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stages of lymphocyte development
stem cell
growth factor mediated commitment; proliferation
antigen independent
pro-lymphocyte
initiation of antigen receptor gene rearrangement
antigen independent
pre-lymphocyte
selection of cells that express pre-antigen receptors
antigen independent
immature lymphocyte
selection of repertoire
self-antigen dependent
lymphocyte subsets
maturation of functionally distinct T/B cell subset
mature lymphocyte
complementarity determining regions (CDR1, CDR2, CDR3)
hypervariable regions (HV) within the variable domain of the antigen receptor that contribute to antigen recognition
primary lineages of common lymphoid progenitors
follicular (FO) B cells
αβ T cells
antigen receptor expression
checkpoint in lymphocyte maturation following pre-B/T cell proliferation
cells expresses complete antigen receptor
failure to express antigen receptor leads to cell death
positive & negative selection
checkpoint in lymphocyte maturation following immature-B/T cell proliferation
positive selection: cells with weak (self) antigen recognition are selected
negative selection: cells with strong (self) antigen recognition are eliminated and eventually die
pre-B/T antigen receptor expression
checkpoint in lymphocyte maturation following pro-B/T cell proliferation
cells expresses one chain of antigen receptor
failure to express pre-antigen receptor leads to cell death
V(D)J recombination
antigen receptor genes are generated by recombination of variable (V), diversity (D), joining (J) gene segments
germline Ig & TCR genes are composed of multiple DNA segments combined in developing lymphocytes
D segment: only in BCR Ig heavy chain & TCR β chain
additional nucleotides are added in the processed (N/P)
intervening DNA sequences are removed = permanent
steps of V(D)J recombination
synapsis
cleavage
hairpin opening & end processing
joining
recombination-activating gene (RAG) 1 & 2
V(D)J recombination enzyme that is lymphocyte specific - creates double-strand breaks
ARTEMIS
V(D)J recombination endonuclease - opens (nicks) hairpins asymmetrically
adds extra P nucleotides
terminal deoxynucleotidyl transferase (TdT)
V(D)J recombination enzyme that randomly adds nucleotide to broken ends
adds extra N nucleotides
does not require a DNA template to amplify DNA
combinatorial diversity
generated by different combinations of gene segments during V(D)J recombination
creates 1 - 3 million different receptors
junctional diversity
generated by the addition or removal of nucleotides at the junctions of gene segments during V(D)J recombination
asymmetric hairpin nicking by ARTEMIS → extra N nucleotides
random addition by TdT → extra N nucleotides
creates 107 - 109 different receptors
Omenn Syndrome
an autosomal recessive form of severe combined immunodeficiency (SCID) characterized by
erythroderma (skin redness)
desquamation (peeling skin)
eosinophilia
elevated serum IgE levels
alopecia (hair loss)
chronic diarrhea
failure to thrive
lymphadenopathy (enlarged lymph nodes)
hepatosplenomegaly
autosomal mutations in genes encoding RAG1, RAG2, or ARTEMIS
patients are highly susceptible to infection & develop fungal, bacterial, & viral infections typical of SCID
pro-B cell
RAG1/RAG2 expressed → heavy chain starts recombination (no expression)
pre-B cell
μ heavy chain VDJ recombination completed (expressed) + surrogate light → pre-B cell receptor (pre-BCR)
associates with Igα (CD79a) & Igβ (CD79b)
pre-BCR expression = first checkpoint
immature B cell
IgM expression
negative selection
receptor editing (if needed) - substituting 1 light chain for another
mature B cell
IgM + IgD expression; several subsets; out to periphery
follicular B = most common
pre-B cell receptor (pre-BCR)
a receptor complex composed of a heavy chain, Igα, and Igβ, expressed on the surface of pre-B cells
inhibition of H chain recombination (allelic exclusion)
proliferation of pre-B cells
stimulation of κ light chain recombination
shut off of surrogate light chain transcription
allelic exclusion
the process where only one allele of a gene is expressed in a cell, leading to the production of a single type of protein
allows for each mature B lymphocyte to express only one type of immunoglobulin
tolerance
the state of unresponsiveness to self-antigens, preventing the immune system from attacking the body's own cells and tissues
BCR binding
the interaction between the B cell receptor and self-molecules, which can lead to deletion, anergy, or receptor editing to prevent autoimmunity
Burton’s tyrosine kinase (Btk)
a kinase crucial for signal transduction via the pre-BCR
defect = B cell maturation arrests in the bone marrow at pre-B cell stage
X-linked agammaglobulinemia (XLA)
also called Burton’s agammaglobulinemia; caused by a defect in the BTK gene which codes for Burton’s tyrosine kinase (Btk)
agammaglobulinemia = lack of serum antibodies
serum titers - IgM nondetectable; IgA & IgG low (from mother)
infants develop frequent infections of the ears, throat, lungs, & sinuses
thymus
major site of T cell maturation
first cortex then medulla
double-negative thymocytes
most immature T cell; recent arrival from bone marrow
do not express the T-cell receptor (TCR), CD3, CD4, CD8, & ζ chains
pre-T cells
expresses pre-T cell receptor (pre-TCR) = TCR β chain + invariant pre-Tα + CD3 + ζ chains
pre-T cell receptor (pre-TCR)
TCR β chain + invariant pre-Tα + CD3 (εγ + εδ) + ζ chains
inhibition of β chain gene recombination
proliferation of per-T cells
stimulation of α chain recombination
expression of CD4 & CD8
shut off of pre-Tα transcription
double-positive thymocytes
CD4+ & CD8+ followed by chain expression (second wave of RAG expression)
selection process = death by neglect, negative selection, positive selection
single-positive immature T cell
immature T cell that goes through additional negative selection in medulla
mature T cells
CD4+ or CD8+ or Treg
double positive T cells selection
positive and negative selection based on the recognition of peptide-MHC complexes, ensuring the development of functional T cells and eliminating self-reactive T cells
death by neglect
cell death that occurs in T cells due to the absence of recognition signals (no recognition at all), absence of positive selection
positive selection
low avidity binding of TCR with self-peptide & self-MHC → stimulated to survive & differentiate
negative selection
process of cell death that occurs in single positive T cells due to high avidity binding of the TCR with self-peptide and self-MHC, preventing the development of self-reactive T cells
high avidity → active death-promoting signals → apoptosis
regulatory T cells development
intermediate avidity
autoimmune regulator (AIRE) protein
a unique transcriptional regulator protein that induces the promiscuous expression of thousands of tissue-restricted antigens (TRAs) in medullary thymic epithelial cells (mTECs) → critical for the induction of immunological self-tolerance
autoimmune polyendocrine syndromes type 1 (APS-1)
also called autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED)
clinical conditions by impairment of multiple endocrine glands due to loss of immune tolerance
caused by mutations that inactivates the AIRE gene →failure to delete autoreactive thymocytes during negative selection