L16 - Lymphocyte development: T-cell development

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What Structural Features do BCRs and TCRs share?

  1. Antigen-binding sites

  2. Variable regions

  3. Constant regions

  4. Transmembrane regions


<ol><li><p><strong>Antigen-binding sites</strong></p></li><li><p><strong>Variable regions</strong></p></li><li><p><strong>Constant regions</strong></p></li><li><p><strong>Transmembrane regions</strong></p></li></ol><p></p>
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How do BCRs and TCRs differ in Antigen Binding and Secretion?

  • BCR: Bivalent (two identical antigen-binding sites)

    • Immunoglobulins can be secreted as antibodies

  • TCR: Monovalent (one antigen-binding site)

    • Never secreted and does not cross-link antigens


<ul><li><p><strong>BCR:</strong> <em><u>Bivalent</u></em> (two identical antigen-binding sites)</p><ul><li><p>Immunoglobulins can be secreted as antibodies</p></li></ul></li><li><p><strong>TCR: </strong><em><u>Monovalent</u></em> (one antigen-binding site)</p><ul><li><p>Never secreted and does not cross-link antigens</p></li></ul></li></ul><p></p>
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What is the Basic Structure of an αβ TCR?

A heterodimer of alpha (α) and beta (β) chains, each containing a variable and constant region

  • The TCR resembles a membrane-bound Fab fragment


<p>A heterodimer of <span style="color: blue;"><strong>alpha (α)</strong></span> and <span style="color: blue;"><strong>beta (β)</strong></span> chains, each containing a <strong>variable</strong> and <strong>constant region</strong></p><ul><li><p>The TCR resembles a membrane-bound Fab fragment</p></li></ul><p></p>
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What are the Two Classes of TCRs, and Which predominates?

  1. αβ TCR: Predominant type (over 95%)

  2. γδ TCR: Comparatively enriched in ruminants, where it can account for up to 35% of peripheral T cells


<ol><li><p><strong>αβ TCR:</strong> Predominant type (over <span style="color: green;"><strong>95%</strong></span><span style="color: rgb(0, 0, 0);">)</span></p></li><li><p><strong>γδ TCR: </strong>Comparatively enriched in ruminants, where it can account for up to <span style="color: green;"><strong>35%</strong></span> of peripheral T cells</p></li></ol><p></p>
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Where does TCR Recombination occur, and What Mechanisms generate Diversity?

In the thymus

  • Through

    1. Random V(D)J gene-segment recombination

    2. Random nucleotide addition at the joining sites


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How is TCR Recombination similar to BCR Recombination?

BOTH use DNA-level rearrangement of V, D, and J gene segments to generate millions of antigen receptor specificities

  • BCR rearrangement occurs in the bone marrow, while TCR rearrangement occurs in the thymus


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What Two Properties are Evaluated during Thymic Selection?

The goal is to retain functional T cells that are tolerant to self

  1. Functionality: Can the TCR recognize antigen presented by self-MHC?

  2. Self-reactivity: Does the TCR react too strongly to the body's own antigens?


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QUESTION: What Types of Antigens and Epitopes do TCRs recognize?

Most conventional TCRs recognize processed, fragmented peptide epitopes presented by MHC molecules

<p>Most conventional TCRs recognize processed, <strong>fragmented</strong> <strong>peptide epitopes presented by MHC molecules</strong></p>
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How does Antigen Recognition differ between BCRs and TCRs?

  • BCR: Directly recognizes native antigens, including linear and conformational epitopes

  • TCR: Recognizes processed peptide fragments presented by MHC molecules


<ul><li><p><strong>BCR: </strong><em><u>Directly</u></em> recognizes native antigens, including linear and conformational epitopes</p></li><li><p><strong>TCR:</strong> Recognizes processed <em><u>peptide fragments</u></em> <em><u>presented by MHC molecules</u></em></p></li></ul><p></p>
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What Types of Molecules can BCRs recognize?

  • Proteins

  • Carbohydrates

  • Lipids

  • Nucleic acids


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What are Linear and Conformational Epitopes?

