L12- Immunological Memory Flashcards

1
Q

What is the immunological memory for patients who received vaccinia vaccine (cowpox) for the treatment of smallpox?

A

Vaccinia-­specific T cell and antibody responses last for up to 75 years after original immunisation.

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2
Q

Immunological memory does not require repeated exposure to the original antigen so how is it sustained in the body for so long?

A

Memory cells may be sustained by cytokines produced in response to infection with other, unrelated, pathogens

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3
Q

Only T helper cells are involved in humoral immune response. T or F?

A

True

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4
Q

Only the T cell dependent antigens led to cell mediated immunity. T or F?

A

True

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5
Q

Can the humoral immune response eliminate tumour cells?

A

No. Only cell mediated immunity can eliminate tumor cells and thus can provide immunity against cancer

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6
Q

How is the humoral immune response mediated?

A

Antigen binds to the B cell receptor and:

  •   sends a signal into the B cell to activate it
  •   Is internalized and processed into peptides that activate helper CD4+ T cells
  •   Signals initiated by the bound antigen and from the helper CD4+ T cell (in the form of the co-stimulatory CD40 ligand CD40L, and cytokines) induce the B cell to proliferate and differentiate into plasma cells secreting specific antibody or memory cells
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7
Q

What are the 3 main functions of the antibody secretion by plasma cells?

A

Neutralisation- antibody prevents bacterial adherence

Opsonization- antibody promotes phagocytosis

Complement activation- antibody activates complement, which enhances opsonization and lyses some bacteria

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8
Q

What is linked recognition?

A

B cells can only be activated by helper CD4+ T cells that respond to the same antigen– this is called linked recognition

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9
Q

What is the role of the helper T cell in humoral immunity?

A

Helper T cells s-mulate the prolifera-on and then the differentiation of antigen‐binding B cells

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10
Q

The CD4+ T cell must have been activated previously by a dendritic cell (DC) that ingested, processed and presented that same antigen. T or F?

A

True

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11
Q

Naïve T cells activated in the T cell­‐rich area of LN by DC become _________ express _______ and move towards B cell zone where they attach to activated B cells via linked recognition

A

follicular T helper cells

Expressing CXCR5

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12
Q

How long does clonal expansion take?

A

~5 days

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13
Q

Explain in detail how memory cells are created

A
  •   Naïve T cells activated in the T cell-­rich area of LN by DC become follicular T helper (F TH ) cells, express CXCR5 and move towards B cell zone where they attach to activated B cells via linked recognition
  •   A primary focus of clonal expansion forms (takes about 5 days).

B cells activated in primary foci move to adjacent follicles to become germinal centre (GC) B cells, or the medullary cords of the LN (or the red pulp of the spleen) where they become plasma cells in situ that secrete antibody for a few days, then undergo apoptosis

•  Surviving GC B cells that have undergone class switching and affinity maturation will become either high-­affinity memory B cells or long-­‐lived plasma cells, which become resident in bone marrow where they continue to secrete antibodies into the blood for months-­‐years

  Memory B cells may differentiate into plasma cells, this would allow long-­‐term production of antibody after the original antigen was cleared from the host

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14
Q

How can you tell memory B cells apart from plasma cells?

A

Memory B cells divide very slowly if at all, and express surface immunoglobulin but do not secrete antibody (or do so at very low rate)

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15
Q

Primary response (following activation on of naïve cells) consists of antibodies made by plasma cells derived from a diverse population of precursor B cells specific for different epitopes of the antigen and with B cell receptors with a wide range of affinities for the antigen. These antibodies are of low affinity overall, with few somatic mutations.

What happens at a secondary response?

A

The secondary response (mediated by memory cells) derives from high-affinity B cells which have undergone significant clonal expansion.

•  Memory B cell receptors and antibodies have high affinity for the antigen and show extensive somatic mutation – the quality of the antibody response is radically altered such that it is more intense and more effective.

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16
Q

Where do memory B cells first arise from and where do they migrate to?

A

Arise from the germinal centre reaction

•  Populate the spleen and lymph nodes as well as circulating through blood

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17
Q

Memory B cells express markers from naïve B cells. What are they?

A

–  CD27: binds CD70, expressed on dendritic cells

–  Increased MHC class II

–  Increased B7

•  Increased MHCII and B7 allows memory B cells to initiate interactions with helper CD4+ T cells at lower doses of antigen than naïve B cells – B cell differentiation and antibody production start earlier after antigen recognition than in the primary response

Memory B cell phenotype: CD19+CD27+

18
Q

What class switching occurs with memory B cells?

