L17-T cell differentiation and the concept of tolerance Flashcards

1
Q

What is tolerance in this sense?

A

It is the set of mechanisms that prevent the immune system responding to self antigens. More directly it is the process of eliminating or neutralising self-reactive lymphocytes.

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2
Q

What does central tolerance refer to?

A

Central tolerance refers to tolerance mechanisms that occur in the primary lymphoid organs (thymus and bone marrow)

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3
Q

What is the structure of the thymus?

A

An encapsulated gland, which is organised into lobules each with a complex meshwork of epithelial and other cells. It can be divided into an outer cortex and an inner medulla.

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4
Q

What is the path t cells take through the thymus?

A

They pass from the outer cortex through to the medulla

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5
Q

What is the main cell type in the cortex of the medulla?

A

reticular epithelial cells which express MHC class 2 molecules.

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6
Q

Why are there macrophages present at the boundary between the cortex and the medulla?

A

To prevent dead or dying cells from entering the medulla.

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7
Q

What happens in the medulla?

A

The medulla is specialised to allow thymocytes to undergo additional rounds of negative selection.

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8
Q

What is the gene that allows thymic epithelial cells to express antigens from all over the body?

A

AIRE

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9
Q

Once full diversity of thymocytes have been generated in the cortex what two selection processes must they undergo?

A

Positive selection - in the cortex, allows T cells that recognise foreign antigen on self MHC molecules to mature.
Negative selection - removes potentially dangerous T cells that recognise self peptides.

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10
Q

How does positive selection help T cells differentiate into different T cell types?

A

T cells that recognise MHC class I molecules lose expression of CD4 and the same vice versa.

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11
Q

Which cells mediate the process of negative selection?

A

Dendritic cells

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12
Q

What percentage of T cells generated survive central tolerance?

A

5%

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13
Q

What are the main mechanisms that contribute to tolerance in the periphery?

A

Ignorance - suppression of immune response by cytokines
Regulatory T cells- prevent self-reactive t cells from mounting damaging immune responses.
Inappropriate antigen presentation- Prevents T cells from being activated without ‘danger signals’ being released as well as the MHC molecules
Threshold responce- Genes CD28 (acceleration) and CTLA-4 (brake) can be used to switch T cells on and off

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14
Q

How does B cell tolerance take place?

A

They do not migrate to the thymus however if self antigen is encountered before they reach a secondary lymphoid organ then they are inactivated or deleted. The main source of B cell tolerance is lack of T cell help.

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