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Effector Mechanisms of Cell-Mediated Immunity Dr. Julia Rempel Section of Hepatology 789-3825 [email protected] 804D JBRC 13OC11 Topics: I. Types of Cell-Mediated Immunity II. Migration of Effector T Lymphocytes to Sites of Infection III. Effector Functions of CD4+ Helper T Cells IV. Effector Functions of CD8+ Cytoxic T Cells V. Resistance of Pathogenic Microbes to Cell-Mediated Immunity 13OC11 I. Types of Cell-Mediated Immunity (CMI) Describes any adaptive response in which antigen specific T cells have the main role. The effect can not be transferred by serum. Cell mediated immunity to intracellular Listeria 13OC11 II. Migration of Effector T Lymphocytes to Sites of Infection Immune protection: fighting off the bad guys the way it is suppose to work Host Sick Monkey Liver 13OC11 The Host Defense Local response 1. Innate immunity Activated by: - pathogen-associated molecular patterns recognized by TLR, PRR - viral replication Function: - reduce pathogen load - direct the adaptive response. (Innate activation, Chp 2) 13OC11 Local response 1. Innate immunity 2. Dendritic cells Immature DC Long lived, Slow turn over Surveillance -receptors (eg. TLR, PRR) Ag acquisition -phagocytosis 13OC11 Local response 1. Innate immunity 2. Dendritic cells Messenger DC afferent lymphatics Lymph Nodes At Lymph Nodes DC differentiate into mature DC - enhance co-stimulatory molecules - lose phagocytotic ability Antigen presentation to naïve T cells (Chp 5). 13OC11 3. T cell and B cell Adaptive response The induction and effector phases of cell-mediated immunity (Chp 5). Lymph Nodes T cell Adaptive Response T cell activation - receives antigen information T cell maturation - armed effector cell not require co-stimulation - can act directly against infected cells T cell expansion 13OC11 Overview of migration. Similar to migration of other leukocytes (Chp 2). 13OC11 Migration of naïve T Lymphocytes LN to blood: • Decrease •L Selection •CCR7 •Increase •receptor for sphingosine 1-phosphate L-selectin/L-selectin ligand – adhesion of naïve T cells to high endothelial venule in lymph node LFA-1/ICAM-1 – stable stop on HEV CCL19/CCR7 – chemokine/chemokine receptor - activation of intergrins and chemotaxis 13OC11 Migration of activated T Lymphocytes Blood to Tissue: Activated cells Endotheliun (TNFα) E- and P- selectin ligand/E- and P- selectin - weak adhesion at infection site sialylated carbohydrates and glycoprotein CD162 LFA-1 or VLA-1/ICAM-1 or VCAM-1 CXCL10/CXCR3 13OC11 - stable stop - activation of integrins and chemotaxis Migration and retention of effector T cells at sites of infection At infection site macrophage and endothelial cell release chemokines Retention: Antigen dependent 13OC11 Migration: Antigen independent Innate response Clean up the mess Rebuild Return to homeostasis Lymph Nodes T cell Adaptive response Store info for future conflict Shut down (die off) avoid becoming the enemy 13OC11 Healthy Monkey 13OC11 III. Effector Functions of CD4+ Helper T Lymphocytes A. Cell-mediated Macrophage Activation against Intracellular Microbes 1. Effector CD4 T cells (TH1) activate the macrophages 13OC11 2. Activation of naïve CD4 T cells Abbas & Lichtman, 2008 13OC11 B. Role of Th1/Th2 Cells in Cell-Mediated Immunity The balance between TH1 and TH2 cell activation determines outcome of intracellular infections 13OC11 C. Regulatory T cells: (Chapter 9 - Immunological Tolerance and Autoimmunity) Disease Autoimmune disease 13OC11 Treg absence Treg presence Autoimmunity Homeostasis HCV infection Infection clearance Chronic infection Immune outcome Homeostasis ☺ Pathology D. CD8 T cell activation and survival CD4 cell help required for CD8 cell activation CD8 cells are harder to activate naïve CD4 cells - Macrophages can activate naïve CD4 cells, but not CD8 cells - DC have a harder time activating naïve CD8 cells DC need to be appropriately activated first: - infection, upregulation of co-stimulatory receptors - CD4 cell bound to same DC as the CD8 cells CD4 CD8 TCR:MHCpeptide DC Examples: • HIV-specific CD8 T cells – although viable, are not cytolytic or produce cytokines. • Chronic LCMV infection in CD4-/- mice, CD8 T cells proliferate but no killing. 