T-Cells Part I and II Flashcards

1
Q

T Helper Cells

How many kinds are there?

What surface marker do they ALL express?

A

There are 5 main kinds of helper T cells, and one killer T cell. Let’s start with the hel pers (so called because they ‘help’ other cells do things).

► They also all express the surface marker CD4

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2
Q

Where are precursor T helper cells usually located?

What celly types brings them the antigen for presentation?

What determines what type of cell they become?

A

Most T helper cells begin as an undecided precursor: we’ll call it Th0 (zero).

These cells are found in the paracortex of lymph nodes, and corresponding positions in other secondary lymphoid tissues.

When their correct antigen is brought to them by dendritic cells (DC), they begin to divide and differentiate, becoming either Th1, Th17, Th2, Tfh, or Treg cells.

The previous experience of the DC — the conditions in the periphery when it was stimulated, what TLR were engaged, what cytokines and chemokines predominated — is the main determinant of the Th0’s ultimate progeny.

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3
Q

Th1 Cells

How were they originally called?

What is the most important lymphokine secreted by Th1 cells?

Interferon gamma is a chemoattractant for what other immune cells?

Other than an antigen, what lymphokine activates Th1 cells?

What cytokines are released by macrophages to increase inflammation response?

What other citokine is secreted by Th1, which helps activate CTL cells once they recgonize an antigen?

A

They were originally called ‘delayed hypersensitivity T cells’.

-> After activation and proliferation in the lymph node, most of the daughters leave and circulate around the body. When they encounter antigen, presented by macrophages and DC at the infection site, they secrete lymphokines.

►The most important lymphokine secreted by Th1 is interferon gamma (IFN-gamma ) which is pro-inflammatory, being chemotactic for blood monocytes and tissue macrophages. These cells move in large numbers into the area where the Th1 is recognizing antigen.

►They are also activated by IFN-gamma, becoming classically-activated M1 (or ‘angry’) macrophages which avidly ingest and kill bacteria or other foreign invaders.

-The macrophages release their own cytokines that intensify inflammation including tumor-necrosis factor alpha (TNFα) and IL -1.

–> Th1 also secrete IL -2 , which helps CTL (killer T cells) get fully activated after they recognize antige.

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4
Q

What citokine is responsible for producing fever during inflammation?

A

IL-1 is the main cause: in the pre-optic anterior hypothalamus, it stimulates the formation of PGE2, which slows the firing rate of certain temperature-control neurons to what they would normally do at, say 35°C.

->This activates the heat generation response (e.g., shivering,) producing fever.

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5
Q

Th17 Cells

How is its function similar to that of Th1?

It is useful in elimination of particularly difficult what?

What its effect if its response becomes chronic?

A

There is a newly-described, intensely-researched Th subset called Th17 because it makes the inflammatory lymphokine IL - 17 among others.

-It resembles the Th1 in that its main job seems to be causing inflammation; not surprisingly, then, it has been implicated in several autoimmune diseases, as has the Th1. It must do something useful for a living, of course; and that is resistance to particularly difficult bacterial and yeast pathogens.

It is helpful to think of Th1 and Th17 as pro-inflammatory, leading to the accumulation of classically activated M1 macrophages at the site of infection; the tactic is a vigorous response to get dangerous pathogens under control quickly. This is highly desirable, but also can get out of control; and if it becomes chronic can result in significant tissue damage.

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6
Q

Citokines, lymphokines and chemokines: What is their difference? or similarities?

A
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7
Q

Th2 cells

What lymphokines do these cells produce?

What cells do they activate?

Macrophages activated by Th2 cells are called? Are involved mainly in?

Which of the lymphokines is also a chemotactic agent for eosinohils?

In terms of response time, which cells Th1 or Th2 apper first or later?

A

Activated Th2 cells leave the lymph node as do Th1, and circulate through blood and lymph until they encounter their antigen again in the tissues.

Here the IL-4 , IL-5 and IL-13 they make attracts and activates macrophages, but in a different way than IFNγ does.

How? ►such macrophages are called alternatively activated or M2 , and are more involved in healing (debris removal, scar formation, walling off pathogens that M1 macrophages have failed to kill ).

►**IL-4 is also chemotactic for eosinophils, cells specialized for killing parasites like protozoans and worms.

►So Th1 are the cells of active, urgent destruction of invaders, via the M1 cells they stimulate; Th2 cells, which tend to appear later in sites of inflammation, are involved via M2 cells in repair and healing. As the yin and yang of T cell immunity they are an awesome pair.

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8
Q

Follicular Helper T cells (Tfh)

Where do they migrate after the arrival of DC to the lymph node?

