Lecture 23 Flashcards

1
Q

What 3 things control the speed of an immune response?

A

Amount/availability of antigen- the more antigen, the faster the response

Costimulation- CD28/CD80

Cytokines

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2
Q

A fast immune response takes

a. minutes
b. hours
c. days
d. weeks

A

c. days

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3
Q

What 4 things control the magnitude of an immune response?

A

Amount/availability of antigen- tons of antigen will mean lots of cells are dividing

Co-stimulation

Cytokines

Naive-precursor frequency (the more naive precursors the more available to divide therefore a larger response. More precursors will be available if youve encountered the antigen previously)

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4
Q

What 3 things drives the resolution of an immune response?

A

Antigen/pathogen clearance therefore no more stimulation

Lack of co-stimulation

Decreased cytokines

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5
Q

What 3 things to regulatory T cells do?

A

Suppress T cell activation

Suppress T cell proliferation

Suppress T cell differentiation

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6
Q

What are the two subsets of regulatory T cells (Tregs)? Where do they come from?

A

Thymic Tregs (tTregs)- develop in the thymus

Induced T regs (iTreg)- normal CD4 T cells that are induced to become Tregs in the periphery

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7
Q

What is the transcription factor that Tregs express?

For both subsets of Tregs when is the TF expression induced?

A

Foxp3

Thymus derived Tregs- the Foxp3 expression is induced in the thymus

Induced Tregs- acquire Foxp3 expression in the periphery. This is driven by TGFbeta (transforming growth factor beta)

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8
Q

What receptors do Tregs express?

A

High levels of the IL-2 receptor alpha chain (CD25)

Co-inhibitory molecule CTLA-4

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9
Q

Foxp3 interferes with production of what cytokine after T cell activation?

A

IL-2 production after T cell activation

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10
Q

Why do Tregs express high levels of high-affinity IL-2 receptors? What effect does this have on effector T cells?

A

Tregs express high levels of high-affinity IL-2 receptors to compete with effector T cells for IL-2. The Treg sucks up all the IL-2 from the surrounding area to prevent it from getting to the effector T cells. CD4 t cells need IL-2 to survive and proliferate. Since it isnt getting any, it dies.

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11
Q

What 3 cytokines do Tregs produce and how do they suppress Teff?

A

IL-10- Suppresses T cell cytokine production and reduces MHC expression on APCs

TGFbeta- blocks T cell cytokine production, cell division, and its killing ability

IL-35- can suppress T cell proliferation

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12
Q

Why do Tregs express CTLA4 on their cell surface? What effect does this have on antigen presenting cells?

A

CLTA4 binds with high affinity to CD80/86 on APCs with a much higher affinity to CD28.

This may compete with conventional T cells which express the co-stimulatory molecule CD28 that also binds to CD80/86.

Can also induce DCs to produce molecules that are toxic to T cells e.g. IDO

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13
Q

What would happen to the curve if there were less Tregs or they were less effective?

A

Heaps of inflammation causing tissue damage etc

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14
Q

What would happen to the curve if Tregs are increased or made more effective?

A

Bad bc you need a good enough immune response to clear the infection

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15
Q

What would you expect the Treg response to be to an autoreactive cell?

A

Really strong Treg response to autoreactive cells

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16
Q

What causes IPEX (immune dysregulation, polyendocrinopathy, enteropathy X-linked)?

What are the symptoms and what is the lifespan of someone with this disease?

A

IPEX is caused by a mutation in FOXp3.

Characterised by systemic autoimmunity

  • gut inflammation

autoimmune neutropenia

type 1 diabetes

thyroid disease

dermatitis

autoimmune hepatitis

usually cark it within 2 years

17
Q

What are 2 treatment options for IPEX?

A

Aggressive immunosupression

Allogenic bone marrow transplantaion

18
Q

How to Tregs prevent our bodies from killing off our microflora?

A

Tregs in the gut-associated lymphoid tissue (GALT) are important for suppressing responses to the gut microflora

19
Q

Treg depletion/activation enhances T cell reponse to TB infection

A

depletion