T cell activation and effector function Flashcards

1
Q

LO

A
  • To understand how T cells recognise antigens and how the T cell receptor is generated
  • To know that T cell activation involved 3 signals: antigen, co-stimulation, and cytokines
  • To know that multiple subsets of CD4 T cells exist and perform different role during immune responses
  • To know the mechanism by which cytotoxic CD8 T cells kill infected cells
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2
Q

What are the two main types of T cells?

A

T helper cells= CD4

T cytotoxic cells= CD8

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3
Q

Tell me about the T cells and their respective MHC molecules

A

MHC molecules are antigen presenting cells (APC)

There are two types of MHC; MHCI and MHCII

MHCI present peptides which are recognised by CD8 cytotoxic T cells

MHCII present peptides which activate CD4 helper T cells

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4
Q

Whats the role of the CD4 and CD8 cells?

A

Soluble mediators communicate with other cells (CD4)

CD8 also involved in antigen recognition and cell-cell communication. It kills infected cells which express things they don’t usually express via peptide fragments on APC

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5
Q

Tell me the steps to how the CD4 T cells work

A

CD4

antigens recognise MHCII, antigens come from the extracellular environment, antigens get taken up by APC, macrophages, dendritic cells, and B cells are the APC. Degradation in the vesicles within cells which leads to peptide production. These peptides are loaded onto the now MHC molecules being made in the cell.

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6
Q

What are the three APC?

A

Macrophages

Dendritic cells

B cells

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7
Q

What are the stages to how CD8 cells work and specifically their two mechanisms

A

CD8

start of immune response is priming and this requires a professional APC. A dendritic cell needs to prime CD8. 2 ways.

1) pathogen can infect dendritic cell, DC starts to produce virus and viral proteins, these proteins are processed via proteolytic complex called proteasome which releases peptides which are transported to ER where they are loaded on MHCI, these MHCI are then transported to cell surface where they are recognised by CD8 T cells

2) cross presentation pathway- process takes place in professional APC, dendritic cell is the most efficient cross presentation cell because these cells can cross present antigens. Antigen present outside of DC –> taken up by DC –> degradation takes place in endosome and lysosome –> some peptides enter cytoplasm –> undergo same process as when protein is translated in cytoplasm of cells like in 1) where they go on to be loaded onto MHC molecules (involves exogenous uptake of pathogens into lysosome and endosome)

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8
Q

Where are the T cells developed?

A

Precursor cells are produced in the bone marrow, they then migrate to the thymus where they develop into T cellls

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9
Q

What determines whether a cell is a T cell

A

The expression of TCR (which recognise MHC) determines a T cell

The process in how TCR are generated are random and are not antigen determined

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10
Q

Tell me about the production of new T cells

A

Production of new T cells occurs in the foetus and the juvenile but slows down in the adult

The thymus begins to shrink after puberty

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11
Q

What does T cell development in the thymus involve?

A

Rearrangement of the T cell receptor genes to generate the diversity in the T cell repertoire (with intermediate affinity to be remaining)

Selection/ survival of T cells with a T cell receptor capable of recognised self MHC- positive selection

Removal of those T cells which express T cell receptors that bind strongly to self-antigens- negative selection

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12
Q

Tell me about the rearrangmenet which helps to generate the TCR genes

A
  • TCR is comprised of alpha and beta chain
  • Blue part shown in diagram is constant. These are short and don’t extend too far into cytoplasm.
  • The alpha and beta heterodimer is connect via a disulphide bridge
  • Variable domains recognise peptide MHC
  • In alpha chain: variable domain consists of V genes (we have about 50), the J gene (we have about 70), there’s recombination signals surrounding these genes which allow enzymes to bind to recombination sequences and allow recombination of V with J, leads to juxta positioning of gene which means an V and J gene are next to one another
  • In the beta chain: more diversity, there’s recombination as has V, D and J genes.
  • Diversity from multi segment gene that encode antibody variable chain (recombination)
  • Also get diversity from somatic hypermutation (this is not present in…)
  • Can get additional AA in the junctions which are not encoded in the genome (additional diversity in this process)
  • Diversity= recombination, somatic hypermutation and addition of extra AA
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13
Q

