Cellular Immune Response II
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Questions and Answers

What type of immunity is primarily mediated by T lymphocytes?

  • Innate immunity
  • Cell-mediated immunity (correct)
  • Complement activation
  • Humoral immunity
  • Which T cell subset plays a significant role in combating intracellular pathogens?

  • CD4+ Th1 cells (correct)
  • CD4+ Th2 cells
  • Regulatory T cells
  • CD8+ T cells
  • How do CD8+ cytotoxic T lymphocytes eliminate infected host cells?

  • By producing cytokines
  • By secreting antibodies
  • By direct cell killing (correct)
  • By activating regulatory T cells
  • What is the primary function of CD4+ Helper T cells?

    <p>To secrete cytokines that activate leukocytes</p> Signup and view all the answers

    What characterizes delayed hypersensitivity?

    <p>It develops within 24-72 hours after antigen exposure</p> Signup and view all the answers

    Which cytokine is primarily produced by Th1 cells to aid in the defense against microbes?

    <p>Interferon-gamma</p> Signup and view all the answers

    Which of the following is NOT a characteristic function of regulatory T cells?

    <p>Enhancing the activity of cytotoxic T lymphocytes</p> Signup and view all the answers

    What is a primary mechanism by which CD4+ Th2 cells defend against helminths?

    <p>Secreting cytokines that activate eosinophils</p> Signup and view all the answers

    Which factor is primarily responsible for directing the differentiation of activated CD4+ T cells?

    <p>Pathogen type</p> Signup and view all the answers

    What is the primary function of Th2 cells in the immune response?

    <p>Stimulation of eosinophil-mediated immunity</p> Signup and view all the answers

    What effect does the balance between Th1 and Th2 cell activation have?

    <p>It influences the outcome of intracellular infections.</p> Signup and view all the answers

    Which mechanism allows CD8+ T cells to induce apoptosis in infected cells?

    <p>Activation of caspases</p> Signup and view all the answers

    Which cytokine is primarily associated with the activation of effector CD4+ T cells?

    <p>Interleukin-4</p> Signup and view all the answers

    What role do adhesion molecules play in the function of CTLs (cytotoxic T lymphocytes)?

    <p>They stabilize the binding of CTLs to infected cells.</p> Signup and view all the answers

    What is a characteristic feature of lepromatous leprosy?

    <p>Uncontrolled mycobacterium leprae infection.</p> Signup and view all the answers

    How do granzymes contribute to the function of CTLs?

    <p>They initiate apoptosis in target cells.</p> Signup and view all the answers

    What determines the differentiation of naive CD4+ T lymphocytes?

    <p>Pathogen type and cytokines</p> Signup and view all the answers

    What immune response do Th2 cells primarily mediate?

    <p>Eosinophil-mediated immunity</p> Signup and view all the answers

    Which transcription factor is primarily activated by cytokines to influence T cell differentiation?

    <p>Signal transducer and activator of transcription (STAT)</p> Signup and view all the answers

    What is the effect of a balance between Th1 and Th2 cell activation?

    <p>It determines the outcome of intracellular infections.</p> Signup and view all the answers

    In the context of leprosy, what leads to the development of tuberculoid form?

    <p>Inhibition of mycobacterium leprae</p> Signup and view all the answers

    How do cytotoxic T lymphocytes (CTLs) primarily induce apoptosis in target cells?

    <p>Via the Fas ligand pathway</p> Signup and view all the answers

    What role do granzymes play in the immune response?

    <p>They induce apoptosis in target cells.</p> Signup and view all the answers

    What is the function of adhesion molecules in the interaction between CTLs and infected cells?

    <p>They stabilize the binding of CTLs to infected cells.</p> Signup and view all the answers

    What is the primary role of CD4+ Th1 lymphocytes in cell-mediated immunity?

    <p>They stimulate the production of antibodies that enhance phagocytosis.</p> Signup and view all the answers

    Delayed hypersensitivity reactions are mediated mostly by which type of immune cell?

    <p>T lymphocytes</p> Signup and view all the answers

    What function do CD8+ cytotoxic T lymphocytes perform in the immune response?

    <p>They kill infected cells containing microbial proteins.</p> Signup and view all the answers

    Which cytokine is a key component produced by Th1 cells to aid in their immune response?

    <p>IFN-gamma</p> Signup and view all the answers

    What distinguishes regulatory T lymphocytes from effector T lymphocytes?

    <p>They suppress immune responses.</p> Signup and view all the answers

    The differentiation of CD4+ T cells into Th2 cells is primarily driven by which of the following?

    <p>Presence of TGF-beta and IL-4</p> Signup and view all the answers

    Which subset of CD4+ helper T cells is primarily involved in the defense against helminths?

    <p>Th2 cells</p> Signup and view all the answers

    What is an essential characteristic of Th1 CD4+ effector T lymphocytes?

