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Transcript
Host Defenses Against Pathogens
Innate immune responses:
Occur early after infection
Are not specific for the invading pathogen
Do not induce memory
Include cytokines (esp. interferon) and natural killer cells
Adaptive immune responses
Require time to develop
Are specific for the invading pathogen
Give rise to immunological memory, making vaccination
possible
Two arms: B cells (humoral immunity) and T cells (cellular
immunity)
Mechanisms of Innate and Acquired
Immunity
Innate Immunity
Immune
System
Players
Complement
Cascade
Natural Killer
Cells
Macrophages
Monocytes
Eosinophils
cytokines
Neutrophils
Acquired Immunity
Pathogen/Antigen
Immune
System
Players
Immediate
Effect
Result
Antigen Presentation
Extracellular Antigens
Bacteria,
Viruses
B Cell
+
TH2
Intracellular Antigens
Cells infected with
Viruses, Rickettsia, or
Mycoplasma
CTL
+
TH1
Soluble Antigen,
Activated B Cell
Cell killing by CTL’s
Humoral Immunity
Cell-Mediated Immunity
Class II MHC
Class I MHC
Cytokines and Chemokines
The cytokines are a family of >30 signaling proteins
They are secreted by many cells and have important regulatory roles
They play a very important role in regulating the immune system
They are components of both the innate and adaptive systems
They include the IFNs, many interleukins, TNF, among others
Most are about 30 kDa in size
The chemokines are a family of >30 small proteins, 70-80 aa in length
Some are constitutive, others are induced
Some are proinflammatory
They attract leukocytes and serve to maintain, e.g., lymph nodes,
to attract immune cells to sites of inflammation, and other roles
Interferons
There are two classes of interferons, which use different receptors
IFNs a and b use the same receptor and are called Type I IFNs
These are secreted by most cells
IFN g uses a different receptor
It is secreted by T-cells and is called immune IFN
Type I and II IFNs have overlapping but nonidentical effects
IFNs induce the transcription of many genes
They regulate the immune system
They induce the anti-viral state in which cells are
resistant to viruses
They are extremely important for the control of viral infections
In the absence of IFN, most viral infections are
much, much more serious
Characteristics of the Interferons
Type I
Type II
IFN-a
IFN-b
Leucocyte IFN
Fibroblast IFN
Immune IFN
All cells
All cells
T-lymphocytes
Inducing agent
Viral infection
or ds RNA
Viral infection
or ds RNA
Antigen or mitogen
Number of species
(number of genes)
14 (human)
22 (mouse)
1
1
Chromosomal
location of gene
9 (human)
4 (mouse)
9 (human)
4 (mouse)
12 (human)
10 (mouse)
Number of introns
N one
N one
Three
165-166aa
166aa
Size of IFN protein
Receptors
General functions
Receptor for both IFN- a and
INF-b consists of 2 polypeptides,
IFN-aR1 and IFN- aR2, encoded
on chromosome 21(human) or
16 (mouse)
Anti-viral activity
Anti-viral activity
MHC Class I
MHC Class I
146aa, dimerizes
Receptor consists of 2 proteins:
IFN-gR1 encoded on
chromosome 6 (human)
or 10 (mouse) and
IFN-gR2 encoded on
chromosome 21 (human)
or 16 (mouse)
Macrophage activation
 MHC Class I
 MHC Class II on
macrophages
NK cell activation
Some anti-viral activity
MHC Class II on B-cells

Produced by

Alternative name
IFN-g
IgE, IgG production by
B-cells
Genes Induced by Interferons
Protein
Induced by
IFN-a
(2’-5’) (A n ) synthetase
+++
p68 Kinase (PKR)
+++
Indoleamine 2,3-dioxygenase
IFN-b
IFN-g
Inducible
Element
Functions/phenotype
+
ISRE
(2’-5’) (A n ) synthesis
Induction of anti-viral state
esp. anti-picornavirus
+++
+
ISRE
Protein Kinase
Induction of anti-viral state
+
+
+++
Tryptophan degradation
g56
+
+
+++
Trp-tRNA synthetase
GBP/ g57
+
+
+++
Guanylate binding
