Viruses and the immune system Flashcards
What is the purpose of the innate immune system?
Clear infections if there is a low dose challenge
Slow infections until the adaptive immune response ins activated
How does complement defend against viruses?
Not that important in a primary infection, though is useful in secondary infection along with antibody complexes
Opsonise particles: promote phagocytosis of infected cells or virus by cells with complement receptors
How do viruses use/evade complement?
Retroviruses activate it directly - thought increase cell tropism range
Use complement proteins as receptors
Evade complement e.g. VACV complement control protein
How do natural killer cells defend against viruses?
Have an Fc receptor
Kill cells if there is decreased MHC-I expression (some viruses down regulate)
Receptors that recognise stress proteins (including influenza HA and NA) and kill cells
How do NK cells kill?
Activated by IFNalpha/beta. Release cytocidal proteins in lytic granules e.g. perforin and granzymes
Upregulate Fas L and TRAIL
Accumulate by chemoattraction and proliferation
What cytokines/chemokines do NK cells produce?
Activated by IL-12
Early producer of IFNgamma (skews towards Th1)
Also makes TNFalpha and cytokines for immune cell survival
How do NK cells interact with dendritic cells?
DC production of IL-12 and IFNalpha/beta activates NK cells
NK cell production of TNFalpha triggers DC activation
What is the importance of NK cells in the defence from viruses?
Lack of NK cells results in potentially lethal infections of VZV and HCMV in humans and mice (MCMV).
How do macrophages defend against viruses?
M1 macrophages are useful - stimulated by inflammatory signals
Phagocytose opsonised infected cells and virions; up regulate IL-12; phagocytosis of infected cells limits inflammation (no killed cell contents released)
Antigen presenting cell for adaptive immune response
What do type 1 interferons do?
Includes IFN alpha and beta. Are induced (through PRRs, TLRs and IRF3/NFkB) secreted from virus infected cells and induce an antiviral state in neighbouring cells through the JAK/STAT signalling pathway (inducing ISGF-3 entering the nucleus as a dimer and binding ISRE at gene promoters), triggering the production of interferon stimulated genes
What does OAS do?
Oligoadenylate synthesise - an interferon stimulated gene. Activated by dsRNA. Makes oligoadenylate oligomers which activate RNAse L
What does RNAse L do?
Activated by OAS. Cleaves ssRNA. OAS remains located near dsRNA, so RNAse L cleaves ssRNAs near the dsRNA.
What does PKR do?
Activated by dsRNA. Phosphorylates itself to active, phosphorylates eIF2 to inactivate eIF2alpha to inhibit protein synthesis in a localised manner.
What are some examples of ISGs?
OAS, RNAse L, PKR
Mx proteins - inhibit viral molecular movement
dsRNA specific adenosine deaminase (A->inosine in dsRNA)
miRNAs
Intrinsic factors unregulated
Pro inflammatory cytokines eg. TNFalpha
Induce adaptive immunity
How do IFNs induce adaptive immunity?
Skew Th1
License dendritic cells
Activate NK cell killing
Give resistance to T cells against NK cell killing
What are type 2 interferons?
IFNgamma. Produced by T lymphocytes (CD8 and some CD4 e.g. Th1) and NK cells. Binds type II receptor. Induces expression of some ISGs (like type 1 - overlap). Lower antiviral activity than type 1 IFN. Induces an inflammatory response (Th1) and is very important for controlling systemic infections.
What does IFNgamma do?
Increases MHC I expression on macrophages, DC and endo/epithelial cells
Induces MHC II expression on some MHC II negative cells
Increases expression of immunoproteasome components and TAP for MHC cleavage
Promotes cell mediated immunity
How does IFNgamma promote cell mediated immunity?
Antagonist of IL-4 and IL-10 to encourage development of Th1 cells
Induces chemoattractants
Activates macrophages
Works with TNFalpha
What is the role of IFNgamma in defence against viruses?
Aids development of anti-viral immunity
Important in viral clearance - essential for vaccinia virus clearance
What do type 3 interferons do?
IFNlambda1,2,3. Expression is induced by PRRs, signal through JAK/STAT pathway. Unregulate similar genes to type 1 IFNs and increase MHC 1 expression. Target specific cells as expression of the receptor is not ubiquitous. Important in defending against flu (one of the target cells is epithelial cells)
What does TNFalpha do?
Produced by monocytes and macrophages (major) as well as CD8 T cells, NK cells and DC (minor). Can be membrane bound or soluble. Interaction with TNF-R1 induces apoptosis and inflammation. Localised expression is important for virus clearance.
Kills virally infected cells (apoptosis induction)
Induces expression of OAS and IFNbeta
Controls the inflammatory response
Works with IFN gamma and beta
How does the immune system detect viral RNA?
