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.1فرآیند تولید IgMبصورت غشایی و ترشحی حاصل کدامیک از مکانیسم های زیر است؟ ب) somatic recombination الف) allelic exclusion د) different RNA splicing ج) class switching .2تمامی موارد زیر در مورد بازآرایی قطعات ژنی زنجیره سنگین صحیح است ،بجز؟ الف) برخورد قبلی با آنتی ژنی برای این بازآرایی الزم است ب) این بازآرایی گاهی منجر به ایجاد زنجیره سنگین نمی شود ج) بازآرایی قطعات ژنی زنجیره سنگین بصورت تصادفی است د) بازآرایی در قطعات ژنی V, D, Jصورت می گیرد Activation of T lymphocytes The goal of T cell activation: 1. Is to generate a large number of effector T cells: to eliminate the stimulating Ag. 2. To produce a population of memory T cells: to rapidly react with the Ag when reintroduced. – From small number of naïve Agspecific T cells. Overview of T cell activation 1. Initial activation of naïve T cell occurs mainly in secondary lymphoid organs. 2. Ag recognition & other activating stimuli, induce several response: 1. Secretion of cytokine 2. T cell proliferation 3. Differentiation to effector & memory T cells. 3- Effector T cells recognize Ag in lymphoid or non-lymphoid tissues & are activated to perform function for elimination of microbes, & in disease states, for inflammation & tissue damage. 4. Memory T cells are long lived cells with an enhanced ability to react against the Ag. 5. T cell responses decline after the Ag is eliminated by effector cells. Activatin Tofcell Naïve and Effectr T activation cell by Ag Phases of T cell Responses Signals for T Cell activation • T cell activation require: Ag recognition, Costimulation, and Cytokines. Recognition of Ag: Activation of T Cells requires recognition of Ag presented by Dendritic Cells. Ag is always the necessary first signal for the activation of lymphocytes, ensuring that the resultant immune response is specific for the Ag. Ag recognition induce a cascade of intracellular signaling that results to T cell activation. -Early tyrosine phosphorylation events in T cell activation T cell signaling downstream of PLCγ1 The RAS-MAP kinase pathway in T cell activation Activation of transcription factors in T cells Role of PI3-kinase in T cell responses Role of Costimulators Costimulators: Activation of naïve T cells, in addition to Ag recognition, require signal provided by molecules on APC, called Costimulators. The best characterized costimulatory pathway in T cell activation involves interaction of CD28 on T cell with B7-1 (CD80) & B7-2 (CD86) on activated APC. The B7:CD28 family of Costimulators CD28 is a homodimer, each with one Ig domain. CD28 is expressed on 90% of Th & 50% of Tc cells (but all mice T cell). B7-1 & B7-2 are structurally similar membrane protein , each with 2 Ig domain. B7-1 is dimmer but B7-2 is monomer. • B7-2: is expressed constitutively at low levels, but increased early after activation of APCs. • B7-1: is not expressed constitutively and induced hours or days after activation of APCs. CD28 Engagement CD28 signals work in cooperation with Ag recognition to initiate naïve T cell response. CD28 engagement results to activation of several signaling pathways, some of which amplify signaling from TCR complex & others may be independent of but parallel to TCR induced signals Mechanisms of T cell activation • Other Costimulators: ICOS (Inducible Costimulator (CD278)) is homologous to CD28 is expressed on T cells. It’s ligand, ICOS-L (CD275) is expressed on DC, B and Other cells. • ICOS is required for development and activation of follicular Th cells, so has essential roll in T-dependent Ab response. • Inhibitory receptors: The inhibitory receptors of the CD28 family are: CTLA4 and PD-1 • The outcome of T cell activation is influenced by a balance between engagement of activating and inhibitory molecules of CD28 family. - Member of CD28 &B7 family • Other Costimulatory Pathway: Interaction of CD40L, expressed on activated T cells, with CD40 which is expressed on DC, B and MФ, activate B cell and MФ and by this way enhance T cell activation. Therapeutic blockade of Costimulatory Functional response of T lymphocytes 1. Changes in surface Molecules: – CD69: its expression increase within a few hrs after T cell activation. CD69 bind to and reduce expression of sphangosine 1-phosphate receptor. – CD25: enables activated T cells to respond to IL-2 – CD40L: Within 24-48 hrs after activation T cells express high level of CD40L. – CTLA4: Increase 24-48 hrs after activation. – Adhesion Molecules: L-selectin & CCR7 but LFA-1, VLA-4, CD44 and P & E-selectin ligand Functional response of T lymphocytes 2. IL-2 Secretion and IL-2R expression IL-2 is a growth, survival, and differentiation factor for T cells and plays a major role in the regulation of T cell responses. 1. IL-2 stimulates the survival, proliferation, and differentiation of Ag-activated T cells. 2. IL-2 is required for the survival and function of regulatory T cells. Regulation of IL-2 receptor expression Functions of IL-2 Blockade of IL-2 production has therapeutic usage for prevention of allograft rejection and therapy of autoimmune diseases : Cyclosporin A & Tacrolimus (FK506) 3. Clonal expansion of T cells T cell expansion is mediated by a combination of signals from the Ag receptor, costimulators, and IL-2. • Tc cells specific for a microbe increases from 1 in 10*5 to 1 in 3 or 10, and Th cell increase to 1 in 100 or 1000 4. Differentiation of Th Cells into TH1, TH2, and TH17 Effector Cells There are 3 distinct subsets of Th cells: TH1, TH2, and TH17. The defining characteristics of these effector cells are the cytokines they produce & transcription factors they express. The signature cytokines for effector Th cells are: 1. TH1: IFN-γ 2. TH2: IL-4, IL-5 & IL-13 3. TH17: IL-17 & IL-22 Properties of TH1, TH2 and TH17 Development of TH1, Th2 & Th17 subsets 1. TH1, TH2, & TH17 cells all develop from naive CD4+ T cells, mainly in response to cytokines present early during immune responses. 