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T cell-mediated immunity
8.8 at 8am by Dr. Quayle
92
Immunology
Professional
08/08/2011

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Term
Where are naive T cells found?
Definition
blood and secondary lymphoid tissues
Term
What is T cell activation or T cell priming?
Definition
when naive t cells are activated by specialized antigen presenting cells that present antigen in the context of MHC I or II
Term
T/F The adaptive immune response is generated at the site of infection.
Definition
FALSE. Dendritic cells take the antigen to the secondary lymphoid organs where the immune response is generated
Term
Dendritic cells in tissues are called ________ dendritic cells.
Definition
immature
Term
What are the different ways dendritic cells take up antigens to present them via MHC class II?
Definition
receptor-mediated endocytosis and macropinocytosis (which is nonspecific and not mediated by a receptor)
Term
What are the different ways dendritic cells obtain antigen particles to present them via MHC class I?
Definition
viral infection, cross-presentation after phagocytic or macropinocytic uptake, and transfer from incomming dendritic cell to resident dendritic cell (viruses are presented in these ways)
Term
From what type of vessels do T cells enter a lymph node? What part of the lymph node do they enter?
Definition
high endothelial venules or afferent lymph vessels
the cortex of the lymph node
Term
How do naive T cells leave lymph nodes?
Definition
efferent lymph if it hasn't seen its antigen
Term
T/F Naive T cells undergo apoptosis within weeks if they have not met their antigen.
Definition
FALSE, they live for years
Term
How do naive T cells "know" to go to the secondary lymph tissue once they leave the thymus?
Definition
they "home" in response to concentration gradient of the chemokines CCL21 and CL19 bound to the surface of HEV and produced by stromal cells and dendritic cells in the lymph node cortex. They bind these chemokines via CCR7
Term
Where are L-selectins found and what do they bind to?
Definition
found on various leukocytes and bind to carbohydrates on endothelium to initiate leukocyte-endothelial interaction
Term
Where are mucin-like vascular adddressins found and what do they bind to?
Definition
found on endothelium, HEV, and mucosal lymphoid tissue venules and bind to L-selectin to initiate leukocyte-endothelial interaction
Term
Where are integrins found and what do they bind to?
Definition
found on various leukocytes and bind to cell adhesion molecules and extracellular matrix for strong adhesion
Term
What role do some immunoglobulin superfamily members play in cell adhesion?
Definition
they are expressed on T cells and are a target for integrins
Term
What receptor/ligands allow naive T and B cells to roll along HEV?
Definition
L selectin on T/B cell binds to GlyCAM-1 and CD 34 on HEV
Term
What does LFA-1 do?
Definition
LFA-1 is on B and T cells. It is "activated" by chemokines when T/B cell is rolling along HEV. When it is activated LFA-1 binds tightly to ICAM-1 initiating diapediesis
Term
What are the two "homing receptors" of naive T cells? (aka what receptors guide T cells specifically to secondary lymphoid tissue?)
Definition
CCR7 and L-selectin
Term
A naive T cell binds a dendritic cell through what interactions?
Definition
TCR (with CD8 or CD4) and MHC/antigen. But a second co-stimulatory signal is required for successful T cell activation. Ex. is B7 on activated dendritic cell binds to CD28 on naive T cell
Term
What happens after B7 on dendritic cell binds to CD 28 on T cell?
Definition
T cell is activated and the nexpresses CTLA-4 which binds to B7 with higher affenity
Term
Compare and contrast the functions of CD28 and CTLA-4.
Definition
Both are receptors on T cells that bind B7 on dendritic cells. However, CD28 activates the immune response while CTLA-4 dampens the immune response.
Term
Which of the three antigen presenting cells is the "most potent"?
Definition
Dendritic cells
Term
What are langerhans cells?
Definition
specialized dendritic cells in the skin and some other stratified epithelia
Term
What are mature dendritic cells in secondary lymphoid tissue sometimes called?
Definition
interdigitating reticular cells
Term
T/F All of the professional antigen presenting cells can activate naive T cells.
Definition
FALSE. Only dendritic cells and macrophages. B cells do not usually participate in the activation of naive T cells.
Term
Where in the lymph node are dendritic cells located?
Definition
in the T cell areas
Term
Where in the lymph node are B cells located?
Definition
in the follicles
Term
Where in the lymph node are macrophages located?
Definition
everywhere in the node
Term
Is MHC expression the same for dendritic cells in peripheral tissue and dendritic cells in lymphoid tissue?
Definition
NO, there is more MHC expression on dendritic cells in lymhpoid tissue
Term
T/F MHC expression on macrophages is constitutive.
Definition
FALSE, it is induced by bacteria and cytokines
Term
T/F MHC expression on B cells is consitutive.
Definition
True but it increases upon activation
Term
On what APC is costimulator delivery constitutive?
Definition
dendritic cells
Term
Which APC is found only in lymphoid tissue, connective tissue, and body cavities?
