T cells Structure and Rearrangement Flashcards

1
Q

What are T cells?

A

T lymphocytes are a type of immunological cells that can be distinguished with TCRs on their cell surface. There are two different types of TCRs
1. aB - heterodimer of 2 disulphide-linked polypeptides

  1. gD - structuarally similar but with different polypeptides
    Both of these receptors are associated with the CD3 complex – set of 5 polypeptoides – together they make the TCR-CD3 complex
    Approx 90-95% of serum human T cells are aB and the remaining are gD
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2
Q

What are the stages of development of T cells?

A
  • T cells start off as pluripotent stem cells in bone marrow (common progenitor)
  • They emigrate to Thymus (thymus-dependent lymphocytes = T cells), the primary lymphoid organ (concerned with lymphocyte production) where they mature via differentiation, proliferation and selection – rearrange their TCR
  • In the thymus, T cells aquire their specific antigen receptors (TCRs) to deal with antigenic challenges, cells with autoantigen rececptors are eliminated and T cells will learn how to recognise appropirtiate self MHC molecules
  • They then exit into the circulation as naïve T cells then when they meet their first antigen, they become effector T cells
  • Patients with complete DiGeorge’s syndrome lack thymus and therefore T cells
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3
Q

What is the thymus and what happens here?

A

The thymus is a bilobed organ in the thoracic cavity overlying the heart and major blood vessels. Within each lobule there is:
- Outer tightly packed cortex which contains most of the immature proliferating thymocytes (lymphoid cells)
o Inner cortex
o Outer cortex

  • Inner medulla containing more mature cells
    o Contains the high endothelial venule (HEV) – this is where PreT cells come from the foetal love or bone marrow and where the cycle of development starts
  1. The cycle starts when the pre-T cells enter the thymus from the bone marrow via the HEV
  2. They migrate to the inner cortex and are now Double negatibve (DN) 1 cells which are CD44+ for CD4 and CD8 expression
  3. DN1s move towards th outer cortex and differentiate into DN2 (CD44 and CD25) and DN3 (low conc. of CD44 and CD25)
  4. These thymocytes accumulate in the subcapsular region where they actively differentiate into Double positive (DP) cells (CD4+ AND CD8+)
  5. Thymocytes then reverse their polarity and move back towards the medulla. They are then selected and become Single Positive cells (SP) (CD4+ OR CD8+)
  6. They will then leave the thymus via the HEVs, heading for secondary lymphoid tissue
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4
Q

Describe positive and negative selection

A

Positive selection – ensures only the TCRs with an intermediate affinity for self-MHC develop further

  • There is evidence that this is mediated via TECs (cortical thymic epithelial cells) acting as APCs
  • T cells with either very high or very low self MHC affinities undego apoptosis in the cortex (at DP stage)
  • Intermediate affinity T cells survive and carry on to next stage of selection

Negative selection: ensures that only t cells that fail to recognise self antigen continue developing

  • Occurs in the deeper cortex, corticomedullary junctionand in the medulla
  • The cells which recognise self antigen go through apoptosis
  • Cells then differentiate to SP cells and leave the thymus to the peripheral/secondary lymphoid areas
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5
Q

What is the biggest difference in what B cells and T cells recognise?

A

The biggest difference between B cells and T cells is that T cells do not recognise native antigens.

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6
Q

How does T cell development generate diversity?

A

For each chain (aB or gD) there is a variable region and a constant region. The variable region is the antigen-recognising part

TCRs have CDRs with the most highly variable one, CDR3, whose diversity is generated via V(D)J recombination. this Generates the levels of diversity – needs to be rearranged

Recombination mechanism is the same as B cells but T cells don’t require somatic hypermutation or class switching as there is no secreted form of TCR. Rearrangement occurs in the B chain first in the DN stages of development in the thymus

Yhe 12/23 rule applies here and additional nucleotides are added by TdT between the gene segments.

