LO
What are the two main types of T cells?
T helper cells= CD4
T cytotoxic cells= CD8

Tell me about the T cells and their respective MHC molecules
MHC molecules are antigen presenting cells (APC)
There are two types of MHC; MHCI and MHCII
MHCI present peptides which are recognised by CD8 cytotoxic T cells
MHCII present peptides which activate CD4 helper T cells

Whats the role of the CD4 and CD8 cells?
Soluble mediators communicate with other cells (CD4)
CD8 also involved in antigen recognition and cell-cell communication. It kills infected cells which express things they don’t usually express via peptide fragments on APC
Tell me the steps to how the CD4 T cells work
CD4
antigens recognise MHCII, antigens come from the extracellular environment, antigens get taken up by APC, macrophages, dendritic cells, and B cells are the APC. Degradation in the vesicles within cells which leads to peptide production. These peptides are loaded onto the now MHC molecules being made in the cell.

What are the three APC?
Macrophages
Dendritic cells
B cells
What are the stages to how CD8 cells work and specifically their two mechanisms
CD8
start of immune response is priming and this requires a professional APC. A dendritic cell needs to prime CD8. 2 ways.
1) pathogen can infect dendritic cell, DC starts to produce virus and viral proteins, these proteins are processed via proteolytic complex called proteasome which releases peptides which are transported to ER where they are loaded on MHCI, these MHCI are then transported to cell surface where they are recognised by CD8 T cells
2) cross presentation pathway- process takes place in professional APC, dendritic cell is the most efficient cross presentation cell because these cells can cross present antigens. Antigen present outside of DC –> taken up by DC –> degradation takes place in endosome and lysosome –> some peptides enter cytoplasm –> undergo same process as when protein is translated in cytoplasm of cells like in 1) where they go on to be loaded onto MHC molecules (involves exogenous uptake of pathogens into lysosome and endosome)

Where are the T cells developed?
Precursor cells are produced in the bone marrow, they then migrate to the thymus where they develop into T cellls
What determines whether a cell is a T cell
The expression of TCR (which recognise MHC) determines a T cell
The process in how TCR are generated are random and are not antigen determined
Tell me about the production of new T cells
Production of new T cells occurs in the foetus and the juvenile but slows down in the adult
The thymus begins to shrink after puberty
What does T cell development in the thymus involve?
Rearrangement of the T cell receptor genes to generate the diversity in the T cell repertoire (with intermediate affinity to be remaining)
Selection/ survival of T cells with a T cell receptor capable of recognised self MHC- positive selection
Removal of those T cells which express T cell receptors that bind strongly to self-antigens- negative selection
Tell me about the rearrangmenet which helps to generate the TCR genes

Explain T cell development in the thymus and how they differentiate

Tell me the first steps in TCR signalling
A single TCR/CD3 complex has 10 ITAM motifs (immune receptor tyrosine based motifs)
Phosphorylation of these ITAMs is a crucial first step in signalling
All occurs in periphery (secondary lymphoid organs)
This is performed by Src family kinases (e.g., Lck)
ITAM YXXLX7-11YXXL immunereceptor Tyrosine-based activation motif

Rough overview of TCR signalling

How are T cells initiated for a response?
E.g., infection with EBV, about 40-50% recognise one pathogen, infection with corona, doesn’t lead to that many T cells expanding
What do dendritic cells transport?
Dendritic cells transport processed antigen for presentation to T cells
As shown in the diagram, the leaf like cells represent dying cells and some dying cells may contain virus which then is taken up by DC for APC

What are the signals that are involved in T cell activation?
Signal 1: peptide/ MHC: TCR
Signal 2: co-stimulation (induced by innate immunity)- antigen independent, signal 1 + signal 2 leads to expansion of T cells
Signal 3: cytokines (induced by innate immunity)- help to differentiate the naïve T cells
What is required for a successful T cell response?
Dendritic cell activation

Tell me about dendritic cell maturation
DC present antigens to T cells
In an immature state, then become mature by responding to innate signals
Immatures are good are taking up pathogens for phagocytosis
Once mature, they can’t take up more antigens for, instead they become better at stimulating T cells and become more immunogenic
Explain how the activating signals of the T cells work together
1 cannot proliferate very well only once 1 and 2
2 is delivered by signal CD28 which binds to B7 which is expressed on APC
B7 is upregulated because of the innate immune system
IL-2 and upregulation of IL-2R are due to signal 1 and 2
Differentiation cytokines (3), these controls T cell function. List of some of the cytokines produced are above.
Differentiate into effector cell which can mediate the anti-viral immune response

Tell me about co-stimulation and the families which are involved in this
Also known as signal 2
Synergise with TCR signal 1 signalling
Required for most T cell responses in vivo
Two major families:
Tell me about CD28 and its main roles, its ligands and explain what could happen if one is deficient in CD28
Main role: proliferation, survival, and IL-2 production
Ligands: CD80 and CD86 expressed constitutively at low levels but rapidly induced on APCs
CD28 deficient mice: defects in CD4 and CD8 responses to microbes (CD4>CD8). Defect in CD4 T cell help for B cells (germinal centre, Ab class switching)
Tell me about ICOS and ICOSL
ICOS
Main role: generation of Tfh cells that regulate germinal centre reactions and humoral immunity
ICOS deficient humans and mice: few Tfh and defect in germinal centre formation, Ab class switching and memory B cells