MxA
+++
+++
+
Inhibits replication of
IRF1/ISGF2
++
++
++
Transcription factor
IRF2
++
++
MHC Class I
+++
+++
+++
(also dsRNA)
MHC Class II
Transcription factor
+++
++
RING 12
+++
RING 4
+++
+++
b2-microglobulin
+++
+++
influenza and
Upregulation of antigen presentation
not ISRE nor GAS
Upregulation of antigen presentation
Proteosome subunit
Putative TAP
+++
MHC light chain
VSV
Signal Transduction by Interferons
INF-g
INF-a
INF-gR1
INF-aR1
INF-aR2
INF-gR2
INF-g
INF-a
TYK2
JAK2
JAK1
JAK1
Recruitment
STAT2
STAT1
STAT1
STAT1
Phosphorylation
Dimerization
p48
ISRE
GAS
NUCLEUS
Phosphorylation
ISRE
Interferon Stimulated Response Element
Protein-protein interactions
GAS
IFN- Gamma Activation Site
Interaction resulting in
phosphorylation
Migration to nucleus
Transcription initiation
Development of the antiviral state
Induction by IFN
Latent 2’-5’ OS
Latent RNase L
Latent PKR
dsRNA
ACTIVATION
ACTIVATION
2’-5’ OS
RNase L
PKR
SYNTHESIS
2’-5’A
PHOSPHORYLATION
EIF2
EIF2
NUCLEUS
HOST CELL
Ribosome
Phosphate group
ds RNA
EIF2
Phosphorylated EIF2
Activated RNase L
Cells in the Antiviral State inhibit Viral Replication
EIF2
TRANSLATION INITATION BLOCKED
Uncoating
Viral mRNA
RNaseL
VIRAL mRNA DEGRADED
NUCLEUS
NO VIRAL REPLICATION
Ribosome
Phosphate group
ds RNA
EIF2
Phosphorylated EIF2
Activated RNase L
Effects of IFNs
IFNs induce the antiviral state in which viral RNA cannot be
translated
The inducer of Type I IFNs is usually double-stranded RNA
Double-stranded RNA is also required for the activity of
the induced enzymes RNase L and PKR
Thus, dsRNA plays a pivotal role in IFN action
IFN has toxic effects and tight regulation of its action is necessary
IFNs are also powerful regulators of the adaptive system
They activate many types of immune cells
They upregulate production of MHC and of other
proteins required for function of the adaptive system
Therapeutic Uses of some Cytokines
Functional Group
Name (Abbreviation)
Antiviral cytokines
Type I Interferon
(IFN- ab Inhibits viral
replication
Type II interferon IFN-
Inflammatory
cytokines
Tumor necrosis factor
(TNF)
Interleukin 1 (IL-1)
Regulators of
Lymphocyte
Functions
Normal Biological
Function
g Inhibits viral replication,
upregulates expression of class I
and class II MHC, enhances
activity of macrophages
Cytotoxic for tumor cells, induces
cytokine secretion by inflammatory
cells.
Costimulates T-helper cells, promotes
maturation of B-cells, enhances
activity of NK cells, attracts
macrophages and neutrophils
Interleukin 6
Promotes differentiation of B cells,
stimulates Ab secretion by plasma cells
Interleukin 2
Induces proliferation of T-cells, Bcells, and CTLs, stimulates NK cells
Interleukin 4
Stimulates activity of B cells, and
proliferation of activated B-cells,
induces class switch to IgG and IgE
Interleukin 5
Stimulates activity of B cells, and
proliferation of activated B-cells,
induces class switch to IgA
Interleukin 7
Induces differentiation of stem cells,
increases IL-2 in resting cells
Interleukin 9
Mitogenic activity
Interleukin 10
Suppresses cytokines in macrophages
Induces differentiation of T-cells into CTLs
Interleukin 12
Interleukin 13
Regulates inflammatory response in
macrophages
Transforming growth
factor (TGF- b 
Chemotactically attracts macrophages,
limits inflammatory response, promotes
wound healing
Therapeutic targets
Side effects of Therapy
Chronic hepatitis B, hepatitis C,
herpes zoster, papilloma viruses,
rhinovirus, HIV(?), warts
Fever, malaise, fatigue, muscle pain
Toxic to kidney,liver,heart, bone
marrow
Lepromatous leprosy,
leishmaniansis, toxoplasmosis
As above for Type I interferons
Anti-TNF in septic shock
Shock with marked hypotension
Receptor antagonist in
septic shock
???
