T Cells Flashcards

1
Q

What is a T cell? How does it develop? Where does it reside?

A

lymphocyte of common lymphoid progenitor in the bone marrow. Migrates to thymus to develop.

All T cells have multiple identical TCRs on cell membranes.

After development, they migrate to secondary lymphoid tissue and reside in T cell zones, such as the spleen, GALT, lymph nodes, etc.

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2
Q

How are T cells different than B cells? What roles do T cells play in the immune system IN GENERAL? How do T cells and B cells differ in terms of immunoglobulins?

A

T cells recognize peptide antigens only.
B cells can recognize peptides, nucleic acids, lipids, carbohydrates, soluble antigens, particulate.
T cells are MHC restricted.

T cells kill cells infected with intracellular pathogens and also modulates activities of other immune cells to surmount an attack on extracellular pathogens by excreting cytokines and chemokines.

T cell Ig are never secreted and only recognize MHC
B cell Ig can be on the cell membranes or secreted.

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3
Q

Describe the structure of a TCR. How is this similar or different than an Ig?

A

alpha&beta heterodimers or delta&gamma heterodimers. Alpha/beta is more popular.

each heterodimer has a constant domain and a variable domain. Looks like the Fab fragment of an Ig. Both heterodimers are anchored via constant domains to the cell membrane.

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4
Q

What are Gamma/Delta T Cells? How are they different than Alpha/Beta? Where are they found? CD4 or CD8?

A

Gamma/Delta T cells are not part of the acquired immune response. They do not mature in the thymus. They mature extathymically. They are not MHC restricted and do not recognize peptides. They recognize lipids instead.

Found primarily in intestinal epithelial tissue.

They are CD4 and CD8 negative.

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5
Q

What is CD3? Where is it expressed? What is its structure?

A

Expressed on all T cells.
Protein complex that initiates signaling to the nucleus when T cell binds cognate determinant.

2 epsilon domains, 1 gamma, 1 delta domain and 2 zeta cytoplasmic domains.

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6
Q

When TCR meets its cognate antigen on MHC and receives appropriate signaling, what set of proteins signals to the nucleus? How does this work?

A

CD3 signal transduction unit senses conformational change and via all 6 protein subunits of CD3 signal to the nucleus using ITAMs = immunoreceptor tyrosine-based activation motifs

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7
Q

What are ITAMs?

A

immunoreceptor tyrosine-based activation motifs

Name does not really matter.

Know that this is the signaling piece of CD3 when TCR meets its cognate antigen. Signals to the nucleus.

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8
Q

What are CD4 and CD8? What are their purposes?

A

TCR co-receptors. Only CD4 or CD8 is found on each T cell, not both.
CD4 T cells assist binding to MHC Class II
CD8 T cells assist binding to MHC Class I

Help bring T cells in close proximity to respective MHC presenting cells in order to sample the cognate determinant.

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9
Q

What is CD28

A

Surface marker on all T cells that bind to B7 on antigen presenting cells. This binding is critical for activation of T cells

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10
Q

What is Fas ligand or FasL?

A

FasL is not exposed on all T cell surfaces, otherwise that would cause apoptosis of any cell it touches. Effector CD8 T cells have FasL in vesicles so when they release granzymes into the proximity of the cognate positive cell, FasL is exposed on the cell surface.

FasL binds to 3 Fas proteins on the infected cells surface and induces apoptotic death via FADD (fas associated death domain) and the caspase cascade – FADD cleaves procaspace 8 to caspase 8 and procaspase 10 to caspase 10. This leads to cell death (see patho notes)

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11
Q

What are tingible body macrophages?

A

Macrophages found in the thymic cortex that phagocytose apoptotic T cells.

Have tingible appearance on staining due to accumulation of chromatin degradation.

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12
Q

The cortex of the thymus has what cells in it?

A

immature thymocytes, tingible body macrophages, cortical epithelial cells

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13
Q

The medulla of the thymus has what cells in it?

A

Hassell’s corpuscles, macrophages, maturing thymocytes and dendritic cells

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14
Q

Describe the general route of thymocytes as they mature in the thymus.