RIG-I like receptors such as RIG-I, MDA5. Bind ssRNA (RIG-I) and dsRNA (MDA5) in the cytosol by their helices domain. Induces IRF-3 or NFkB.
How does the immune system detect viral DNA?
DAI binds dsDNA in the cytosol along with other sensors. Cause inflammation
What are inflammasomes?
Complexes of NOD-like receptors/AIM2(a dsDNA receptor) with ASC and caspase-1. Cleaves proIL-1beta to IL-1beta.
What PRRs exist on the cell surface?
TLR4 - RSV detection
TLR2 - measles HA and HCMV gB
What PRRs exist in endosomes?
TLR7/8 - U/G rich ssRNA (flu, HIV)
TLR9 - unmethylated CpG DNA (HSV)
TLR3 - dsRNA
All induce NFkB and IRF3
How do neutralising antibodies work?
Antibody sterically hinders viral functions such as receptor binding, penetration and uncoating
Antibody could also denature the virion structure causing loss of infectivity/inhibiting or inducing change in virion structure so it can’t function
What is ADCC?
Antibody dependent cellular cytotoxicity. Focuses NK cells and macrophages to infected cells for killing/phagocytosis. Gives antigen specificity to non-specific effector cellls
What are the mechanisms of function of antibody against viruses?
Neutralisation Antibody dependent cytotoxicity Agglutination of virus particles Opsonisation of viruses and infected cells Interacts with complement
How can viruses evade antibody function?
Antigenic shift/drift
Expression of FcRs to sequester antibody
Antibody mediated enhancement
How is a T cell response triggered?
Naive T cells are exposed to antigen in the lymph node when they come into contact with an APC. Activated and leave for site of infection.
What do cytotoxic T lymphocytes do?
CD8 T lymphocytes - class I MHC restricted. Eliminate virus infected cells. Are activated in the lymphoid tissue, go to target tissue where there are many functions including killing.
How are CD8 T cells activated?
Dendritic cells must be licensed. CD40 on DC interacts with CD40L on T cell, along with MHC I + TCR interaction.
For T cell expansion, require inflammatory cytokines such as IL-12, IL-2 and type I interferons
What is CTL exhaustion?
If the virus replicates too quickly or there is a very high viral load, the T cell response is poor and the virus can persist.
What is the importance of CTLs in viral clearance?
Very important for clearance LCMV in mice
Though some viruses can be cleared without CTLs e.g. flu
How do CTLs kill target cells?
Contain lytic granolas - engagement of TCR causes pseudopod formation and movement of granules to site of contact. Granules are exocytosed next to target cells.
Fas signalling - signalling though FADD and caspase 8 to induce apoptosis
What are contained within T cell lytic granules?
Perforin - calcium dependent polymerisation to form a pore in the membrane (similar to C9). Suggested to allow entry of granzymes into the cell through membrane repair (endosomes)
Granzymes - granule serine proteases A, B + others. Granzyme B activates caspase 3 (leading to apoptosis). Granzyme A activates apoptosis without caspases - mitochondrial and ssDNA damage.
Both are protein synthesis independent
What cytokines do CTLs produce?
IFNgamma and TNFalpha
Also makes some chemokine that inhibit HIV replication by blocking the cellular receptors
What are CTL escape mutants?
If the CTL response is skewed towards one or two immunodominant epitopes and the viral load is high enough, some virus may evolve to escape the CTL response. Seen in HIV disease progression
Mutation of the dominant epitope causes loss of stimulation of the dominant specific T cells and allows stimulation of subdominant epitopes
How can CTL activity be measured?
Measuring target cell death
Measuring cytokine production (ELISA - incubate cells on plate with anti-cytokine, wash off cells, add more antibody conjugated to an enzyme)
Measuring cytokine staining with flow cytometry
MHC class I staining - express MHC I with a biotin tag and a specific peptide in E. Coli, stain for antigen specifity of the T cell (shows most T cells are virus specific)
How do CD4 T cells defend against viruses?
Cytokine production - can stimulate the inflammatory response (Th1 i.e. IFNgamma)
Help B cells and CD8 T cells
In mice, get protective CD4 T cells against flu - express IFNgamma which induces expression of MHC class II to aid virus clearance.
How are memory T cells induced and maintained?
Need IL-7 or IL-5 (CD4 vs CD8). For establishing a stable pool of memory CD8 T cells need CD4 help.
What are the different types of memory CD8 T cells
Central memory - proliferate to antigen and differentiate for effector function
Effector memory - don’t proliferate to antigen, get an effector function on antigen stimulation
Effector CTLs
Tissue resident memory T cells
How do herpes viruses hide from the immune system?
Herpesviruses - latent/persistent infections, some can integrate into telomeric regions of the chromosomes