What cells do they help in activating?

In isotype swithing of B cells, Tfh in the gut swith B cells from to main _____. What about in the spleen?

If no Tfh were made, what would be the only antibody that B cells could make?

A

Soon after the arrival of antigen-presenting DC in the lymph node, some activated Th cells can be seen migrating into the follicles of the cortex, where B cells are abundant. These are referred to as follicular helpers,

►Their role is to help B cells that have recognized antigen become activated and differentiate into antibody-secreting plasma cells. Tfh secrete a variety of cytokines, and by direct contact they stimulate the B cells to switch from secreting IgM, to IgG, IgA, or IgE. They tend to be heterogeneous; the Tfh in the gut, for example, switch B cells preferentially to IgA; those in spleen switch B cells to IgG.

The existence of Tfh reminds us that the antibody you make (or don ’t make) may be as much a read - out of T cell function as of B cells. If Tfh cells can’t communicate correctly with B cells, for example, you will have difficulty making any antibody class downstream from IgM.

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9
Q

Follicular helper T cells (Tfh)

What marker allows Th1 and Th2 to go into the follicles as Tfh?

The Th1 and their related Tfh action is to?

The Th2 and their related Tfh would perform what function?

A

►Studies of Tfh point up the somewhat fluid identity of Th subsets.

It’s likely that some Th1 and Th2 cells acquire a surface marker (the chemokine receptor CXCR5) that allows them to go into the follicle as Tfh.

Th1 and their related Tfh would thus, orchestrate aggressive resistance through M1 macrophages (IFNγ), killer T cells (IL -2), and, as Tfh, help for the complement-activating antibody classes.

Th2 and their related Tfh would orchestrate healing, worm-killing, and walling-off via M2 macrophages, eosinophils that they attract directly, and help for IgE production which activates mast cells as part of the worm-defense program.

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10
Q

Regulatory T cells (Treg)

What is their job?

What markers do Treg have?

What special transcription factor do they require?

What lymphokines do they produce?

Do they need antigen to function?

A

A small but not minor population of cells (about 5% of all Th cells) has been identified whose main job is to suppress the activation and function of all other Th cells.

-Most regulatory T cells have the phenotype CD4+/CD25+ and require the transcription factor FoxP3.

Surface CD4 puts them in the helper family.

►They produce TGFβ and IL - 10.

They are very potent; one can suppress 1000 Th cells. Mice that lack Treg, or part of their signaling pathways, get autoimmunity, and so do rare people with a similar genetic defect. But even without a genetic problem inadequate Treg function is common and leads to overactive immune responses and self- reactivity. We’ll discuss this more when we consider autoimmunity, inflammatory diseases, and regulation.

► Although Treg respond specifically to their corresponding antigen, their suppression of other T cells is not antigen-specific; any nearby Th is suppressed.

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11
Q

Cytotoxic (Killer) T cells

What are the two ways that a CTL can signal a cel to undergo apoptosis?

Where and who activated them?

Th1 ones helps activation of CTL by releasing what? For conversion into memory cells?

A

The phenomenon is quite wonderful. Immunize a person against a virus. Take some T cells from that person’s blood, and mix them with some of her cells that you’ve infected with the same virus in a test tube. Watch under the microscope: a T cell bumps into an infected cell, binds, and moves away after a few minutes. The ‘target’ cell looks fine but if you look inside it you see that its nucleus has collapsed in on itself and its DNA is fragmented. About an hour later, the cell disintegrates (lyses) if it hasn’t already been eaten by a phagocyte. In the few minutes of CTL-target contact, the killer gives the target the ‘kiss of death’ or lethal hit . It has signaled the target to commit suicide by activating a physiological cell death process (called apoptosis ) that leads to rapid DNA fragmentation and nuclear collapse (this would be useful in preventing virus replication).

There are two ways a CTL can signal a cell to undergo apoptosis.

1- It can engage the ‘death receptor’ Fas (CD95) on the target (CTLs bear the Fas ligand, CD95L). Crosslinked Fas activates a latent apoptosis pathway.

2-Or it can secrete the contents of certain ‘lytic granules’ which contain

proteases called granzymes, and other proteins called perforins which seem to allow the penetration of the granzymes into the target cell. These proteases trigger apoptosis.

CTL are activated in the lymph nodes after contact with an antigen-bearing DC. They also require, for activation, help from Th1 in the form of IL -2, and for conversion into memory cells, IL -21 , and probably other factors.

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12
Q

Memory cells

A

After a response to antigen with its rapid expansion of the relevant T cell clones, the number of T cells quickly declines, until perhaps 5% of the maximum amount are left a few weeks after infection or immunization.

