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 (B)</p> Signup and view all the answers

What characterizes delayed hypersensitivity?

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

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

<p>Pathogen type (C)</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 (B)</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. (D)</p> Signup and view all the answers

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

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

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

<p>Interleukin-4 (B)</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. (C)</p> Signup and view all the answers

What is a characteristic feature of lepromatous leprosy?

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

How do granzymes contribute to the function of CTLs?

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

What determines the differentiation of naive CD4+ T lymphocytes?

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

What immune response do Th2 cells primarily mediate?

<p>Eosinophil-mediated immunity (B)</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) (A)</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. (C)</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 (A)</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 (B)</p> Signup and view all the answers

What role do granzymes play in the immune response?

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

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

<p>T lymphocytes (A)</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. (D)</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 (D)</p> Signup and view all the answers

What distinguishes regulatory T lymphocytes from effector T lymphocytes?

<p>They suppress immune responses. (D)</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 (C)</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 (A)</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. (A)</p> Signup and view all the answers

Flashcards

Cell-Mediated Immunity (CMI)

This branch of the immune system, often called CMI, involves cells, particularly T lymphocytes (T cells), in targeting and destroying pathogens. It primarily focuses on eliminating intracellular microbes, like viruses and bacteria that reside within host cells.

CD4+ Helper T Cells

These immune cells play a vital role in activating other immune players, like macrophages and neutrophils, to engulf and destroy microbes. They release signaling molecules called cytokines, which coordinate the immune response.

CD8+ Cytotoxic T Lymphocytes

These T cells are specialized in killing cells infected with viruses or intracellular bacteria. They recognize and destroy infected cells, preventing further spread of the pathogen

Delayed Hypersensitivity

This type of hypersensitivity is a delayed immune reaction, typically taking 24-72 hours to manifest. It is mediated by T cells, not antibodies, and is characterized by a localized inflammatory response.

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Th1 CD4+ Effector T Lymphocytes

These T cells are important for generating an immune response to intracellular pathogens like viruses and bacteria. They stimulate the production of antibodies that help phagocytes engulf microbes and release IFN, a molecule that fights intracellular infections.

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Th2 CD4+ Effector T Lymphocytes

These T cells play a key role in defense against parasitic worms (helminths). They promote an immune response that specifically targets these parasites.

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Regulatory T Lymphocytes (Tregs)

A type of T cell that acts like the 'peacekeepers' of the immune system. They suppress excessive immune responses, preventing autoimmune reactions and maintaining immune homeostasis.

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T Cell Cytokines

These are specialized signaling molecules released by T cells that coordinate and amplify the immune response by activating other immune cells and influencing their functions.

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What factors influence CD4+ T cell differentiation?

Activated CD4+ T cells can differentiate into different subtypes, like Th1 and Th2 cells. This decision is influenced by the type of pathogen detected, the cytokines released by antigen-presenting cells (APCs), and the activation of specific transcription factors.

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What is the role of Th2 cells in immunity?

Th2 cells are crucial in fighting parasitic infections, especially helminths (worms). They stimulate the production of eosinophils, a type of white blood cell that targets parasites.

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Describe the two main types of macrophage activation.

Macrophages are immune cells that can be activated in two different ways: classical activation (M1) and alternative activation (M2). These activations lead to different responses and are influenced by cytokine exposure.

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How does the balance between Th1 and Th2 cells affect intracellular infections?

The balance between Th1 and Th2 cell activation determines the body's response to intracellular infections. Th1 cells activate macrophages to kill intracellular pathogens, while Th2 cells can inhibit this process.

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What is the difference between lepromatous and tuberculoid leprosy?

Lepromatous leprosy is a severe form of leprosy caused by uncontrolled Mycobacterium leprae infection, while tuberculoid leprosy is a less severe form where the immune system effectively controls the infection.

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How do CD8+ effector T cells kill infected cells?

CD8+ effector T cells, also known as cytotoxic T lymphocytes (CTLs), kill infected cells by inducing apoptosis. This process involves the release of cytotoxic molecules like granzyme B and the activation of the Fas death receptor pathway.

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How do CD4+ and CD8+ T cells cooperate?

CD4+ and CD8+ T cells cooperate during immune responses. CD4+ T cells provide signals to activate and support CD8+ T cells in their killing function.

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What is the role of Fas (CD95) in CTL-mediated killing?

Fas (CD95) is a death receptor on the surface of cells. When activated by its ligand, FasL, it triggers the apoptotic pathway leading to cell death.

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What is the role of CD4+ Helper T cells?

CD4+ Helper T cells release cytokines, which activate other immune cells like macrophages to engulf and destroy microbes.

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How do CD8+ Cytotoxic T lymphocytes kill infected cells?

CD8+ Cytotoxic T lymphocytes directly kill infected cells by releasing cytotoxic molecules like granzyme B, which induce apoptosis.

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What is Delayed Hypersensitivity?

Delayed hypersensitivity is an immune reaction that takes 24-72 hours to develop, mediated by T cells, and characterized by localized inflammation.

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What is the role of Th1 CD4+ Effector T Lymphocytes?

Th1 CD4+ Effector T lymphocytes produce IFN, a key component of cell-mediated immunity, and stimulate the production of antibodies that help phagocytes engulf microbes.

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What is the role of Th2 CD4+ Effector T Lymphocytes?

Th2 CD4+ Effector T lymphocytes promote the production of eosinophils, a type of white blood cell that targets and destroys parasites.

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What is the role of Regulatory T Lymphocytes (Tregs)?

Tregs suppress excessive immune responses, preventing autoimmune reactions and maintaining immune homeostasis.

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What are T Cell Cytokines?

T cell cytokines are signaling molecules released by T cells that coordinate and amplify the immune response.

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How does pathogen type influence CD4+ T cell differentiation?

The type of pathogen dictates the type of immune response needed. For example, a bacterial infection requires different immune cells than a viral infection.

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What role do cytokines play in CD4+ T cell differentiation?

Cytokines, chemical messengers released by immune cells, guide the development of specific CD4+ T cell subtypes. Different cytokines activate different pathways within the T cell.

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How do transcription factors affect CD4+ T cell differentiation?

Transcription factors are proteins that control gene expression, ultimately determining the function of a cell. They are activated by specific signals, like cytokines.

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What is the role of Th2 cells in defense against parasites?

Th2 cells are crucial in fighting off parasitic worms (helminths). They stimulate the production of eosinophils, a type of white blood cell that targets parasites.

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What are the two main types of macrophage activation?

Classical macrophage activation (M1) is triggered by inflammatory signals and primes macrophages to kill bacteria and viruses. Alternative activation (M2) is triggered by anti-inflammatory signals and promotes tissue repair and healing.

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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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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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