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7
Q

What is the CD3 complex ?

A

The TCR assembles with other proteins to form a signalling complex. It assembles with the CD3 polypeptide which is put together in the endoplasmic reticulum

It consists of four invariant chains – gamma, delta, epsilon and zeta, which are arranged as heterodimers of gE and DE

The zeta chain is separate and is mostly intracellular, made up of
o Small extracellular domain
o A transmembrane domain with negative charge
o A large cytoplasmic tail with ITAM

All chains have ITAMs (mmuno-receptor Tyrosine-based Activation Motif ) attached . These allow the receptor to transmit signals into the cell following activation and allow for MHC attachment

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8
Q

Where do mature T cells go after they exit the thymus?

A

Mature T cells in circulation are known as naïve T cells until they encounter their first antigen via APCs in secondary lymphoid tissue such as lymph nodes, spleen or GALT (gut-associated lymphoid tissue)
Following encounter and proliferation, exit as ‘effector’ T cells – ready to do something in periphery when antigen has been detected.

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9
Q

What are effector T cells

A

Effector T cells are a group of cells that actively respond to a stimulus e.g. costimulation. These include CD4+, CD8+ and T Regulaotry cells (Treg)
Effector cells will redistribute to sites of infection when signalled by chemokines and newly expressed adhesion molecules

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10
Q

What are adhesion proteins and how do they help signal the effector t cell to site of infection?

A

When effector proteins want to redistribute to the site of infection they stop producing L-selectin (protein that hones to the lymph nodes). They the start expressing VLA-4 adhesion proteins which recognise VCAM-1 target on vascular endothelium during inflammation due to infection

The T cells will constantly be be patrolling and checking cells for foreign antigens. Non specific adhesion allows for initial binding on potential targets. If they don’t find the specific antigen then they will move off the target.

If the correct antigen is found, there is MHC/T cell signalling inducting a conformational change and a direct target release of effector molecules particularly for CD8 cytotoxic cells

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11
Q

What are the main types of T cells?

A
  • Helper T cells - TH1 and TH2
  • TH17
  • T Follicular Helper cells
  • Cytotoxic T cells (CD8)
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12
Q

What his the main function of T helper cells (CD4) ?

A
  • Activate and ‘help’ other cell types to co-ordinate immune response
  • Achieved through expression of cell surface proteins and soluble cytokines
  • Acquired Immune Deficiency syndrome (AIDS) results from loss of Helper T cells following HIV infection
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13
Q

What are TH1 cells and how do they develop from naive CD4 cells?

A

TH1 cells help control viral infections and bacterial intravascular infection of macrophages e.g. leprosy, TB that hide from MHC- 1 antigen presentation

  1. The viruses and intravascular bacterial infections induce IL-12 secretion by dendritic cells
  2. This can activate NK cells to produce IFNg
  3. Naive CD4 T cells are activated in the presence of IL-12 and IFNg and differentiate into TH1 cells
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14
Q

How do TH1 cells protect the body from disease?

A

Some infections e.g. mycobacteria hide in phagosomes – protects them from MHC-I antigen presentation

But peptides from these bacteria will be presented by MHC-II - this is because macrophages are professional APCs

Recognition of peptide/MHC-II on an infected macrophage causes Th1 cell to produce IFNg

TH1 TCR binds to the MHC-2, CD40 ligand binds to CD40 on the macrophage and IFN-g binds to its receptor on the macrophage. IFNg activates the macrophage

Following activation, macrophage will fuse the phagosome (which contains the bacteria) with lysosomes. Reactive oxygen and nitrogen species then kill bacteria – very toxic

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15
Q

Why are macrophages not activated all the time by TH1?

A
  • Requires too much energy

- Results in localised tissue destruction due to release of reactive species

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16
Q

What is TH2 and how do they develop from CD4 cells?

