Regulation of the Immune Response--Diebs Flashcards
What are the two types of DC with relation to regulating the immune response?
immunogenic: activating immune response
tolerogenic: leads to anergy
Immunogenic DC properties
good MHC and costimulatory molecule presentation
–> CD4+ T-cell activating
Tolerogenic DC properties
poor MHC and costimulatory molecule presentation
–> anergy of T-cell
4 Treg effector mechanisms
immunosuppressive cytokines
IL-2 consumption
cytolysis
modulation of DC maturation and function
Immunosuppressive cytokines secreted by Treg
IL-10, TGFβ, IL-35
–> cell cycle arrest
IL-2 consumption by Treg
CD25-mediated
–>steals IL-2 from other proliferating CD4+ T-cells
Cytolysis mediated by Treg
perforin: poke holes
granzymes: activate caspase cascade
Treg modulation of DC maturation and function
CTLA-4
IL-2 function
T-cell proliferation
IL-10 function
dampen immune response
anti-inflammatory
IL-12 function
activate Th1 T-cells
–> Th1 produce IFNγ and TNFα
IL-35 function
Treg proliferation
suppresses other CD4+ subsets
TGFβ function
suppresses CD4+ activity
(also needed to activate Th17?)
CCR7 function
matures DC
(C-C chemokine receptor)
CD25
IL-2 receptor
cell proliferation
What cell type produces IL-4?
Th2
What cell type produces IL-5?
Th2
What cell type produces IL-10?
Treg
What cell type produces IL-13?
Th2
What cell type produces IL-17?
Th17
What cell type produces IL-35?
Treg
Treg proliferation
dampens other immne responses
What cell type produces IFNγ?
Th1
What cell type produces TNFα/β?
Th1
Mechanisms of antibody-dependent B-cell suppression (2)
- crosslinking/blocking receptor-epitope complex formation
- antibody/epitope complex may activate inhibitor signal
Antibody-dependent B-cell augmentation mechanism
immune complex formation
–> follicular DC may hold antigen in place
==> improved immune response
IPEX
immune dysregulation, polyendocrinopathy, enteropathy, X-linked
IPEX gene mutation
Foxp3
–> transcription factor in Treg cells
–> absence of Treg cells
–>autoimmunity
Lab findings in IPEX
low Foxp3 + cells
eosinophilia
high IgE
IPEX Tx
BM transplant
APECED pathology
AIRE gene mutation
–> autoimmune regulator (usually in thymus)
–> autoantibodies produced
APECED Tx
symptomatic
depending on manifestation