T Cell Polariz & Cytokines (1/9) Flashcards

1
Q

What are 3 ways that naive T cells get activated?

A
  1. MHCI or II present Ag’s to CD8 or CD4 T-cells (required for memory T cell activation)
  2. APC co-receptors i.e. CD80/86 activate T-cell CD28 (required to prevent anergy of T cells)
  3. Cytokines promote T-cell polarization i.e. Th1, 2, 17
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2
Q

What are cytokines?

A

Small, secreted & glycocylated proteins that bind to cell receptors with high affinity

Expression of both cytokines & their receptors is tightly regulated

Receptors determine what type of response you get to cytokine

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3
Q

What are the 2 most important families of cytokines?

A

TNF (TNF-alpha – a trimer, LT-alpha/beta, FasL, CD40L)

4 helpix bundle family (mostly interleukins – monomer with 2 faces)

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4
Q

How do cytokines act?

A

Transient responses on target cells- can be autocrine, paracrine or endocrine (i.e. IL1,6, and TNF-alpha levels found in blood)

Can exhibit pleiotropism, redundancy, synergy, or antagonism

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5
Q

What are examples of the 4 general properties of cytokines: pleiotropism, redundancy, synergy, and antagonism

A
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6
Q

What is the signalling pathway by which cytokines signal?

A

JAK-STAT pathway

JAKs=the receptor associated tyrosine kinase

STAT=the TF that they activate

Allows an extracellular signal to make a response inside the cell

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7
Q

Through which pathway do TNF receptors signal? 2 options

A

TRADD to FADD to caspase 8 –> cell death

TRADD to RIP to TRAF 2 –> gene expression

Both ultimately lead to NF-kappaB

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8
Q

In addition to cytokines, what are other innate inflammatory responses?

A

Antimicrobials, inflammatory lipids, inflammatory cytokines/chemokines, cellular phase: immune sentinels

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9
Q

What are the 2 main sentinel cells? Which is most important sentinel cell?

A

Macrophages and DC

Macrophages are more important bc there are more of them & they stay at the site of infection (DC to lymph node)

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10
Q

What are the types of innate immune receptors?

A

Signalling receptors: TLRs, RIG-1 like, NLRs, Dectin-1 for C-type lectins

Phagocytic receptors: Complement receptors, C type lectin receptors, scavenger receptors, secreted receptors i.e. collectins, complement, pentraxins (CRP)

They all detect microbes

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11
Q

What do activated macrophages do?

A

Secrete chemokines to direct the ensuing response

Examples:

IL-1 beta: requires both TLR activation & activation of inflammasome;

TNF-alpha: increases vascular permeability

Also: IL-6, CXCL8, IL-12

Final result = fever, shock, protein production etc

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12
Q

Why does the clotting system also get activated during local infection?

A

So that an infection stays local

Chemokines & cytokines –> dilation of local small blood vessels –> stick to periphery due to increased expression of adhesion molecules –> leukocytes extravasate at site of infection –> clotting in microvessels

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13
Q

What happens during systemic infections?

A

Macrophages make interferons during systemic viral infection. Interferon activation –> activation of liver –> CRP/complement, bone marrow activation –> neutrophil mobilization/phagocytosis, hypothalamus/fat/muscle to increase body temp, DC to lymph node/activate Ag specific T cells

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14
Q

How can we model sepsis?

A

Inject LPS, which leads to secretion of chemokines & macrophage activation via IFN-gamma

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15
Q

What is the role of the liver in innate immunity?

A

When macrophages produce IL-6, hepatocytes start synthesizing CRP (which opsonizes) and other proteins

Also makes hepcidin, a Fe hormone that causes anemia of chronic disease (the idea is that limiting Fe makes it harder for bacteria to live, bc they require it to survive)

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16
Q

How do levels of TNF determine the biological response?

What are the biological respsonses of TNF?

A

Low levels –> local inflammation (leukocyte activation, ET cell adhesion)

Moderate –> systemic effects (brain- fever, liver - acute phase proteins, bone marrow-leukocytes)

High –> septic shock (low cardiac output, low resistance of BV, hypoglycemia)

Remember that TNF is more rapid & transient than IL-1beta (which requires 2 signals)

17
Q

What are the signals that activated DC make to direct polarization of CD4 cells into effector cells?

A

3 signals:

  1. MHC II/TCR: ITAM motifs on NK cells recruit Zap-70 or Syk (kinases) –> Zap-70 leads to Ras/MapK pathway, cleavage of PIP2 –> IP3 + DAG –> NF-kappaB. Ultimately 3 TF’s, 3 including NF-kappaB, lead to gene activation –> IL-2, potent signal for rapid expansion of T cells
  2. CD80/86: requires a second activation signal
  3. IL-12 –> autocrine loop –> T cell expansion.
18
Q

What are 2 drugs that interfere with IL-2 expression? What are they used for?

A

Cyclosporin A and Tacrolimus

Used for immune suppression bc they block calcineurin, a downstream enzyme that is in the TCR pathway

19
Q

What are the T cell subsets that different cytokines specify?

A

5 cell fates: naive CD8 or naive CD4, which can become Th1, Th2, Th17, or iTreg

They all do different functions: each has its signature cytokine

What regulates this: MHCI v MHCII, coreceptors (CD28, CD80, CD86), cytokines, chemokines, local factors

20
Q

What happens if you have an imbalance of Th1, Th2, and Th17 cells?

A

Too much Th1 (IL-12 promotes its development) –> diabetes, granulomas

Too much Th2 –> asthma, allergies

Too much Th17 (IL-23) –> destructive inflammation, autoimmunity

Feedback loops, apoptosis, restricting GF, induced cell death, etc. help achieve balance

21
Q

What types of cells secrete chemokines?

A

ET cells, lymphocytes, neutrophils, epithelial cells, fibroblast/smooth muscle cells, monocytes, macrophages, platelets

22
Q

What type of signals do chemokines act through

A

G protein coupled receptors

23
Q

What are the 2 types of chemokines?

A

Homeostatic: allow immune structure to develop

Inflammatory: recruit cytokines to site of infection