Immunology Chapter 10

T-cell activation and the two-signal hypothesis

T cells require Ag presentation via trimolecular complex as 1st signal
Other molecular interactions can provide the
2nd required activation signal

Once activated, T cells differentiate into
their effector forms, what are these

CD8+ T cells go on to become killer T
CD4+ T cells differentiate into several
different subsets

Successful T cell-APC interactions organize
signaling molecules into an _______________
___________

immunological synapse

What is the immunological synapse

TCR/MHC-peptide complexes and
coreceptors centralize and form cSMAC
Adhesion molecules/bound ligands
peripherally localize and form pSMAC

What makes up the cSMAC (T cell component and APC component)

T cell- CD28
APC- CD80 (B7-1 and B7-2)

Costimulatory signals are required for
optimal T- cell activation and proliferation. What are these (3 signals)

Signal 1 = Ag-specific TCR engagement
Signal 2 = contact with costimulatory ligands
Signal 3 = cytokines directing T-cell
differentiation into distinct effector cell
types

Positive costimulatory receptors�do what
Negative costimulatory receptors� do what

1. facilitate activation via CD28 and ICOS
2. help turn activation off via CTLA-4, PD-1, and BTLA

What is CD28 and what does it bind to

Molecule expressed on majority of T cells
Markedly enhances TCR-induced
proliferation and survival
Binds to B7-1 & B7-2 expressed by APCs
Generally involved in initial activation
events in T cells

What is ICOS and what does it bind to

Inducible costimulator, binds ICOS-ligand
on activated APCs

What is CTLA-4 and what does it bind to

Induced within 24 hours after activation,
peaks 2-3 days post-stimulation
Binds to B7-1/B7-2 with higher affinity
than CD28, but shuts down signaling
pathways ("putting the brakes on")

What are PD-1 and BTLA-4

PD-1 may help to mediate T-cell
tolerance in nonlymphoid tissues
BTLA may down-regulate inflammatory

Clonal _______ results if a costimulatory
signal is absent

anergy

How does clonal anergy help provide tolerance

If only signal 1 is received, the cell is
rendered nonresponsive
This might happen if a T cell isn't
screened against a peripheral self antigen during development

IL-2 is an example of an _________ type of
cytokine response system

Activating

What is an activating cytokine response system

T cells produce the cytokine and receptor
Binding of this ligand induces a very
strong proliferation signal during
activation stages

What cells can activate T cells

Dendritic cells, macrophages, B cells

What are superantigens

a special class of T-cell activators
(Viral/bacterial proteins that bind to specific
V? regions of TCRs and ? chain of class II
MHC molecules)

Super antigens "short circuit" the need for what

costimulation

What dramatic response do super antigens produce

cytokine response by large proportion of inappropriately activated T cells

Exogenous vs endogenous superantigens

Exogenous�soluble proteins secreted
by bacteria
Endogenous�cell membrane proteins
generated by viral genes integrated into
mammalian genomes

Initial activation signals 1 and 2 induce what in T cells

Upregulation of prosurvival genes
Transcription of IL-2 and IL-2R genes
Outcome is activation and
robust proliferation

What happens in T cells following activation

Cell cycle entry and chromatin condensation

What are are the five subsets of T helper cells

TH1 and TH2
TH17
TREG
TFH

How is each T helper subset unique

produces a distinct cytokine profile
and regulates distinct activities within the
body

Differentiation of T helper cell subsets is
regulated by what

polarizing cytokines

APCs may bind ________via PRRs,
inducing cytokine secretion
(Different PRRs engaged (via
different antigens) = different
cytokines produced)

PAMPs

Where do polarizing cytokines come from and what do they trigger

APCs, trigger MG regs and create effector cytokines

Effector T helper subsets are distinguished
by what three properties

Distinct polarizing cytokine set that
induces expression a master gene regulator that regulates expression of a signature set of effector cytokines produced by that subset

What molecules induce TH1 differentiation

IL-12, IL-18, and IFN-y induce TH1
differentiation

What does IFN-y production do

Leads to class switching to IgG
classes that support phagocytosis
and complement fixation
Supports differentiation of antiviral

IL-4 promotes TH2 subset differentiation, how so

Triggers master regulator GATA-3 to
upregulate characteristic IL-4, IL-5,
and IL-13 production

IL-4 acts to promote activities of
eosinophils against __________
IL-4 induces class switching to ____,
which helps other cell types to
release anti-parasite inflammatory

Helminths
IgE

Class switching: IFN-? from TH1 responses inhibits what

IgG1/IgE class switching (a common TH2-
induced response)

Class switching: IL-4 from TH2 responses inhibits what

production of IgG2a (a common TH1-
induced response)

Class switching: IL-10 from TH2 responses also inhibits what

TH1 responses by suppressing the production
of inflammatory mediators from APCs

Master regulators commit T cells to one
subset or the other
T-Bet suppresses _____ pathway gene
expression
GATA3 suppresses ______ pathway
gene expression

TH2
TH1

TH-17 cells
Activation in the presence of _____ and
________ forms this subset
_____ also plays a role in finalizing the
subset commitment
master regulator _____

IL-6, TGF-beta
IL-23
ROR?