A

Immature thymocytes enter the thymus from the blood stream through high endothelial venules (HEV).

First, they proliferate while entering the cortex where they begin expressing the beta chain of the TCR or the gamma/delta chains–whichever comes first. (the first one is the what the cell will become)

They express the TCR, CD3, CD4 and CD8 - yes, both.

Next, in the cortex, they undergo positive selection. The cortical epithelial cells present both MHC class I and II with self-peptides. The thymocytes receive a positive signal to survive and mature when they bind to MHC & peptide. Otherwise, no signal = apoptosis.

Then, beginning in the corticomedullary junction into the medulla, the thymocytes undergo negative selection. By this point, they are either CD4 or CD8 positive. In negative selection, if the TCR binds to tightly to self-reactive antigens on MHC:peptide complex, they will receive signals for cell death.

Otherwise, they move out of the thymus as naive T-cells into secondary lymphoid tissues.

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15
Q

How do thymocytes determine whether to become an alpha/beta or gamma/delta T cell?

A

If beta chain rearrangement occurs first, then the cell will be an alpha/beta T cell.

If gamma and delta rearrangement occurs first, then the cell will be gamma/delta.

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16
Q

In the thymus, how do alpha/beta T Cells develop?

A

After proliferation, thymocytes rearrange beta chain genes and produce a beta chain on the cell surface with CD3 complex.

While waiting on the alpha chain to rearrange and produce, pTalpha binds to the beta chain as a surrogate. pTalpha is an invariant chain that stabilizes the beta chain. The beta chain would degrade if it does not have pTalpha or alpha chain to bind.

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17
Q

What is pTalpha?

A

surrogate invariant chain for alpha chain of alpha/beta t cell until alpha chain is made.

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18
Q

What happens if there is a genetic deficiency of pTalpha?

A

SCID
beta chains will not be stabilized by pTalpha (while waiting on alpha chains to rearrange and produce), so beta chains will degrade –> very low production of alpha/beta T cells.

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19
Q

Beginning with thymocytes entering they thymus, describe the pathway and steps that occur to become a mature naive (alpha/beta) T cell.

A

When thymocytes enter the thymus, they do not express TCR, CD3, nor CD4 or CD8. They proliferate and move to the cortex.

After proliferation, they begin rearranging beta chain genes and producing TCR with beta chain and pTalpha, CD3 and both CD4 and CD8.

Once the alpha chain has rearranged, it displaces the pTalpha invariant surrogate. In the cortex, the thymocytes undergo positive selection with thymic cortical epithelial cells. If MHC binds with high affinity to the TCR, the T cell receives a positive signal to survive. Otherwise, no signal = apoptosis.

Thymocytes that survive migrate thru corticomedullary junction to the medulla undergoing negative selection. High affinity TCR to self-reactive peptides will be signaled for apoptosis to decrease the self-reactive T cell repertoire.

20
Q

What are thymic cortical epithelial cells?

A

produce both MHC 1 and 2 on surface for positive selection

21
Q

What is positive selection? Why is this important

A

process that thymocytes undergo in order to survive. Thymocytes must bind MHC class I or II with high affinity to survive to ensure that the T cells are able to successfully bind MHC molecules when mature.

if the TCR cannot bind to MHC class I or MHC class II, it would never be able to adequately sample peptides bound to MHC molecules, and would therefore be non-functional T cells

22
Q

When do thymocytes become CD4 or CD8 in the thymus?

A

after positive selection, if MHC I binds to CD8 TCR more successfully during positive selection, then CD8 will be upregulated and CD4 downregulated. This occurs for MHC II and CD4 too.

This occurs in the corticomedullary junction while cells are moving to the medulla for negative selection.

23
Q

What is AIRE?

A

autoimmune regulator transcription factor. This is typically expressed in all host cells but in the thymus it serves no function (like in the host)

In the thymus, the proteins and peptides from this transcription factor serve as peptide determinants to screen out self-reactive thymocytes during negative selection.

24
Q

Genetic deficiency of AIRE would result in what?

