W9L14-15 - B and T Lymphocytes Flashcards

1
Q

Where do T and B cells come from and where are they primed by antigen?

A

Mature naive B cells derived from bone marrow
- primed by antigen in spleen, lymph nodes and mucosal lymphoid tissue
Mature naive T cells derived from thymus
- primed by antigen in spleen, and mucosal and cutaneous lymphoid tissue
- needs two of these signals for full activation

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2
Q

Microbial Antigen Delivery to Lymphoid Organs

A

Lymph Node
- free antigen transported in lymph fluid
- captured by follicular dendritic cells (B cell specific presenters) in node
- follicular DC not the same as DC
- FDCs derived from embryonic tissue
Spleen
- free antigen transported to spleen in blood
- captured by APCs in the spleen
- dendritic cells (T cell presenters) and macrophages

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3
Q

B cells

A

Can interact with antigen directly or by APCs
Can react with conformational proteins, sequential peptides, lipids and polysaccharides
Respond best to proteins
Can also respond to DNA in conjunction with DNA associated proteins and lipids
IR is less if not stimulated by helper T cells
IgM and IgD function as an antigen specific B cell receptors for B cell activation by antigen
Plasma cells and memory cells have the potential to survive for years in the bone marrow

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4
Q

CD Markers

A

CD - cluster of differentiation
- cluster of surface antigens on cells with which antibodies react that are used to characterise various cell types
Lab requests for immunophenotyping
- analysis of blood, bone marrow, lymph node tissue by flow cytometry
- most common test is analysis of patients peripheral blood lymphocyte populations
Markers:
CD3 - common T cell
CD4 - present on T helper cells
CD8 - present on cytotoxic T cells
CD19 - present on B cells
CD16 and CD56 - present on NK cells

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5
Q

T cell Maturation in the Thymus

A

All T cells start as double negative T cells
- CD4-CD8-TCR-
Positive selection
- all T cells become double positive (CD4+CD8+TCR+)
- selection occurs in thymic cortex
- T cells that bind to MHC molecules selected
- no MHC recognition results in apoptosis
- differentiated into CD8+ and CD4+ based on recognition of MHC class 1 or 2
Clonal Deletion
- medullary thymic epithelial cells and dendritic cells in the thymus display self antigens
- T cells expressing receptors for self antigens are bound and destroyed by apoptosis
T Regulatory Cells
- maintain tolerance to self antigens in peripheral tissues
- help to prevent autoimmune disease

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6
Q

Classic Role of B and T Lymphocytes

A
B cells (CD19+)
- humoral immunity
- immunoglobulin production
- Ig effector functions
T cells (CD3+) - 
T helper cells (CD3+CD4+)
- activate macrophages containing antigen
- stimulate killing of phagocytosed antigens
T cytotoxic cells (CD3+CD8+)
- bind to and kill infected target cells
- virally infected cells
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7
Q

MHC Class 1 and 2 locations

A
MHC Class 1
- expressed on nucleated cells
MHC Class 2
- expressed on dendritic cells
- monocytes
- macrophages
- B lymphocytes
- endothelial cells
- thymic epithelium
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8
Q

What is the other function of CD4 and CD8?

A

Holds the synapse together

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9
Q

B cells vs T cells - Antigen Recognitions

A
Antigen interaction
B cell - BCR binds Ag
T cell - TCR binds antigenic peptides bound to MHC
Nature of antigens
B cell - protein, polysaccharide, lipid, peptide
T cell - peptide
Binding soluble antigens
B cell - yes
T cell - no 
Epitopes recognised
B cell - accessible, sequential, nonsequential
T cell - internal linear peptides
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10
Q

T Dependent Humoral Immunity

A

The presentation of protein/peptide antigen by B cells to primed T helper cells in the spleen and/or lymphoid tissue
- produces long living plasma cells (years) and memory B cells in the BM
- primarily IgG, IgA, IgE
In the absence of Th1 and Th2 helper T cells, B cells differentiate into short lived plasma cells
- short lived (3-5 days)
- primarily produce IgM