Leprosy, local treatment of
skin lesions
Vascular leak syndrome, hypotension, edema,
ascites, renal failure, hepatic failure, mental
changes and coma
Septic shock
Septic shock
Symptoms similar to those for IL-2,
especially shock and hypotension
Natural Killer Cells
NK cells are a first line of defense against viral infection
They increase in activity in the first 2-3 days after infection
and then decline
They kill virus-infected cells, probably because these cells
display too little class I MHC
A deficiency in NK cells results in more serious viral infections
Complement
The complement system consists of >20 blood proteins
It is activated by a proteolytic cascade
It is a component of both the innate and adaptive immune systems
It can interact with antibody to kill viruses or infected cells
It can also kill pathogens in the absence of antibody
One group of effector molecules inserts into membranes
to kill cells or viruses
Other effectors control pathogens in other ways
Complement is a potentially destructive system and its
activity must be carefully regulated
Apoptosis
Apoptosis is a cell suicide pathway in which mitochrondria
cease to function, DNA is degraded, and the cell fragments
into small pieces
Apoptosis is non-inflammatory
Many events can trigger apoptosis, including stress of viral
infection, withdrawal of growth factors, or a deregulated cell
cycle
CTLs kill target cells by inducing apoptosis
Proteases called caspases are key players in the apoptotic pathway
By undergoing apoptosis, an infected cell prevents further
production of virus
Mechanisms of Apoptosis
Killling via Receptor
Killing due to External Stimuli
Hypoxia
Ligand
FASL
Viral infection
E2F
Uv irradiation
Unscheduled
DNA
synthesis
p53
Receptor
Killing by CTL
via the Granzyme B Pathway
Mdm2
Fas
CTL
p53
Perforin Channel
Bax
Granzyme
??
DD
DD
DD
Cytoplasmic
death domains
FADD
Activation
cleavages
DED
DED
DED
DED
Bcl-2
Death effector
domains
Procaspase
Procaspase
Procaspase
Caspase cascade
Caspase cascade
Caspase cascade
Effector caspases
Induction
Inhibition
Apoptosis
The Adaptive Immune System--CTLs
The cellular arm of the adaptive immune system consists of
CTLs (cytotoxic T lymphocytes) that kill infected cells
Most CTLs express CD8 and respond to antigen presented by
Class I MHC (major histocompatibility complex) molecules
CTLs recognize the antigen-MHC I complex by means of a Tcell receptor that they express on their surface
Activation of CTLs requires exposure to cognate antigen and a
second signal, usually supplied by T-helper cells
Upon activation, CTLs express IFN-g and other proteins and
begin to divide; they are programmed to undergo apoptosis
once the cognate antigen is withdrawn
Upon activation, memory T-cells are formed that persist and
that are programmed to respond rapidly upon renewed
exposure to antigen
T-Helper Cells
TH cells express CD4 and recognize antigen presented by Class
II MHC
Whereas MHC Class I is expressed by most cells in the body,
Class II is expressed primarily by T-cells, B-cells, and other cells
of the immune system
TH cells secrete cytokines that help CTLs or B-cells to become
activated
A spectrum of TH cells exists that secrete different
assortments of cytokines and that preferentially help CTLs or
B-cells
The effector cells of the adaptive immune system require at least
two different inputs to become activated, thus subjecting this
potentially harmful system to greater control
A.
Class I MHC
a1
b2m
S S
S
S
S
Class II MHC
a2
a1
a3
S
a2
S
S
S
S
S
Plasma
membrane
Cell cytoplasm
B.
Peptide-binding
cleft
a1 domain
a2 domain
b2 microglobulin
a3 domain
S
b1
b2
Structure of the T-cell receptor (TCR)
a or g chain
b or  chain
NH 2 NH 2
S
S
S
S
S
S
S
S
Variable
regions
Constant
regions
S S
Plasma
membrane
Cell cytoplasm
TM
COOH
COOH
Interaction between a cell expressing MHC Class I
and a CD8+ T cell
Interaction between an Antigen-presenting Cell
expressing MHC Class II and a CD4+ T cell.
Antigen-presenting cell
Almost any host cell
S
CD8
dimer
S
S
S
S
S
S
S
S
S
S
S
S
MHC Class I
S
S
MHC Class II
S
Antigenic
peptide
S
S
S
S
a
chain
S
S
Antigenic
peptide
S
CD4
S
S
b
chain
S
TCR
a
chain
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S-S
Cytotoxic CD8 + T cell
b
chain
S-S
CD4 + Helper T cell
TCR
Figure 8.4
Germline a-chain DNA
5’
Va1
Van V1
Vn D1D2 J J
C
JaJa
Jan
3’
Ca
V-J Joining
Va Ja Jan
Ca
3’
Vb
5’
Rearranged b-chain DNA
Vb1
Jb
D b Cb
Vb
Db
Jb
C b
Transcription
mRNA splicing
Translation
Jb
C b
Db2
S
S-S
S
S
Protein product heterodimer
S
NH 2 NH 2
Va Ja Ca
S
Transcription
mRNA splicing
Translation
S
Rearranged a-chain DNA
Va2
S
Va1
S
5’
3’
Vb14
V-DJ joining
D-J joining
5’
Germline
 b-chain DNA
Vb1
Vbn
Db
Jb
C b
Db 2
Jb
C b
Vb14 3’
Comparison of Diversity in Human Immunoglobulin and T-Cell Receptor Genes
Mechanis m of
Diversity
a b T-Cell Receptors
Immunogobulins
Heavy Chains
Light Chains
chain
chain
g T-Cell Receptors
a chain
b chain
g chain
 chain
Multiple germ-line
gene segments
V
65
40
30
~70
52
12
>4
D
27
0
0
0
2
0
3
J
6
5
4
61
13
5
3
65 X 27 X 6=
1.0 X 104
40 X 5 =
30 X 4 =
70 X 61 =
12 X 5 =
4X3X 3=
200
120
~ 430
52 X 2 X 13 =
1.3 X 103
60
36
rarely
---
---
---
often
---
---
2
1
??