  • Linear: Continuous amino acid sequences

    • Do not require the original three-dimensional protein structure

  • Conformational: Discontinuous amino acids brought together by protein folding

    • Depend on tertiary or quaternary structure


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What are the Two Universal Rules of Immunology?

  1. Nothing happens without a receptor–ligand interaction

  2. Immune responses are usually mediated by cytokines and chemokines


<ol><li><p><strong> Nothing happens without a receptor–ligand interaction</strong></p></li><li><p><strong>Immune responses are usually mediated by cytokines and chemokines</strong></p></li></ol><p></p>
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What is an Antigen-Presenting Cell (APC), and Which Three Cells are Professional APCs?

An APC processes antigens and displays peptide fragments on MHC molecules for T-cell recognition

  • Professional APCs

    1. Dendritic cells

    2. Macrophages

    3. B cells


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How do Dendritic Cells connect Innate and Adaptive Immunity?

They present processed antigens to T cells, connecting innate immune detection with adaptive immune responses

<p>They <strong>present processed antigens to T cells</strong>, connecting innate immune detection with adaptive immune responses</p>
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What is MHC, and What is Its Main Function?

Major histocompatibility complex (MHC) consists of molecules that display peptide fragments for recognition by T-cell receptors

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Where are MHC Class I and MHC Class II Expressed?

  • MHC I: Nearly all nucleated cells

  • MHC II: Primarily professional APCs (dendritic cells, macrophages, and B cells)


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How do NK Cells use MHC Class I to Monitor Cells?

MHC I provides inhibitory signals to NK cells

  • Reduced MHC I expression, as may occur in infected or cancerous cells, can remove inhibition and permit NK-cell killing


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What are the Main Steps of Antigen Processing and Presentation by an APC?

  1. Phagocytosis of antigen

  2. Lysosomal digestion

  3. Peptide loading onto MHC

  4. Presentation on the cell surface for TCR recognition


<ol><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Phagocytosis of antigen</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Lysosomal digestion</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Peptide loading onto MHC</mark></strong></p></li><li><p><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;">Presentation on the cell surface for TCR recognition</mark></strong></p></li></ol><p></p>
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What Structural Feature do MHC I and MHC II share for Antigen Presentation?

BOTH contain a peptide-binding cleft that holds peptide fragments for TCR recognition

<p><span style="color: purple;"><strong><u>BOTH</u> contain a </strong></span><span style="color: blue;"><strong>peptide-binding cleft</strong></span><span style="color: purple;"><strong> that holds peptide fragments for TCR recognition</strong></span></p>
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What is MHC Polymorphism, and Why is It Beneficial?

MHC polymorphism is extensive genetic variation in MHC molecules among individuals

  • Different MHC variants present different pathogen peptides → increasing the diversity of immune responses across a population


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How does MHC Diversity differ from BCR/TCR Diversity?

  • BCR/TCR: Generated through V(D)J recombination

    • Producing millions of receptor specificities

  • MHC: Inherited genetic variation

    • With thousands of variants across populations; an individual's MHC genotype is fixed for life


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QUESTION: Which MHC Class does CD4 recognize, and What Type of T Cell expresses CD4?

CD4 recognizes MHC class II and is expressed by helper T cells

<p><strong>CD4 recognizes MHC class II</strong> and is expressed by <span style="color: blue;"><strong>helper T cells</strong></span></p>
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QUESTION: Which MHC Class does CD8 recognize, and What Type of T Cell expresses CD8?

CD8 recognizes MHC class I and is expressed by cytotoxic T cells

<p><strong>CD8 recognizes MHC class I</strong> and is expressed by <span style="color: red;"><strong>cytotoxic T cells</strong></span></p>
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What are the Main Functional Differences between CD4+ and CD8+ T Cells?

Memory trick: CD4 × MHC II = 8; CD8 × MHC I = 8.

