L10 Cytotoxicity Flashcards

1
Q

what are cytotoxic lymphocytes?

A

NK cells and CD8+ T cells
NK: recognise and kill through the KIR receptor and and have antibody dependent cellular cytotoxicity (ADCC) through fc gamma receptors/ (FcgammaRIII aka CD16)
CD8 USE TCR/ CD3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

CD8+?

A

CD8+ T cells kill virus-infected and cancer cells with remarkable specificity.
Originate from naive CD8+ T cells in a process named - effector T cell differentiation
Naive CD8+ T cells circulate and upon encountering antigen by a naive t cell presented by professional APCs, these naive T cells slow down—engages the dendritic cell via integrin signaling— and T cell receptor (TCR) activation triggers the formation of the initial signaling “immune synapse” always use the word initial.
This initial ‘signaling’ immune synapse induces remarkable clonal expansion (this effector differentiation occurs over the next 4–5 days)
-> naive CD8+ T cells differentiate into heavily ‘armed’ effector CD8+ T cells or also
known as CTLs that are loaded with specialized cytolytic granules that contain
perforin and granzymes
Once effector CD8+ CTLs recognise their target cells in the periphery, a
“lytic immune synapse” is formed, and the cytolytic granules are secreted.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what do naive CD8+ differentiate into upon effector t cell differentiation?

A

when the initial immune synapse formation occurs in the lymph node, naive cd8 t cell receive helps from cd4 cells by co stimulation, helping to activate the dendritic cell. so there is a complex of all 3 cells. through release of cytokines and? through expression of CD40L (signalling molecule), cd8 b ecomes differentiated CTLs and memory CD8 cells.
the Naive CD8+ T cells have to differentiate into CTLs
The differentiation
of naive CD8 + T
cells into
functional CTLs
and memory cells
requires not only
antigen
recognition but
also costimulation
and, in some
situations, help
from CD4+ T cells
(co-stimulatory
receptor
signalling and
cytokines)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

lytic immune synapse?

A

after t cell proliferation and differentiated CD8 CTL cells formed in lymph node, they enter circulation and migrate to site of antigen where they form a lytic immune synapse.
Different from an initial immune synapse. to form the lytic synapse only need signal 1.
* TCR-
dependent
(signal 1)
BUT…
* costimulation
(signal 2) or
cytokines
(signal 3) NOT
REQUIRED
- cytotoxic lymphocytes that have been generated are very mobile, leave lymph nodes and survey the body to identify the target cell. The leading edge of a CTL is characterized by actin-rich
lamellipodia and the centrosome (microtubule-organizing center,
MTOC) is localized at the back of the CTL in the uropod. this allows them to rapidly migrate.

Stage 1. Initial interaction of CD8+ CTLs with target cells
* Initial interaction of CTL with a target cell is mediated by non-specific adhesion molecules – integrins: LFA-1
* In the absence of a specific TCR-recognised antigen the cells will
separate

LFA-1 (CD11a/CD18 ICAM-1 (CD54)
LFA-2 (CD2) LFA-3 (CD58)

Stage 2. Early events in CD8+ CTL lytic synapse formation
* Initial contact between the CTL and the target cell occurs through
actin-rich filopodia of the CTL that form an interdigitated contact sites (finger-like contacts) with the target cell.
* TCR–peptide–MHC interactions at the tips of the actin-rich interdigitations.

Step 3. Mature CD8+ CTL lytic immune synapse formation
* In the presence of a specific TCR-recognised antigen bound to class I
MHC cells and CD8 coreceptor engagement, CD8+ CTLs adhere strongly
and the formation of the lytic immune synapse is initiated, leading to
clustering of cytolytic granules towards the target cell.
T cell becomes polarised
- Centrosome/MTOC formation
- clustering of granules at point
of contact. centrosome contains the cytosolic molecules needed to kill the target cell.
Upon strong TCR engagement, the actin-rich lamellipodia move to the
periphery/edges of the lytic synapse leaving an actin-depleted area
(at 6 mins) the centrosome moves and docks at the plasma membrane, and cytotoxic
granules move along microtubules towards the lytic synapse.
➢ The docked centrosome marks the point at which lytic granules that contain cytotoxic
perforin and granzymes are secreted and consequently kill the infected or tumour target
cell by apoptosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

initial synapse signals?