??
Combinatorial Joining
Combinatorial V-J-D
combinations
D segments read in 3 frames
Joints with N and P
nucleotides
V gene pairs
Junctional Diversity
Total Diversity
2
(1)
1.0 X 104 X 320 = 3.2 X 106
430 X 1.2 X 103 = 5.8X 106
60 X 36 = 2.1 X 103
~3 X 107
~2 X 1011
???
~ 10 14
~ 10 18
???
Antigen Processing by Class I and Class II MHC
Infected cell
External antigen or
pathogen
or
Viral protein
synthesized in
the cell
NUCLEUS
a
A
Proteasome
b
Acidic vesicle
B
c
ER
TAP
C
D
d
e
(Invariant
chain
peptide)
E
MHC Class I
MHC Class II
Adaptive Immunity--B cells
The humoral immune response is carried out by B cells
B cells express anchored antibody on their surface
Upon exposure of the cell to an antigen recognized by the
antibody, the cell can divide and produce plasma cells that
secrete antibody
Activation of the B cell requires a second signal supplied by TH cells
After activation, memory cells are formed that persist and are
capable of more rapid activation upon exposure to cognate
antigen
Secreted antibodies are of 5 different kinds which have
different functions in the immune response
The Immunoglobulin Fold
CL domain
b strands
V L domain
Loops
C-terminus
Disulfide bond
N-terminus
HV regions
Structure of an Immunoglobulin G Molecule
Variable regions
Antigen binding domain
VL
S
S
S
S
S
S
S
CL
S
S
S
Heavy Chains
S
S
S
S
S
VH
S
S
S
S
S
Constant
S
S
S
S
S
C H1
S
Variable
Hypervariable (CDR’s)
VH or VL
S
S
S
S
S
S
S
S
C H2
Effector
function
domain
C H3
S
CDR2
S
S
Light Chains
Constant
CDR1
CDR2
CDR3
Hinge
Light chain
variable region
CDR1
H
Variable
Hypervariable (CDR’s)
Heavy chain
variable region
DH
JH
JL
CDR3
S
Structures of the Different Classes of Secreted Immunoglobulins
IgG
IgD
IgE
VL
VL
V H CL
VL
VH C L
V H CL
C g1
C 1
C 1
SS
SS
SS
SS
C g2
C 2
C 2
C g3
SS
C 3
C 3
C 4
SS
IgA dimer
IgM pentamer
VL
VL
V H CL
V H CL
C 1
C a1
SS
SS
SS
C 2
C a2
C 3
C a3
SS
ss
ss
C 4
S
S


S
S
ss
ss
SS
SS
SS
g

a
SS
Types of Secreted Antibodies
IgM is the earliest antibody secreted by a plasma cell. It is a
sign of recent infection.
IgG is long lived and circulates in the blood for years. Many
cells in the body are thus exposed to it. It is also transferred to
the fetus of a pregnant woman and is responsible for maternal
immunity.
IgA is secreted on mucosal surfaces and if effective against
viruses that replicate in the respiratory tract or the intestinal
tract
IgE is most effective against large parasites and is responsible
for the symptoms of hay fever when it reacts against pollen
grains, mites, dust particles, or other large objects
IgD is only expressed together with IgM. Its precise role in
immunity is not clearly understood.