  • CD4+ helper T cells: Coordinate immune responses

  • CD8+ cytotoxic T cells: Kill infected or abnormal cells


<p>Memory trick: CD4 × MHC II = 8; CD8 × MHC I = 8.</p><ul><li><p><strong>CD4+ helper T cells: </strong><span style="color: blue;">Coordinate immune responses</span></p></li><li><p><strong>CD8+ cytotoxic T cells: </strong><span style="color: red;">Kill infected or abnormal cells</span></p></li></ul><p></p>
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What are the Primary and Secondary Lymphoid Organs, and What are Their Functions?

  • Primary lymphoid organs: Bone marrow and Thymus

    • Sites of lymphocyte development and maturation

  • Secondary lymphoid organs: Lymph nodes, Spleen, and Mucosa-associated lymphoid tissues

    • Sites where lymphocytes encounter antigens and initiate adaptive immune responses


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What is the Main Function of the Thymus in T-Cell Development?

The thymus is the primary lymphoid organ where T-cell precursors undergo

  • TCR rearrangement

  • CD4/CD8 lineage commitment

  • Selection for functional, self-tolerant receptors


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What are the Three Main Stages of T-Cell Development based on CD4/CD8 Expression?

Sequence: DN → DP → SP

  1. Double negative (DN): CD4−, CD8−

  2. Double positive (DP): CD4+, CD8+

  3. Single positive (SP): CD4+ or CD8+


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What happens to T Cells during Co-Receptor Selection?

  1. Developing T cells progress from expressing neither CD4 nor CD8 to expressing both

  2. Finally to expressing only one → becoming either CD4+ helper or CD8+ cytotoxic T cells when leaving the thymus


<ol><li><p>Developing T cells progress from expressing neither CD4 nor CD8 to expressing both</p></li><li><p>Finally to expressing only one → becoming either CD4+ helper or CD8+ cytotoxic T cells <span>when leaving the thymus</span></p></li></ol><p></p>
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What is Positive Selection, and Why is It Necessary?

Positive selection preserves developing T cells capable of recognizing the body's own MHC molecules

  • This ensures that mature T cells can later recognize peptides presented by self-MHC


<p><span style="color: blue;"><strong>Positive selection preserves developing T cells</strong></span> capable of recognizing the body's own MHC molecules</p><ul><li><p>This ensures that mature T cells can later recognize peptides presented by self-MHC</p></li></ul><p></p>
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What happens to T Cells during Positive Selection based on Their Recognition of Self-MHC?

  • Weak-to-moderate recognition: Receives a survival signal

  • Insufficient recognition: Dies by neglect

  • Strong recognition of self-peptide–MHC: Can trigger negative selection


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What is Negative Selection, and Why is It Necessary?

Negative selection eliminates strongly self-reactive T cells before they leave the thymus, helping prevent autoimmunity

<p><span style="color: red;"><strong>Negative selection eliminates strongly self-reactive T cells</strong></span> before they leave the thymus, helping prevent autoimmunity</p>
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What are Tissue-Specific Antigens (TSAs) and Medullary Thymic Epithelial Cells (mTECs)?

  • TSAs: Antigens normally associated with particular tissues, such as insulin from the pancreas

  • mTECs: Specialized thymic epithelial cells that express tissue-specific antigens to help identify self-reactive T cells


<ul><li><p><strong>TSAs: </strong>Antigens normally associated with particular tissues, such as insulin from the pancreas</p></li><li><p><strong>mTECs:</strong> Specialized thymic epithelial cells that express tissue-specific antigens to help identify self-reactive T cells</p></li></ul><p></p>
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What is Aire, and What is Its Role in Negative Selection?

Aire is a transcription factor that allows mTECs to express tissue-specific antigens normally found outside the thymus

  • Helping identify T cells that react strongly to self


<p><strong>Aire is a </strong><span style="color: purple;"><strong>transcription factor</strong></span> that allows <span style="color: blue;"><strong>mTECs</strong></span> to <strong>express tissue-specific antigens normally found outside the thymus</strong></p><ul><li><p>Helping identify T cells that react strongly to self</p></li></ul><p></p>
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What are the Possible Outcomes of Negative Selection?

