Helper T Cells and Cytokines Flashcards

1
Q

Cytokines

A

Secreted proteins that regulate the amplitude and duration of immune and inflammatory responses

Simple molecules with low Molecular Mass

Produced transiently & locally

Extremely potent as they bind to receptors on cell surfaces to change cell behaviour

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2
Q

How does cytokine action work

A

Through pulling the two chains of its receptors together, it sends a signal through the cell so it can carry out its function

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3
Q

Examples of cytokines

A
Interleukins
Tumour Necrosis Factors
Interferons
Colony-stimulating factors (CSF)
Chemokines
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4
Q

What happens if TH0 is activated into TH1 with IL12 (and vice versa TH2 IL4)

A

Th1 produces cytokines (like IL2 and IFN Gamma) which aid in cell-mediated immunity. These cytokines inhibit the production of Th2 cells

Otherwise IL4 prompts the specialisation of TH0 cells into TH2, which produces more IL4 and IL10 to aid in antibody production. This inhibits production of TH1 Cells

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5
Q

How do Th2 cells help with antibody production

A

APC presents antigen on HLA II to Th2

Cytokine involvement causes signal 3 which specialises T helper cell into Th2

Simultaneously, T cell is being recognised by B cell on surface receptor
Antigen is phagocytosed in B cell and presented on HLA II; presents antigen to same Th2 Cell
T cell provides cytokines to activate and stimulate B cell to Produce antibodies and become Plasma cell

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6
Q

Where do APC, T cell and B cell interactions take place

A

APCs pick up protein fragments and travel to the lymph node via afferent lymphatics

Lymph node is stuffed full of naive lymphocytes. Here, APC presents antigen/peptides and activates the lymphocytes to cause them to divide rapidly and travel to site of infection

Site of infection –> Lymph Nodes –> Blood Circulation via thoracic duct –> Site of infection

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7
Q

Discuss sites of lymphocyte activation and activated B cell maturation

A

T cells activated by dendritic cells and B cells by T cells in paracortex of lymph node

B Cells matured in germinal centre of lymph node

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8
Q

Somatic Mutation

A

Random mutations in B cells as they mature and divide, which can increase or decrease affinity for the antibody; those with better affinity proliferate more

**Similar to clonal selection I think

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9
Q

What happens during B cell maturation

A

Division
Somatic Mutation
Class Switching
Formation of plasma and memory cells

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10
Q

Cytokines released by Th2 Cell

A
Release IL-4 to cause B cells to class switch to produce IgE; also activates mast cells
Also stimulates Th0 to become Th2/inhibits Th1 production

Release IL-5 and assist in eosinophil activation

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11
Q

How do Th1 cells activate macrophages and improve their digestion

A

TCR recognises peptide on MHC class II; Th1 releases IFN gamma to improve its intracellular digestion

It is activated via CD3 sending signal, CD28 sending signal and cytokines giving us Th1

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12
Q

How do mycobacteria evade intracellular digestion

A

Many digestion mechanisms, but focus on their release of lipoarabinomannin which blocks the ability of macrophages to respond to the activating effects of IFN gamma (causing Th1 gammas to be useless)

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13
Q

Granulomatous Inflammation

A

T Helper cells bind to HLA II and specialise into Th1
They release IFN gamma which normally activates immature macrophages

In presence of mycobacteria, production of cytokines can chronically stimulate macrophage into an epithelioid cell; with stimulation of TNF they fuse to become multinucleate giant cells to form a granulomatous inflammation

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14
Q

Clinical Manifestations of Granulomatous Inflammation

A

Tuberculosis - Parenchymal streaking in lungs, multinucleate cells

Leprosy - 
Tuberculoid Leprosy
Th1 cytokine driven disease (IFN gamma)
Some inflammation from macrophage activation but mycobacteria destruction 
Normal Ig levels

Lepromatous Leprosy
Th2 cytokine driven disease (IL-4)
Growth of mycobacteria and severe tissue damage as antibodies cannot access intracellular bacteria
High Ig levels

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