Formation of the Human  Immunoglobulin Heavy and Light Chains
A. Light Chain
Germline  chain DNA
5’ L V1
V23
J
Vn
C

3’
V-J Joining
5’ L V1
Rearranged -chain DNA
V J
J
C
3’
Transcription, RNA splicing, polyadenylation
3’
Cap
(An)
IgM
Translation
Light Chain ( ) protein
Ck
SS
Vk
Heavy Chain ( ) protein
VH
C1
C2
C3
SS
Light Chain ( ) mRNA
C
LV J
5’
C4
Translation
5’
Heavy Chain ( ) mRNA
L V DJ C 
(An)
Cap
5
3’
Transcription, RNA splicing, polyadenylation
5’
L V1
V179
3’
V DJ JH
Rearranged H-chain DNA
V-DJ joining
5’
L V1
V180
Vn
3’
D H 1 D H 6 DJ JH
D-J joining
Germline H-chain DNA
5’ L V1
B. Heavy Chain
Vn
D H 1 D H 7 D H 13
JH
C
C
C g3
Cg1 Cg2b Cg2a
C
Ca 3’
Comparison of Diversity in Human Immunoglobulin and T-Cell Receptor Genes
Mechanis m of
Diversity
a b T-Cell Receptors
Immunogobulins
Heavy Chains
Light Chains
chain
chain
g T-Cell Receptors
a chain
b chain
g chain
 chain
Multiple germ-line
gene segments
V
65
40
30
~70
52
12
>4
D
27
0
0
0
2
0
3
J
6
5
4
61
13
5
3
65 X 27 X 6=
1.0 X 104
40 X 5 =
30 X 4 =
70 X 61 =
12 X 5 =
4X3X 3=
200
120
~ 430
52 X 2 X 13 =
1.3 X 103
60
36
rarely
---
---
---
often
---
---
2
1
??
??
Combinatorial Joining
Combinatorial V-J-D
combinations
D segments read in 3 frames
Joints with N and P
nucleotides
V gene pairs
Junctional Diversity
Total Diversity
2
(1)
1.0 X 104 X 320 = 3.2 X 106
430 X 1.2 X 103 = 5.8X 106
60 X 36 = 2.1 X 103
~3 X 107
~2 X 1011
???
~ 10 14
~ 10 18
???
Time Cours e of Primary and Secondary
Antibody Respons es
Antibod y concentration in seru m
un its/ml
100
Total
10
Primary
Response
1
Secondary
Response
Total
IgG
0.1
IgM
IgG
IgM
1° Antigen
2° antigen
Time after Immunization
Immunoglobulin Class Switching To Produce Heavy Chains For IgG And IgE
5’
C
V DJ
C
C g3
Cg1
Cg2b
Cg2a
C
3’
Ca
H-Chain DNA
S
Sg3
Sg1
Sg2b
Sg2a
Cg1
V DJ
Class-switched H-chain DNA
Cg2b
Sg2b
Cg2a
Sg2a
C
S
Transcription, splicing,
polyadenylation
C g1
Cap
Sa
Recombination between S
C
3’
Translation
Ca
Transcription, splicing,
polyadenylation
5’
3’
C
V DJ
Cap
An
SS
SS
SS
Translation
IgG heavy chains
g1 and S 
Sa
An
SS
SS
IgG1 mRNA
V DJ
3’
Ca
V DJ JH
5’
Sa
 and S g1
Recombination between S
5’
S
IgE heavy chains
IgE mRNA
Cytokine Networks Important for Innate and Acquired Antiviral Immune Responses
Endothelial cell
MCP-1
CD4+ T-cell
IL-1b TNF- a IL-6
IFN- ab
CD8+ T-cell
IL-15
IL-18
Macrophage dendritic cell
IL-12
Cytotoxic
T Lymphocyte
(CTL)
IFN- g
LT-a
Natural
Killer
cell
(NK)
Th1
IFN-g
IL-2
LT-a
Th2
B-cell
IL-4
IL-5
IL-10
IL-13
IgM
IFN- g
Cell-mediated response to viral infection
Plasma Cell
IgG
Developmental
pathway
Secretion
IgA
Activation
Inhibition
IgE
Humoral response to viral infection
Control of the Immune System and Autoimmunity
T-cells are negatively selected during development if they
recognize self
Activation of B-cells or T-cells requires two signals, exposure
to the cognate antigen and cytokine stimulation from TH cells
An inflammatory response induced by infection is important
for optimal signaling and activation
After activation the cells die off when the cognate antigen is
no longer present in sufficiently high concentrations
Failure of these control mechanisms can result in
autoimmunity, which can lead to very serious illness
Vaccines
The existence of memory in the adaptive immune system
makes it possible to immunize people by vaccination
Vaccines may be attenuated viruses that infect but do not cause
disease, inactivated viruses that cannot infect but which expose
the person to the viral antigens, or subunit vaccines that contain
only a subset of viral proteins
Attenuated vaccines usually are the most effective, but it can be
difficult to balance sufficient attenuation so as not to cause
disease in any individual with the necessity for sufficiently
vigorous replication to induce immunity
Inactivated or subunit vaccines require that large amounts of
protein be injected and it may be difficult to obtain an
inflammatory response required for a vigorous response without
overdoing it
Vaccines (con)
The take of live virus vaccines can be interfered with by
concurrent infection with another virus, which is not a
problem with inactivated virus vaccines
Live virus vaccines are less stable than inactivated vaccines
Inactivated virus vaccines require large amounts of material,
multiple injections, and give less solid immunity
Some candidate inactivated virus vaccines have given
