Lecture: Introduction to Immunology Flashcards

1
Q

Innate immunity

A

“the ability to recognize self from non-self”

The innate response is based on non-specific recognition of foreign substances and their removal by various mechanisms including activation of the inflammatory response, through opsonization and subsequent activation of the complement system, destruction by NK cells and neutrophils, and phagocytosis by macrophages (mφ).

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2
Q

Major Components of innate immune system

A

Complement proteins
Neutrophil
Macrophage
- (professional phagocytes)
Innate Lymphoid Cells (incl. NK-cells)

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3
Q

Major Mechanisms of innate immune system

A

Invaders may be destroyed directly through recognition of foreign molecules or lack of self-MHCs.

The signaling action of cytokines ramps up the cellular response.

Phagocytes recognize opsonizing “tags” and opsonized antibodies & destroy “marked” cells.

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4
Q

3 pathways to activate the Complement Cascade

A

Classical - recognition of antigens by antibodies produced by B lymphocytes. “recognition of antigens from antibodies”

Lectin (mannose-binding) - recognition of foreign sugars in cell membrane. “relies on the fact that bacteria have mannose on their cell membranes. Easy for a complement protein to look for mannose which means there is a foreign cell membrane”

Alternative - automatic destruction of cells that can’t inactivate C3. “we have C3 circulating all the time which is a protein that chooses to attack everything. For cells to exist, they have to be able to prevent C3 from attacking it. The onus is on the individual cell to prevent it from getting destroyed”

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5
Q

Opsonization

A

stick a circulating antibody onto something = opsonization

antibodies can opsonize things, but complement proteins themselves can also opsonize things. Complement proteins (C3b and C4b) if they stick onto something, it is a signal to other complement proteins/cells that we should get rid of that thing. like antibodies, C3C4b can stick to something and mark it for removal (opsonization)

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6
Q

Neutrophils

A

born in marrow
“marginal pool” stored in marrow, usually in adult form, but possibly as band cells

released in circulation, usually in adult form, but possibly as band cell

enters connective tissue via rolling adhesion and diapedesis

“dies” after being used

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7
Q

Macrophages

A

Formed in marrow as a monocyte

Migrates via diapedesis through endothelium to connective tissue & differentiates to become a macrophage

Macrophages also normally sit in peripheral CT, and in many organs, e.g.:
lung - alveolar macrophage
liver - Kupffer cell
brain - microglial cell

Macrophages kill by:
1 - recognizing a foreign substance
2 - engulfing it in a phagosome
3 - killing it by attaching lysosomes

Macrophages are also APCs (antigen presenting cells) for the adaptive immune system

Adaptive Immune Response
-phagocytosis of IgG-tagged
-structuresAPC for T-cells
-‘hyperactivation’ response to T-cell cytokin

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8
Q

2 types of macrophages

A

M1 and M2

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9
Q

M1 macrophages

A

classical activation pathway

for phagocytosis. You want the macrophage to eat something

type 1 inflammation
TH1 response

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10
Q

M2 macrophages

A

alternative activation

more subtle nuanced version of macrophage response. You may not want to get rid of everything at the expense of ruining the organ (ie heart attack)

type 2 inflammation
TH2 responses

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11
Q

Innate Lymphoid Cells (ILC)

A

From Lecture Syllabus:
Other important cells include the innate lymphoid cells (ILCs). These are cells derived from the lymphocytic lineage that do not have specific recognition as their primary function. They instead function in the innate immune response. NK (natural killer) cells were the first ILCs to be discovered (in 1975). Now, five separate subtypes of ILCs are defined.

Lecture slides:
Lymphocytes, non-B, non-T, CLP derived.
They promote inflammation and tissue repair.