A

T cell activation requires 2 signals:
Signal 1 – T cell receptor (TCR) signaling. MHC class 1 molecules expressed on APCs bind
to the TCR on T cells. TCR signalling occurs when the TCR is engaged by cognate peptide (Ag)-major histocompatibility complex (MHC).
and Signal 2: co-stimulatory signalling (e.g. CD28) amplifies TCR signalling and
the recruitment of signaling molecules at the initial immune synapse to drive T
cell activation. CD80 and CD86 ligands expressed
on APCs bind to CD28 on T cells CD8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the cytolytic? molecules within the centrosome?

A

perforin- aids in delivering content of granules into the cytoplasm of target cells.
granzymes- serine proteases, which activate apoptosis once in the cytoplasm of target cells.
granulysin- has antimicrobial actions and can induce apoptosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Mechanisms of action of perforin and granzymes

A

Perforin forms large
transmembrane pores that
enable the diffusion of
granzymes into the target
cell cytosol.
Granzymes then initiate
apoptosis of the target cell,
and the cytotoxic lymphocyte
detaches from the dying cell
(indicated by the arrow;
part e) and can interact with
another target cell to carry
out serial killing (not shown).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

CTL target cell recognition?

A

CTL target cell recognition is highly specific (TCR-Ag) –
controlled by the lytic immune synapse that prevents
nearby healthy cells from being damaged by cytotoxic proteins.

The CTL may detach and kill other
target cells – serial killers!
CTL recognizes the antigen-
expressing target cell and is
activated.
Activation results in the release
of granule contents from the
CTL into the target cell through
the area of contact (the lytic
immune synapse).
Granule contents deliver a
lethal hit to the target.
The CTL may detach and kill
other target cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

additional killing mechanisms?

A

CTLs also use a granule-independent mechanism of killing that is
mediated by interactions of membrane molecules on the CTLs and target
cells. On activation, CTLs express a membrane protein called Fas ligand (FasL) that binds to the death receptor Fas. This interaction also results in activation of caspases and apoptosis
of Fas-expressing target cells.

Indirect killing mechanisms
Adaptive immune cells like CD8+ CTLs can regulate other
immune cells - innate immune cells such as
macrophages and NK BY SECRETING IFN-Y

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

NK?

A

regulated by KIR. do not undergo the differentiation process, immediately kill.
Normally they are tolerant but are readily activated by:
* Type I Interferons (IFN-alpha/beta) cytokines
* IL-12, IL-15 cytokines
Killing triggered by:
* Activating receptor on NK cells: induced to kill by FcalphaRIII (CD16) —> Antibody-Dependent Cell-mediated Cytotoxicity (ADCC).
detect abnormal cells with:
* Lack of class I MHC (“missing self ”)
* when cells are damaged/infected express abnormal proteins: Altered self (“stress-induced self”)

NK functions
* kill virus-infected target cells and tumour cells
* produce and release immunoregulatory cytokines (IFN-gamma, TNF-alpha,
GM-CSF and chemokines) that activate macrophages to destroy
phagocytosed microbes (innate NK cells can influence other innate
immune cells – macrophages)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How NK cells regulate other immune cells

A

NK cell–derived IFN-γ
increases the capacity of
macrophages to kill
phagocytosed bacteria, similar
to IFN-γ produced by T cells.
This allows time for T cell–
mediated immunity to develop
and eradicate the infection. so takes time as immediate response by nk and macrophages but adaptive response which is antigen specific takes several days to develop.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