unbalanced responses that resulted in potentiating more
serious illness upon subsequent infection by the virus rather
than in immunity to the virus
Characteris tics of Anti-viral Vaccines
Live Attenuated
Virus
Currently Licensed Vaccines:
Inactivated Virus and
Subunit Vaccines
Poliovirus (Sabin)
Poliovirus (Salk)
Measles
Influenza
Mumps
Rabies
Rubella
Hepatitis B
Yellow Fever
Hepatitis A
Vaccinia
Japanese encephalitis
Varicella-Zoster
Western equine encephalitis
(experimental)
Rotavirus*
Adenovirus (in military recruits)
Junin (Argentine hemorrhagic fever)
In addition, live attenuated vaccines for the following viruses are close to release
to the public:
human cytomegalovirus, hepatitis A, influenza, dengue, human parainfluenza,
and Japanese encephalitis
* withdrawn
Characteristics of the Immune Response after Vaccination
Type of Vaccine
Live Attenuated
Virus
Inactivated Virus and
Subunit Vaccines
Antibody induction (B-cells)
+++
+++
CD8 + cytotoxic T-cells
+++
-
CD4 + helper T-cells
+++
+++
Reactivity against
all viral antigens
Usually
Seldom
Longevity of immunity
Years/decades
Months/years
Cross-reactivity among
viral strains
+++
+
Risk of viral disease
+
-
Many Vaccines Have Been Successful in Controlling Viruses
Smallpox has been eradicated
Poliovirus is on the verge of being eradicated
Good vaccines exits for mumps, measles, rubella, yellow fever, tickborne encephalitis, and other viruses
However, it has not yet been possible to develop vaccines against
some viruses, such as HIV and RSV
Although a good vaccine against measles exists, it has not been
possible to eradicate the virus because infants in some developing
countries become infected with the wild-type virus as soon as
maternal immunity is lost
Worldwide Incidence of Measles as of August 1998.
Kuwait
Equator
Cases of Measles
per 100,000 Population
>100
10-100
1-10
None
No data
Worldwide Immunization Coverage for Measles as of August 1998.
K
u
w
ai
t
Vaccine Coverage
for Meas les
Low, <50% vaccinated
Medium, 50-80% vaccinated
High, >80% vaccinated
No data
Equator
Child Mortality after High-Titer Measles Vaccination
in Senegal
200
Mortality (per 1000 Children at 5 Months)
EZ-HT
150
SW-HT
100
Standard
50
0
5
10
15
20
25
Age (Months)
30
35
40
Major Strategies used by Viruses to Evade the Immune System
Rapid shutdown of host macromolecular synthesis
Evasive strategies of viral antigen production
Restricted gene expression; virus remains latent with minimal or no
expression of viral proteins
Infection of sites not readily accessible to the immune system
Antigenic variation; antigenic epitopes mutate rapidly
Interference with MHC Class I Antigen Presentation
Downregulation of transcription of MHC class I molecules
Degradation of MHC class I molecules
Retention of MHC class I molecules within the cell
Downregulation of transcription of TAP
Interference with the activity of TAP
Interference with
natural killer (NK) cell function
Interference with MHC Class II Antigen Presentation
Interference with antiviral cytokine function
Production
of viral homologues of cellular regulators of cytokines
Neutralization of cytokine activities
Inhibition of the function of
Production
Inhibition of Apoptosis
IFN
of soluble cytokine receptors
Adenoviruses Inhibit Antigen Presentation by Class I MHC Molecules
Proteosome
(Inhibits transcription
of TAP mRNA)
E1A
Nucleus
TAP
E1A (Inhibits transcription
of class I molecules)
TAP
ER
E3-19K
(Keeps class I molecules in ER)
Inhibition by Ad2
MHC class I molecules
Inhibition by Ad12
Herpesviruses and Antigen Presentation by Class I MHC Molecules
EBNA-1 (Protein not processed)
Proteosome
Nucleus
(Blocks transport US6
by TAP)
TAP
Acts on TAP (Blocks
transport by TAP)
US2, US11 (Causes MHC molecules
to be degraded)
ICP47
(Binds to b2
microglobulin)
ER
UL18
US3 (Keeps class I molecules in ER)
Interference by HCMV
MHC Class I
Interference by HSV
Interference by EBV
Some Viruses that Alter Antigen Presentation by Class I MHC Molecules
Interference level
Virus Family
Virus
Virus Protein
Mechanis m
Downregulation of MHC class I
expression at cell surface
Adenoviridae
Ad 2
E3-19K
Ad12
E1A
Viral protein binds to class I molecules
and keeps them in the ER
Inhibits transcription of class I mRNA
HCMV
US2, US11
HCMV
UL18
Gene products lead to degradation of class I
molecules
Binds to b2 microglobulin
Picornavirus
FMDV
??