Explain T cell development in the thymus and how they differentiate

A
  • precursors from bone marrow differentiate once in thymus
  • DN stands for double negative as they don’t express CD4/8
  • 4 stages of differentiation
  • Key stages between D2 and 3 when the TCR starts to be expressed
  • Pre-alpha associated with beta chain to maintain Beta chain on cell surface
  • Allelic exclusion: once have one receptor on cell surface of T cell, then this cell doesn’t go through further recombination steps, ensures only one TCR per T cell
  • B chain gets made first before alpha so needs to associate with pre-alpha chain
  • Then starts producing the alpha chain and the two chains can come together
  • Once D1–> D4 has occurred the cell then starts expressing both CD4 and CD8 cells (double positive cell, DP)
  • TCR which bind MHCI down regulate CD4 to maintain CD8
  • TCR which bind MHCII down regulate CD8 to maintain CD4
  • This way the cells become single positive cells (CD4+ SP and CD8+ SP)
  • Get positive selection at this process. If the cells are unable to recognise MHC, then they die
  • In medulla (medulla epithelial cells or DC), go through negative selection process if recognise self-antigen
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14
Q

Tell me the first steps in TCR signalling

A

A single TCR/CD3 complex has 10 ITAM motifs (immune receptor tyrosine based motifs)

Phosphorylation of these ITAMs is a crucial first step in signalling

All occurs in periphery (secondary lymphoid organs)

This is performed by Src family kinases (e.g., Lck)

ITAM YXXLX7-11YXXL immunereceptor Tyrosine-based activation motif

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15
Q

Rough overview of TCR signalling

A
  • Proliferation, secretion of cytokines, expression of cytotoxic molecules
  • Phosphates signify the activation of T cells.
  • Lck is the enzyme that is required for phosphorylation of ITAM residues
  • Antigen independent way is how the CD4 and CD8 co-receptor interact with peptides
  • Lck brought near TCR cytoplasmic domains
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16
Q

How are T cells initiated for a response?

A
  • T cells migrate from the thymus to the blood, lymph nodes and spleen
  • Antigen is most often encountered in the lymph nodes/ spleen
  • Processes antigen is recognised by a specific T cell- triggers a signalling cascade
  • The T cell proliferates extensively, and its progeny differentiate into effector cells (CD4 cells produce cytokine and CD8 T cells become killers)
  • Effector T cells migrate to the site of infection
  • A small number of cells differentiate into memory T cells

E.g., infection with EBV, about 40-50% recognise one pathogen, infection with corona, doesn’t lead to that many T cells expanding

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17
Q

What do dendritic cells transport?

A

Dendritic cells transport processed antigen for presentation to T cells

As shown in the diagram, the leaf like cells represent dying cells and some dying cells may contain virus which then is taken up by DC for APC

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18
Q

What are the signals that are involved in T cell activation?

A

Signal 1: peptide/ MHC: TCR

Signal 2: co-stimulation (induced by innate immunity)- antigen independent, signal 1 + signal 2 leads to expansion of T cells

Signal 3: cytokines (induced by innate immunity)- help to differentiate the naïve T cells

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19
Q

What is required for a successful T cell response?

A

Dendritic cell activation

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20
Q

Tell me about dendritic cell maturation

A

DC present antigens to T cells

In an immature state, then become mature by responding to innate signals

Immatures are good are taking up pathogens for phagocytosis

Once mature, they can’t take up more antigens for, instead they become better at stimulating T cells and become more immunogenic

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21
Q

Explain how the activating signals of the T cells work together

A

1 cannot proliferate very well only once 1 and 2

2 is delivered by signal CD28 which binds to B7 which is expressed on APC

B7 is upregulated because of the innate immune system

IL-2 and upregulation of IL-2R are due to signal 1 and 2

Differentiation cytokines (3), these controls T cell function. List of some of the cytokines produced are above.

Differentiate into effector cell which can mediate the anti-viral immune response

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22
Q

Tell me about co-stimulation and the families which are involved in this

A

Also known as signal 2

Synergise with TCR signal 1 signalling

Required for most T cell responses in vivo

Two major families:

  • Ig superfamily: CD28 (first co-stimulatory molecule discovered) and ICOS
  • TNFR superfamily: CD27, OX40, 4-1 BB
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23
Q

Tell me about CD28 and its main roles, its ligands and explain what could happen if one is deficient in CD28

A

Main role: proliferation, survival, and IL-2 production

Ligands: CD80 and CD86 expressed constitutively at low levels but rapidly induced on APCs

CD28 deficient mice: defects in CD4 and CD8 responses to microbes (CD4>CD8). Defect in CD4 T cell help for B cells (germinal centre, Ab class switching)

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24
Q

Tell me about ICOS and ICOSL

A

ICOS

Main role: generation of Tfh cells that regulate germinal centre reactions and humoral immunity

ICOS deficient humans and mice: few Tfh and defect in germinal centre formation, Ab class switching and memory B cells

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25
Q

CD28 vs ICOS

A
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26
Q

Tell me about the negative regulation of APC with CTLA-4

A

CTLA-4 is similar to CD28 but doesn’t signal stimulation. It is an inhibitory molecule (helps with negative feedback)

B71 and B72 are both co-stimulatory molecules?

