2. Negative regulation of immune responses by various mechanisms ITAM-ITIM

3. ITIM- mediated inhibition ITIM recruited phosphatases inhibit the ITAM-induced kinase cascade

4. B cell regulation CD22

5. Sialic acid

6. Phosphorilated ITIM motifs on Fc γ RIIb recruits phosphatases to interfere signal transduction Inhibition of the signal transduction of B cell receptor B cell Ag B cell Fc γ RII mediated B cell feedback regulation Fc γ RIIb B cell regulation Fc γ RIIb

7. T cell regulation CTLA4, PD-1 (ITIM Like)

8. NK cell regulation MHCI

9. 2B4/CD244/SLAMF42B4/CD244/SLAMF4 ILT7/CD85g BLAME/SLAMF8 ILT11/LILRA5 BTLA Immunoreceptor Array Kit CD3 Integrin alpha 2b beta 3 CD3 epsilon Integrin beta 3/CD61 CD5 KIR/CD158 CD6 KIR2DL1/CD158a CD23/Fc epsilon RII KIR2DL2/CD158b1 CD28 KIR2DL3/CD158b2 CD31/PECAM-1 KIR2DL4/CD158d CD72 KIR2DL5/CD158f CD84/SLAMF5 KIR2DS1/CD158h CD229/SLAMF3 KIR2DS4/CD158i CD300a/LMIR1 KIR2DS5/CD158g CD300b/LMIR5 KIR3DL1 CD300c/LMIR2 KIR3DL2/CD158k CD300e/LMIR6 KIR3DL3/CD158z CD300f/LMIR3 KIR3DS1/CD158e2 CEACAM-1/CD66a KLRG1 CEACAM-3/CD66d LAIR1 CLEC-1 LAIR2 CLEC-2 LIR-8/CD85c CLEC-2A MDL-1/CLEC5A CRACC/SLAMF7 MICL/CLEC12A CTLA-4 NFAM1 DCAR/CLEC4B NKp30/NCR3 DCIR/CLEC4A NKp44/NCR2 Dectin-1/CLEC7A NKp46/NCR1 DNAM-1/CD226 NKp80/KLRF1 Fc epsilon RI alpha NTB- A/SLAMF6ILT7/CD85gBLAME/SLAMF8ILT11/LILRA5BTLAImmunoreceptor Array KitCD3 Integrin alpha 2b beta 3CD3 epsilonIntegrin beta 3/CD61CD5KIR/CD158CD6KIR2DL1/CD158a CD23/Fc epsilon RIIKIR2DL2/CD158b1CD28KIR2DL3/CD158b2CD31/PECAM-1KIR2DL4/CD158d CD72KIR2DL5/CD158fCD84/SLAMF5KIR2DS1/CD158hCD229/SLAMF3KIR2DS4/CD158i CD300a/LMIR1KIR2DS5/CD158gCD300b/LMIR5KIR3DL1CD300c/LMIR2KIR3DL2/CD158k