(induced) TREG cells
Similar in function to ___________________
originating in the thymus

natural TREG cells

(induced) TREG cells
Arise during activation of T cells in the
presence of __________
TGF-? induces ______ master regulator,
shifting activating cells into this subset
iTREG cells secrete __ and ___ to
downregulate inflammation (by inhibiting
APCs) and su

TGF-?
FoxP3
IL-10 and TGF-?

TGF-? is a key cytokine for differentiation of
both subsets TH17 and TReg
_____ is the "switch," allowing ROR?t to
dominate and induce ____ subset
differentiation instead

IL-6
TH17

TFH helper cells, ______ and ______ appear to be the polarizing cytokines

IL-6 and IL-21

In TFH helper cells, IL-6 and IL-21 lead to activation of _______ master regulator. This also inhibits _________ expression

Bcl-6
T-Bet, GATA3, and ROR?t

IL-4 and IL-21 are characteristic secreted
cytokines by TFH cells, promoting ______ differentiation

B-cell

L-2, TGF?, and IL-4 play roles in
polarizing na�ve T cells to ________ cells

TH9 cells

Transcription factors _______ and ________
drive TH9 differentiation

IRF-4 and PU.1

TH9 cells produce ______ in expelling
worms and contributes to antitumor
responses

IL-9

TH22 Cells
� IL-6, IL-23, and TNF polarize na�ve T
cells to TH22 cells by upregulating ______________

AHR
transcription factor

TH22 effector cytokine is ____________

IL-22

How are TH22 cells distinct from TH17 cells

distinct from TH17 cells in that TH22 do
not express ROR?t or make IL-17

TH22 secrete _________ and express
___________ for skin

IL-13
homing receptors

Early in differentiation, TH subpopulations
may be able to shift
When exposed to IL-12, young TH2 cells
will produce _______
Young TH1 cells will produce _______ in TH2
polarizing conditions
Neither TH1 or TH2 can adopt ______ or ____ traits

IFN-?
IL-4
TH17 or iTREG traits

Leprosy
Tuberculoid stimulates ____ responses
Lepromatous stimulates ______
responses; not as effective at
clearing the disease

TH1
TH2

HIV progression to AIDS possibly influenced
by a shift from _____ to ______ responses over
time

TH1 to TH2

Virally produced IL-10 homolog in EBV
infections may reduce _____ responses,
conferring a survival advantage

TH1

Na�ve, effector, and memory T cells display
broad differences in surface protein
expression
Three surface markers can differentiate
the sets, what are these

CD44�increases in response to
___________ signals
CD62L�an ____________ protein
CCR7�a _____________ receptor

TCM and TEM are distinguished by their locale
and commitment to effector function
TCM cells�_________ memory T cells

...

TCM cells
reside in/travel between ___________
lymphoid tissues
Live longer/divide more times than ____
cells
Are rapidly reactivated by ________
Can differentiate into several subset types
depending on ______________________

secondary
TEM
second Ag exposure
cytokine environment

TEM cells�___________ memory T cells
Travel to/between _________ tissues
Contribute better to ________ defenses
Shift right back into _________ functions on
second Ag exposure

tertiary
first-line
effector

TRM cells - permanent residents of
_________________ tissue
Respond upon ___________
_______ TRM found in multiple tissues

previously infected
reinfection
CD8+

How and when do memory cells arise?
Ongoing studies, but currently indicate/
hypothesize that:
Memory cells may arise very early in
immune response (____ days)
_______ cells may arise from or prior to _____
TEM cells may be derived from fully
differentiat

3
TCM, TEM
effector
asymmetrical division
T-cell activation

What signals induce memory cell
commitment?
Unclear but ________ help seems to be required
More ___________, better memory pool

T-cell
proliferation

Do memory cells reflect the heterogeneity of
effector cells from a primary response?
Unclear�memory cell response appears
diverse, where does that diversity come from

Maybe that diversity is from the original
response, or is it generated anew from
response to different environmental
cues during rechallenge? Perhaps both.

Are there differences between CD4+ and
CD8+ memory T cells?

Maybe
More memory CD8+ T cells than CD4+,
but they proliferate more during their
responses
Could also be due to differences in
life span of different memory T-cell
types

How are memory cells maintained over
many years?

Unclear, but they seem to persist for
years in the absence of Ag
Memory persistence seems to depend
on cytokine input to induce occasional
cell divisions
IL-7 and IL-15 appear important to
this homeostatic proliferation