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11
Q

Antigen and T Helper Cells

A
Naive T helper cells stimulated by peptide antigens presented on MHC class 2 receptors by APCs
3 main types of T helper cell can be produced (Th1, Th2, Th17) 
These then produce cytokines which activate macrophages, inflammation and T and B lymphocytes
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12
Q

Function of Th1 Cells (CD4+)

A

Effector functions mediated by CD40 ligand on Th1 cell binding to CD40 on target cells
IFNγ is the signature cytokine involved
It enhances macrophages and APC killing of ingested microbes
B cells stimulated to produce IgG1 and IgG3
- CD40 binding stimulates B cell proliferation, differentiation and increased synthesis of immunoglobulin
- CD40 binding stimulates production of the enzyme required for isotope switching
Activation of cytotoxic T cells

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13
Q

Cytotoxic T cells

A

Kills cells infected with viruses and intracellular pathogen
Release of cytoplasmic granules

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14
Q

Function of Th2 Cells

A

Alternative macrophage activation
- tissue remodeling and fibrosis with chronic parasitism and allergic disease
- tissue repair following injury
- IL4 and IL13
Intestinal mucous secretion and peristalsis
- contribute to elimination of microbes at epithelial surfaces
- IL4 and IL13
Isotype switching of B cells to produce IgG4, IgE, IgA
- mediated by IL4
- antigen specific IgE attaches to mast cells
- mast cells degranulate upon contact with original antigen
- eosinophils degranulate upon contact with IgE coated helminths
- IgG4 can bind to Fc receptors of phagocytes and can cross placenta

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15
Q

Function of Th17 Cells

A

Release of IL17 and IL22
IL17
- pro-inflammatory recruitment of -
- neutrophils
- monocytes
IL22
- helps to maintain epithelial integrity
Th17
- effective against certain extracellular bacteria
- fungal infections
- mediates pathological response in autoimmune disease

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16
Q

Innate Immune Response to Extracellular Bacteria

A

Activation of complement
- gram pos - ALT pathway
- gram neg - ALT pathway
- bacteria expressing mannose - LECT pathway
- recruitment and opsonisation by phagocytes - via C3b
Interactions of dendritic cells and phagocytes
- secretion of cytokines
Phagocytosis by macrophages

17
Q

Adaptive Immune Response to Extracellular Bacteria

A

B cell interactions with antigen
- production of IgM followed by IgG
- IgG1, IgG3 involves CD4+ Th1 cells
IgG4 and IgA involves Th2 cells
- Neutralisation of bacteria by Aby
- Fc mediated opsonisation and phagocytosis
- activation of classical pathway of complement
Presentation of peptide antigens by APCs to CD4+ Th1 and TH17 cells
- Th1 - enhanced phagocytosis macrophage killing
- Th17 - recruitment of neutrophils and monocytes to site of infection

18
Q

Innate Immune Response to Intracellular Bacteria

A
  1. Phagocytes ingest microbes upon first exposure
    - neutrophils first responders
    - macrophages secondary
  2. Bacterial molecules including LPS stimulate toll like receptors and cytoplasmic receptors
    - these activate the phagocyte to secrete IL12 and express NK cell ligands
  3. NK cells respond and bind to the ligand on the phagocyte containing the pathogen
    - NK cells secrete IFNγ
  4. Phagocyte then kills internal microbe
19
Q

Adaptive Immune Response to Intracellular Bacteria

A

Major protective immune response to intracellular bactiera is by T cell mediated immunity (Th1)
Th1 cells stimulate IFNγ killing of bacteria in the phagolysosome however
Activated CD8+ cytotoxic T cells are required to kill viable bacteria in the cytosol of phagocytes and other infected cell types

20
Q

Immune Evasion by Bacteria

A

Antigen Variation - extracellular bacteria

  • altered expression of surface proteins
  • adaptive IR responds to initial antigen profile
  • altered expression of surface molecules