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T Cell Activation/Function Ned Braunstein, MD [email protected] om [email protected]

T Cell Activation/Function Ned Braunstein, MD [email protected] [email protected]

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Page 1: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

T Cell Activation/Function

Ned Braunstein, MD

[email protected]

[email protected]

Page 2: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

The Major T Cell Subsets

V

C C

V

peptide

CD3

TCRCD4

MHC II

V

C C

V

CD3

TCR

p56 lckp56 lck

MHC I

CD8

(1) Interacts with MHC class II expressing cells (B cells, macrophages)

(2) Induce(help) B cells to synthesize antibody(3) Induce and activate macrophages(4) Secretes lymphokines

(1) Interacts with MHC class I expressing cells (all nucleated cells)

(2) Kill MHC class I expressing target cells(3) Suppress immune responses(4) Secretes lymphokines

CD4+ T cells CD8+ T cells

peptide

Page 3: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

(1) Naive T cells home continuously from the blood to lymph nodes and other secondary lymphoid tissues. Homing to lymph nodes occurs in high endothelial venules (HEV), which express molecules for the constitutive recruitment of lymphocytes.

(2) Lymph fluid percolates through the lymph nodes; the fluid is channeled to them from peripheral tissues, where dendritic cells collect antigenic material. In inflamed tissues, dendritic cells are mobilized to carry antigen to lymph nodes, where they stimulate antigen-specific T cells. On stimulation, T cells proliferate by clonal expansion and differentiate into effector cells, which express receptors that enable them to migrate to sites of inflammation.

(3) Although most effector cells are short-lived, a few antigen-experienced cells survive for a long time. These memory cells are subdivided into two populations on the basis of their migratory ability: the effector memory cells migrate to peripheral tissues, whereas central memory cells express a repertoire of homing molecules similar to that of naive T cells and migrate preferentially to lymphoid organs.

Naïve T cells are activated by antigen in LNs where they mature into effector cells

Page 4: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

Antigens are captured by DCs in peripheral tissues and processed to form MHC-peptide complexes. As a consequence of antigen deposition and inflammation, DCs begin to mature, expressing molecules that will lead to binding and stimulation of T cells in the T-cell areas of lymphoid tissues. If the antigen has also been bound by B cells, then both B and T cells can cluster with DCs. After activation, B blasts move to the lining of the intestine, the bone marrow, and other parts of the lymphoid tissue with some becoming antibody-secreting plasma cells. T blasts leave the blood at the original site of antigen deposition, recognizing changes in the inflamed blood vessels and responding vigorously to cells that are presenting antigen. This limits the T-cell response to the site of microbial infection. Banchereau, J. and Steinman, R. Nature 392, 245 - 252 (1998)

The Biology of Dendritic Cells: Antigen capture and presentation to T cells

Page 5: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

Ca++IP3DAG

PP

c- fosc- junc-mycNF-KBNF-AT

Antigenrecognition

Immediateevents

Cytokine production and autocrine stimulation

Proliferation

Minutes Hours Days

The T cell activation cycle

IL-2 etc.

IL-2R

Effector functions:HelpDTHKilling (CTL)regulation

Page 6: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

CD4CD3

MHC + Ag

ICAM-1 (CD54)

LFA-1 (CD11a/CD18)

lckfyn

IL-2

CD45

PTK RAS

PLC

PIP2IP3

Ca

DAGPKC

NF-AT NF-KB OTF1

Nucleus

Cytoplasm

CD28IL2R

ZAP-70

MAP-kinase

CD80

Page 7: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

CD4CD3

MHC + Ag

ICAM-1(CD54)

LFA-1(CD11a/CD18)

lckfyn

IL-2

CD45

PTK RAS

PLC

PIP2

IP3

Ca2+

DAGPKC

NF-AT NF-B OTF1

Nucleus

Cytoplasm

CD28IL2R

P I-B

NF-B

ZAP-70

MAP kinase

CD80

Page 8: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

P

NF-AT

FosJun

CD4CD3

MHC + Ag

ICAM-1 (CD54)

LFA-1(CD11a/CD18)

lckfyn

IL-2

CD45

PTK

PLC

PIP2

IP3DAGPKC

NF-AT NF-B OTF1

Nucleus

Cytoplasm

CD28IL2R

CNB

Cal-modulin

CNA

ZAP-70

CD80

Ca2+

P

Page 9: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

Ca2+

IP3DAG

PP

c- fosc- junc-mycNF-BNF-AT

Antigenrecognition

Immediateevents

Cytokine production and autocrine stimulation

Proliferation

Minutes Hours Days

The T cell activation cycle

IL-2 etc.

