore be recognised as foreign antigens and therefore antibodies Be generated towards them.
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6
Q

natural killer cells

A

○ They have the ability to be innate immunity. So they’re able to respond independently of any learning so they can recognize when a cell is damaged or has been infected
- and they can also be trained by antibodies to Target specific cells independent on whether they’re damaged

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7
Q

why can’t we catch cancer - experiment

A

in this experiment, we’ve got two mice of different genetic backgrounds
- one is a BALB/c the other is C57BL/6 and both of these mice are presented with a carcinogen And they will go on to generate tumors.
- Once they’ve generated their tumors. We can isolate their cells and inject them into different mice
- if we go into a sygeneic mouie So this is the same Mouse BALB/c They will grow tumors. If we put them however into an allogenic host in which case they’re still the same species, but they are not the same genetic background the tumors cannot grow.
- So the genetic similarity between individuals even of the same species has meant that their immune system has tailored itself to their own genetics.
- So your immune system is tailored for you And your genetic background

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8
Q

MHC class 1

A

MHC class 1 are important molecules when it comes to immunogenicity and cancer.
- MHC class 1 is expressed on all of your cells it is used to display cellular proteins or cellular components that are part of the regulatory system.
The way MHC class 1 gets loaded is complex but basically it loads up the proteins that live inside a cell and displays parts of them to passing cells

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9
Q

T cell and MHC class 1

A

So MHC class 1 is loaded up with a protein and if we have an activated T Cell which has a T-cell receptor.
- And if this T Cell receptor has been trained to recognize this protein or this antigen It will bind to MHC class 1, recognize that this particular protein means that this cell is damaged, in danger or infected or indeed cancer.
And this can lead to the activation of the T-cell which will lead to the targeting of the Antigen displaying cell to be targeted for apoptosis or T Cell derived death.

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10
Q

what is the problem with this recognition

A

the problem with that is most of your cells in a tumor Are normal or at least they are so normal that they will not be recognized by the immune system.
- the majority of mutations are going to be silent. They’re going to be in regions of the DNA that don’t actually encode anything or they’ll be making minor changes to proteins.
- Only certain mutations are going to be advantageous.
- If a mutation is negatively impacting a cell then it won’t grow to be the majority of the tumor
- if it’s advantageous It might stay and we end up with a lot of it
if it’s silent. They’ll be no Advantage either way.

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11
Q

can we take a mouse and train it on tumour cells - vaccines

A

if we take a mouse and we take irradiated tumor cells
- They themselves cannot grow and we take them from this tumor and we inject them into to a fully immune stable Mouse.
- We inject them in, we can train this mouse to then recognize the cells if they come in live.
- So if we then inject viable cells into the mouse that we’ve already trained to recognize irradiated tumor cells we will find that the host will reject this tumor.
- However, if we were in to inject a different type of cancer cells from a different line, that they had not been trained on, the same Mouse has not acquired cancer resistance, It has required recognition of this particular tumor cells.
- So in this way, we can envisage an area where we can take someone’s cancer, We can irradiate it, we can train them on it and we can hope to get a adaptive learned response
-So this mouse has now been trained to recognize these types of tumor cells.

this gives the idea of personalized cancer vaccines and they can come in many different flavors

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12
Q

autologous whole tumour lysates

A

in this case, what we’re doing is a whole tumor inoculation, so we’re not really enriching it for anything in particular that we want the immune system to respond to
○ we’re just taking the whole of the tumor mashing up the cells, destroying them, giving all of that content into the mouse in the hope that the immune system will pick up enough antigens to be able to amount this adaptive response.

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13
Q

how do cancer cells evade antigen presenting detection

A

one of the first things cancer cells can do is down-regulate MHC class 1.
○ So if they are lacking MHC class 1 and they don’t have a lot of it. They will be displaying less antigens
○ if they’re displaying less antigens the chances of a T-cell binding with its T Cell receptor to an antigen is that much lower.