A

a person with widespread autoimmune diseases

25
Q

What cells participate in negative selection in the thymus?

A

Thymocytes sample MHC:peptides presented on dendritic cells in the medulla of the thymus

26
Q

How exactly does negative selection process happen? Why are some cells signaled for death?

A

Thymocytes that have a HIGH or STRONG affinity for MHC:peptides on dendritic cells in the medulla are signaled for death.

Thymocytes that have a moderate affinity for MHC:peptides will NOT bind TIGHTLY so will be allowed to leave as naive mature T cells.

27
Q

What are Hassall’s corpuscles?

A

1) sites of cell destruction after negatively selected in thymus

or

2) sites of production of Tregs. negatively selected thymocytes (high affinity for self-reactive MHC:peptides) are converted to regulatory T cells that will be sent out to scavenge T cells that are self-reacting.

Hassall’s corpuscle secretes TSLP (cytokine) that drives some self-reactive T cells to differentiate into Treg cells instead of undergoing apoptotic death.

28
Q

What are Tregs?

A

Negatively selected cells in thymus that are converted to Tregs.

They are effector T cells that help to prevent activation of self-reactive T cells and are therefore important for peripheral tolerance

29
Q

What are TSLP?

A

cytokine secreted by Hassall’s corpuscle that drives differentiation of negatively selected thymocytes to becoming Tregs instead of apoptosis.

30
Q

Alpha chain of TCR is found on what chromosome? Beta chain?

A
Alpha = 14
Beta = 6
31
Q

Describe the gene rearrangement for alpha chain, then describe the rearrangement for beta chain.

A

Alpha = one of the V regions joins a J region (similar to light chain in Ig)

Beta = D region joins J region. DJ joins a V region to create beta chain (similar to dark chain in Ig)

TdT provides N-nucleotides for junctional diversity between gene segments in beta chain.

32
Q

What enzymes facilitate gene rearrangement for alpha/beta T cells?

A

RAG-1

RAG-2

33
Q

What are RAG-1 and RAG-2?

A

enzymes that catalyze gene rearrangement of TCR

34
Q

What is TdT?

A

Terminal deoxynucleotidyl transferase

Enzyme that adds N-nucleotides between gene segments of beta chain (and dark chain of B-cells) to add junctional diversity to TCR beta chain repertoire.

This occurs during gene rearrangement.

35
Q

What would a genetic deficiency of RAG1 or RAG2 or both have on the patient?

A

almost complete absence of T cells and B cells = SCID

36
Q

What would a genetic deficiency of TdT have on a patient?

A

Reduced diversity of B cell and T cell repertoire because there would be no junctional diversity of dark chain and beta chain, respectively.

Although, this may not be recognized clinically…

37
Q

Common acute lymphoblastic leukemia

A

neoplasia of common lymphoid progenitor in the bone marrow. These cells express CD10, CD19 and CD20.

CD10 is expressed on B cells and bone marrow stromal cells
CD19 and CD20 are B cell and T cell surface markers

38
Q

Thymoma

A

tumor cells from thymic stromal cells
These do not express any surface markers
Seen in patients with myasthenia gravis
(muscle weakness is caused by circulating antibodies that block acetylcholine receptors at the postsynaptic neuromuscular junction)

39
Q

Acute lymphoblastic leukemia (T-ALL)

A

neoplasia of thymocyte as evidence by CD1 on surface

CD1 is on cortical epithelial cells

40
Q

Adult T cell leukemia; chronic lymphocytic leukemia (CLL); or T prolymphocytic leukemia (TPLL)

A

neoplasia of maturing or mature T cell

Expresses complete TCR and either CD4 or CD8

41
Q

hemopoietic progenitor cell surface marker

A

CD34

42
Q

CD34

A

hemopoietic progenitor cell surface marker

AKA stem cell surface marker

43
Q

CD10

A

expressed on B cells and bone marrow stromal cells

44
Q

CD19 and CD20

A

B cell and T cell surface markers

45
Q

CD1

A

surface marker for cortical epithelial cells