1. Chapter 14 T Cell Mediated Immune Response （ CMI ）

2. Contents  Part Ⅰ General introduction  Part Ⅱ T cells mediated immune response  Part Ⅲ NKT cell and  δT cell mediated immune response  Part Ⅳ Unspecific activation of T cells Chapter 14 T Cell Mediated Immune Response （ CMI ）

3. Part Ⅰ Introduction  Conception of immune response  Stages of immune response  Sites of Immune response  Types of immune response

4. Broad sense of immune response: Unspecific immune response (innate immunity) barrier structure immunocytes: NK, Mф, DC, B1, γδT immune molecules: C, CK, lysozymes Specific immune response (adaptive immunity) T cell mediated immune response B cell mediated immune response 1. Conception of immune response

5. Prevention from Infection

6. 1. Conception of immune response Narrow sense of immune response: specific immune response (Adaptive immunity) Definition: a process that ICC recognize the antigens specifically, then activate (or lose their ability to be activated), proliferate, differentiate and play immunological effect.

7. 2. Stages of Immune response (1) Induction stage: Ag processing, presentation and recognition. (2) Reaction stage: activation, proliferation and differentiation of ICC (dual signals, CKs). (3) Effect stage: play immunological effect (CK, CTL, Ab).

8. 3. Sites of Immune response---- peripheral immune organs Lymph node, Spleen, MALT

9. 被膜 输出淋巴管 Capture and presentation of exogenous Ags tissue Lymphatic vessel DC antigen Afferent Lymphatic vessel cortex Lymph node

10. 4. Types of adaptive immune response By consequence Positive Ir: Normal Ir------anti-tumor, anti-infection Abnormal Ir------hypersensitivity, autoimmunity Negative Ir: Normal Ir------self immune tolerance Abnormal Ir------tumor, infection By mediating cells T cell mediated immune response---CMI B cell mediated immune response---HI

11. Part Ⅱ Cellular immunity T cell mediated immune response (CMI) CD4 + T cell mediated immune response CD8 + T cell mediated immune response

12. Cell surface peptides of Ag Antigens must be processed in order to be recognised by T cells Y T T cell response No T cell response No T cell response No T cell response No T cell response Soluble native Ag Cell surface native Ag Soluble peptides of Ag Cell surface peptides of Ag presented by cells that express MHC molecules ANTIGENPROCESSING APC

13. The process of T-cell mediated Immune response 1.T cells recognize the Ag peptide- MHC complex on APC ------MHC restriction 2. Activation, proliferation and differentiation of T cells ------Dual signals 3.The functions of effector T cells ------Th cell and CTL (Tc cell)

14. CD4 + T cell mediated immune response

15. 1. CD4 + T cells recognize the Ag peptide-class Ⅱ MHC complex on APCs ------MHC restriction (1) Exogenous antigens----APCs (2) Ag recognition: TCR on T cells bind with Ag peptide-MHC complexes on APCs specifically. Dual recognition: CDR1, CDR2 recognize MHC- α helix, CDR3 recognizes Ag peptide.Dual recognition MHC restriction

17. Three dimensional structure of TCR

18. Anatomical mechanism of TCR recognizes MHC/ antigenic peptide MHC-  helix Antigenic peptide CDR1CDR2 CDR3 CDR2CDR1 TCR-  chain TCR-  chain MHC-  helix

19. CDR3CDR2,1 CDR1,2

22. T cell synapse a special structure between T and APC T cell synapse can be called immunological synapse. When TCR complex recognizes peptides/MHC on APC, several T cell surface proteins and intracellular signaling molecules (such as CD3,CD4,CD8,CD28) are rapidly mobilized to the site of T cell-APC contact.

23. 2. Activation, proliferation and differentiation of CD4 + T cell (1) Activation: dual signals First signal ： specific antigen signal T CR — peptide-class Ⅱ MHC complexes CD4 — class Ⅱ MHC molecule(β2) Second signal ： co-stimulatory signal CD28 — B7 （ CD80 、 CD86 ） CD2 （ LFA-2 ） — CD58 （ LFA-3 ） LFA-1 — ICAM-1

25. TCR complex

27. The Two-Signal Hypothesis Co-stimulatory signal (CD28/B7)

28. 2. Activation, proliferation and differentiation of CD4 + T cell (1) Activation: dual signals First signal ： specific antigen singal T CR — peptide-class Ⅱ MHC complexes CD4 — class Ⅱ MHC molecule(β2) Second signal ： co-stimulatory signal CD28 — B7 （ CD80 、 CD86 ） CD2 （ LFA-2 ） — CD58 （ LFA-3 ） LFA-1 — ICAM-1 VLA-4 — VCAM-1

29. 1 2

32. APC block T h activity Dual signal model of Th cell activation IL-2R APC ThTh Signal 1 Signal 2 LPS TNF-a IL-1 IL-6 IL-2 ThTh Signal 1 Th activated CD28 B7

36. （ 2 ） proliferation ： CKs — IL-2 Resting T cells express low affinity IL-2R. Activated T cells express high affinity IL- 2R and secrete CKs such as IL-2. T cells proliferate and produce a lot of daughter cells under IL-2 by autocrine or paracrine.

