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T cell domains 684 T cell priming<br />

cortex to the medulla. As maturation proceeds, CD4 – /<br />

CD8 – (double-negative) T cells develop into CD4 + /CD8 +<br />

and become CD4 – /CD8 – or CD4 – /CD8 + single-positive<br />

T cells. Somatic rearrangement of variable, diversity (β),<br />

and joining gene segments in the area of C gene segments<br />

leads to the production of functional genes that encode<br />

TCR γ and δ polypeptides. Many T cell specificities result<br />

from the numerous combinations possible for joining<br />

separate gene segments in addition to various mechanisms<br />

for junctional diversity. Somatic rearrangement<br />

of germline genes is also responsible for the functional<br />

genes that encode TCR α and β polypeptides. While fewer<br />

V genes are in the γ and δ loci and junction diversity is<br />

greater, the mechanisms to produce γδ diversity resemble<br />

those for the αβ receptor. A few cortical thymocytes<br />

express γδ receptors. Thereafter, a line of developing T<br />

lymphocytes expresses numerous αβ TCR receptors. The<br />

β chains appear first, followed by α chains of TCRs. The<br />

β chain associates with an invariant pre-T α surrogate α<br />

chain. Signals transduced by the pTαβ receptor facilitate<br />

expression of CD4 and CD8 and facilitate expansion of<br />

immature thymocytes. CD4 + /CD8 + cortical thymocytes<br />

first express αβ receptors. Self major histocompatibility<br />

complex (MHC) restriction and self tolerance develop as<br />

consequences of the interactions of cortical epithelial cells<br />

and nonlymphoid cells derived from the bone marrow that<br />

both express MHC. This leads to selection of T cells to<br />

be saved. During positive selection, CD4 + /CD8 + TCR αβ<br />

thymocytes recognize peptide–MHC complexes on thymic<br />

epithelial cells with low avidity. This saves them from<br />

programmed cell death (apoptosis). Recognition of self<br />

peptide–MHC complexes on thymic antigen-presenting<br />

cells with avidity by CD4 + /CD8 + TCR αβ thymocytes<br />

leads to apoptosis. Most cortical thymocytes are killed<br />

during selection. The αβ thymocytes that remain undergo<br />

maturation and proceed to the medulla, where they<br />

become CD4 + /CD8 – or CD4 – /CD8 + single-positive cells.<br />

During residence in the medulla, they become helper or<br />

cytolytic cells prior to their journey to the peripheral lymphoid<br />

tissues, where they function as self MHC-restricted<br />

helper T cells or precytotoxic T lymphocytes capable of<br />

responding to foreign antigen.<br />

T cell domains<br />

Specific areas in lymph nodes and other lymphoid organs<br />

where T lymphocytes localize preferentially.<br />

T cell growth factor (TCGF)<br />

Refer to interleukin-2 (IL2).<br />

T cell growth factor 1<br />

Interleukin-2 (IL2).<br />

T cell growth factor 2<br />

Interleukin-4 (IL4).<br />

T cell help<br />

Facilitation through cytokines and costimulatory signals or<br />

B cell and cytotoxic T cell activation by T helper cells. Th1<br />

and Th2 cytokines facilitate antibody isotype switching in<br />

B cells.<br />

T cell hybridomas<br />

The immortalization of normal T lymphocytes by fusion<br />

with continuously replicating tumor cells. Fusion randomly<br />

immortalizes T lymphocytes regardless of their<br />

antigen specificity and genetic restrictions to form a T cell<br />

hybridoma. This represents one of two methods to isolate<br />

and propagate T cell lines in clones of defined specificity.<br />

The other technique is to span clones of normal immune<br />

T lymphocytes stimulated with appropriate antigens and<br />

antigen-presenting cells. The hybridoma technique has an<br />

advantage over T cell cloning in the relative ease in securing<br />

relatively large numbers of T cells of interest and their<br />

biologically active products. Lymphokines and other regulatory<br />

molecules along with their nRNA and DNA represent<br />

T cell hybridoma products. This technology has facilitated<br />

evaluation of T cell receptors and their antigen recognition<br />

mechanisms. The adoptive (passive) transfer of autoantigenspecific<br />

T cell hybridomas in mice can induce autoimmune<br />

diseases.<br />

T cell immunodeficiency syndrome (TCIS)<br />

Decreased immune function as a consequence of complete<br />

or partial defects in T lymphocyte functioning.<br />

Patients develop recurrent opportunistic infections and<br />

may manifest cutaneous anergy, wasting, diminished life<br />

expectancy, growth retardation, and increased likelihood<br />

of developing graft-vs.-host disease. They may<br />

have serious or even fatal reactions following immunization<br />

with BCG or live virus vaccines and face increased<br />

likelihood of malignancy. T cell immunodeficiencies are<br />

usually more profound than B cell immunodeficiencies<br />

and have no effective treatment. This group of disorders<br />

includes thymic hypoplasia (DiGeorge syndrome), cellular<br />

immunodeficiency with immunoglobulins, and defects of<br />

T lymphocytes caused by deficiency of purine nucleoside<br />

phosphorylase and lack of inosine phosphorylase.<br />

T cell-independent (TI) antigen<br />

An immunogen that is simple in structure, often a polysaccharide<br />

such as the polysaccharide of the pneumococcus,<br />

a dextran polyvinyl hooter, or a bacterial lipopolysaccharide.<br />

This antigen elicits an IgM response only and fails to<br />

stimulate an anamnestic response. It is not found in most<br />

pathogenic microbes.<br />

T cell leukemia<br />

Adult T cell leukemia/lymphoma.<br />

T cell leukemia viruses<br />

Retroviruses such as HTLV-I (human T lymphocyte virus<br />

I) that induce human T cell leukemia, and HTLV-II, which<br />

has been associated with hairy cell leukemia.<br />

T cell lymphoma (TCL)<br />

Neoplastic proliferation of T lymphocytes diagnosed by<br />

determining whether rearrangement of the genes encoding<br />

the T lymphocyte receptor β chain has occurred.<br />

T cell maturation<br />

Refer to thymus cell differentiation figure.<br />

T cell migration<br />

Cells leaving the thymus migrate to all peripheral lymphoid<br />

organs seeding in the T-dependent regions of the lymph<br />

nodes and spleen and at the peripheries of lymphoid follicles.<br />

The rate of release of thymocytes from the thymus<br />

increases markedly after antigenic stimulation. The patterns<br />

of migration of T cells and B cells have been studied by<br />

adoptive transfer of labeled purified cells into irradiated<br />

syngeneic mice matched for age and sex.<br />

T cell non-antigen-specific helper factor<br />

A substance that provides nonspecific help to T lymphocytes.<br />

T cell priming<br />

Mature naïve T cell stimulation by antigen presented to<br />

them by professional antigen-presenting cells.

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