Definition
macrophage
Term
Which APC is found in only in lymphoid tissue and peripheral blood?
Definition
B cells
Term
What is the region of contact between a T cell and an APC called?
Definition
immunological synapse
Term
How does the clustering of receptors in the immunological synapse between T cell and APC cause the activation of ZAP-70?
Definition
activation of associated kinases such as Fyn which leads to phosphorylation of ITAMs in cytoplasmic tails of CD3 protein.CD4/8 binding to MHC brings kinase Lck to phosphorylate/activate ZAP70 which is bound to phosphorylated ITAM
Term
What does zap 70 do?
Definition
activation of PLCgamma which causes DAG and IP3 apthways. These pathways all lead to NFkB, NFAT, and AP-1 which turn on transcription of genes that direct T cell proliferation and development of effector function.
Term
What is one of the most important genes that ZAP70 turns on?
Definition
IL-2, because it drives proliferation and differentiation of activated T cells
Term
How does IL-2 discriminate between naive T cells and activated T cells?
Definition
naive T cells express the low-affinity receptor for IL-2 while activated t cells express the high affinity receptor for IL2
Term
What is the mechanism of the drug cyclosporin A (cyclosporine)?
Definition
disrupts TCR signaling to prevent IL-2 production and thereby immunosuppress the patient
Term
What is the mechanism of the drug tacrolimus (FK506)?
Definition
disrupts TCR signaling to inhibit IL-2 production and immunosuppress the patient
Term
What is the mechanism of the drug rapamycin?
Definition
inhibits signaling from the IL-2 receptor to immunosupress a patient
Term
THe IL-2 receptor alpha chain is also known as _____.
Definition
CD25
Term
What happens to naive T cells that recognize an antigen in the absence of co-stimulation?
Definition
the t cell becomes non-responsive or anergic meaning the T cell can no longer make IL-2
Term
When the immune system of an individual can not respond to an antigen that person is said to be _______ to that antigen.
Definition
tolerant
Term
What are the signature cytokines of TH1 cells?
Definition
IL-2 and IFNgamma (causes macrophage activation, inflammation, and production of opsonizing antibodies)
Term
What are the signature cytokines of TH2 cells?
Definition
IL-4 and IL-5
Term
What are the major cytokines of Treg cells?
Definition
TGFbeta and IL-10
Term
What is the major cytokine of TH17 cells?
Definition
they produce IL-17 and promote proinflammatory responses praticularaly the influx of neutrophils in the mucosa (may play a role in autoimmunity)
Term
Which cytokines cause the different differentiation pathways of CD4 Tcells?
Definition
TGF-beta>Treg. IL-12 and IFN-gamma> TH1. IL-4>TH2
Term
TH1 cell development is first stimulated by what cytokines made by which cells?
Definition
IL-12 from dendritic cells and macrophages and IFN"gamma" by NK cells. This causes production of transcription factor called T-bet which turns on IFNgamma and t cell is commited to being a TH1
Term
What happens to CD4 T cells when IL-4 binds to IL-4 receptor?
Definition
transcription factor GATA-3 is produced which makes IL4 and IL5 and commits cell to TH2 lineage
Term
T/F In sub-optimal costimulatory conditions, CD4 T cells can help activate naive CD8 T cells.
Definition
true. to do this however, CD8 and CD4 must recognize antigen on the same APC. CD4 helps by making IL-2 or other cytokines.
Term
Why might it be advantageous to require strong co-stimulation for activation of CD8 cells?
Definition
CD8 cells can induce a lot of tissue damage so you want to make sure an infection is really going on before you activate them
Term
Where do T cells go once they've been activated?
Definition
CD8s and most CD4 TH1 enter the blood to seek out sites of infection. CD4 TH2 cells stay in the lymph nodes.
Term
How do activated T cells leave the lymph node?
Definition
they loose L-selectin and CCR7 and start expressing VLA-4 (alpha4 integrin) which binds to VCAM-1 on inflammed blood vessel endothelium. Effector cells also increase expression of CD2 and LFA-1 so they can interact with any cell
Term
T/F Only APCs express B7.
Definition
true!
Term
T/F Activated/Effector T cells still need a co-stimulation signal when they bind peptide-MHC complex.
Definition
false
Term
JAKS stands for _______. Where are JAKs found?
Definition
Janus Kinases. THey are found bound to the cytoplasmic domain of cytokine receptors
Term
What happens when a cytokine binds a cytokine receptor?
Definition
ctyokine binding causes the two receptors to dimerize. The two cytoplasmic JAKS activate/phosphorylate each other. Transcription factors called STATS are phosphorylated/activated by JAKS. STATS dimmerize and go to nucleus to initiate gene transcription
Term
What are the cytotoxins and cytokines produced by CD8 cells?
Definition
cytotoxins (perforin, granzymes and granulysin) and cytokines (IFN-gamma, LT)
Term
What are teh cytokines produced by TH1 cells?
