T-cell maturation / immuno week 6 Flashcards

1
Q

What is the first step of T-cell maturation when the cell reaches the thymus?

A

rearrange TCR genes (specifically beta chain)

after beta chain rearranges, you make pre-TCR

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2
Q

What does pre-TCR signal?

A

starts proliferation / double positive expression on T-cells

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3
Q

What happens after proliferation in the thymus?

A

positive selection

T-cells express both CD8 and CD4

occurs in thymic cortex

*make sure TCR recognize antigens presented by MHCs

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4
Q

What happens after positive selection?

A

negative selection at the cortex-medullary boundary (medullary more)

cells only positive for CD8 OR CD4

selects for TCR that attacks MHC + self with a low binding affinity (never receive a signal for apoptosis)

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5
Q

MHC-restricted

A

T-cells are MHC-restricted after they pass positive and negative selection

can only bind to peptide antigens in the context of the MHC molecules presented by their hosts

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6
Q

Where do T-cells go after the thymus?

A

to secondary lymphoid organs (lymph nodes + spleen)

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7
Q

Immune tolerance

A

refers to the ability of immune system to recognize a wide variety of potentially pathogenic microorganisms and react to self-structures

need to discriminate self from not-self

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8
Q

Central tolerance

A

tolerance to self antigens that is established in lymphocytes during development in primary lymphoid organs (thymus or bone marrow)

removes strongly autoreactive lymphocytes

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9
Q

Peripheral tolerance

A

tolerance to antigens encountered by mature lymphocytes in peripheral tissues

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10
Q

AIRE

A

involved in self-tolerance

transcription factor

turns on expression of self proteins in the thymus

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11
Q

APECED

A

a severe and fatal autoimmunity causes by mutations in the AIRE gene

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12
Q

What happens if an antigen binds strongly to self-cell presented by AIRE transcription factors?

A

the T-cell is deactivated

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13
Q

What happens if a T-cell binds moderately to self-antigen?

A

cells develop into regulatory T-cells (Tregs)

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14
Q

What transcription factor is essential for Treg development and function?

A

Foxp3

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15
Q

Where does B-cell central tolerance occur?

A

in the bone marrow

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16
Q

List the 4 peripheral tolerance mechanisms

A

Anergy

Activation induced cell death (AICD)

Suppression by regulatory Treg and Breg

Immune privilege

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17
Q

Anergy

A

state of non-responsiveness to antigen

peripheral tolerance mechanism

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18
Q

IPEX Syndrome

A

mutation in Fox3p gene

leads to multiple autoimmune diseases in infancy

no Tregs

19
Q

How do Tregs work?

A

they can regulate overactive T-cells

secrete anti-inflammatory cytokines that inhibit T-cells or other immune cells

20
Q

immunologically privileged sites

A

sites in the body where the immune system is dampened down

21
Q

Examples of immunologically privileged sites

A

brain, eye, testis, uterus

22
Q

3 ways immune privileged sites work”

A
  1. not surrounded by conventional lymphatics + tissue barriers
  2. use non-inflammatory Th2 responses
  3. expression of Fas ligand by tissues of privilege. induce apoptosis in Fas-bearing lymphocytes that try to enter these sites
23
Q

What do you need to develop an autoimmune disease?

A

combination of genes and environment

24
Q

Are autoantibodies always cause of disease?

A

no, sometimes they are the symptoms of a disease

25
How are MHC genes involved in autoimmunity?
mutated MHCs will present self-peptides more
26
What are the two major forms of autoimmune disease?
organ specific and systemic (lupus)
27
Polymorphism
multiple genes produce autoimmunity allelic mutations in genes that control immune activation
28
What major groups of genes are implicated in autoimmunity
MHC cytokine + signaling pathways sex differences
29
PTPN22
gene that controls immune activation associated with rheumatoid arthritis
30
What 2 mechanisms can lead to activation of self-reactive T-cells? (mechanisms that leads to autoimmunity)
molecular mimicry bystander activation through APC maturation
31
Examples of molecular mimicry (2)
M protein of GAS strep is similar to myosin and causes rheumatic heart disease Herpes virus can resemble a corneal protein (herpes stromal keratitis) (HSV1 UL6)
32
Bystander activation
tissue damage can lead to release of sequestered antigens co-factors are present to activate immune response to tissues
33
Example of bystander activation
Sympathetic opthalmia one eye is damaged antigens are released and travel to the lymph node where T cells activate T cells can then travel to both eyes and cause damage
34
How can antibodies be pathogenic?
directly kill cells recruit innate cells to kill activate receptor block receptor
35
IgM
type of antibody complement activation
36
IgG
most common circulating antibody in blood neonatal immunity through placenta transfer
37
IgE
type of antibody allergy and inflammation
38
IgA
type of antibody mucosal immunity
39
Autoimmune hemolytic anemia
antibodies by antigen on RBC directly kill RBCs
40
Graves' disease
antibodies bind TSH receptors leads to constant activate to produce thyroid hormones
41
Goodpasture's syndrome
antibodies recognize collage (type IV) in basement membrane bind to basement membrane in glomerulus or alveoli cause inflammation of alveoli and Glomerulonephritis/kidney failure
42
Myasthenia gravis
antibodies bind to acetylcholine receptor block ability for acetylchoine to bind causes muscle weakness + ptosis
43
Graves vs. Hashimoto
Graves causes hyperthyroidism by antibodies activating the TSH receptor Hashimoto causes hypothyroidism by antibodies binding directly to follicular cells and causing cell death