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14
Q

good and bad bits of the immune system when it comes to cancer growth

A
  • It has tumour supportive cells and It has tumor suppressive cells
  • T cells on their whole are tumor suppressive cells.
  • If we were to look at different macrophages, so M1 or tumor Associated macrophages, these are two different flavors of macrophages
    ○ Some are tumour suppressive, some are tumour supportive
  • dendritic cells are tumour suppressive
    natural killer cells are tumour suppressive.

we have different branches of the immune system
- some support tumor growth and some that suppressed tumor growth
- and it is about altering that balance with which immunotherapies are interested in
- they want to shift the balance to tumour suppressive cell types away from the tumor supportive cells

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15
Q

M1 macrophages

A
  • M1 is anti-tumor - It expresses immunosuppressive cytokine
    ○ they secrete things like il-1 and tnf-alpha
    ○ these cells are far more likely to be cell lytic. They will bind to and cause phagocytosis
    ○ They are going to produce reactive oxygen species in order to cause damage.
    ○ These are the sorts of macrophages that in the normal scenario would be responding to a bacterial infection or a viral infection.
    ○ They would be the ones that arrived first
    ○ they can get activated by interferon Gamma which is produced normally by virally infected cells.
    ○ So macrophages that get stimulated by LPS or interferon-gamma become these immuno aggressive cell lytic ros expressing phenotype
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16
Q

M1 cells - MMPs

A

○ They also Express MMPs 7 9 and 12 and they do this because they want to break down the extracellular Matrix to allow more immune cells to enter the area.
§ So they want to break down the ECM to enable new cells to arrive and to help site of infection
§ in cancer, though that degradation of the Matrix means that the cancer cells have more space to grow and they May stimulate angiogenesis in these areas.

17
Q

M2 macrophages

A

To get to the M2 Pro tumor like we have hypoxia
- in the growing mass of tumour cells there is that hypoxic region in the middle - area that is away from a new blood vessel
- in this area It can train macrophages to become immunosuppressive and more wound healing.
○ So in this case, they could be producing a different types of Metalloproteinases that can be suppressing chemokines that are going to suppress T Cell migration.
○ They could have cytokines that could be acting as mitogens that oculd be secreting suppressive ligands to decrease T-cell involvement
○ their Pro angiogenic
- To have new tissue growth. We have to have an area where there’s no oxygen and then we have to have Angiogenesis to bring new blood vessels to then support new tissue.
○ In tumors However, we can skip hypoxia by stimulating M2 polarization by the secretion or tgf-beta/ IL 10/ IL 4
- if they can express tgf-beta They can activate this polarization towards this M2 like macrophage which has these Pro tumorigenic effects.

18
Q

what can M1 tumour like associated macrophages be doing

A

we’ve got the expression of tnf alpha, interferon gamma IL1beta - immunosuppressive ligands.
- They will activate T cells, they will cause the recruitment of b-cells
- They can cause apoptosis directly. So tnf Alpha is tumor necrosis Factor. It can activate apoptosis directly.
- They will secrete ros - these are damaging agents
- This ros will cause tissue damage. They would directly phagocytose cancer cells.
They recognize them as being different. They will try to latch onto them and engulf them.

19
Q

what are M2 macrophages secreting

A
  • il-10 and tgf-b
  • This ligand is immunosuppressive, it increases tumour regulatory cells that decrease CDA activated T-cells
  • tgf-beta drives Invasion and metastasis.
  • They will secrete things like BEGF, FGF and il-8 which will directly influence Endothelial cells to cause angiogenesis.
    these tumor Associated macrophages secrete the ligands that drive this process of angiogenensis and remodelling of the tumour microenvironment

they can be directly supplying the cells with ligand which can also be supporting the growth and survival of cells directly

20
Q

what happens if we try to grow cells directly into a mouse without tnf-alpha

A

If we try to grow cells directly into a mouse without tnf-alpha the tumor cannot grow.
- it actually requires tnf-alpha to be present for the tumor to take and that’s because some inflammation is required at the beginning to recruit these cells to be reprogrammed to support angiogenesis.
- So without any inflammation it’s very hard for tumour cells to actually co-opt the microenvironment that they’re in.

21
Q

natural killer cells

A

very good at causing cellular apoptosis.

22
Q

how do natural killer cells know the difference between cells that are happy and those that are stressed and damaged

A

-they recognise these family of different ligands - MICA/MICB families
- And these are normally only ever expressed when cells are stressed- they are normally hidden in the cytoplasm and then they can get flipped extracellularly if there is damage or stress.
- And so one of the ways that cancer cells can avoid this signaling and activation of natural killer cells is they down-regulate this family of proteins.
So if you don’t show these stress markers, then you’re not going to be recognized as being damaged.