Downregulation of class I protein at the surface of cells
Lentivirus
HIV
Tat
Nef
Inhibits transcription of MHC class I mRNA
Downregulates surface expression of class I proteins
Adenoviridae
Ad12
E1A
Inhibits transcription of TAP1 and TAP2
Herpesviridae
HSV
ICP47
Binds to TAP and prevents transport of
antigenic peptide to
MHC class I
HCMV
US6
Blocks transport by TAP
EBV
EBNA-1
EBNA-1 protein with Gly-Ala repeat
is not processed by proteasome
HepB
Ag epitopes
Epitopes mutate so that they are no
longer recognized by CTLs
Herpesviridae
Alteration of antigen
processing
Alteration of spectrum of
antigens presented
Hepadnavirus
Ad12 = adenovirus 12; HCMV = human cytomegalovirus; FMDV = foot and mouth disease virus; HIV = human immunodeficiency
virus; HSV = herpes simplex virus; EBV = Epstein-Barr virus; HepB = hepatitis B virus.
Inhibition of Apoptosis by Adenoviruses
DNA Viruses that Interfere with Apoptosis
Virus Family
Viral Protein
Mode of Interference
Cowpox
Vaccinia
Myxoma
crmA
SPI-2
M11L, T2
Molluscum contagiosum
M159, 160
Serpin homologue, inhibits proteolytic activation of caspases
crmA homologue, inhibits activation of caspases
T2 is a homologue of TNFR, and inhibits interaction of
TNA-a with TNFR; M11L has a novel function
Has death domains like FADD, inhibits FADD activation of caspase 8
Asfarviridae
African swine fever virus
LMW5-HL
Homologue of Bcl-2
Herpesviridae
herpes simplex
herpes saimiri
HHV 8
g34.5 gene
Epstein-Barr (latent)
LMP1
Prevents shutoff of protein synthesis in neuroblastoma cells
Homologue of Bcl-2
Homologue of Bcl-2
vFLIPS, prevents activation of caspases by death receptors
Upregulates transcription of Bcl-2 and A20 mRNAs;
inhibits p53-mediated apoptosis
Inhibits p53 activity; has some sequence similarity to Bcl-2
Poxviridae
Virus
(lytic)
HCMV
ORF 16 product
KS bcl-2
K13
BHFR1
Downregulates transcription of p53 mRNA
Gammaherpesvirinae
IE-1, IE-2
viral FLIPs
Polymaviridae
SV40
Large T antigen
Binds to and inactivates p53
Papillomaviridae
HPVs
E6
Binds to p53 and targets it for ubiquitin-mediated proteolysis
Adenoviridae
Adenovirus
E1B-55K
E3-14.7K
E3 10.4 K/14.5 K
E4 orf 6
E1B 19K
Binds to and inactivates p53
Interacts with caspase-8
Blocks caspase 8 activation by destruction of Fas
Binds to and inactivates p53
Functional homologue of Bcl-2; interacts with Bax, Bi, and Bak
Baculoviridae
AcMNPV
p35
IAP
Forms a complex with caspases; inhibits caspase-mediated cell death
Like FLIPs, inhibits activation of caspases
Hepadnavirus
HepB
pX
Binds to p53
Inhibits signalling from death domains to caspases
Virus Manipulation of Cytokine Signalling
Virus Family
Virus
Cellular Target or Homolog
Viral Factor
Mode of Action
Herpesviridae
HCMV
TNF receptor
Chemokine receptors
UL144
US28
Unknown function, retained intracellularly
Competitive CC-chemokine receptor,
sequesters CC-chemokines
HHV-8
Type 1 IFNs
Virus-encoded chemokines
vIRF K9
vIRF-2
vMIP-I, vMIP-II
Blocks transcription activation in response to IFN
May m odulate expression of early inflammatory genes
TH -2 chemoattractant, chemokine
receptor antagonist
HSV
Type 1 IFNs
RNase L
g134.5
2’-5’ (A)
Reverses IFN-induced translation block