NK cells – how are they regulated

A

a | NK cells are tolerant to
healthy cells, as the strength of
the activating signals they receive
on encountering these cells is
dampened by the engagement of
inhibitory receptors (tolerance). nk cells express inhibitory receptors designed to keep nk cell toleraised. don’t become activated to mhc class 1 (healthy cells).
b | Tumour cells may lose
expression of MHC class I
molecules. NK cells become
activated in response to these
cells, as they are no longer held
in check by the inhibitory signal
delivered by MHC class I
molecule engagement. This is
known as ‘missing-self’ triggering
of NK cell activation. inhibitory recptor no longer engaged and activating receptor dominates.
c | In addition, NK cells are
selectively activated by
‘stressed’ cells’, which
upregulate activating ligands for
NK cells and thereby overcome
the inhibitory signaling delivered
by MHC class I molecules. This
is known as ‘stress-induced
self’ triggering of NK cell
activation.
NK cell activation leads to
tumour elimination directly
(through NK cell-mediated
cytotoxicity) or indirectly (through
the production of pro-
inflammatory cytokines, such as
interferon-γ).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

more info on nk?

A

NK cells are innate lymphocytes that elicit effector functions following the
ligation of germline-encoded receptors
In humans, NK cells are able to deliver a response immediately
after recognising specific signals, including stress signals, ‘danger
signals’ or signals from molecules of foreign origin (in contrast to naïve
CD8+ T cells)
NK cells therefore participate in the defense against infections, the
regulation of immune responses and the surveillance of stressed or
cancerous cells
NK cells use specific receptor systems
(effector cell differentiation is not required unlike naïve CD8+ T
cells->CTLs) – this is a key distinguishing feature between NK cells and
CD8+ T cells->CTLs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Activating and Inhibitory Receptors of NK cells

A

NK cells distinguish infected and stressed cells from healthy cells by
balancing the signals from activating receptors and inhibitory
receptors
* These receptors recognize molecules on the surface of other cells and
generate activating or inhibitory signals that promote or inhibit NK
responses
* The activating receptors stimulate protein kinases, while inhibitory
receptors stimulate phosphatases that counteract the kinases, inhibit signalling. suppress activation of nk
* In general, the activating receptors recognize ligands on infected and
injured cells, and the inhibitory receptors recognize ligands on
healthy normal cells
* Engagement of activating receptors stimulates the formation of the NK
cell lytic immune synapse in common with cd8 and killing activity of the NK cells, resulting in
destruction of stressed or infected cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Activating Receptors on NK cells?

A

Activating Receptors on NK cells recognize a
diverse group of ligands.
* Ligands are expressed on cells that have undergone stress, infected
with microbes, or neoplastic
* Many of the NK cell–activating receptors are called killer cell
immunoglobulin (Ig)-like receptors (KIRs) (can be activating or inhibiting so regulate nk)
* A second group of activating NK receptors belongs to the family of C-
type lectins, which are proteins with carbohydrate-binding properties
* One well-studied NK cell–activating receptor in the C-type lectin family is
NKG2D, which binds class I MHC–like proteins, including MIC-A and
MIC-B, found on virally infected cells and tumour cells but not normal cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Important activating receptor on NK cells is CD16 (FcγRIIIA)?

A

CD16 (FcγRIIIA),
which is a low-affinity receptor for IgG antibodies - Antibody-
Dependent Cell-mediated/or Cellular Cytotoxicity (ADCC)
Antibody molecules have highly
variable antigen-binding ends,
and on the opposite end, they
have an invariant portion, called
the Fc region, that interacts with
various other molecules in the
immune system

CD16 binds to the Fc regions of IgG1 and IgG3 antibodies.
During an infection, the adaptive immune system produces IgG1 and
IgG3 antibodies that bind to microbial antigens expressed on the
surface of infected cells, and CD16 on NK cells can bind to the Fc
regions of these antibodies. As a result, CD16 generates activating
signals, through its associated signalling partners, and the NK cells kill
the infected cells that have been coated with antibody molecules. This
process is called ADCC; it is an effector function of adaptive immunity

17
Q

NK cell Inhibitory Receptors

A

NK cell Inhibitory Receptors e.g: CD94, NKG2A (HLA-E displaying class 1 peptides) or KIRa (ligand: HLA-C) recognize class I
MHC molecules expressed on all healthy
nucleated cells in the body.
* NK cells use different types of receptors than CD8+ T cells to recognize
class I MHC molecules
* NK receptors respond to recognition of class I MHC molecules by
inhibiting NK activation
* Normal cells express class I MHC molecules, and many viruses and
other causes of cell stress lead to a loss of cell surface expression of
class I MHC
* Thus, NK cells interpret the presence of class I MHC molecules as
markers of normal, healthy self, and their absence is an indication of
infection or damage.