38. Tm Effector T Proliferation of T cell

39. （ 3 ） Differentiation ： Daughter cells differentiate into effector T cells and some differentiate into memory T cells (basis of vaccine). Th1(IL-2 、 IFN-γ 、 TNF-β ） Thp Th0 Th2 （ IL-4 、 5 、 6 、 10 、 13 ） IL-12 IL- 4 Ag IL-23 （ IL-6 ， TGF-β ） Th17 （ IL-17 ）

40. characteristic of memory T Cells (Tm): Long lived cells CD45RA -,CD45RO + Easily triggered by low antigen Less dependent on co-stimulatory molecules Sensitive to CKs Responsible for maintaining immunological memory

42. Days after immunity Ratio of specific T cells in blood 感应阶段 Primary immunity Secondary immunity 1/10000 1/1000 1/100 0 7 14 21 28 35 42 Principle of T cell mediated immune response Immunological memory

44. 3. The functions of effector Th cells

46. Th1 Th2 Th1 Th2 CKs CKs IL-2 ++++ — IL-2 ++++ — IL-4 — ++++ IL-4 — ++++ IL-5 — ++++ IL-5 — ++++ IL-10 — +++ IL-10 — +++ IFN-  ++++ — IFN-  ++++ — TNF-  +++ — TNF-  +++ — CKs for proliferation IL-2 IL-2/IL-4 Helping IgG,DTH IgE/IgA Helping IgG,DTH IgE/IgA Inhibition Th2 Th1 Inhibition Th2 Th1

47. （ Th1 ， Tc ）

51. (1) The functions of Th1 cells  Th1 cells release IFN-  to activate macrophage, mediate inflammatory reaction and inhibit the function of Th2 cells.  Th1 cells release IL-2 to promote the proliferation, differentiation of Th1 cells and Tc cells.

52. Effect of macrophage: Phagosize and kill pathogens Promote Th1 activation Mediate delayed hypersensitivity

56. (2) The functions of Th2 cells  Th2 cells release IL-4,5,6,10 to activate the B cells to produce Ab.  Th2 cells release IL-4,5 to promote the differentiation and development of eosinophil and mast cell.  Th2 cells release IL-10 to inhibit the activation of macrophage and function of Th1 cells.

59. CD8 + T cell mediated immune response

60. 1.CD8 + T cells recognize Ag peptide- class Ⅰ MHC complex on APC -------MHC restriction (1) Endogenous antigens----APCs (2) Ag recognition: TCR on T cells bind with Ag peptide-class Ⅰ MHC complexes on APCs specifically. Dual recognition: CDR1, CDR2 recognize MHC- α helix, CDR3 recognizes Ag peptide.Dual recognition MHC restriction

62.  2m TCR-  chain TCR-  chain Homocysteine HLA-A68 Peptide Interaction between TCR and homocysteine presented by HLA-A68 C

64. 2. CD8 + T cell Activation, proliferation and differentiation (1) Activation: dual signal First signal ： specific antigen signal TCR — peptide-class Ⅰ MHC CD8 — class Ⅰ MHC Second signal ： co-stimulatory signal ？ CD28 — B7 （ CD80,CD86 ） CD2 （ LFA-2 ） — CD58 （ LFA-3 ） LFA-1 — ICAM-1

65. Signal 1 Signal 2 ? APC

66. block activity block activity Dual signal model of Tc activation IL-2 Target cell activate, expansion activate, expansion Th Tc APC Tc Tumor cell tumor DC CD28 B7 CD28

68. Activation of CD8 + T cell Virus infected DCs activate CD8 + T cell directly Help of CD4 + Th cell to CD8 + T cell: Secreted IL-2 acts as the second signal Enhance expression of co-stimulator on APC

69. （ 2 ） Activated Tc cells proliferate and produce a lot of daughter cells under IL-2. （ 3 ） Daughter cells differentiate into effector CTL and some differentiate into memory Tc cells(basis of vaccine).

71. 3 ． Function of effector CTLs  CTLp recognized peptide-class Ⅰ MHC proliferate and differentiate to effector CTL under action of IL-2 released by Th1.  The effector CTLs specifically recognize and bind Ag on target cells.  CTL releases perforin, granzymes and express Fas ligand to kill target cells.

72. （ 1 ） The process of CTL killing target cells Specific recognition and binding of target cell by CTL Lethal hit to target cell Lysis or apoptosis of target cell

74. ① ② ③

75. （ 2 ） Characteristics of CTL killing target cells ： Specific killing Class Ⅰ MHC molecule restriction Continuous killing of target cells in short time, and no injury of CTL

77. Normal cell No injury

78. （ 3 ） Mechanism of CTL killing target cell: Perforin -- osmotic lysis Granzyme and Fas/FasL -- apoptosis Secreted TNF and IFN-  induce target cells to die *Fas ： Apo-1 or CD95

80. Cell death TNF and IFN-  (minor pathway)

81. CTL cell Target cell

88. Biological effect of CMI 1. Play an important role in defense agaist intracellular microbe infection. 2. Kill tumor cells or virus-infected cells. 3. Participate in graft rejection and graft-versus-host disease(GVHD). 4. Mediate type Ⅳ hypersensitivity.

89. Part Ⅲ NKT cell and  δT cell mediated immune response

90. 1. Ir mediated by NKT cell NKT cell:  T cell which express molecules of NK cells Recognize lipid Ag presented by CD1 molecule Activated NKT cells secrete IFN-  and IL-4

91. NKTcells

92. 2. Ir mediated by  T cell CD4 - and CD8 - T cell Antigens: bacteria, virus Not need APC No MHC restriction

93. Part Ⅳ Unspecific activation of T cells Superantigen Unspecific activation Need APC, but not processing and presenting Secrete CK

95. Superantigen(sAg) TCRV  Antigenic peptide Class II MHC  chain T cell APC The mechanism of superantigen activating T cell

96. Ag and SAg Antigen Superantigen

97. The other activators of T cells  mitogen(PHA, ConA)  anti-CD3, anti-TCR αβ, anti-TCR γδ anti-CD28