–>These are memory cells, which can replace themselves, and be ready to rapidly differentiate into effector (helper, killer) cells when re- exposed to low antigen concentrations. There are surface markers for memory cells; their measurement is still mostly a research tool. Some memory cells circulate; other stay in the relevant tissue (‘tissue resident memory cells’) where they can respond rapidly.

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13
Q

Subpopulation markers to distinguish between B and T cells?

The surface marker________ distinguised B cells.

The ___2____ marker in on all T cells.

The ___3___ marker is on T helper cells

The __4__ marker is on CTL.

Can you distinguish between Th1 and Th2 based on surface antigen?

A

1- B cells are distinguished using antibodies to immunoglobulins or their chains, or to the surface marker CD20.

2- The most useful molecules on T cells are CD3, CD4, and CD8. CD stands for “cluster of differentiation ”, though I am not sure what that means.

CD3 is on the surface of virtually all T cells.

–> CD4 is on T helpers

–> CD8 is on CTL.

There are no reliable surface antigens to distinguish Th1 from Th2; you have to look at the lymphokines they make.

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14
Q

T cells recognition is restricted to antigens in?

T cells are antigen-specific and ________.

A

they are restricted in their recognition of antigen, to antigen on the surface of cells (here, the target cells) genetically identical to themselves. That is, they do not “see” antigen alone, but only antigen presented to them on the surface of a genetically-identical cell.

In other words,

The T cell and the antigen-presenting cell must come from individuals who share alleles at a group of loci collectively called MHC (for Major Histocompatibility Complex), which code for surface glycoprotein molecules.

►Another way of sayin g this is that the T cell is antigen-specific and MHC -restricted. MHC antigens are very variable, that is, there are thousands of alleles in any population. The chances of yours being exactly the same as mine (or A’s the same as B’s) are extremely small.

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15
Q

Antigen presention to T cells:

Why is it an extrinsic pathway?

A

APC, and the mechanism the extrinsic pathway because it involves antigen from outside the APC.

Dendritic cells are the best at this. It’s this MHC- antigen complex that is presented to the receptor of an appropriate helper T cell.

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16
Q

T cells focus their attention into the cell’s _______.

In the structure of the MCH, the groove’s base is a _______ chain, and the two sides are ______ chains.

A

surfaces and do NOT interact with free antigens

17
Q

T cell receptor (TCR)

what are the two chaisn of the TCR called?

What genes are used by TCR to make its receptors? Are they the same as those used by B cells?

How is recombination different from that of B cells?

How many CDRs do they have?

Both alpha and beta chains have________ domains.

A

The T cell receptor for antigen (TCR) is structurally reminiscent of antibody, and sequence data indicate a common ancestral gene.

The two chains are called alpha and beta (don’t confuse these with the α and β of Class II MHC), and each has a constant and a variable portion.

The T cell makes its receptor out of V, (D) and J regions — T cell genes, not the ones B cells use —recombined as in B cells, and like antibody,

►each chain has 3 CDRs 3 ; the process takes place in the thymus.

Both alpha and beta chains have transmembrane domains, unlike surface Ig, in which only the heavy chains are transmembrane:

Alpha chains are made from V and J segments; beta from V, D, and J (and so are more diverse than alphas.)

18
Q

How TCR is activated?

What is the function of CD3?

What are the 3 signals for activation of a T cell?

What biochemical events happen after the T cell is stimulates?

-B7 in APC bins to CD28 in T cell to stimulate activation

-B7 binds to CTLA4 in T cell to inhibit activation

A

Intimately associated with the TCR is a complex of molecules called CD3 ; it has at least 5 chains.

It serves to transduce TCR signals for the T cell. This means that when a T cell binds the correct antigen + MHC with its TCR, the actual signal that turns the T cell on is transmitted by CD3.

This complexity implies a process that needs to be carefully controlled. When a Th cell binds to a good APC like a dendritic cell, it receives three sorts of signals.

1- The first is via its TCR — called the TCR-pMHC interaction (p meaning the antigenic peptide.)

2- The second are between an array of accessory molecular interactions which can only be provided by true APC, and that modify, enhance, or diminish activation.

3-The third involves a variety of cytokines that the APC may secrete to activate, inhibit, or modulate activation of the T cell.

Biochemical events follow that are typical of cells being stimulated: a rise in intracellular calcium, breakdown of membrane phospholipids, and activation of protein kinases which in turn activate transcription factors. Cytokine receptors are upregulated. The cell goes into cycle (proliferation) and begins to secrete lymphokines (differentiation). When the Th is a Th0, these interactions determine its differentiated phenotype.