  • NK cells will be inhibited by healthy cells
  • In contrast, NK cells are likely to receive activating signals from infected or
    damaged cells through activating receptors.
  • The net result will be activation of the NK cells to secrete cytokines and to
    kill the infected or stressed cell.
  • This ability of NK cells to become activated by host cells that lack class I
    MHC has been called “recognition of missing self”
  • The largest group of NK inhibitory receptors belong to the same KIR
    family that also includes activating receptors, discussed earlier
  • Inhibitory KIRs bind a variety of different class I MHC molecules
  • Other inhibitory receptors are lectins, such as the CD94/NKG2A
    heterodimer, which recognizes a class I MHC molecule called HLA-E.
18
Q

ITAM VS ITIM?

A
  • Activating receptors have immunoreceptor
    tyrosine-based activation motifs (ITAMs) ,
    which contain tyrosine residues that become
    phosphorylated by cytoplasmic kinases after
    binding of ligands to the receptors.
    Other protein kinases are recruited to the
    modified ITAMs and become activated, and these
    kinases contribute to further signalling by
    phosphorylating additional proteins, eventually
    leading to cytotoxic activity and cytokine secretion
  • Inhibitory receptors of NK cells
    have immunoreceptor tyrosine-based
    inhibition motifs (ITIMs), which engage
    molecules that block the signalling pathways of
    activating receptors.
    ITIMs contain tyrosine residues that are
    phosphorylated on ligand binding to the inhibitory
    receptor and serve as docking sites for the
    recruitment and activation of phosphatases, which
    remove phosphates from several signalling
    proteins or lipids generated by the signalling
    downstream of NK activating receptors. The end
    result is blocking of the signalling functions of
    activating receptors
19
Q

NK cell lytic synapse formation - order of events/stages

A

The formation of a mature and functional NK cell lytic synapse
can be divided into a series of discrete stages: the initiation
stage, the effector stage and the termination stage
Together, these processes enable the delivery of cytolytic
granules to the lytic synapse, that leads to subsequent fusion of
lytic granules to the NK-cell membrane, which results in the
targeted release of their contents into the target cell
Because lytic granules exist in resting NK cells before activation, each
stage must be controlled to prevent accidental release of cytotoxic
mediators and to enable rapid directed secretion at the appropriate
moment.

20
Q

The initiation stage

A

Important steps that are proposed to occur in the
initiation stage include low affinity interactions
‘tethering receptors’ leading to firm adhesio and
progressive activation signaling
Firm adhesion – LFA-1 integrin - common with cd8
NK activation signaling – NKp44,
NKp46

21
Q

the effector stage?

A

In the effector stage, key steps include actin reorganization and
accumulation (F-actin polymerisation), receptor clustering,
polarization of the microtubule-organizing centre (MTOC) and
lytic granules, leading to lytic-granule fusion with the plasma
membrane.
in common with cd8, the centrosome moves from back to synapse contact site to deliver cytolytic molecules.
* Actin reorganization (formation of F-actin networks from G-actin-WASP-dependent)
* Receptor clustering, lipid-raft aggregation, further activation signalling and lytic-granule
redistribution
* Polarization of lytic granules to the synapse (lytic granules aggregate around the MTOC and
the MTOC begins to polarise towards the immunological synapse)
* Targeted F-actin disassembly (to create a conduit through which the lytic-granules gain
access to the plasma membrane)
* Lytic granule approximation to the membrane (target cell) and fusion

22
Q

termination stage?

A

The crucial steps of the termination
stage are proposed to include a period
of inactivity and detachment
Down modulation of the
accumulated activating receptors
* NK-cell detachment from the target
cell
* Recycling of cytolytic capacity

23
Q
A