Group I:
-NK cells (CD56+) are one type
-intracellular pathogens

Group II:
-enriched in lung, skin, adipose tissue
-parasites

Group III:
-ILC3: skin, lamina propria
-LTi: intestine, lymphoid tissue
-bacteria & fungi

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12
Q

cytokines

A

Cells produced an induced immune response through signalling via inflammatory cytokines, small molecules which, through their interaction with cytokine receptors, specifically call other cells and instruct their actions. As an example, here are some the most significant inflammation-producing cytokines secreted by resident macrophages in response to and infection:

TNF-α : increases permeability of endothelium
Il-6 : induces thermogenesis via fat and muscle metabolism
CXCL8 : recruits neutrophils
CCL2 : recruits monocytes
Il-12 : recruits NK cells

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13
Q

Cells of the Adaptive Immune System

A

Antibodies (Ig (immunoglobulin) molecules). “Can be surface molecules on membranes, or free in the extracellular space”

Cells that make antibodies
- B-cells
- Plasma cells (activated B cell)

Antigen-presenting cells (APCs)- cells that help the T cells

Cells that are designed to be very specific recognizers of intracellular invaders like viruses.
-Tc cells (cytotoxic, CD8)
-Th cells (helper, CD4)

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14
Q

More details on cells of the adaptive immune system

A

Cells that allow us to generate responses to very specific invaders.

B-cells
- extracellular pathogens
- when activated, become Ig producing plasma cells
- also Breg and Bmem

Tc-cells (CD8+) - non-self recognition (ideally)
- MHC1 recognition
- direct killing of cells by lymphotoxins
- also Tc-reg and Tc-mem

Th-cells (CD4+) - MHC2 recognition
- indirect killing of cells by lymphokine signaling
- also Th-reg and Th-mem

Antigen-Presenting Cells
- specialized “dendritic cells”, in many tissues like skin
- macrophages
- B-cells (for their specific antigen)

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15
Q

Anibodies

A

B cells work by using antibodies

also known as:
- antigen receptors
- Immunoglobulins (Ig) or gamma-globulins

can be soluble, or membrane bound

contain heavy chain, light chain and constant regions

Antibodies consist of a variable
region (Fab, light chain & heavy
chain) and a constant region Fc.

The Fab region allows for close
conformation to the antigen
surface.

The Fc (constant) region allows
easy recognition & binding by
other proteins.

Fab = antigen specificity
Fc = Ig class

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16
Q

Antibodies: Structure & Class Switching

A

B-cells make IgM antibodies first, but in the presence of cytokines, B-cells can switch the class of antibodies that they make

IgG in presence of IFN-γ
IgE in presence of IL-4 and IL-5
IgA in presence of TGF-β

17
Q

Antibodies: IgG

A
  • most common antibody in blood and CT
  • small, good diffusibility
  • complement cascade occurs only with sufficient antigen present
  • only antibody that crosses placenta, provides “passive” immunity of fetus
18
Q

Antibodies: IgD

A
  • the mysterious one
  • present on naive B-cells during development, together with IgM
  • may regulate B-cell maturation
  • does not bind complement
  • present at very low levels in blood & secretions
  • related to IgW of sharks
19
Q

Antibodies: IgE

A
  • mast cell IgE receptors trigger degranulation
  • great for parasitic infections
  • responsible for allergies and anaphylaxis
20
Q

Antibodies: IgM

A
  • pentamer (sometimes hexamer) of IgGs
  • excellent at bringing together multiple C1 complement molecules that will then start the complement cascade
  • excellent at early response to infection
  • more sensitive to the amount of antigen present “require a lot of foreign invader to bind IgM”

Why first molecule made so complex with all Fc regions together?
“Fc region “are you bound, or are you not bound?” By bringing several molecules together, it’s harder for those antibodies to all bind to any given foreign invader”

21
Q

Antibodies: IgA

A

tolerance antibody
two IgG structures clipped together = very difficult to read that Fc domain = prohibits the other arms of immune system form reading whether that antigen is bound or unbound

  • protects mucosal surfaces
  • secreted in breast milk
  • “clip” region confers resistance to acids
  • does not bind complement
  • passive defender of the gut
22
Q

B cell

A

uses antibodies as surface molecules. every B cell makes a specific antibody. each antibody is unique. there are millions of different antibodies that respond to something different.

Fights extracellular substances

Expresses B-cell receptor (BCR) that uses Ig antibodies to recognize antigens. The B cell receptor is sitting in a lipid raft.