13OC11 IV. Effector Functions of CD8+ Cytotoxic T Lymphocytes A. Ag-mediated Cytotoxicity defense against infected cells (viruses, cytoplasmic bacteria, some protozoan Toxoplasma gondii) tumor cells 13OC11 Mechanisms of killing of infected cells by CD8+ cytotoxic T lymphocytes 13OC11 - granules: initially formed when naïve CD8 T cell is primed replenished upon subsequent interaction preformed granules - quick release at synapse inactive in CTL - granules contain: perforin polymerizes, forming transmembrane pores through target cell membranes. the pores are cylindrical – lipophilic outside, hydrophobic inside. allows water and salt (granzymes) to get into cell quickly. perforin on own is inefficient in killing. granzymes – three+ proteases, digestive enzymes 13OC11 Granzyme B cleaves pro-enzyme caspase 3 to active caspase 3 Caspase-3 degrades inhibitor of CAD (ICAD), bound to caspase-3-activated deoxyribonuclease (CAD) CAD is a endonuclease, degrades double stranded DNA (200-bp), responsible for DNA fragmentation that results in chromatin condensation. TUNEL assay. Granzyme B may degrade ICAD directly and caspases amply affect. 13OC11 Granzyme B pro-Caspase 3 ICAD CAD B. Fas-mediated apoptosis: - Killing of tumor cells/macrophage infected cells T cell FasL:Fas tumor cell - Quenching an immune response T cell FasL:Fas T cell - Tumor killing of T cells Tumor cell FasL: Fas T cell Nature Medicine 6, 493 - 495 (2000) 13OC11 C. CD8 cell cytokine production IFN-γ – inhibits certain viral replication directly enhances - MHC class I and class II - adhesion and co-stimulatory molecules - Ag presenting capacity of macrophages TNF-α – synergies with IFN-γ macrophage responses anti-viral 13OC11 Cooperation between CD4+ and CD8+ cells in the eradication of intracellular infections Abbas & Lichtman, 2008 13OC11 V. Resistance of Pathogenic Microbes to Cell-Mediated Immunity Factors in Infection Outcome Viral Pathology Outcome Immune Protection Immunopathology Viral induction of immunopathogenesis Martial Arts – use your enemies strengths as their weakness. Pathogens use host immune systems to harm the host. 13OC11 Types of Infection Outcomes 1. Protection with limited viral or immunopathology Viral Pathology Viral genetics Host Factors Immune System Induction Protection 13OC11 Immunopathology 2. Protection with considerable immunopathology Viral Pathology Induction Protection 13OC11 Immunopathology 3. Limited protection, considerable immunopathology Viral Pathology Induction Deregulation 1. Evasion Protection 13OC11 2. Immunopathology Evasion of cell-mediated immunity by microbes 1. Inhibition of lysosome digestion Abbas & Lichtman, 2008 13OC11 Evasion of cell-mediated immunity by microbes 2. Inhibition of antigen presentation Abbas & Lichtman, 2008 13OC11 Evasion of cell-mediated immunity by microbes 3. Cytokine deregulation - Chronic hepatitis B infection vs. resolved HBV infection high frequency of circulating CD4CD25Foxp3 Tregs Tregs correlated serum HBV DNA levels. Abbas & Lichtman, 2008 13OC11 4. Latency (hiding) genetic function of virus eg. Herpesvirus: cytomegalovirus, EBV, herpes simplex virus 5. Antigenic escape (the disguise) - RNA viruses – high mutation rate, error prone polymerase Hepatitis C Virus - Reverse Transcriptase – higher mutation rate Lentivirus, HIV Polymerase Genome Rate/nucleotide Mutations/virus DNA 100 kb 1/105-1011 <1 RNA RT 10 kb 10 kb 1/103-104 <1/103 >1 1-10 • Reverse Transcriptase – highly error prone • DNA polymerases – proof reading functions 13OC11 6. Antigenic shift (specialized disguise) - is the process by which two different strains of influenza combine to form a new subtype having a mixture of the surface antigens of the two original strains: Hemagglutinin (H) and Neruaminidase (N) - only occurs in influenza A, infects humans, birds, swine, horses, dogs H1N2 H5N2 + H5N1 Note: antigenic drift – natural mutation overtime which could lead to viral escape. reassortment or viral shift - other viral systems or experimentally induced modified http://en.wikipedia.org/wiki/reassortment 13OC11 Topics: I. II. III. IV. V. 13OC11 Types of Cell-Mediated Immunity Migration of Effector T Lymphocytes to Sites of Infection Effector Functions of CD4+ Helper T Cells Effector Functions of CD8+ Cytoxic T Cells Resistance of Pathogenic Microbes to Cell-Mediated Immunity