A

TH2 cell are effective at stimulating b cells to proliferate and produce antibodies, IgG but partouclalry IgE so therefore function to protect against free-living, extracellular microorganisms. They promote the function of eosinophils and mast cells

  1. Other pathogens e.g, worms may cause the synthesis and secretion of IL-4 by NKT cells
  2. Naive CD4 T cells are activated by IL-4 and they differentiate into TH2 cells
  3. TH2 cells produce IL-4,IL-5 and IL-13
17
Q

How do TH2 cells protect you from disease?

A
  1. TH2 cells adhere to B cell upon recognising ICAM and CD40 on B cell
  2. Begins to synthesise IL-4 and the TH2 cell reorients its cytoskeleton and secretory apparatus towards the B cell
  3. IL-4 is released and drives the B cell to produce IgE
  4. IL-5 is then produced to recruit and activate eosinophils
  5. TH2 cells drive mast cell recruitment via IL-3 and IL-9. Specific IgE arms mast cells against helminths - mediate ADCC
18
Q

Why is the balance of TH1 to TH2 really important?

A

Because it can effect the outcome of the disease

For example - Leprosy (Mycobacterium leprae)

if TH1 cells predominate -tuberculoid leprosy, bacterial growth controlled, minor damage > this is better

Th2 cells predominate – lepromatous leprosy, bacteria grow abundantly, gross tissue damage > immune system cant control bacterial infection

19
Q

Describe TH17 cells

A

TH17 cells are pro inflammatory cells which secrete IL-17 and help protect against extracellular bacteria and fungi by stimulating neutrophils

When they differentiate, the signals inhibit Treg production

They play an important role in maintaining mucosal barriers and pathogen clearance at these surfaces

20
Q

Describe T follicular helper cells

A

Follicles within the lymph node – where the T and b Cells interact
Involved in helping B cells when they first encounter Ag in the lymph node

For the different subsets of T cells that go into the periphery e.g. TH1 cells– you get equivalent ones that stay within the lymph node that inform B cell responses within the lymph node – cytokines and transcription factors are similar.

21
Q

What are CD8 cells and what is their function?

A

CD8 cells are T cells which cause lysis of target - cytotoxic T cells

They have two main methods of function

  1. Release cytotoxic granules at site of contact with target cell (must be directed in order to avoid damaging innocent bystander cells). The cytotoxic granules include;
    - Perforin -> aids in delivering granule contents into target cell cytoplasms
    - Granzymes -> serine proteases which activate apoptosis
    Granulysin -> has antimicrobial properties and can induce apoptosis
  2. Trigger apoptosis of target through Fas/FasL interaction
  • This process does not depend on cytotoxic granules
  • Fas ligand (FasL) on T cells engages Fas on target cells to trigger apoptotic pathway
  • Fas/FasL triggered apoptosis is used to dispose of unwanted lymphocytes
  • Loss of Fas can result in autoimmune lymphoproliferative syndrome (ALPS)
22
Q

What happens to T cells at the end of an infection?

A
  • Some activated effector T cells become memory cells which require IL-7 and IL-15 for survival with stimulation from self antigens
  • Many effector cells are short-lived and die by apoptosis
23
Q

Describe gD T cells

A

Gamma Delta T cells are rare T cells that are found in peripheral sites (skin, liver, intestine) not the blood meaning the are difficult to access

Their TCR has 2 distinct chains, which form gd heterodimer

Less variable than the conventional TCR together with CD3.

May bridge gap between innate and adaptive immunity

Produce cytokines immediately and are linked to stress of cells by infection, transformation, chemical or physical means

Appear to have a variety of functions > not well studied compared to alpha beta T cells

24
Q

What are the main functions of gD T cells?

A
  1. Lysis of infected or stressed cells
  2. Cytokine and chemokine production
  3. B cell her and IgE production
  4. Priming of aB T cells via antigen presentation
  5. Dendritic cell maturation
  6. Regulation of stromal cell function via growth factor production