CD300e/LMIR6KIR3DL3/CD158zCD300f/LMIR3KIR3DS1/CD158e2CEACAM-1/CD66aKLRG1 CEACAM-3/CD66dLAIR1CLEC-1LAIR2CLEC-2LIR-8/CD85cCLEC-2AMDL-1/CLEC5A CRACC/SLAMF7MICL/CLEC12ACTLA-4NFAM1DCAR/CLEC4BNKp30/NCR3DCIR/CLEC4A NKp44/NCR2Dectin-1/CLEC7ANKp46/NCR1DNAM-1/CD226NKp80/KLRF1Fc epsilon RI alphaNTB- A/SLAMF6 Fc epsilon RI beta/MS4A2Fc epsilon RI beta/MS4A2 PD-1 Fc gamma RIII (CD16) PDCD6 FCAR/CD89 PILR-alphaPD-1Fc gamma RIII (CD16)PDCD6FCAR/CD89PILR-alpha Fc gamma RI/CD64Fc gamma RI/CD64 Siglec-2/CD22 Fc gamma RII/CD32 Siglec-3/CD33 Fc gamma RII/RIII (CD32/CD16) Siglec-5/CD170 Fc gamma RIIA/CD32a Siglec-5/Siglec-14 Fc gamma RIIB/CD32b Siglec-6/CD327 Fc gamma RIIB/C (CD32b/c) Siglec-7/CD328 Fc gamma RIIC/CD32c Siglec-8 Fc gamma RIIIA/CD16a Siglec-9 Fc gamma RIIIB/CD16bSiglec-2/CD22Fc gamma RII/CD32Siglec-3/CD33Fc gamma RII/RIII (CD32/CD16) Siglec-5/CD170Fc gamma RIIA/CD32aSiglec-5/Siglec-14Fc gamma RIIB/CD32bSiglec-6/CD327Fc gamma RIIB/C (CD32b/c)Siglec-7/CD328Fc gamma RIIC/CD32cSiglec-8Fc gamma RIIIA/CD16aSiglec-9 Fc gamma RIIIB/CD16b Siglec-10Siglec-10 FCRL1/FcRH1 Siglec-11 FCRL2/FcRH2 Siglec-14 FCRL3/FcRH3 Siglec-16FCRL1/FcRH1Siglec-11FCRL2/FcRH2Siglec-14FCRL3/FcRH3Siglec-16 FCRL4/FcRH4FCRL4/FcRH4 Siglec-E FCRL5/FcRH5 Siglec-F FCRL5/FCRL3 Siglec-G FCRL6/FcRH6Siglec-EFCRL5/FcRH5Siglec-FFCRL5/FCRL3Siglec-GFCRL6/FcRH6 Siglec-HSiglec-H G6b SIRP beta 1/CD172b ILT2/CD85j SLAM/CD150 ILT3/CD85k TIGIT ILT4/CD85d TREM-3 ILT5/CD85a TREML1/TLT-1 ILT6/CD85e TREML2/TLT-2G6bSIRP beta 1/CD172bILT2/CD85jSLAM/CD150ILT3/CD85kTIGITILT4/CD85dTREM-3 ILT5/CD85aTREML1/TLT-1ILT6/CD85eTREML2/TLT-2 ITAM and/or ITIM containing receptors ITAM/ITIM-mediated regulation is a general process