IL-2R

Effector functions:HelpDTHKilling (CTL)regulation

Page 10: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

MHC class II/autopeptide

TCR

CD3

CD80

CD40

MHC class II

CD40CD40

CD40L

CD28 CD80

Activated T cell

(1) induction of cytokines/chemokines (IL-8, IL-12, TNF-, MIP-1)

(2) stimulation of CD80 and CD86 expression and co-stimulatory function with activation of T cell growth

(3) augmentation of antigen-presenting function

Key molecular interactions between T cells and APCs

Page 11: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

Naïve CD4+ T cells differentiate into Th1 and Th2 subsets

Resting CD4+ cell

“pTh”

Activated CD4+ cell

IL-2 IL-2 IFN- TNF

IL-4 IL-5 IL-6 IL-10

IFN-, IL-12

IL-4, IL-13

IL-4 IL-10(–)

IFN-(–)

Th1 Cells

Th2 Cells

Antigen + APC

Page 12: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

IL-2 IFN- TNF

IL-4 IL-5 IL-6 IL-10

IL-4 IL-10(–)

IFN-(–)

Th1 Cells

Th2 Cells

Functions of Th1 subsets• Activate macrophages/dendritic cells

augment antigen presentation• induce delayed type hypersensitivity

(DTH) responses important in eradicating intracellular pathogens (TB, leprosy, listeria

• mediate Th1 diseases (ie; rheumatoid arthritis, multiple sclerosis and type I diabetes

• Help B cells and induce humoral immunity

• mediate allergic and immediate hypersensitivity responses

• involved in antibody mediated immune diseases like SLE and ITP

Functions of Th2 subsets

Functions of Th subsets

Page 13: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

(1) Induction and Activation of B cells (Help)-required for most antibody responses

(2) Delayed Type Hypersensitivity (DTH) - important in elimination of intracellular pathogens (virus, fungi and mycobacteria)

(3) Cell mediated Cytotoxicity (Killer function)-important in the immune response to virus infected cells and cancer cells

(4) Suppressor Cell Function- regulates the cell mediated and antibody responses

Major Functions of T Lymphocytes

Page 14: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

The Induction and Activation of B cells

(Helper Function)

Antigen binds specifically to SmIg, is internalized into vesicles and cleaved into peptides which displace CLIP and bind to MHC class II molecules in the endocytic compartment. The peptide/MHC complex is then transported to the surface membrane.

The CD4+ T cell TCR/CD4 complex binds to the MHC class II/peptide complex on the surface of B cells. The CD4+ Th2 cells are triggered to secrete IL-2, IL-4, IL-5, IL-6 and IL-10 and begin to express CD40L. These lymphokine and contact dependent signals (CD40L) induce B cells to proliferate, class switch and differentiate into antibody (IgM, IgG, IgA and IgE) secreting B cells and plasma cells.

Page 15: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

MHC Class llANTIGEN

Internalization of antigen/Ig

Antigenic peptidesBind to MHC class IImolecules

B cell

BCR(SmIg)

Peptide

Antigen binds specifically to BCR (surface membrane Ig), is internalized into vesicles and cleaved into peptides which displace and bind to MHC class II molecules. The peptide/MHC complex is then transported to the surface membrane.

Antigen Processing and Presentation by B cells

Page 16: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

MHC class II/ carrier peptide complex

B cell

Antigen Presentation by B cells

BCR(SmIg)

hapten

carrier protein

carrier peptides

MHC class II

Antigen binds specifically to SmIg, is internalized into vesicles and cleaved into peptides which displace and bind to MHC class II molecules. The peptide/MHC complex is then transported to the surface membrane.

Antigen

Page 17: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

CD4

TCR

CD4

MHC class II

MHC class II

BCR(SmIg)

BCR(SmIg)

MHC class II

TCRIL-2R

CD40L

Expression of Membrane Proteins Following Antigen Specific Activation of T and B Cells

Resting B cell

Resting EffectorT cell

CD23

CD40

Activated B cell

ActivatedEffector

T cell

CD80CD86

Page 18: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

Sm Ig

Activated B Cell

CD40 CD4

TCRCD40L

CD23

Activated Effector T cell

Triggering of B cell proliferation Rescue from apoptosis Induction of Ig isotype class switching Up-regulation of CD80 and CD86 Germinal center formation Up-regulation of CD23 Downregulation of CD40L expression

CONSEQUENCES OF CD40L/CD40 INTERACTIONS DURING T-B CELL INTERACTIONS

Page 19: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

LymphokinesIL-2, IL-4, IL-5, IL-6, IFN-, TGF

IgGIgAIgE

Plasma Cell

Final Phases of B cell Differentiation are Mediated by Contact T cell signals (CD40L/CD40) and Lymphokines

SmIg

Activated B cellCD40

CD23

CD4

TCRCD40L

Activated Effector T cell

Page 20: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

The Hyper IgM Syndrome (HIM) is an X chromosome-linked Ig deficiency characterized by low serum levels of IgG, IgA and IgE with normal numbers of circulating IgM expressing mature B cells. Germinal centers and splenic follicles due not develop.