Auto-immune disease and inflammation found in rats with excessive proliferation due to absence of CTLA-4

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27
Q

CD28 and CTLA-4

A
28
Q

What does CTLA-4 blockade promote?

A

anti-tumour T cell immunity

29
Q

What do naïve CD4+ T helper cells differentiate into?

A

effector cells with different functions

30
Q

What are the different effector cells that naïve CD4 cells can differentiate into?

A

Th1

Th2

Th17

Tfh

31
Q

With the effector cells which naïve CD4+ T helper cells differentiate into, explain their roles and the types of cytokines they secrete

A
  • T cell subsets can deal with certain types of pathogens
  • Naïve CD4 T cells can go towards any subset
  • Signal 3 cytokines are produced due to infection and can help drive the differentiation of CD4 naïve cell to any subset
  • All subsets are types of CD4 cells
32
Q

How do T follicular helper T cells (Tfh) promote the humoural (antibody) response?

A
  • B cell proliferation/ survival
  • B cell differentiation into plasma cells (antibody secreting cells)
  • Antibody class switching IgM –> IgG, IgA or IgE
  • Affinity maturation to generate high affinity antibodies
  • Memory B cell generation
33
Q

Whats the Tfh role in the lymph node?

A

In lymph node the B and T cell occupy different zones

CD4 need to switch of CCR7 and switch on CXCR5 which is the receptor for CXCL13 (produced in follicle), this allows Tfh to move into B cell zone and helps B cells undergo germinal centre reaction (somatic hypermutation to produce antibodies with high affinity for pathogen), also helps prolonged life of antibodies

34
Q

CD4+ T cell help for B cells

A
35
Q

Explain Th1 differentiation

A
  • Antigen and IFN-gamma from innate cells upregulate T-bet expression
  • T-bet increases the expression of the IL-12 receptor beta2
  • IL-12 from the dendritic cells drive differentiation into Th1
  • Differentiated Th1 cells can be induced to produce IFN-gamma by either TCR
  • IFNgamma is used for activating interfering macrophages
  • NK cells produces IFNgamma
  • Early IFNgamma and IL-12 is needed for differentiation to Th1 cells
  • Th1 main function is to produce IFNgamma for activation of macrophages
  • stimulation or exposure to the cytokines IL-12 and IL-18
36
Q

Whats the link between IFNgamma with B cells and macrophages

A
37
Q

Th1 cells summary

A
38
Q

mediators of antimicrobial and cytotoxic activity of macrophages and neutrophils

A
39
Q

What are the ways in which Th2 cells differentiate?

A
  • Deal with extracellular pathogens
  • Cytokines induced by parasitic infections e.g., helminths
  • Key differentiation cytokines

IL-4

Thymic stomal lymphopoietin (TSLP)

IL-25

IL-33

  • Key cytokine produced by TH2 cells

IL-4

IL-5

IL-13

40
Q

What is the principal switch factor for production of IgE by B cells?

A

IL-4

41
Q

What does IgE bind to?

What does their binding cause?

A

IgE binds to specific receptors on mast cells, basophils, and eosiniphils. T

he binding of pathogens to IgE causes the release of inflammatory mediators, reactive oxygen intermediates and anti-microbial peptides

42
Q

What are IL-5 activated eosiniphils effective in?

A

Immune responses against extracellular parasites e.g., nematode worms

43
Q

What do eosinophils secrete and what are these involved in?

A

Eosinophils secrete and array of cytotoxic granule cationic proteins (e.g., major basic protein, eosinophil cationic protein, eosinophil peroxidase, and eosinophil-derived neurotoxin) that are capable of inducing apoptosis and necrosis in target cells

44
Q

What does the cytokine IL-13 induce?

A

IL-13 induce an increase in goblet cell number and mucus production which help repel intestinal worms. It also increases contractility of intestinal longitudinal smooth muscle

45
Q

What is the role of IL17 and IL-7F?

