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T Cell Immunity
Mathew - 1 hr
15
Medical
Graduate
04/11/2011

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Term
Describe the role of antigen presenting cells in T cell activation
Definition
Dendritic cells, macrophages, B cells
Present antigenic peptide via MHC I&II
Express co-stimulatory molecules, secrete cytokines
Term
Describe a dendritic cell as antigen-presenting cells
-routes of antigen processing and presentation
-location in lymph node
-Ag uptake
-MHC expression
-co-stimulator delivery
-Ag presented
-Location in body
Definition
They initiate adaptive immune responses in lymph nodes
In the spleen they initiate adaptive immune responses against blood borne pathogens

Receptor-mediated endocytosis: EC bacteria, MHCII, CD4 T cells

Macro-pinocytosis: EC bacteria/soluble Ag/virus particles, MHCII, CD4 T cells

Viral infxn: viruses, MHCI, CD8 T cells

Cross-presentation after phagocytic or micropinocytic: viruses, MHCI, CD8 T cells

T-cell areas
macropinocytosis & phagocytosis by tissue dendritic cells; viral infxn
low on tissue dendritic cells
high on dendritic cells in lymphoid tissue
constitutive by mature, nonphagocytic lymphoid dendritic cells
peptides, viral antigens, allergens
ubiquitous throughout body
Term
Describe macrophages as antigen-presenting cells
-location in lymph node
-Ag uptake
-MHC expression
-co-stimulator delivery
-Ag presented
-Location in body
Definition
found throughout lymph node
phagocytosis
inducible by bacteria and cytokines
inducible
particulate Ag; IC & EC pathogens
lymphoid tissue, connective tissue, body cavities
Term
Describe B cells as antigen-presenting cells
-location in lymph node
-Ag uptake
-MHC expression
-co-stimulator delivery
-Ag presented
-Location in body
Definition
follicle
Ag-specific receptor (Ig)
Constitutive, increases on activation
Inducible
Soluble Ag, toxins, viruses
Lymphoid tissue, peripheral blood
Term
Describe how different routes of antigen processing and presentation result in activation of different subset of T cells
Definition
Term
Describe the steps in T cell activation, including TCR, co-receptor (CD4 or CD8), adhesion molecules, and co-stimulatory signals
Definition
T cells enter lymph nodes from the lymph & blood
-L-selectin binds GlyCAM-1 and CD34, allows rolling interaction
-LFA-1 binds ICAM-1
-diapedesis: lymphocyte leaves blood & enters lymph node

Naive T cell activation req's 2 signals:
-binding of TCR & co-R CD4 to peptide:MHCII on dendritic cell
-ligand C28 recognizes Ag, binds co-stim molec B7
-pathogens induce expression of co-stim molec on APC
-adjuvants administered with protein vaccines also induce expression of these cells

Induction of TCR signaling
-CD3 molec & zeta chains contain ITAM, are responsible for signaling once TCR binds peptide/MHC
-Zap-70 is imp

Once activated, T cells make IL-2, induces proliferation - clonal expansion
Term
Describe peripheral tolerance of T cells
Definition
Activation of T cell requires co-stim signal and specific signal
Signal 1 comes from TCR
Signal 2 comes from co-R
specific signal only -> anergic
co-stim signal only -> no effect (T cell becomes non-responsive)

T cell tolerance to Ag expressed on non-professional APC results from Ag recognition w/o co-stimulation
Term
State the characteristics of Th1, Th2, and Th17 cell subsets, and their importance in immunity (function) and disease

how does the circulating cytokine milieu influence the differentiation of a naive CD4 T cell?
Definition
Th1:
-IL-2, IFN-gamma, LT
-imp in cell immunity, inducing production of opsonizing Ab
-tuberculoid leprosy, low infectivity
-activate macrophages to kill intravesicular bacteria (IFN-gamma, CD40L)
-kills chronically infected macrophages (Fas ligand or LT)
-induces T cell proliferation (IL-2)
-induces macrophage differentiation in BM (IL-3 + GM-CSF)
-activates endothelium to induce macrophage adhesion & exit from BV (TNF-alpha + LT)
-causes macrophages to accumulate (CXCL2)

Th2:
-IL-4, IL-5, IL-10
-general activation of B cells to make Ab
-lepromatous leprosy, high infectivity

Th17: can mobilize neutrophils

TGF-beta -> FoxP3, TGF-beta, IL-10 -> Treg cells
IL-12, IFN-gamma -> T-bet, IL-2, IFN-g -> Th1 cells
IL-4 -> GATA-3, IL-4, IL-5 -> Th2 cells
Term
Discuss how CD8 T cells become activated, and why co-stimulation is not required for activated CD8 T cells to perform effector functions
Definition
requirements are very stringent!

Dendritic cells express hi B7, activate naive CD8 T cells -> makes IL-2, driving its own proliferation

APC stimulates effector CD4 T cell, activates APC -> expresses B7, co-stimulates naive CD8 T cell

APC activates CD4 T cell to make IL-2 & naive CD8 T cell to express IL-2 R -> IL-2 secreted by activated CD4 T cell is bound by CD8 T cell

Once stimulated, T cells don't require co-stim to perform effector functions
-activation of naive T cells req's T cell to recognize both specific Ag and a B7 co-stim on APC
-proliferation & differentiation produces effector T cells that can respond to cells have specific Ag on their surface but no B7 (which most cell types never express)
Term
List and describe the two major mechanisms that cytotoxic T cells utilize to kill cells
Definition
Kills cells through the release of lytic granules
-cytoplasmic granules containing perforin, granzyme B
-perforin forms pore in target cell membrane
-granzyme B enters cell through pore, induces apoptosis

Kills cells via FAS ligand:FAS interactions b/t cytotoxic T cells:target cell, induces apoptosis
Term
State the difference between naïve, effector, and memory cells
-cell surface PT
-how memory & effector cells are different from naive T cells
Definition
Naive: L-selectin, +(LFA-1, CD2, CD4, TCR, CD44, CD45RA)
-L-selectin keeps them coming back to lymph nodes, allows them to get in

Activated: +VLA-4, ++(LFA-1, CD2), +(CD4, TCR), ++CD44, +CD45RO

M&E cells: circulate through tissue other than secondary lymph nodes (go to site of infxn); reduced need for co-stim to become activated & perform effector functions
Term
CTLA-4
Definition
Expressed on activated T cells
Binds to B7 with higher affinity than CD28 - out-competes CD28
Dampens activation of T cells
Limits T cell proliferation
Imp for shutting down T cell responses
Term
Stages of CD4 T cell activation
Definition
Naive CD4 -> proliferating T cell -> immature effector T cell -> TH1 or TH2
Term
Effector molecules made by T cells
Definition
CD8:
-cytotoxins: perforin, granzymes, granulysin
-cytokines: IFN-gamma, LT

Th1:
cytokines: IFN-gamma, GM-CSF, TNF-alpha, LT, IL-3

Th2:
cytokines: IL-4, IL-5, IL-10, IL-13, TGF-beta
Term
Autoimmune lymphoproliferative syndrome (ALPS)
Definition
Patients lack Fas
Fas/FasL interactions are imp for removing extra, self-reactive, or unwanted lymphocytes
big swollen lymph nodes, lots of extra T cells and lymphocytes - CD8 T cells can't kill virally infected cells
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