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T helper cell differentiation and memory Birgit Sawitzki Institute for Medical Immunology What is the difference between naive and memory T cells? cytokine memory • Effector functions (e.g. cytokine profile) • Activation requirements (TCR, co-stimulation) • Migratory behaviour (adhesion molecules, chemokine receptors) • Response time • Life span Recirculation of lymphocytes Peripheral tissues lymph nodes lymph follicles lung naive regional Lymph nodes effector/memory BALT GALT blood Spleen gut bone marrow thymus Cytokine memory memory expression - speedy - simultaneous - signal independent (only TCR) IL-12/IL-4 antigen presenting cell CD80/86" CD28" IL-2 IL-4 INF-γ IL-10 antigen presenting cell MHCII! MHCII! TCR" TCR" Th Th1/2 days hours DRFZ Growing diversity of T helper subsets cytokine memory Thnaive Th1 Th2 Th1 Th2 Th9 TFH Th17 Treg Th9 TFH Th17 Treg Signature cytokine IFN-γ, TNF-α, TNF-β IL-4, IL-5, IL-10, IL-13 IL-9 Transcription factor T-bet, STAT4, Hlx STAT6, GATA3, cmaf (IRF4) IRF4 Inducing cytokine IL-12, IL-18, IL-27, IFN-γ IL-4 TGF-β, IL-4 Pathogen-specific immunity Intracellular bacteria, viruses, protozoa extracellular pathogens Helminthes, nematodes helminthes Immune pathology IBD, IDDM, RA, GVHD atopic asthma, allergies IL-21 IL-17, IL-21, IL-22 TGF-b, IL-10 ROR-γt, (IRF4) Foxp3 IL-21 IL-6/TGF-β IL-21/ TGF-β, IL-23 TGF-b, IL-10, IL-2, TSLP B cell activation, antibody production Similar to Th1, mucosal infections extracellular bacteria, fungi dampening immune responses to pathogens EAE, RA, psoriasis maintain selftolerance Differentiation of T helper cell subsets pre-antigen model pluripotent model What determines the fate of naive T cells? 1. Strength of TCR stimulation (signal 1) • affinity between TCR and peptide bound MHCII • highest affinity è Th17 (Ag Sawitzki) • higher affinity è Th1 • lower affinity è Th2 2. Co-stimulation (signal 2) • Th2 responses more affected in CD28 / B7 deficient mice • ICOS / OX40 signalling favours Th2 • Notch receptor signalling Notch mediated TH cell differentiation Determination of Th cell differentiation by cytokines Th1 cell differentiation NK cells discussed as first IFN-γ producers How do Th1 cells help to fight intracellular pathogens? NO production, killing of intracellular bacteria (also by ADCC) MΦ perforin + granzyme production, IL-2 IFN-γ Th1 CD8+ CTL killing of infected cells TNF-α perforin + granzyme production, NK killing of infected cells (also by ADCC) secretion of e.g. IgG1, IgG3 antibodies Plasma cell neutralisation, opsonization (Fc-R = ADCC, complement-mediated lysis) Th2 cell differentiation Which cells provide the first IL-4? Which cells are the first IL-4 producers? - Recent evidence points to an important role of basophils in priming TH2 cells Nakanishi et. al. Eur J Immunol 2010 How do Th2 cells help to fight worm infections? Th9 Th17 cell differentiation How do Th17 cells help to fight extracellular pathogens? + T cell-dependent antibody production against cell membran / polysaccharid structures of extracellular bacteria è Probably by high surface ICOS expression and IL-21/IL-17A production Immunity Natural and induced Treg Review natural Treg induced Treg A B Figure 1. Differentiation of Thymic and Induced Treg Cells How Tregs suppress T cell activation and effector function Th17 vs. iTreg differentiation Importance of IL-2 for Th and Treg differentation Boyman et. al. Nature Reviews Immunology 2012 T follicular helper T cells • distinct Th cell subset in LN, characterized by CXCR5, ICOS, PD-1 and IL-21 expression • migrate to B-cell follicles (germinal centers) via CXCR5-CXCL13 interaction • provide B-cell help promoting differentiation and Ig class switch King et. al. Nature Reviews Immunology 2009 Th cell differentiation in mice and humans Plasticity and interconvertibility of effector T cells Plasticity and interconvertibility of effector T cells Co-expression of different master switch transcription factors Nakayamada et. al. Current Opinion in Immunology 2012