A

IL17 and IL-17F

Increase pro-inflammatory cytokines (IL-6, TFNalpha and IL-1beta) and chemokines

Increase neutrophil recruitment

46
Q

Tell me about IL-22 i.e., targets, what it maintains and induces

A

IL-22

Target cells of epithelial origin

Maintains integrity and barrier function in the small intestine and skin

Induces expressed of beta-defensins (antimicrobial peptides) in epithelial cells

47
Q

Tell me the following about CD8+ cytotoxic T cells

What they recognise

Their main function

Their differentiation

A

Recognise MHCI presented by all nucleated cells in the body

The main function of cytotoxic T cells is to kill cells that are infected with intracellular pathogens e.g., virus infected cells

Cytotoxic T cells are also capable of killing cancer cells which express mutated proteins

Naïve CD8 T cells differentiate into cytotoxic cells after activation by antigen, co-stimulation, and cytokines (IL-2 and IL-12)

Cytotoxic T cells are serial killers

48
Q

What is the mechanism of cell killing by cytotoxic T cells

A

express molecules (which are help in secretory vesicles as are so toxic e.g., secretory lysosome)

Granzymes and perforins are molecules help with killing and are what is found in secretory lysosomes

Reorientation of microtubule organising centre (centrosome which is used by cells in cell division to form polar end of spindle), these centrosomes (made of two centrioles) are initiated. These move into contact zone (immunological synapse) between T cell and MHC. This zone is also where growth of microtubule occurs

Secretory lysosome is reeled onto contact zone, the killing site

Prevent killing of the bystanding cells within the area of the infected cell

49
Q

How do cytotoxic T cells deliver their cytotoxic proteins?

A

In a highly polarised manner

Focused attack- re-orientation of the microtubule organising centre (MTOC) from which microtubules grow

Lytic granules move along the microtubules towards the MTOC

Prevent killing of ‘innocent bystander’ cells that are not infected

50
Q

Tell me about perforin

A

Pore forming protein via polymerisation

Perforin gene KO mice are profoundly immunodeficient- susceptible to viral infection and cancer

Delivers granzymes to the target cell which leads to cell death

51
Q

During biogenesis and storage, how does the cell protect it self from perforin?

A

Binds to inhibitors, calreticulin and serglycin and is unable to oligomerise

Inactive in the acidic environment of the granule’s pH 5.1-5.4

Requires proteolytic cleavage by a cysteine protease to be active (removes carboxy-terminal peptide)

52
Q

How are granzymes delivered into cells?

A

via pores which the perforin has made in target cells

53
Q

What are the most abundant granzymes?

A

Granzyme A and B are the most abundant granzymes

54
Q

What type of molecule are granzymes?

A

Granzymes are a type of serine protease

55
Q

How are granzymes produced?

A

As inactive pro-enzymes and converted into active enzymes by Cathepsin C

56
Q

When are granzymes inactive?

A

At the acidic pH of the granules

57
Q

What type of complex do granzymes form?

A

Form large (200nm) complex with serglycine (proteoglycan)

58
Q

Tell me the steps to granzyme B’s function

A

Activate programme cell death pathway in target cell

Caspase 3 is an executioner caspase

All caspases are produced in an inactive form and granzyme B cleaves them into their active form which then leads to cell death

CAD associates with inhibitor, CAD

Cytochrome C is a signal which activates cell death

Activation of caspase 9 –> activation caspase-3 which is the end product caspase

59
Q

Tell me what granzyme A’s function is

A

Induces cell death synergistically with granzyme B

Triggers death by a different mechanism to granzyme B

Granzyme A activates the DNase NM23-H1, an enzyme that causes DNA nicks, by destroying its inhibitor, the SET complex (physiological function: transcription/ transcription-related DNA repair)

Granzyme A also targets the linker histone H1 which leads to chromatin opening thus allowing access to the DNA by other nucleases

It also cuts lamins, the main structural components of the nuclear envelope

60
Q

What are the mechanisms of killing cytotoxic T cells?

A

Provide self-protection- active cathepsin B is present on the surface of cytotoxic T cells following granule release. Cathepsin B degrades membrane inserted perforin in the T cells

Prevent the killing of DCs- expression of serine protease inhibitors (serpins) that prevent the function of granzyme B

61
Q

What type of T cell are regulatory T cells (T Regs)?

A

They are a type of CD4 cell

62
Q

What are the two types of regulatory T cells?

A

Thymic and peripheral

63
Q

What is the role of the regulatory T cells?

A

Inhibit T cell responses against self- dietary and commensal antigens

Protect against autoimmunity

Protect host by inhibiting other T cells

64
Q

Why aren’t T reg cells removed from the body?

A

T cell reg have a higher affinity for peptide MHC than normal CD4 T cells. But not enough to be deleted in the thymus

65
Q

What type of cells are regulatory T cells?

A

suppressive cells

66
Q

What do T reg cells compete for?

A

Compete for self-reactive/ autoreactive T cells, produce mediators that suppress other cells and repress autoimmune diseases

67
Q

T reg cells

A