A

Have switched from IgM to IgG, also IgA and IgE

19
Q

Naïve T cells -­ T cells which developed in the bone marrow, matured in the thymus, and have not yet encountered the antigen that can be recognized by their T cell receptor (their cognate antigen) ‐ home to lymph nodes through the binding of….

A

L-­selecitin (CD62L) to sulphated carbohydrates (such as CD34) displayed by various proteins on the surface of high endothelial venules (HEV)

20
Q

After encounter with antigen, many differentiated effector T cells lose expression of L‐selectin and become….

They than leave lymph nodes 4-5 days later and now express …… and increased levels of ………

A

lose expression of L‐selectin and become CD62L–ve.

They than leave lymph nodes 4-5 days later and now express VLA-4 and increased levels of LFA-1

21
Q

The molecules VLA-4 and LFA-1 on effector T cells bind to what?

A

These molecules bind with ICAM‐1 and VCAM‐1, respectively, on vascular endothelium at sites of inflammation.

22
Q

The isoform of the naïve T cell marker CD45RA. What is the isoform of effector cells?

What does this change do?

A

CD45RO

The change of isoform sensitises effector T cells to stimulation by specific antigen.

  • The effector T cell phenotype is CD45RO+CD62L-­
23
Q

Why do effector T cells change there surface molecules?

A

Allows them to home in on sites of infection.

Naïve T cells have L-selectin (CD62L) to bind to sulphated carbohydrates on the lymph node surface.

After encounter with antigen, many differentiated effector T cells have to leave the lymph node so must remove the anchor. They become CD62L-ve. They express VLA-4 and increased levels of LFA-1.

These effector T cells are now able to bind to ICAM-­1 and VCAM‐1, on vascular endothelium at the sites of infection.

Effector cells also express CD45RO which sensitises effector T cells to stimulation by specific antigen.

24
Q

The T cell receptor (TCR) does not undergo class switching or somatic hypermutation. Instead what happens?

A

Instead, memory T cells are often identified via expression of cell surface molecules.

25
CD44 is used as a marker of an activated T cell which tells us what?
It is a cell-adhesion molecule and it tells us that the cell has recognised its cognate antigen via the TCR and is homing to various tissues
26
What is CD69 a marker for?
T cell activation. Found on effector T cells.
27
What do CD45RO and CD45RA do?
Modulates T cell receptor signalling
28
What does CD62L expression do?
Receptor for homing to lymph nodes
29
CCR7 receptor is a marker for what?
It is a chemokine receptor for homing to lymph nodes.
30
Naïve T cells require periodic restimulation to avoid death by apoptosis. What signals do they require to survive?
They require signals from contact with self-peptide:self-MHC complexes and cytokines IL-7 and IL-15
31
Most effector T cells are short-‐lived and die by apoptosis. What signals do they require?
* Memory T cells require IL­‐7 and IL-­15 to survive | * Memory cells may require contact with self-peptide and self‐MHC in order to continue to proliferate
32
CD4 and CD8 T cells can differentiate into which two types of memory cells?
- Effector memory cells | - Central memory cells
33
Effector memory T cells (Tem) rapidly differentiate into effector T cells after restimulation and secrete large amounts of which cytokines....?
Interferon-gamma, IL-4, IL-5 etc.
34
Do effector memory T cells have chemokine receptor CCR7? Remember what CCR7 does?
It homes to HEV in lymph nodes. They do not express CCR7. They are sent away from this area to site of inflammation. They instead have integrins such as LFA-1 and various chemokine receptors.
35
What are effector memory cells specialised for?
For rapidly entering inflamed tissues
36
Which memory T cells express CCR7?
Memory T cells. It allows them to enter lymphoid tissue as do naïve T cells.
37
What happens when memory T cells are stimulated by antigen?
The memory T cells rapidly lose expression of CCR7 and differentiate into effector T memory cells. They then further differentiate into Th1or Th2 cells. These are determined by cytokines these T cells produce as well as chemokine receptors to migrate to site of inflammation.
38
CD4 T cells promote the maintenance of CD8 memory cells. T or F?
True
39
Define original antigenic sin.
When individuals who have been infected with one variant of influenza virus are infected with a second or third variant, they make antibodies only against epitopes that were present on the intital virus.
40
What tools can you use to measure antigen-specific T cells?
Use of tetramers as reagents used in flow cytometry.
41
What is a brief overview of cytometry and how it can be used to measure antigen specific T cells.
The combination of MHC Class I and antigen peptide must be known; the MHC Class I molecule is synthesized then bound to the peptide antigen * This MHC/pepto de complex is labeled with a fluorophore, and added to the T cells being analyzed * Attachment of the tetramer to a T cell indicates the presence of an antigen-­specific T cell. Detection of other markers (eg. CD45RO) indicates effector or memory phenotype