10. Immune Tolerance

11. Central and Peripherial tolerance

13. Central tolerance

15. 1.The primary T cell pool is biased to MHC-specificity (V genes) 1-2% for one allotype 2.Focusing the T cell pool to self MHC recognition (+) 3.Elimination of useless and self agressive clones (-) 4.CENTRAL TOLERANCE 5.Focusing the T cell repertoire for recognition of non self same TCR repertoire 6.CD4+ and CD8+ T cell use the same TCR repertoire 7.Individualized T cell repertoire available in the periphery 8.CD4 and CD8 co-stimulatory molecules are involved in positive selection αβTCR CD4+ CD8+ SELECTION OF T LYMPHOCYTES IN THE THYMUS UNDER THE CAPSULE CORTEX CORTEX/ MEDULLA IL-7-dependent proliferation β+preTα CD4-CD8- DN CD4+CD8+ DP MEDULLA TCRαβ TCR(-) sMHC+sP sMHC+fP fMHC+fP  selection – selection  – AICD NO  PERIPHERAL TOLERANCE AICD – Activation Induced Apoptosis

16. POSITIVE SELECTION – Thymic education (no instruction for specificity) Low avidity interaction of MHC - self peptide - TCR Thymic epithelial cells Self peptide composition and concentration (foreign peptides are not present) Low peptide dose induces positive selection – special ligands 80-90% of DN (CD4-CD8-) T cells is NOT positively selected PASSIVE CELL DEATH BY NEGLECTION NEGATIVE SELECTION – Central self tolerance High avidity of MHC - self peptide - TCR interaction Ubiquitous and abundant self antigens are present in the thymus High peptide dose induces negative selection Any thymic antigen presenting cell: epithelial cells, bone marrow-derived macrophages, dendritic cells THE GENERATION OF SELF MHC + FOREIGN PEPTIDE SPECIFIC T CELLS REQUIRES WEAK INTERACTION WITH SELF MHC + SELF PEPTIDE SELF RESTRICTED AND TOLERANT PERIPHERAL T CELL REPERTOIRE PHYSIOLOGICAL TRESHOLD NOT COMPLETE SELECTION OF THE T CELL REPERTOIRE – CENTRAL TOLERANCE

17. tissues are represented promiscuous gene expression in thymic epithelial cells AIRE transcription factor autoimmune regulator (AIRE) protein. Mutations in the AIRE gene are the cause of a multiorgan autoimmune disease called the autoimmune polyendocrine syndrome (APS).

18. Peripherial tolerance

19. deletion, apoptosis

20. Activation induced cell death

21. NEGATIVE REGULATION OF T CELL RESPONSES Naive lymphocytes Number of antigen specific cells Primary effectors Secondary effectors Memory DIFFERENTIATION AICD EXPANSION AICD MEMORY AICD Activation Induced Cell Death

22. Signaling Pathways of AICD

23. Ligand binding to TNFR1 és TNFR2 receptors triggers pro- and anti-apoptotic signalling pathways

24. Elimination of effector T cells at the end of the immune response Activation-induced cell death (AICD) Sustained T cell activation induces pro-apoptotic signals Expression of Fas, FasL, Bad, Bax is increased – CELL DEATH Expression of Bcl-2, FLIP is decreased – SURVIVAL decreased

25. repeated stimulation of T cells by persistent antigens leads to the coexpression of the two molecules, a death- inducing receptor called Fas(CD95) and its ligand, Fas ligand(FasL)

26. THE ROLE OF CD4+ T CELLS IN APOPTOSIS Fas receptor – Fas ligand interactions T CELL HOMEOSTASISSHUT OFF IMMUNE RESPONSES

27. Anergy

28. A B7 : CD28 receptor family

29. ABBAS MIT 2013 Pécs

30. The activation of naiv T cell requires costimultaion Costimulatory molecules are expressed only in professional antigen presenting cells

31. Anergy Absence of costimulation or Negative signal

32. TCR activation in the absence of costimulation results in the degradation of key moleclues in TCR signaling

33. B71/2 T APC CD28 activation CTLA-4 ITIM NEGATIVE REGULATION OF T CELL ACTIVATION BY CTLA-4 LATE EXPRESSION CTLA4 has HIGHER AFFINITY TO B7 THAN TO CD28, but the amount of it is limited CTLA4 1. Inhibition of ITAM signaling 2. Competition with CD28

34. In general the activation of naiv T cells requires DC-mediated antigen presentation

36. Normal tissue cells do not express MHC class II NO SIGNAL 1. for CD4+ Th activation Normal tissue cells do not express co-stimulatory molecules and do not produce T cell differentiating cytokines NO SIGNAL 2. for CD4+ Th activation Migration of naive T lymphocytes to normal tissues is limited Antigen presenting cells are not activated in normal tissues NO SIGNAL 3. for CD4+ Th activation PERIPHERAL TISSUES TOLERIZE THEMSELVES PERIPHERAL TOLERANCE IMMUNE RESPONSES ARE NOT INITIATED IN THE PERIPHERY

37. NEGATIVE REGULATION OF IMMUNE RESPONSES BY REGULATORY T CELLS

39. The main role of regulatory T cells ABBAS MIT 2013 Pécs

40. Sakaguchi 2008

41. FUNCTIONS OF REGULATORY T CELLS Maintenance of peripheral tolerance Prevention of autoimmunity Limiting inflammatory processes (asthma, inflammatory bowel diseases) Inhibit protection against infectious diseases Limit immune responses to tumors MECHANISM Intrinsic and extrinsic regulation Various inhibitory mechanisms Cell contacts – Cytokines Interaction with the target effector T cells