19
Q

Class I and Class II

A

Class I products are on all nucleated cells.

Class II pr oducts are expressed on the surfaces of dendritic and macrophage-type cells, B cells, and just a few other cell types, all of which are involved in some way in presenting antigenic peptides to Th cells.

20
Q

Endocytosed antigents associate with _________. The are presented to what helper T cells?

Protein synthesized within the cell (not by exocytosis) associate with ______ molecules, and are presented to what T cells?

A

When antigen is endocytosed and presented by a dendritic cell (DC) it associates with Class II MHC molecules in the endocytic vesicle (the extrinsic pathway), and these complexes are what the DC presents to the T cell. Th1, Th17, Tfh, Treg, and Th2 are selected to recognize peptides on Class II molecules.

Class I MHC molecules, on the other hand, associate best with peptides that are sampled from proteins synthesized within the cell itself, not taken up by endocytosis; this is the intrinsic pathway.

Most peptides would be from normal ‘self’ proteins, but antigens would include abnormal (mutated) molecules and especially proteins produced by internal pathogens such as virus es . CTL are programmed to see antigen in association with MHC Class I molecules.

21
Q

The dendritic cells being able to do cross-presentation means:

A

That it allows peptides from antigens it’s eaten to leak over into its “intrinsic” pathway, so that it can present them on Class I as well as Class II MHC at the same time.

Thus it can bring samples in from the periphery and arrange not just for a Th response, but also for CTL.

► This is called cross-presentation.

22
Q

How do CD4 and CD8 help in T cell activation?

A

CD4 is on the surface of helper T cells. It binds to MHC Class II; not to the peptide- binding groove, but to the unvarying ‘base’ which is the same in everybody.

Thus when a Th is seeing antigen + Class II (as it should), the CD4 will help by increasing the strength of the bond.

Similarly, the CD8 on CTL binds to the base of Class I, increasing the binding affinity of CTL to antigen + Class I.

They just increase the avidity of cell binding that got started by specific TCR-pMHC recognition. There is evidence that CD4 and CD8 also help transduce activating signals.

23
Q

T cells helping in the activation of B cells

A

For protein antigens a vigorous class-switched antibody response requires help from T cells, as we have mentioned previously.

How does a Tfh cell help a B cell get activated and make antibody?

Four experimental observations gave us the clues:

1- The T cell and the B cell must come from donors with the same MHC Class II.

2- The T cell and the B cell are not specific for the same epitope, but the epitopes they are specific for must both be on the same antigen molecule.

3- If you block the B cell’s ability to endocytose it cannot be helped by a T cell or make antibody.

4- The Tfh must contact the B cell.

24
Q

The response to T-independent antigens is mostly through _______.

A

As we said, most antigens require T cell help to achieve a reasonable antibody response. A few are just as good with or without help; they are thus T-independent. They tend to be molecules with the same epitope repeated over and over; rare in proteins but common in large carbohydrates like, for example, the capsular polysaccharides of Streptococcus pneumoniae.

The response to T-independent antigens is almost all IgM; T cell help is needed to switch over to IgG, IgA, or IgE. This is important because it means that even if people are extremely deficient in T cells they will be able to make some antibody to carbohydrates. With protein antigens, a little IgM and no IgG is made without T cell help. We’ll consider the practical consequences of this during o ur discussions of vaccines and also of isohemagglutinins (blood group antibodies).

25
Q

What are lectins? Mitogens?

Give some examples:

How are they useful?

A
26
Q

ONTOGENY AND MATURATION OF T CELLS

Epithelial cells in the thymus arise from what pouches in fetal life?

In the thymus, lymphoid precursors are guided by _______ receptor interaction to differentiate.

The order of differentiation goes from __________ to __________ to finally___________.

A

T cells originate in the thymus, coming out as CTL or Th0.

►The thymus consists of epithelial cells, most of which arise from the III and IV pharyngeal pouches in fetal life.

Lymphoid precursor cells arrive from the bone marrow via the blood, and land in the outer cortex. Interaction with the high concentration, unique to the thymus, of ligands for the Notch receptor guides the precursors into the T cell differentiation pathway.

  • They begin to divide rapidly, and can be distinguished from other cells by their large size. At this stage they are ‘double - negative,’ that is, (CD4 -/CD8-), and have activated Rag-1 and Rag-2 DNA recombinases so they are beginning to rearrange their TCR V(D)J genes.
  • These cells will eventually give rise to the mature phenotype ‘single - positives,’ CD8+/CD4 - and CD4+/CD8-.