  • Strong self-reactivity: T cell undergoes apoptosis or may develop into a regulatory T cell (Treg)

  • No strong self-reactivity: T cell can survive and mature


<ul><li><p><span style="color: red;"><strong>Strong self-reactivity</strong></span><strong>: </strong>T cell undergoes apoptosis or may develop into a regulatory T cell (Treg)</p></li><li><p><span style="color: blue;"><strong>No strong self-reactivity</strong></span><strong>: </strong>T cell can survive and mature</p></li></ul><p></p>
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What is the Main Function of Regulatory T Cells (Tregs)?

  1. Suppress immune responses

  2. Help maintain self-tolerance, reducing the risk of autoimmunity


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What is Central Tolerance, and How does It differ from Peripheral Tolerance?

  • Central tolerance: Elimination or control of self-reactive lymphocytes during development in primary lymphoid organs

  • Peripheral tolerance: Additional mechanisms that control self-reactive lymphocytes outside primary lymphoid organs


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How can Failure of Thymic Selection contribute to Autoimmunity?

If strongly self-reactive T cells escape thymic selection and are not adequately controlled by peripheral tolerance, they may attack the body's own tissues

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What are the Four Main Outcomes of T-Cell Maturation in the Thymus?

Mature T cells:

  1. Have a functional rearranged TCR

  2. Are committed to a CD4+ or CD8+ lineage

  3. Can recognize self-MHC through positive selection

  4. Have undergone selection against strong self-reactivity through negative selection


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What is a Naïve T Cell, and Where does It travel after Leaving the Thymus?

A naïve T cell is a mature T cell that has NOT yet encountered its specific antigen

  • It circulates through secondary lymphoid organs, including lymph nodes, spleen, and mucosa-associated lymphoid tissue


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QUESTION: How many epitopes can an BCR bind?

ANSWER → Two

  • An immunoglobulin is bivalent, meaning it has two antigen-binding sites that recognize the same epitope

  • TCR recognition is monovalent, unlike the bivalent immunoglobulin


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QUESTION: Which Types of Epitopes can BCRs recognize?

ANSWER → Linear and conformational epitopes

  • Why: BCRs can directly bind native antigens, including structures created by protein folding


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QUESTION: What are the Two Types of Epitopes based on Their Structure?

ANSWER → Linear (continuous) & conformational (discontinuous)

  • Why: Linear epitopes consist of consecutive amino acids, while conformational epitopes depend on protein folding


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QUESTION: Which MHC Class does CD4 or CD8 recognize?

ANSWER →

  • CD4 → MHC II

  • CD8 → MHC I

Why: These coreceptors help T cells recognize the appropriate peptide–MHC complex


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QUESTION: During T-Cell Development in the Thymus, What is the Main Purpose of Positive Selection?

a) To activate T cells that recognize a foreign pathogen 

b) To preserve T cells capable of recognizing self-MHC molecules 

c) To eliminate T cells that strongly recognize self-antigens 

d) To generate diverse T-cell receptors through gene rearrangement


ANSWER → b) To preserve T cells capable of recognizing self-MHC molecules

  • Why: Positive selection ensures T cells can recognize self-MHC molecules, which is necessary for future antigen recognition. Choice C describes negative selection


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QUESTION: What Structural Feature is shared by Both αβ TCRs and Immunoglobulins (Antibodies)?

a) Antigen-binding sites located in the constant regions 

b) Two antigen-binding sites per receptor molecule 

c) Two heavy chains and two light chains 

d) Antigen is bound by CDR3 of antigen receptor

ANSWER → d) Antigen is bound by CDR3 of the antigen receptor

  • Why: Both receptors have variable regions containing complementarity-determining regions (CDRs)

  • CDR3 is particularly important for antigen-binding specificity.


