L20 - HLA and disease Flashcards

(28 cards)

1
Q

name the 3 MHC-1 genes

A

HLA-A HLA-B HLA-c

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2
Q

what are allotyopes in terms of HLA

A

some HLA genes have thousands of alleles/variants

= not all alleles produce functional proteins (null)

only a subset code for distinct functional protein varinats = allotypes

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3
Q

where are allelic variations concentrated

A

antigen binding cleft

= anchor residues in peptide bind to this

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4
Q

name the 3 qualities that allow HLA diversity to allow presentation of hundreds of thousands of peptides

A

Polygenic:
multiple different HLA genes = pick and choose

Polymorphic:
variations of the different genes

Co-dominant expression:
6 MHC-1 and 12 MHC-2 genes = 50% from maternal and 50% from paternal
= both are expressed equally

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5
Q

name 3 qualities/uses allowed by the HLA diversity

A
  1. broad range of antigens preseneted
  2. use as diagnostic tool in paternity testing –> compare childs HLA alleles to maternal/paternal
  3. problems with transplants –> rejection due to difference in MHc moleulces between donor + recipient
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6
Q

what type of proscess is antigen proscessing and presentation

A

continous proscess

= multiple molecules involved in pathways; proteases,chaperones and transporters

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7
Q

how long are peptides boun by MHC-1

A

8-10 amino acids

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8
Q

how long are amino acids presented by MHC-2

A

13-25 amino acids

= or longer
= peptide binding cleft is open and allows bound fragment to extend beyond cleft

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9
Q

bame 2 roles of MHC molecukes in primary lymph tissues

A

in thymus

= positive/negative selction for T cells

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10
Q

what is positive slection in the thymus for T-cels

A

proscess of selcting T cells that recognise self-MHC in cortex of thymus

= produces ‘MHC restricted’ T-cells –> only recognise and arre activated by antigens presented by MHC

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11
Q

describe positive slection for MHC-restricted T-cells in thymus

A
  1. Double-posititive T cells for CD4 and CD8 bind ‘weakly’ to self-peptides on MHC molecules
  2. MHC presented by cortical epithelial cells in thymyus –> depending which MHC type depends which T-cell it becomes

= MHC-1 –> CD8+

  1. succesfull weak binding to MHC = T cell recives survival signal

= esnures that T-cells later on can only bind to MHC-retsricted antigens but not at TOO HIGh of an affinity

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12
Q

what is negative slection of T-cells in thymus

A

proscess of eliminating self-reactive T-cells in meddula of thymus

= Ensures that T cells don’t react strongly to self-antigens –> preventing autoimmune disease

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13
Q

describe the method of negative selction in the thymus

A
  1. single positiove T-cells following positive slection migrate to medulla
  2. TCR is tested AGAIN by self-peptides being presented AGAIN by MHC molecules on mTEC and DC cells

= Medullary thymic epithelial cells and Dendritic cells

  1. if TCR binds too strongly, the T cell is considered dangerous — it might attack the body’s own tissues. ❌

= T cell receives a signal to undergo apoptosis

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14
Q

what type of affinity do the surving T cells in both positive and negative slection have to the self-peptides

A

weak binding

= too strong and it coould cause autoimmune
= too weak and insuffiecient T-cell activation

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15
Q

what do the different MHC classes do in infection

A

MHC-1:
intracellular –> viruses
= activate CD8+ T cells to lyse infected cells

MHC-2:
extracellula –> bacteria and fungi
= activate CD4+ T cells to producre cytokines and activate macrophages, B cells and CD8+ T-cells

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16
Q

are both MHC classes important in cancer

A

yes

= recognise and present neoantigens –> mutated self antigens
= either intracellular produced and put on 1 or extracellular taken in and presented on 2

17
Q

what are risk and protective alleles

A

an allele which increases risk to develop autoimmune disease

protective decreases risk

= can be in HLA or non-HLA genes
= genes tha code for the antigen proscessingf and presentation on chromosome 6

18
Q

describe a normal and stable peptide-HLA interaction

A

HLA has pcokets in antigen-binding cleft that bind to anchor residues

TCR binds to HLA/antigen complex and interacts with BOTH molcules seperately AND together

= high affinity T cell activation

19
Q

how might a risk allele cause disease/problems

A

changes in amino acids in antigen-binding cleft pockets

= unstable HLA-peptide complex
= unstable/loose TCR binding

low-affinity T-cell activation

20
Q

what is ankylosing spondylitis

A

inflammatory arthritis of axial skeleton

= fusion of the spinal vertebrae

21
Q

what is the risk allele asociated with Ankylosing spondylitis

A

HLA-B27

= HLA-B is a gene for MHC-1 molecules
= relative risk of 87.4

22
Q

whats the relative risk of the HLA-B27 allele

A

87.4

= there is a 87.4x increased rusk to a normal person to get Ankylosing spindylitis autoimmune disease

23
Q

what happens in Ankylosing spondylitis

A

HLA-B27 isnt fully understood in its effects but scientists think it might:

= present self-peptides that mimic pathogen ones –> autoreactive CD8+ T cells attack joint tissues.

24
Q

what does the HLA-DQ8 risk allele increase the chance of

A

Type 1 diabetes

25
what is the mechanims of obtaining T1 diabtetes from HLA-DQ8 risk allele
negatively charged apsartic acid in HLA peptide-binding domain forms salt bridge with aganine in antigen = replaced with uncharged residue = weaker T cell activation and escape of autoreacruve T-cells in negative selction --> attack pancreas
26
why do HLA mutations/risk alleles allow production of autoreactive T-cells
weak binding between auto reactive/dangerous TCR to the MHC due to mutation in antigen binding cleft = weak binding allows it to be slected for and survive
27
which cells are destoyed in T1 diabtes
beta cells in islets of langerha in pancreas
28
what is the differenve in simple terms between a risk and a protective allele in HLA
Risk = impairs stability between HLA/peptide to TCR Protective = enhances stability of HLA/peptide-TCR