2. These Cytokines are produced by APCs (primarily DC and MФ ) and other immune cells ( NK , Basophils or Mast cells) present at the site of the immune response. 3. Each subset of effector cells produces cytokines that promote its own development and may suppress the development of the other subsets. 4. Differentiation of each subset is induced by the types of microbes which that subset is best able to combat. 5. Stimuli other than cytokines may also influence the pattern of helper T cell differentiation. Differentiated TH1, TH2, and TH17 cells all develop from naive CD4+ T lymphocytes, mainly in response to cytokines present early during immune responses. The cytokines that drive the development of CD4+ T cell subsets are produced by APCs (primarily Dcs and macrophages) and other immune cells ( NK , basophils or mast cells) present at the site of the immune response. TH1, TH2, and TH17 cells all develop from 1. Stimuli other than cytokines may also influence naive, the pattern of helper T cell differentiation. 2. Each subset of differentiated effector cells produces cytokines that promote its own development and may suppress the development of the other subsets. 3. Differentiation of each subset is induced by the types of microbes which that subset is best able to combat. TH 1 Differentiation TH1 differentiation is driven mainly by the cytokines IL-12 and IFN-γ and occurs in response to microbes that activate DCs, MФ, and NK cells. IFN- γ and IL-12 stimulate TH1 differentiation by activating the transcription factors T-bet, STAT1, and STAT4. IFN-γ activate STAT1, which in turn activate T-bet. T-bet promote IFN-γ production through direct activation of the IFN-γ gene & by inducing chromatin remodeling of the IFN-γ locus. Ability of IFN-γ to stimulate T-bet expression and the ability of T-bet to enhance IFN-γ, set up a positive amplification loop for differentiation toward TH1. IL-12 activate STAT4, which further enhance IFN- γ production. Mice deficient in IL-12, IL-12R, T-bet or STAT4 can not mount effective TH1 response to infection. H 2 Differentiation TH2 differentiation is stimulated by IL-4 and occurs in response to helminthes and allergens. IL-4 stimulates TH2 development by activating STAT6, and STAT6, together with TCR signals, induces expression of GATA-3. Mice lacking IL-4, STAT6 or GATA-3 are deficient in TH2 TH17 Differentiation Th17development is stimulated by pro-inflammatory cytokines produced in response to bacteria and fungi. Various bacteria & fungi stimulate production of cytokines like IL-1, IL-6 & IL-23 by DC. Th17 produced not only in response to bacteria & fungi, but also with bacteria and fungi infected cell undergoing apoptosis. IL-1 & IL-6 promote Th17 differentiation. TGF-β promote Th17 in the presence of IL-1 & IL-6. Th17 cells produce IL-21 which further enhance Th17. But IL-23 involve in proliferation & maintenance of Th17. The development of Th17 cells is dependent on the transcription factors RORγt and STAT3. IL-4 & IFN-γ inhibit Th17 differentiation. Differentiation of CD8+ T Cells into Cytotoxic T Lymphocytes (CTL) The activation of naïve CD8+T cells requires antigen recognition and second signals. The full activation of naïve CD8 + T cells and their differentiation into functional CTLs and memory cells may require the participation of Th cells. Differentiation of CD8 + T cells into effector CTLs involves acquisition of the machinery to perform target cell killing. Two transcription factor involved in CTL induction are: T-bet & Eomesodermin. The Role of helper T cells in the differentiation of CD8+T lymphocytes Development of Memory T Cells Properties of Memory T Cells 1. Memory cells survive in a quiescent state and mount larger and more rapid responses to Ag than do naïve cells. 2. The number of memory T cells specific for any Ag is greater than the number of naïve cells specific for the same Ag. 3. Memory cells express increased levels of anti apoptotic proteins, which may be responsible for their prolonged survival. Such as: Bcl-2 & Bcl-XL. 4. Memory cells undergo slow proliferation . 5. The maintenance of memory T cells is depend on cytokines, but does not require Ag recognition. – The most important cytokine for maintenance of memory Th & Tc cells is IL-7. – Memory Tc cells also depend on IL-15 for survival. – High expression of IL-7R (CD127) is characteristic of memory T cell. 6. Their Cytokine genes and other effector Molecules become accessible, as a result these cytokines rapidly produced in Ag challenge. Type of Memory cells 1. Central memory T cells express the CCR7 and L-Selectin and home mainly to lymph nodes. They have a limited effector function, but In response to Ag challenge rapidly proliferate and generate many effector cells. 2. Effector memory T cells do not express CCR7 or L-selectin and home to peripheral sites, especially mucosal tissues. On Ag challenge they produce effector cytokines (IFN-γ) or rapidly become cytotoxic, but do not proliferate much.