Affected patients (usually males) are susceptible to pyogenic infections, autoimmune disease and lymphoproliferative disease. In addition, patients are also susceptible to Pneumocystis carini infections.

The genetic defect in the majority of HIM patients is associated with mutations in the gene encoding CD40L and can be corrected functionally by soluble CD40 ligand, in vitro. A few HIM patients have normal CD40L but defects in CD40 signaling.

The Hyper IgM Syndrome (HIM)

Page 21: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

(1) Induction and Activation of B cells (Help)-required for most antibody responses

(2) Delayed Type Hypersensitivity (DTH) - important in elimination of intracellular pathogens (virus, fungi and mycobacteria)

(3) Cell mediated Cytotoxicity (Killer function)-important in the immune response to virus infected cells and cancer cells

(4) Suppressor Cell Function- regulates the cell mediated and antibody responses

Major Functions of T Lymphocytes

Page 22: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

a. DTH is initiated principally by CD4+ Th1 cells and is the primary defense mechanism against intracellular parasites including the mycobacteria (TB), fungi and intracellular bacteria (listeriae monocytogenes).

b. The cognitive phase of DTH involves CD4+ T cell -macrophage/dendritic cell (MHC class II/peptide) interaction resulting in the local secretion of lymphokines.

c. The effector phase of DTH is effected by lymphokines which activate macrophages to secrete lysozyme, TNF, IL-1 and IL-12 as well as chemotactic and migration inhibitory factors restricting granulocytes, macrophages and eosinophils to the site of inflammation.

Delayed Type Hypersensitivity (DTH)

Page 23: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

DTH Pathway of Contact Hypersensitivity

Page 24: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

CD4+ Th1 cell

APCActivated CD4+ Th1 cell

TCR

CD4

CD40L CD40

Macrophage/mesenchymal cell

Proinflammatory moleculesChemokines (IL-8, SDF-1)Lymphokines (IL-1, GM-CSF,TGFIFN, IL-12, IL-6NO, proteolytic enzymes, PGE2

CD40 dendritic cell

activateddendritic cell

Activated macrophages,mesenchymal cells andendothelial cells

Inflammation inducingCD40L/CD40 interactions

Th1 CD4+ T Cells Induce Inflammation and DTH

CD40L

Page 25: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

CD3TCR

CD4

Fc receptor

IL-12 IL-1IL-6IL-12TNFTGF-

MHC class II

IFN-cytotoxic granules

IL-2Receptor

IL-2

MHC II

Macrophage

Activated MacrophageActivated Th1 Cell

T Cell- Macrophage Interactions

CD4 Th1 CellCD28 B7 (CD80)

CD40L

CD28

TCR

CD4

CD80

CD80

Page 26: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

IL-12

EosinophilMast Cell

CD2

TCR

CD4

CD4

Macrophage/Dendritic cell

MHC II/peptide

Fc Receptor

Antigen/IgG

IL-1, TNF, IL-6

IL-3, IL-4, IL-5 IL-3, IL-8

fibroblasts endothelial cell

hypothalamus

fever

TCR

IL-2R

IL-2

granulocytes

IFN-

CD4+ TH1 T Cell

Phagocytosiskilling

Physiology of the DTH Response

Page 27: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu
Page 28: T Cell Activation/Function Ned Braunstein, MD ned_braunstein@merck.com nsb2@columbia.edu

IL-2 IFN- TNF

IL-4 IL-5 IL-6 IL-10

IL-4 IL-10(–)

IFN-(–)

Th1 Cells

Th2 Cells

Functions of Th1 subsets• Activate macrophages/dendritic cells

augment antigen presentation• induce delayed type hypersensitivity

(DTH) responses important in eradicating intracellular pathogens (TB, leprosy, listeria

• mediate Th1 diseases (ie; rheumatoid arthritis, multiple sclerosis and type I diabetes

• Help B cells and induce humoral immunity

• mediate allergic and immediate hypersensitivity responses

• involved in antibody mediated immune diseases like SLE and ITP

Functions of Th2 subsets

Functions of Th subsets