Critical density of antigen causes “activation”.

Upon ‘activation’, divides and differentiates into a plasma cell (antibody factory) which secretes antibodies. Plasma cell 1) creates more free antibodies 2) creates more B cells

23
Q

B–cell life span

A

Immature B-cells leave the marrow

Mature Naive B-cells express IgD & IgM.

Antigens activate B-cells

B-cells can “class switch” to produce other antibodies (typically IgG) (the “kill this” antibody)

A small population differentiate to memory B-cells, specific to the antigen that caused activation, and persist throughout life

24
Q

T-cells

A

“B cells are great, but viruses have evolved to take advantage of the intracellular space. Viruses inject genome into the cell and uses the cell’s machinery to replicate themselves. While they are intracellular, they are invisible to B cells specificity. They would have to be caught in that brief moment when they are extracellular.”

T cells:

Lymphocyte

Fights viruses & phagocytosed material (intracellular invaders)

Expresses T-cell receptor (TCR), which recognizes antigens bound to MHC (major histocompatibility complex)

CD8+ = Tc, “cytotoxic” = MHC1. Destroys things

CD4+ = Th, “helper” = MHC2 (MHC2 is a molecule that only appears on APCs)

25
Q

Difference between MHC1 and MHC2

A

MHC-1
exists on almost all cells
recognized by Tc (CD8+)
displays a protein being produced

”- does self recognition
- also serves as a sentinel to tell the passing T cells what is going on intracellularly. All cells in the body make proteins. The proteins that the cell is making in the Golgi gets cleaved into small peptide fragments. Those tiny bits get attached to a special binding domain on the MHC1 molecule and that MHC1 molecule gets transported to the surface. It shows what’s being made. Is this something I should be making or is this a foreign viral protein? Passing immune cells will know that something foreign is bound to the MHC1 and they will try to destroy that cell”

MHC-2
exists on APCs only
recognized by Th (CD4+)
displays an internalized protein

“not only viruses, more generally, things in the environment. cells that bring those antigens in are the APCs (dentritic cells, macrophages, and B lymphocytes). Instead of taking a fragment of something that cell is producing, we first internalize the foreign substance in an endosome, break it up into peptides, clip peptide on to MHC 2 then display it. Difference is that this cell is moving and will bring the antigen back to the lymphatics where it can now go up against the library of all the memory cells we have in the body which will decide if this is an antigen we need to mount an immune response to. T helper cells recognize this preferentially and decide what to do”

26
Q

Antigen Presenting Cells

A

cells that present antigens using MHC-2 receptor

Dendritic cells: star shaped cells
(including Langerhans cells in skin)

Macrophages
including tissue-specific macrophages

B-cells
(for their specific antigen)

27
Q

T-cells

A

Primary types:
Tc = CD8+ “Killer” (Cytotoxic)
scan MHC1 on somatic cells
“they go around and look at everyone’s MHC1. If you don’t have an MHC1 in a certain density, you will get killed by that Tc. Peptide fragment also has to be something that the cell is supposed to be making”

Th = CD4+ “Helper”
scan MHC2 on APCs
“mainly in the lymph nodes, spleen MALT, large congregations of systemic lymphocytes. Tries to figure out whether there is something in the body in general that the immune system needs to respond to.”

Other types of T cells:

Treg cells = CD4+ Regulatory (Suppressor)
limit adaptive immune response
“shuts off immune response. ex: covid, huge immune response generated, but needs to be shut off at some point otherwise you die. Immune system can kill you”

Tmem cells = primarily CD8+, but also CD4+
- central (Tcm) – self-renewing stem cells
- effector (Tem) – CD8 cytotoxic
“we have seen an antigen before, we want to remember it so that we can mount a quicker adaptive immune response next time around.”

γδ T-cells -
contain variant TCR, not restricted to MHC,
enriched in intraepithelial lymphocytes
“Still finding out different functions for them. Weird variety of T cells”

28
Q

Classes of Th-cells

A

Th = CD4+, helper
scan MHC2 on APCs

*Th cells are divided into subsets based on what arm of the immune system they are going to recruit. There is an antigen somewhere in the body, but what should we do about it?