Definition
IFN-gamma, GM-CSF, TNF-alpa, LT, IL-3
Term
What are the cytokines produced by TH2 cells?
Definition
IL-4, IL-5, IL-10, IL-13, and TGF-beta
Term
When do CD8 T cells start making cytotoxins?
Definition
as soon as they meet the antigen in secondary lymphoid tissues
Term
How do CTLs (cytotoxic T cells)induce infected cells to undergo apoptosis?
Definition
via release of cytotixins (perforin an granzymes) and via Fas-ligand which binds to Fas on infected cell
Term
Fas is a member of the ________ receptor family.
Definition
TNF
Term
For how many days do T cells undergo clonal expansion after they are activated?
Definition
7-8 days
Term
How do we get rid of excess effector T cells when there is cessation of antigenic stimulus?
Definition
T cells undergo apoptosis induced by Fas-Fas L ligation
Term
T/F Fas-Fas L interaction is the main route lymphocytes are killed off during lymphocyte development
Definition
True
Term
Individuals that lack functional Fas molecules develop a disease called ____________.
Definition
Autoimmune lymphoproliferative syndrome (ALPS) (usually caused by an inheritance of one nonfunctional copy of Fas gene)
Term
What might you find on physical exam of a child with ALPS?
Definition
lymphadenopathy and splenomegally
Term
What would blood work of a patient with ALPS look like?
Definition
elevated serum Igs, increased B cells and large number of double negativ T cells.
Term
What would you use to determine whether a patient had ALPS or a malignancy?
Definition
chromosomal abnormalities or oligoclonal T cell expansion would predict malignancy and be uncharacteristic of ALPS
Term
How is ALPS treated?
Definition
anti-inflammatory corticosteroid prednisone with immunosuppressant drug cyclosporin A
Term
T/F ALPS patients are succeptible to B and T cell lymphomas.
Definition
true
Term
What are the two signals macrophages need from CD4s to become activated?
Definition
a primary signal from IFN-gamma and a second signal delivered by CD40 ligand on T cell binding to CD40 on macrophage
Term
What happens to macrophages once they are activated?
Definition
increase expression of MHC class II and B7 which increases antigen presentation to naive T cells
Term
When do CD4 cells make effector molecules?
Definition
"on demand" which takes several hours
Term
How do TH2 cells prevent macrophages from producing too much microbicidal substances that can be harmful to tissues?
Definition
characteristics cytokines (TGF-beta, IL-4, IL-10, and IL-13) which inhibit macrophage activation
Term
TH1 cell secretes IFN-gamma and CD40 ligand to...
Definition
activate macrophage to destroy engulfed bacteria
Term
Activated TH1 cell secretes FAS ligand or LT to..
Definition
kills crhonicall infected macrophages, releasing bacteria to be destroyed by healthy macrophages
Term
Activated TH1 cell secretes IL-2 to
Definition
induce T cell proliferation
Term
activated TH1 cell produces IL-3 and GM-CSF in order to...
Definition
induce macrophage differentiation in the bone marrow
Term
Activated Th1 cell produces TNF-alpha and LT in order to
Definition
activate endothelium to induce macrophage adhesion and exit from blood vessel at site of infection
Term
Activated TH1 cell produces CXCL2 in order to...
Definition
cause macrophages to accumulate at site of infection
Term
Under what conditions do granulomas form?
Definition
when intracellular pathogen successfully resists the killing activity of activated macrophages and a chronic infection accompanied by inflammation develops (characteristic of mycobacteria)
Term
Describe granuloma morphology.
Definition
They have a central core of infected macrophages which can include multinucleate giant cells formed by cell fusion. This central core is surrounded by large single macrophages sometimes called epitheliod cells
Term
What cells prevent granulomas from desseminating and killing patient?
Definition
CD4 TH1 (aids pts die from granulomas)
Term
T/F TH2 cells that recognize a certain antigen can activate B cells that recognize a different antigen.
Definition
FALSE
Term
T/F CD4 cells that recognize one epitope can activate CD8 cells that recognize another epitope.
Definition
True, they both have to recognize the same antigen but not the same epitope of that antigen. This is called cognate interaction
Term
B cell becomes activated after it presents MHC II/peptide to TH2 via...
Definition
interactions between CD ligand on TH2 and CD 40 on B cells and by IL-4, IL5, and IL6 characteristically secreted by TH2 cells
Term
How did we make an effective haemophilus influenzae virus vaccine?
Definition
bacterial polysaccharide was covalently coupled to tetanus toxoid. In this way, the TH2 cell will recognize the tetanus toxoid and induce proliferation of memory b cells.
Term
A cell with high levels of CD25 (the alpha chain of the IL-2 receptor), FOX P3, and immunosuppressive anti-inflammatory cytokines (IL-4, IL-10 and TGF-beta) is a ________ cell.
Definition
Treg
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