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Cortical Thymic Epithelial Cells = cTEC

****DP cells express both CD4 and CD8, but mature T cells express one or the other
WHAT is this decision is called
Lineage commitment

*****Different TRANSCRIPTION FACTORS mediate CD4 or CD8 differentiation
What is the transcription factor that mediates CD4 vs. CD8 differentiation?
CD4 = thPOK
inhibit CD8 + Runx3 + promote CD4
CD8 = Runx3
inhibit CD4 + ThPOK + promote CD8
******What is the Kinetic signalling model
most accurate model proposed to explain How does a DP cell become a single positive cell
********Explain the Kinetic signaling Module mechanism. How does it work?
At the start (far left), immature T cells are DP. They interact with a cTEC (cortical thymic epithelial cell) presenting self MHC + peptide during positive selection to test their T-cell receptor (TCR).
during positive selection DP cells DOWN REGULATE CD8 (universal down regulation) = becomes CD4+8low
From this stage CD4+8low, the cell's fate splits depending on whether it can maintain its TCR connection:
If the cell can still receive continuous TCR signaling, it means it engages normally with MHC II and it will develop into a CD4+ T cell
activate transcription factor ThPOK
If the cell is impaired in its ability to interact, it will receive a weaker TCR signaling (disrupted), meaning it engages with MHC I, it will develop into a CD8+ T cell
activates a different transcription factor (Runx3
Before this choice even starts, the T cell has already generated its unique T-cell receptor (TCR). It doesn't know what its TCR matches yet, but the TCR is physically shaped to fit either MHC I or MHC II. the continuous vs. weak signal only confirms which CD T cell it should become/ which it is more suited to be

*****A secondary NEGATIVE SELECTION occurs to SP T cells
WHERE does this secondary negative selection occur?
Which cells mediate this selection?
Occurs in MEDULLA
mediated by mTECs (medullary thymic epithelial cells) and some dendritic cell

******What is special about mTECs?
What does this unusual ability allow mTEC to do interms of educating/selecting T cells?
mTECs have the unusual ability to express proteins that are usually tissue restricted
i.e. it can express insulin which is normally
expressed by B cells in the islets
of the pancreas
Allows T cells to be educated against tissue-specific Ags before they leave the thymus
*****What does the expression of tissue-restricted Ags require?
An epigenetic regulator:
AIRE (AutoImmune Regulator)
*****What is APECED
What causes it?
What is the phenotype
Autoimmune polyendocrinopathy candidiasis ectodermal dystrophy: An immunodeficiency that manifests as autoimmunity
CAUSED by: mutations in AIRE gene develop = T cells reactive to tissue-restricted self Ags are not deleted in the thymus
Results in different autoimmune phenotypes in different patients
• endocrine autoimmunity: hypoadrenalism, hypoparathyroidism, hypothyroidism
• type I diabetes
• autoimmunity in other organs
****Where does FINAL T cell MATURATION occur?
OUTSIDE the thymus
T cell development takes 1-3 weeks
• like B cells, T cells that recently
emerge from the thymus are
not fully mature
******What are RTEs?
Recent thymic emigrants RTEs
T cells that recently emerge from the thymus and are not fully mature
some similarities with transitional B cells
do not proliferate or become activated in response to Ag to the same extent as more mature T cells
****CHeck last few slides of Lecture 9 for some review