Th1 - IFN-γ, TNF-α,β
“helps” Tc response
intracellular viruses
“helps kill the thing outright. Promote Tc cells. Good for intracellular viruses”

Th2 - IL-4,5,13
“helps” B-cell response
worms, allergies
“tailored for specific types of pathogens”

Th17 = IL-6,17
“helps” mφ, neutrophil response
extracellular bacteria
“encourages neutrophil response”

Treg = TGF-β, IL-10
dampens immune response

29
Q

Stages of an Adaptive Immune Response

A

1 - activation of naive cells

2 - effector cell differentiation, clonal expansion

3 - contraction of population & production of memory cells

30
Q

Organs of the Immune System

A

Primary (generative) Immune Organs
- bone marrow
- thymus
“generative = required for the generation of T lymphocytes. They are born in the bone, but without a thymus, we don’t have functional T lymphocytes or adaptive immune system. Because the activation of B lymphocytes depends on help from T lymphocytes. B system would be much less effective”

Secondary (effector) Immune Organs
- peripheral MALT (including tonsils)
- lymph nodes
- spleen
- liver

31
Q

Thymus

A

“We need the thymus to educate the naive lymphocytes that come out of the marrow and make them functional. Learns to not recognize things that belong to the body. Filter out the T cells that are self-reactive. Compartmentalize those lymphocytes so they don’t get out into the rest of the body, otherwise autoimmune disease.”

Thymocytes (T-lymphocytes) acquire immunocompetence by learning to recognize non-self molecules presented on MHC-I or MHC-II

The blood-thymus-barrier traps naive thymocytes in thymic cortex. Epithelioreticular cells presents a barrier to their entering the medulla, and to reentering the circulation.

32
Q

Thymic embryology

A

The thymic stroma is derived from endoderm at the level of the 3rd pharyngeal pouch, and is induced to form by interactions with ectomesenchyme & ectoderm.

Failure of thymus to develop causes DiGeorge syndrome – affected individuals have no T-cells & lack adaptive immunity

33
Q

Thymic aging (“involution”)

A

The thymus is most active in childhood. In senescence, its T-cell parenchyma is largely replaced by adipose tissue.

34
Q

Thymic hormones

A

Bottom line: the education of T cells from the thymus is dependent on hormonal axes especially growth hormone and thyroid hormones

35
Q

The Thymic Epithelial Compartment

A

The cortex and medulla are epithelial-derived compartments, much like the brain.

ERCs (epithelial reticular cell) form the stroma and create the extracellular spaces in which thymocytes circulate.

ERCs are ”nurse” (or maybe “teacher”) cells for the thymocytes

“Thymus is adventitial. There is a capsule. The epithelioid ball/layer of cells surrounds the other cells (thymocytes…)”

36
Q

Blood thymus barrier

A

The BTB is made by the ERCs.

In order for a thymocyte to get out from the medulla back into the circulation, it has to be let out from the cells in an analogous way to the way the astrocytes do it in the brain

ERCs (epithelial reticular cells) guard the entrance to the cortex, the entrance to the medulla, and create a perivascular space (PVS) between them and the medullary venules.

“The perivascular compartment is analogous the the geometry in the brain”

37
Q

Epithelioreticular Cells (ERCs)

A

There are many different functional types of ERCs. The distinctions between them are poorly understood. They all look the same in standard stains.

Type 1 - cortical epithelioreticulum
Type 3 - cortical/medullary border
Type 5 - medullary
*Type 6 - associated with Hassall’s corpuscles

38
Q

Positive and Negative selection

A

“Cortex and medulla are distinctly different. What is the thymus doing with these naive thymocytes? + and - selection”

“positive” selection happens in thymic
cortex - assurance that TCR is functional and can recognize antigen.

positive selection is a prerequisite for specification of fate as Th or Tc

“negative” selection occurs in the thymic medulla - assures the antigen is not a “self” antigen.

Only immunocompetent cells are allowed access to the perivascular space.

All other thymocytes are phagocytosed by thymic macrophages.