T Cell tolerance Flashcards

1
Q

What is tolerance and where can it occur?

A
  • lack of responsiveness to self

- occurs in thymus (central tolerance) and in the tissues (peripheral tolerance)

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2
Q

What is a tolerogenic antigen?

A

-one that a T cell binds and drives it towards unresponsiveness (anergy) or even death

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3
Q

3 general outcomes of T cell encounters with antigens

A
  1. activation
  2. tolerance
  3. ignorance
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4
Q

Usually placing skin graft from breed Y into Z is rejected, but what if the Z recipient was newborn?

A

-it would accept it because the IS is still developing and learning what is self and nonself

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5
Q

Negative selection occurs in the thymus to eliminate overactive T cells, but what about antigens that never make their way into the thymus? What process accounts for this and what are the 3 different categories of it?

A
  • peripheral tolerance
    1. lack of co-stimulation
    2. regulatory (suppressive) T cells
    3. Activation-induced cell death
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6
Q

What happens if a resting APC binds with peptide to a T cell?

A

-tolerogenic response because resting APC won’t have B7 that is needed to activate a naive T cell

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7
Q

Explain how CTLA4 can be used to make transplants across major MHC differences succeed.

A

-soluble CTLA4 will bind all of the available B7 and thus block T cell activation and transplant rejection

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8
Q

2 actions of Tregs

A
  • production of inhibitory cytokines that block T cell effector functions
  • interfering directly in T cell activation
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9
Q

Compare immunogenic vs. tolerogenic antigens on their presence in generative organs, presentation with second signals, and persistance

A
  • T:present in generative organs for central tolerance; not presented with second signals (anergy or apoptosis); long-lived
  • I: not in generative organs (peripheral); present with second signal to promote lymphocyte survival and activation; usually short lived
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10
Q

T/F: Central tolerance typically results in anergic T cells.

A
  • false; results in clonal deletion

- remember, negative selection occurs in thymus which ends in apoptosis!!!

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11
Q

Why does it make sense that tolerogenic antigens are NOT presented with co-stimulatory signals?

A

-tolerance is the end result of only receiving signal 1!!! if you received both signals, you would activate a T cell population against that antigen which is the opposite of tolerance

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12
Q

Define central tolerance and peripheral tolerance.

A
  • central tolerance refers to elimination of self-reactive lymphocytes during their development; clonal deletion
  • peripheral tolerance refers to suppression of immune responses by cells that, although self-reactive, have escaped deletion during development
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13
Q

Activation-induced cell death: what is it? what signals it?

A
  • stimulated T cells are eliminated by apoptosis after immunogenic challenge has been met
  • apoptosis occurs following engagement of a cell surface receptor (Fas/CD95) expressed on ACTIVATED T cells
  • can also occur due to unbalanced pro and anti-apoptotic proteins
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14
Q

How does Fas signalling work?

A
  • activated a protease cascade resulting in DNA fragmentation and cell death
  • death receptor!!!
  • when activated, T cells upregulate Fas and FasL and once challenge is met, these link together and induce apoptosis in eachother
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15
Q

Describe T cell levels before and after antigen exposure to naive T cell

A

-have more after the fact and these are due to creation of memory cells

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16
Q

Descriptive mechanism of Fas/FasL

A
  • bind at cell surface and trimerize
  • conformational change in Fas occurs, when then binds death domain-containing adaptor proteins
  • cascade to turn on caspase 3 which will fragment DNA
17
Q

Define autoimmunity

A
  • when tolerance is broken or when activated T cells fail to be eliminated, effector T cells may respond to self antigen leading to pathophysiology
  • may result from failed central or peripheral tolerance
18
Q

Generally, autoimmunity results from a combination of what factors?

A

-genetic (particular MHC/HLA alleles and genes outside of MHC complex) and environmental (inflammation or infection with microbes)

19
Q

2 ways of developing autoimmunity

A
  1. induction of costimulators on APCs: stimulated APCs express costimulators. By chance, these APCs also may interact with a T cell with potential self-reactivity; self reactive T cell will expand
  2. Molecular mimicry: an APC presents engulfed microbe that happens to resemble a self-antigen; when these T cells expand and encounter the similar self-antigen, autoimmunity results
20
Q

Failure of T cell activation will lead to ___________. Failure of appropriate T cell death may lead to _____________. Dysregulation of T cell selection may lead to ________________.

A
  • immunodeficiency
  • lymphoproliferative and/or autoimmune disorders
  • autoimmunity

T cell issues associated with autoimmune and immunodeficient diseases

21
Q

SCID can result from the failure of T cells to develop or defects in T cell activation. Name 3 things that can happen due to loss of T cells?

A
  1. interferes with B cell function since T cell help is required for optimal B cell activity
  2. interfere with some macrophage activities
  3. interferes with cytolysis of infected host cells

affects T and B cells

22
Q

Autoimmune lymphoproliferative syndrome

A
  • defects in Fas signaling lead to impaired peripheral T cell apoptosis
  • expanded T cell populations fail to be eliminated resulting in lymphadenopathy and splenomegaly
  • persisting activated T cells may lead to autoimmunity
23
Q

Autoimmune polyendocrinopathy with candidiasis and ectodermal dysplasia (APECED)

A
  • rare autoimmune disorder characterized by involvement of multiple tissues
  • caused by genetic abnormality in AIRE gene
24
Q

What do AIRE defects result in?

A
  • failed presentation of self antigen in thymus, leading to maturation of autoreactive T cells that injure tissues when they escape to the periphery
  • failure of clonal deletion in thymus
25
Q

How does one block TCR activation at its most proximal level? How does one stop cytokine production? How does one block T cell proliferation?

A
  • block TCR with monoclonal antibodies
  • block calcineurin function with prevents NFAT entry into nucleus
  • Block IL-2 R and signaling pathways