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TCR/BCR vs. MHC Diversity


TCR/BCR

MHC

How is it created

V(D)J recombination 

Inherited 

Number of specificities 

Millions 

Thousands  

Plasticity 

Dependent on exposure history 

Fixed for life 


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TABLE 1. BCR vs. TCR Comparison

Feature

BCR

TCR

Found on

B cells

T cells

Structure

2 heavy + 2 light chains

αβ or γδ heterodimer

Binding sites

2 (bivalent)

1 (monovalent)

Variable region

Determines specificity

Determines specificity

Constant region

Determines antibody class/function

Structural region

Antigen recognition

Directly binds native antigen

Recognizes processed peptide–MHC

Antigen types

Proteins, carbohydrates, lipids, nucleic acids

Primarily peptides

Epitope types

Linear and conformational

Linear peptides

Secreted form

Antibody

Never secreted

Receptor diversity

V(D)J recombination

V(D)J recombination

Development

Bone marrow

Thymus

Key concept: BCRs directly recognize antigens, while conventional αβ TCRs recognize processed peptides presented by MHC molecules.

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TABLE 2. TCR Types and Generation of Diversity

Feature

αβ TCR

γδ TCR

Chains

Alpha + beta

Gamma + delta

Relative abundance

Predominant type

Less common in many species

Veterinary significance

Main focus of lecture

Enriched in ruminants

Antigen recognition

Primarily peptide–MHC

Can differ from conventional αβ recognition



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TABLE 2a. Mechanisms of Initial TCR Diversity

Mechanism

Description

Somatic recombination (V(D)J)

Randomly rearranges receptor gene segments

Combinatorial diversity

Different combinations of V, D, and J segments

Random nucleotide addition

Adds nucleotides at gene-segment junctions

Junctional diversity

Additional receptor variation produced at joining sites

Location

Thymus

Result

Millions of different TCR specificities

Remember: Somatic recombination and V(D)J recombination refer to the same process. Random nucleotide addition increases diversity further.

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TABLE 3. MHC Class I vs. MHC Class II

Feature

MHC Class I

MHC Class II

Expression

Nearly all nucleated cells

Primarily professional APCs

Antigen source

Primarily intracellular proteins

Primarily extracellular proteins

Antigen processing

Cytosolic pathway

Endosomal/lysosomal pathway

Recognized by

CD8+ T cells

CD4+ T cells

T-cell subset

Cytotoxic T cells

Helper T cells

Additional role

Provides inhibitory signals to NK cells

Presents antigens to helper T cells

Memory trick: CD4 × MHC II = 8; CD8 × MHC I = 8.

The intracellular/extracellular distinction is a useful general immunology connection; the lecturer primarily emphasized MHC distribution and CD4/CD8 matching.

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TABLE 4. CD4+ vs. CD8+ T Cells

Feature

CD4+ T Cell

CD8+ T Cell

Name

Helper T cell

Cytotoxic T cell

Coreceptor

CD4

CD8

MHC recognition

MHC II

MHC I

Main function

Coordinates immune responses

Kills infected or abnormal cells

Final developmental stage

Single positive

Single positive

Key concept: T cells become committed to the CD4+ or CD8+ lineage during development in the thymus.

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TABLE 5. Stages of T-Cell Development in the Thymus

Stage

CD4

CD8

Key Concept

Double negative

−

−

Immature thymocyte

Double positive

+

+

Expresses both coreceptors; undergoes selection

Single positive

+ or −

− or +

Committed to helper or cytotoxic lineage

Remember: DN → DP → SP. The lecturer said you do not need to memorize the exact anatomical location of each stage.