The first step is to become double-positive (going from CD4-/CD8- to CD4+/CD8+), and then during selection (a fairly rare event) to turn off one or the other gene. This suggests why the bulk of the cells in the thymus are, in fact, double positive; having failed to be selected for further maturation, they remain ‘stuck’ at the double positiv e stage until they die.

Single-positive T cells acquire other phenotypic refinements as they mature in the thymus, such as recirculation specification molecules and the various molecules with which they interact with APC. Then they are exported from the medulla. ► Fewer than 2% of thymocytes are exported; the rest will die in the thymus. Why? Because the demands on the T cell repertoire are very strict and not many randomly-generated TCR fill the bill.

27
Q

In order for a T cell to survive it must:

A
  1. Not recognize “self”, that is, not bind so firmly to a self structure (MHC alone, or MHC loaded with a “self” peptide) that the T cell becomes activated; this would be autoimmunity.
  2. Not recognize free antigen (which is antibody’s job).
  3. Recognize antigenic peptide + self MHC.

The repertoire is selected within the thymus.

Imagine a thymocyte that has just rearranged the genes for the alpha and beta chains of its TCR. It puts the receptors on its surface, and begins percolating through the thymus cortex, during which it will brush against the surfaces of thousands of epithelial, macrophage, and dendritic cells.

Let us say that the variable regions of TCR alpha (V, J) and beta (V, D, J) genes have been selected during evolution to produce receptors that are roughly complementary to the average configuration of an MHC molecule. MHC is very highly polymorphic; there are thousands of alleles in the human species. Since the TCR rearrangements are random, a brand-new thymocyte’s receptors ►will bind to the particular MHC alleles it finds on epithelial cells on its trip through the thymus with either high , low , or no affinity.

28
Q

What is positive selection?

Enough maturation refers to CDR1s and CDR2s binding to the _______ of the MHC groove, but the CDR3 does not bind endogenous peptide there.

What is the idea behind MHC restriction?

A

The blood-thymus barrier keeps almost all foreign antigens out.

►The thymocyte’s TCR encounters MHC, both Class I and Class II, loaded with endogenous self peptides. If there is low but real affinity of binding between the TCR and the MHC of an epithelial cell (with a ‘self’ peptide in the groove), the cell binds just enough to be told to mature (positive selection).

Typically, ‘enough’ means that the CDR1s and CDR2s bind to the alpha helices of the MHC groove, but the CDR3s do not bind the endogenous peptide there. The idea here is that this affinity for self MHC but not self-peptide might turn out in the periphery to be high affinity for self MHC + some foreign peptide.

►This model explains MHC restriction: the T cells that emerge from the thymus of an ‘A’ animal or person see antigen plus ‘A’ MHC, because they were positively selected on ‘A’. There is plenty of evidence to support this: for example, rare patients who genetically have low MHC Class I expression develop normal Th cells but few CTL, because there was not enough Class I in the thymus for their developing CD8+ cells to bind to.

29
Q

Negative Selection

What are the two faiths of a T cell that binds with HIGH affinity to self MHC and self peptide?

How does AIRE helps T cells not react with tissues outside of the thymus?

A

The next possibility is that the immature T cell’s receptor binds to MHC (which will have a ‘self’ peptide in it, derived from a normal protein) with high affinity.

By high we mean high enough to result in the activation of the T cell; all of the TCR’s CDRs are engaged. This is clearly an undesirable cell as its activation would result in autoimmunity. The fate of this immature cell is fascinating: either it dies by the process of apoptosis, or it matures into a Treg. This latter outcome is very cool — it suggests that if a rogue Th or CTL were trying to become activated by your liver, for example, it might find a Treg next to it saying, Don’t .

This mechanism would delete T cells reactive against the typical peptides you’d imagine would be expressed in the thymus; but what about liver or thyroid or adrenal-specific gene products?

►Amazingly, the AIRE ( autoimmune regulator) gene causes thymic stromal cells to express a wide variety of otherwise-inexplicable extrathymic peptides so that reactive T cells may be removed from the repertoire. In fact, AIRE -deficient people develop multiple autoimmunities. But so do children with Down syndrome, trisomy 21, and they have 3 copies of Aire which is on chromosome 21. The many Tregs they develop in the thymus seem to be functionally impaired.

30
Q

What is non-selection?

A

Because the repertoire of T cells is generated by random association of V, (D) of V, (D), and J gene segments, it is reasonable to assume that most of the resultant TCR will have essentially no affinity for the particular MHC molecules they find expressed in the thymus.

The immature cell thus receives no stimulation through its TCR. Under these circumstances it will die in two or three days, again by apoptosis.

31
Q

Summary of antigen presentation

A