MCM 2-8 T-Cell Immunity Flashcards Preview

MSI Unit II > MCM 2-8 T-Cell Immunity > Flashcards

Flashcards in MCM 2-8 T-Cell Immunity Deck (46)
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Where is a naive T cell activated?
What 2 signals are required to activate a naive t-cell?

via exposure to an antigen, occurs in a lymph node that is draining an infected tissue.
2 signals required:
- an antigen specific signal - delivered when the T-Cell receptor recognizes the peptide:MHC complex on the dendritic surface
-a costimulatory signal: delivered when cd28 on T-cell surface binds to B7 on dendritic cell surface (B7 is expressed in activated APC's)


What happens if a naive T-cell enters an uninfected lymph node

it will return to circulation and continue to enter and exit unchanged until it enters an infected one


What is the only antigen presenting cell that can present to a naive T-cell? why?

dendritic cell. they constitutively express both MHCII and B7

Macrophages must be activated to express MHCII and B7

B cells must be activated to express B7


CD28-mediated co-stimulation is not required for the stimulation of which types of cells?

Why is this?

effector T cells and memory t cells.

because they have already been selected for antigen specificity so the stringent requirement for co-stimulation is not necessary.

Do not need to be presented with B7.

Gamma/Delta T cell activation is CD28 independent


what drives the activated T-cells differentation and proliferation?

autocrine production and uptake of IL-2.

Naiive T cells - moderate IL2 affinity
Activatated T-cells - strong affinity IL2

uptake of the IL2 they produce can allow them to differentiate into effector or memrory cells


structural changes that occur when a T-cell becomes activated?

change in distribution of cell surface molecules/receptors

lose molecules that cause them to remain in lymph node

gain adhesion molecules/receptors on surrface allowing tehm to interact with other cells that express the ligand to those receptors -> helps them interact with other cells and hones them to other tissues where they are needed. You can generate T-Cells that target every tissue in the body this way.


CD4+ TH1 cells

activated t-cells become TH1 cells in presence of IFN-Gamma and IL12.

produce transcription factor T-Bet

Produce cytokines IL2 and IFN gamma

function to activate macrophages


CD4+ TH2 Cells

become TH2 in presence of IL-4.

PRoduce transcription factor GATA3

Produce cytokines IL4 and IL5

function to activate cellular and antibody responses to parasites


describe the balance of TH1 and TH2

balance is important. TH2 can inhibit macrophages, thus preventing the necessary response.

if TH2 is overproduced when TH1 should be produced (as in a bacterial or viral infection), this can lead to disseminated infection.

-This occurs with leprosy. The mild tuberculoid form occurs in those who can mount the proper TH1 response and rally macrophages. the severe leproid form occurs when the patient is unable to mount the proper TH1 response and instead responds with TH2.


CD4+ TH1 and TH2 clear pathogens

indirectly by interacting with effector cells that clear pathogens


function of CD8+ T-cells

kill infected target or tumor cells directly by apoptosis and cytokine exposure
1. granule exocytosis (fast, predominant) - arrange their organelles to deposit granzymes and perforin towards the infected cell.

2. Apoptosis (slow)
-caspace actiavtion which causes DNA fragmentation
-mtochondrial damage causes cytochrome C release

they also secrete INF-Gamma like the TH1 cells do, but CD8+ cells do it not to kill via macrophage but have the macrophage clean up the debris


why are CD8+ cells so stringently activated?

they can cause lots of damage, potentially acting on every cell in the body and causing massive tissue damage.


The activation of CD8+ t-cells may or may not require..

CD4+ TCell help, which secretes IL2 which causes the CD8 to proliferate


how is the immune response "turned off" after an infection is cleared?

Mainly by the expression of CTLA-4 by activated t-cells. this molecule has a higher affinity for B7 than cd28 does. Once bound to the B7 of presenting cells, stops additional activation and sends inhibitory signals to T-cell

Also once antigen is cleared, there is no antigen to present to T-cells and activate them


defects in CTLA-4 can lead to

autoimmune diseases such as lupus. T-cells and immune response doesnt shut off correctly.


what is belatacept?

a prescription form of CTLA-4. Given to kidney transplant recipients to shut down t-cells that may have been activated by the transplant.



prevention of T-Cell activation, generally via CTLA-4 or prescription form belatacept.


Lupus treatment

molecules that target defective CTLA-4.


4 ways to turn off immune response

elimination of antigen
elimination of other stimuli
Tregulatory Effectors
killing by immunoregulatory cells


where are dendritic cells found? how can they take up antigen?

mostly in epithelial CT, by pino or phagocytosis


dendritic vs macrophage vs b-cell presentation

dendritic cells provide a strong Co-stim, and always have MHCII and B7. They are important in stimulating naiive T-cells

Macrophages and B-cells are important in presentation later on in infection when presenting to mature effector T-cells

b-cells and macrophages express lower levels of MHC and other stimulatory molecules


CD4 differntiation in a viral/bacteria infection

first cytokine produced is IFN-gamma and macrophages will express IL12. In the prescence of these two signals, T cells differentiate into TH1


CD4 differentiation in parasitic environment

you'll have production of IL4 from basophils and mast cells, driving differentiation towards TH2



produces IL17, enhances neutrophil response (inflammatory)



stay in lymph node, unique, activate B-cells and maturation of antibody response including switch response. IL21



produces TGF-Beta cytokine that is suppressive, turns off immune system

expresses FOXP3 - suppresses effector cells and antigen presenting cells


for lymphocyte to turn to a plasma cell, what is needed?

interaction with TH2 CD4+ T-cell

cognate interaction between cd40 ligand and cd40 requires production of cytokine and binding of bcell receptors to turn plasma cell and secrete antibody to neurtalize antigen


main goal of CD4+ TH1 cells?

bring various cells of immune response into area of infection and remove infection

produce LOTS of different cytokines, mostly inflammatory
-excrete INFgamma and have cd40 ligand to activate macrophages
-can express FAS ligand which leads to killing of infected cells
-produce il2 to induce proliferation of more t-effector cells
Produce il3 to induce macrophage differentiation in bone marrow
Produce TNFalpha and TNFbeta to activate epithelium so macrophages can exit into tissues
Cxcl2 - chemokine causes macrophages to accumulate at site of infection


what organizies the cellular components of the CD8+ cell when it wants to align its organelles to kill?

MTOC, microtubules


benefit of CD8+ inducing apoptosis?

by having cell self-destruct and not lyse, you prevent spread of pathogen. The nucleases not only degrade the cellular DNA but also degrade the pathogen as well. This process helps contain the infection while it is killed.

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