42. Regulatory T cells are normal T cells! MHC/peptide recognition--- self peptides! clonal proliferation, activation... mostly 95% CD4+ helper T cells

43. Natural regulatory T cell

44. Development of the CD25+CD4+ regulatory T cell lineage TCR as polymorphic as for CD25- cells Specific to self antigens, MHC II restricted Requires IL-2, Co-stimulation, CD28, B7 Foxp3 is a master regulator transforms CD25 status Schwartz Nat Immunol 2005

45. EFFECTOR CD4+ HELPER T LYMPHOCYTES SECRETE DIFFERENT CYTOKINES Inflammatory cytokines CELLULAR IMMUNE RESPONSE Anti-inflammatory cytokines HUMORAL IMMUNE RESPONSE IFNγ, IL-2, TNF-β/LT Th1 Th0 IL-4, IL-5, IL-10 Th2 IL-4IFNγ

46. Inducible Treg cells

47. Sakaguchi 2008

48. InducibleTreg requires TGF-β, IL2 TGF-β or blocking of TGF-β signals in T cells leads to a systemic inflammatory disease IL-2 receptor is knocked out develop autoimmunity

49. The dependence of Treg cells on IL-2, which they cannot produce themselves but instead receive from conventional T cells, provides a negative feedback loop through which the ratio between Treg cells and conventional T cells is controlled

51. Mechanisms of Action of Regulatory T Cells

52. 1. produce IL-10 and TGF-b TGF-β inhibits the proliferation and effector functions of T cells and the activation of macrophages, neutrophils and endothelial cells inhibits development of TH1 and TH2 subsets promotes the development of the TH17 subset (in the presence of other cytokines) stimulates production of IgA antibodies promotes tissue repair IL10 inhibits the expression of costimulators and class II MHC molecules on dendritic cells and macrophages inhibits the production of IL-12 by activated dendritic cells and macrophages inhibits macrophage and dendritic cell functions 2. inhibit the ability of APCs to stimulate T cells (binds to B7 molecules on APCs and either blocks these molecules or removes them by internalizing them ) 3. consume of IL-2 4. metabolism 5. cytolitic processes

53. MECHANISMS RELATED TO REGULATORY T LYMPHOCYTE FUNCTIONS IL-35 Inhibitory cytokines TGFβIL-10 Cytolysis Metabolic disturbanceInhibition of T cell proliferation Reduced cytokine production (IL-2) Peri-cellular adenosine cAMP transfer Indolamine-2,3 dioxigenase LAG-3 – CD4 homologue

54. CELL SURFACE ENZYMES OF REGULATORY T CELLS PRODUCE EXTRACELLULAR NUCLEOTIDES Ectonucleoside triphosphate diphosphohydrolase (E-NTPDase Ecto-5’-nucleotidase EBI3 Ebstein-Barr virus induced gene 3 IL-27 and IL-35 Naiv T sejtek toborzása, aktiválása, polarizálása CD4+CD25- effektor sejtek A2A receptort fejeznek ki Peri-cellular/Szupresszív

55. Treg constitutively downregulates the self presenting DC

56. Possible Mechanisms of Treg-Mediated Suppression Sakaguchi 2008

57. ABBAS MIT 2013 Pécs

59. A regulátor T-sejtek különálló fejlődési vonalat képviselnek és gátolják az autoreaktív T-sejtek aktivációját CD25+ FoxP3+ sejtek FoxP3-hiány: autoimmun betegség IPEX: immune dysregulation polyendocrinopathy, enteropathy, X-linked syndrome

60. Summary of peripherial tolerance:

61. B cells tolerance

62. B-sejt tolerancia

63. The absence of T cell help / Treg cell siganal

65. Peripherial tolerance deletion, apoptosis