23
Q

negative feedback loop for natural killer cell interactions

A

in natural killer cells, we have MHC class 1 and activating ligand
- So if we have an activating ligand in a Cell thats stressed or damaged it can readily recognized by the activating receptor on natural killer cells.
- However, its inhibitory Loop, So the way in which cells can escape this interaction and cell death caused by it, is to have MHC class 1 on the target cell recognized by an inhibitory receptor on the natural killer cell.

24
Q

feedback loop for T cell interaction

A

when we have the T Cell interaction, the MHC class 1 is being recognized by the T Cell receptor and that is causing its activation

○ So MHC class 1 expression is negative for having T Cell interactions, but it is a positive if you wanted to dampen natural killer cell responses.

25
Q

cancer cells that have decreased expression of MHC class 1

A

cancer cells that have decreased expression of MHC class 1, It means they’re very good avoiding T-cell responses, but they’re not very good at avoiding natural killer cell responses
- because MHC class 1 is required for that negative regulation.
- Which is why not all cancer cells just simply get rid of MHC class 1 because it doesn’t stop the immune system from recognizing you it just stops T-cells from recognizing you.

26
Q

types of T cells

A
  • There are the helper T cells. So these are CD4 cells
  • we have cytotoxic T cells. These are the ones we want. These are the ones that have cd8 expression and these are the ones that are cytotoxic.
    We then have regulatory cells. These are CD4 expressing and they also are immunosuppressive.
27
Q

balance of T cells

A

what we want to do is we want to change the balance of the immune cells away from T Regulatory cells towards inflammatory immune cells. So in this case, we’re talking cd8
- and there are lots of different conditions where this balance is altered.

28
Q

T cells in autoimmunity

A

in autoimmunity we have the opposite problem to cancer so we have too many inflammatory lymphocytic cells/ Cd8 T-cells and we don’t have enough T regulatory cells

  • loss of homeostasis and peripheral tolerance
  • loss of immune response refulation to prevent non specific side effects
  • promotes autoimmunity and autoimmune diseases
29
Q

TIL therapy

A

TIL therapy just adds lots of cd8 cells.
So if we want to increase the immunosuppressive component, we can grow up cd8 positive T cells from a patient. We can grow them up in massive flask, inject them back into the patient in the hope that we can shift this balance

30
Q

T cel balance in healthy people

A

balanced T-reg and inflammatory immune cell populations
- promotes homeostasis and peripheral tolerance
- regulates immune response to prevent non-specific side effects
- permits cancer immuno-surveillance

31
Q

T cell balance in cancer

A

increase of T-reg population
- loss of cancer immuno surveillance
- promotes suppression of anti tumour response
- promotes cancer progression

32
Q

How do we end up with this regulatory balance of too many regulatory T cells?

A

because of ligand tgf-beta.
- tumor cells or indeed macrophages within the microenvironment secrete tgf-beta
- tgf-beta activates regulatory T-cells
- regulatory T cells then secrete CCL22 which dampens and inhibits CD4 and cd8 cells - t helper cells and cytotoxic T cells.
- And it is this simple Network that creates this regulatory immunosuppressive environment in cancer

33
Q

High concentration of T regs

A

those that have high T reg cells will die very quickly.
- Those that have very low numbers of T. Regulatory cells Will Survive much longer.

34
Q

how do tumour cells avoid cd8 cells even if they are there?

A

mhc1 is inhibitory to the natural killer cells
- in a tumor cells and in normal cells we have ways of down-regulating T-cell responses.
- there are inhibitory molecules and Ligands and there is a whole family of them e.g. pd-1 PDL 1.
○ So when pd-1 is binding the PDL 1 this dampens is activation. It decreases the ability of the T Cell receptor to activate cd8 cells.
○ And what tumour cells can do is they can upregulate PDL 1 so that this inhibitory reaction becomes predominant
and so we can use immune checkpoint Inhibitors which stop these T cells from being immunosuppressive

35
Q

mechanisms to avoid surveillance

A
  • suppress MHC expression - dont show your antigens
  • overexpress PDL1 to inhibit the T-cell/ tumour checkpoint
  • over express BCL2 family members and avoid apoptosis
  • manipulate the balance of immune cell types TGFbeta and IL10 - more tREGs and more M2 macrophages