RNA analog, inhibits RNase L
EBV
Type 1 IFNs
PKR
Chemokine receptors
IL-10
EBNA-2
EBER-1
BARF-1
BCRF-1
Downregulates IFN-stimulated transcription
Blocks PKR activity
Secreted, sequesters CSF-1
IL-10 homologue, antagonizes T
H -1 responses
Adenovirus
Type 1 IFNs
E1A
Blocks IFN-induced JAK/STAT pathway
PKR
TNF-a
VA 1 RNA
E3 proteins
Blocks PKR activity
Various mechanisms
Adenoviridae
Hepadnaviridae
HepB
Type 1 IFNs
Terminal protein
Blocks IFN signalling
Flaviviridae
HepC
PKR
E2
Inhibits PKR activation in response to type 1 IFN
Retroviridae
HIV
PKR
TAR RNA
Recruits cellular PKR inhibitor TRBP
Poxviridae
See Table 8.J
Abbreviations: HCMV = human cytomegalovirus; TNF = tumor necrosis factor; HHV-8 = human herpesvirus eight (Kaposi’s); HSV =
herpes simplex virus; IFN = interferon; PKR = ds RNA-dependent protein kinase; CSF-1 = colony stimulating factor; HIV = human
immunodeficiency virus.
Pox Defense Molecules
System
Target
Virus
Gene
Homolog
Properties
Complement
C4B and
C3B
Vaccinia
Variola
C3L
D15L
C48 binding
protein
4SCRs, secreted,binds
and inhibits C4B and
C3B, virulence factor
?
?
Vaccinia
Variola
B5R
B6R
Complement
control
proteins
4 SCRs, EEV class I
membrane glycoprotein,
for virus egress
Type 1 IFN
Vaccinia
B18R
IFN receptor
Binds to and inhibits IFN-
PKR
Vaccinia
Variola
Swinepox
K3L
C3L
K3L
eIF-2a
Binds PKR, inhibits
phosphorylation of
eIF-2a, IFN resistance
dsRNA
Vaccinia
Variola
E3L
E3L
PKR
Binds ds RNA, nuclear localization
inhibits activation of PKR, IFN
resistance.
IFN-g
Myxoma
Vaccinia
Variola
Swinepox
T7
B8R
B8R
C61
IFN-g
receptor
Secreted, binds and
inhibits IFN-g
ICE
Cowpox
Vaccinia
Variola
crmA
B14R
B12R
SERPIN
Prevents proteolytic
activation of IL-1 b, inhibits
inflammatory response,
inhibits apoptosis
IL-1b
Vaccinia
Cowpox
B15R
IL-1 receptor
Secreted glycoprotein, binds
and inhibits IL-1b
IL-8
IL-8
Swinepox
Swinepox
ecrf3
K2R
IL-8
receptor
Binds IL-8
TNF
TNF-a,TNF-b
Myxoma
Vaccinia
Variola
Cowpox
T2
G2R,
(truncated)
Crm B
TNF receptor
Secreted, binds and inhibits
TNF-a, TNF-b
Interferon
IL-1
CCchemokines
Myxoma
Vaccinia
Variola
Cowpox
p35
Chemokine
receptor
Secreted, binds to
CC-chemokines
SCR = 60 amino acid sequence called: ”Short consensus sequence”; EEV = extracellular
enveloped virions; PKR = dsRNA-dependent protein kinase; IFN = interferon; SERPIN =
serine protease inhibitor superfamily
Adapted from
Evans (1996) ; and a review by Tortorella et al (2000).
a
Pathogens and the Immune System
The humoral system may have evolved to fight bacteria and
the CTL system to fight viruses, but both are important for the
control of any pathogen
Humans cannot live without an immune system but this is the
result of a long process of coevolution
This coevolution required mutual adaptation
Pathogens that are too virulent for their reservoir host
become attenuated (e.g., rabbit myxoma virus)
Pathogens that are effectively defeated by the immune system
often evolve new tricks to get around it (e.g., counterdefenses
evolved by herpes-, pox-, and adenoviruses)
Hosts that cannot control their pathogens are removed
from the gene pool in favor of variants that can (e.g.,
rabbits and myxomavirus)