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Principles of Immunology T Cell-Mediated Immunity 3/28/06 “Each of us needs to be the change we wish to see in the world” Ghandi Word/Terms List     ADCC Effector cells GVH reaction Perforin T Cell-mediated Immunity Principal function-Response to intracellular pathogens and cells expressing foreign antigens Recirculation-Naïve T cells circulate between the blood stream and the lymphatic system Antigen presentation-Naïve T cell cells only respond to APCs Priming of T Cells  Three types of effector T cells  CD8 (TC)  CD4 (TH1)  CD4 (TH2)  Each type  Responds to different types of Ags  Activated by different Ag presentation  Has different effector function T Cell Effector Types  CD8     CD4 TH1     Viruses and intracellular bacteria MHC I Cytotoxic effector cells Bacteria and parasites in APCs MHC II Effectors activate macrophages, CTLs and induce B cells to produce opsonins CD4 TH2    Extracellular bacteria and toxin producers MHC II Activate B cells to produce multiple antibody classes T Cell Adhesion  T cells pass through endothelial cells (extravasation)  Endothelial cells and T cells both have cell adhesion molecules (CAMs)  Various CAMs Cell Adhesion Molecules  Selectins  Mucins  Integrins  Immunoglobulin superfamily APCs  Dendritic cells  Macrophages  B cells Dendritic Cells  Antigen presentation is sole function  Antigenic uptake is followed by migration to lymph nodes  Expression of MHC I, MHC II and B7  Loses phagocytic property  Secretes chemokines Macrophages  Involved in both innate and adaptive immunity  May destroy pathogens or present Ag to T cells  Expression of MHC I, MHC II and B7  Scavenges dead cells B Cells  Binds soluble antigens  Constitutively expresses MHC II  Induced to express B7 NK Cells      ~5% of lymphocytes Nonspecific cytotoxicity No TCR/CD3 Not MHC restricted No memory CTL Cytotoxicity     Conjugate formation Membrane attack Dissociation Target cell death Conjugate Formation  Cell adhesion  Recognition of MHC I:Ag on target cell Membrane Attack  Granules in CTLs  Perforin  Granzymes  Exocytosis of granule contents  Perforin action similar to C9  Granzymes act as nucleases  Fas ligand to Fas triggers target cell death Dissociation and Target Cell Death  CTL interacts for about five minutes  Dissociates and can conjugate with other target cells  Target dies after several hours Antibody-Dependent Cell-Mediated Cytotoxicity  NK cells, macrophages, neutrophils  Bind to Fc region of Ab  Multiple cytotoxic mechanisms Graft vs. Host Reaction  Immunocompromised recipient  Lymphocytes of donor attack allogeneic antigens of recipient  Splenomegaly