    <p>They enhance the ability of phagocytes to eliminate intracellular organisms.</p> Signup and view all the answers

    Study Notes

    Cellular Immune Response II

    • Cellular Immunity (CMI) is the defense against intracellular microbes, mediated by T lymphocytes.
    • Some T lymphocytes activate phagocytes to destroy microbes ingested by phagocytes into intracellular vesicles.
    • Other T lymphocytes kill any host cell harboring infectious microbes in the cytoplasm.
    • Two types of cell-mediated immune reactions eliminate different types of microbes.
      • CD4+ helper T cells, secrete cytokines that recruit and activate other leukocytes to phagocytose and destroy microbes.
      • CD8+ cytotoxic T lymphocytes kill any infected cell containing microbial proteins in the cytosol or nucleus.
    • Th1 cells:
      • Stimulate the production of antibodies that promote ingestion of microbes by phagocytes.
      • Kill microbes by producing IFN-γ, a key component of cell-mediated immunity.
    • Role of Th1 cells in defense against intracellular pathogens:
      • Activation of effector cells.
      • Activation of macrophages.
      • Responses of activated macrophages (killing phagocytosed bacteria, secretion of cytokines like TNF, IL-1, IL-12, chemokines, increased expression of MHC and costimulators (B7 molecules)).
    • Delayed hypersensitivity (Type IV hypersensitivity):
      • An immune reaction taking 24-72 hours to develop after exposure to an antigen.
      • Mediated by T cells rather than antibodies.
    • Mechanisms determining CD4+ T cell differentiation:
      • Pathogen type (intracellular or extracellular).
      • Cytokines from antigen-presenting cells (APCs).
      • Activation of transcription factors such as GATA-3, T-bet, and RORγt.
      • Cytokine production by the effector cell.
    • Characteristics of subsets of CD4 helper T cells:
      • Th1: associated with intracellular pathogens, uses IFN-γ, and causes autoimmunity and chronic inflammation.
      • Th2: associated with parasites (helminths), uses IL-4, IL-5, IL-13, and causes allergy.
      • Th17: associated with extracellular pathogens (bacteria and fungi), uses IL-17, IL-22, and causes autoimmunity and inflammation.
      • Th: associated with extracellular pathogens, uses IL-21 (and IFN-γ or IL-4) and causes autoimmunity (autoantibodies).
    • General properties of T cell cytokines:
      • Produced transiently in response to antigen.
      • Usually acts on the same cell that produces the cytokine (autocrine) or nearby cells (paracrine).
      • Pleiotropism: each cytokine has multiple biological actions.
      • Redundancy: multiple cytokines may share similar biological activities.
    • Biologic actions of selected T cell cytokines (updated):
      • IL-2: T-cell proliferation and survival, including regulatory T-cell survival.
      • IFN-γ: activation of macrophages.
      • IL-4: B-cell switching to IgE, activation of eosinophils.
      • IL-5: activation of eosinophils.
      • IL-17: stimulation of acute inflammation, neutrophil recruitment.
      • IL-22: maintenance of epithelial barrier function.
      • TGF-β: inhibition of T-cell activation and differentiation of regulatory T cells.
      • IL-1: involved in acute inflammation. IL-12: critical Th1 development. IL-13: involved in fibrosis & inflammation. TNF: involved in acute inflammation & tissue damage.
    • Role of Th2 cells in defense against helminths:
      • Th2 cells stimulate phagocyte and eosinophil-mediated immunity, especially effective against helminths.
      • Important in chronic parasitic infections and allergic diseases.
    • Classical & Alternative macrophage activation:
      • Classically activated macrophages (M1) are triggered by microbial products and interferon-γ. These macrophages exhibit microbicidal activity with ROS and NO.
      • Alternatively activated macrophages (M2) are induced by cytokines like IL-4 and IL-13. These participate in tissue repair.
    • Balance between Th1 & Th2 cell activation determines outcome of intracellular infection:
      • Th1 cells activate phagocytes to kill ingested microbes, while Th2 cells can inhibit classical macrophage activation, which is important in the balance of immune response.
    • Cooperation between CD4+ and CD8+ T cells:
      • CD4+ T cells recognize antigens from vesicular microbes, activating macrophages to kill microbes in the vesicles.
      • CD8+ T cells recognize antigens from cytoplasmic microbes, killing the infected cells.
    • Regulatory T Lymphocytes:
      • Crucial for suppressing immune responses.
      • CTLA-4 binds to costimulatory molecules on APCs, shutting off T cell responses.
      • Critical for maintaining tolerance to self-antigens.

    CD8+ Effector T Cells

    • Recognize class I MHC molecules expressed on infected cells.
    • Form adhesion with infected cells, stabilizing the binding.
    • Activated CTL release granules containing perforin and granzymes.
    • Perforin creates pores in the target cell membrane, allowing granzymes to enter.
    • Granzymes induce apoptosis in the target cell. Granzymes induce apoptosis.

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    Description

    Explore the intricate mechanisms of cellular immunity mediated by T lymphocytes in this quiz. Learn about the roles of different T cell types, including CD4+ helper T cells and CD8+ cytotoxic T lymphocytes, in the defense against intracellular microbes. Test your understanding of how these immune responses eliminate infections.

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