<table style="min-width: 100px;"><colgroup><col style="min-width: 25px;"><col style="min-width: 25px;"><col style="min-width: 25px;"><col style="min-width: 25px;"></colgroup><tbody><tr><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p><span style="background-color: transparent;"><strong>Stage</strong></span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p style="text-align: center;"><span style="background-color: transparent;"><strong>CD4</strong></span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p style="text-align: center;"><span style="background-color: transparent;"><strong>CD8</strong></span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p><span style="background-color: transparent;"><strong>Key Concept</strong></span></p></td></tr><tr><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p><span style="background-color: transparent;"><strong>Double negative</strong></span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p style="text-align: center;"><span style="background-color: transparent;">−</span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p style="text-align: center;"><span style="background-color: transparent;">−</span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p><span style="background-color: transparent;">Immature thymocyte</span></p></td></tr><tr><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p><span style="background-color: transparent;"><strong>Double positive</strong></span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p style="text-align: center;"><span style="background-color: transparent;">+</span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p style="text-align: center;"><span style="background-color: transparent;">+</span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p><span style="background-color: transparent;">Expresses both coreceptors; undergoes selection</span></p></td></tr><tr><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p><span style="background-color: transparent;"><strong>Single positive</strong></span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p style="text-align: center;"><span style="background-color: transparent;">+ or −</span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p style="text-align: center;"><span style="background-color: transparent;">− or +</span></p></td><td colspan="1" rowspan="1" style="border-width: 1pt; border-style: solid; border-color: rgb(0, 0, 0); vertical-align: top; padding: 5pt; overflow: hidden; overflow-wrap: break-word;"><p><span style="background-color: transparent;">Committed to helper or cytotoxic lineage</span></p></td></tr></tbody></table><p><span style="background-color: transparent;"><strong>Remember:</strong> DN → DP → SP. The lecturer said you do not need to memorize the exact anatomical location of each stage.</span></p>
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TABLE 6. Positive vs. Negative Selection

Feature

Positive Selection

Negative Selection

Main purpose

Ensure T cells recognize self-MHC

Prevent strong self-reactivity

What is tested?

Ability to recognize self-peptide–MHC

Strength of recognition of self-antigens

Survival outcome

T cells with sufficient recognition survive

Strongly self-reactive T cells are eliminated or diverted

Failure outcome

Death by neglect

Apoptosis or possible Treg development

Importance

Produces functional, MHC-restricted T cells

Promotes central tolerance


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TABLE 6a. TCR Recognition Strength and Outcome

TCR Recognition

Outcome

Explanation

No/insufficient recognition

Death by neglect

Cannot adequately recognize self-MHC

Weak-to-moderate recognition

Positive selection

Receives survival signal

Strong recognition

Negative selection

Potentially self-reactive

Strong recognition with appropriate developmental signals

Possible Treg development

Helps suppress immune responses

Memory trick: Positive selection = keep the useful T cells. Negative selection = remove dangerous self-reactive T cells.

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TABLE 7. Aire, mTECs, and Central Tolerance

Component

Definition

Main Function

mTECs

Medullary thymic epithelial cells

Express tissue-specific antigens in thymus

TSAs

Tissue-specific antigens

Represent proteins normally expressed in other organs

Aire

Autoimmune regulator transcription factor

Promotes expression of tissue-specific antigens by mTECs

Negative selection

Removal of strongly self-reactive T cells

Prevents potentially harmful T cells from maturing

Tregs

Regulatory T cells

Suppress immune responses and help maintain tolerance


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TABLE 7a. How Aire Supports Central Tolerance

  1. Aire in mTECs

    • Promotes tissue-specific antigen expression

  2. Self-Antigen Presentation

    • Developing T cells encounter self-antigens

  3. Negative Selection

    • Strongly self-reactive T cells are identified

  4. Central Tolerance

    • Reduces the risk of autoimmunity

Key concept: Aire allows developing T cells to be tested against antigens from tissues throughout the body, even though development occurs in the thymus.

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TABLE 8. Central vs. Peripheral Tolerance

Feature

Central Tolerance

Peripheral Tolerance

Location

Primary lymphoid organs

Outside primary lymphoid organs

T-cell location

Thymus

Peripheral tissues and secondary lymphoid organs

Timing

During lymphocyte development

After lymphocytes leave primary organs

Main purpose

Eliminate/control self-reactive cells during development

Control self-reactive cells that escape central tolerance

Mechanisms emphasized

Negative selection; Treg development

Additional control of self-reactive cells

Failure can lead to

Autoimmunity

Autoimmunity

Remember: Central tolerance is not perfect, so peripheral tolerance provides another layer of protection.