LMP403H – January 30, 2013
EXAM: Shek usually asks multiple choice questions; Ni usually asks short answer questions; M asks short
questions; multiple choice and some short answer
Tolerance = not perfect; maintain “healthy” level
Everyone has autoimmune activity – ex, in Western blot – lots of interaction of own leukocytes and own
antibodies
Understand – SOLID UNDERSTANDING – KNOW VERY WELL
Be familiar – basic understanding
Immunity is defense system – strong immune response needed
Malignant tumours usually occurs past forty years old – young people less likely to develop tumours
typically due to stronger immune surveillance and elimination – cell-mediated immune response
decreases once reach particular age, allowing tumour development
Immune tolerance – if not tolerant of certain antigens, have autoimmune disease – have adaptive
immune system
In short, need immunity and tolerance to be well balanced – this balance in multiple layers – the layers
are not perfect, but in general, it’s fine
Innate immunity – “same” is not identicial but in general the same
Broad diversity – T cell and B cell have large repertoire
B cell plasma mediated antibody generation – humoral response
Metchnikoff – experiment: thorn embedded in starfish; overnight; saw the cells congregating around the
thorn
Both humoral and cellular immunity systems need to be tolerant to avoid autoimmune disease
Innate vs acquired immunity
Platelets – small cells in blood; while circulating, platelets near the vessel walls, while red blood cells,
larger, tend to be in the middle of vessels – so platelets close to site of inflammation –
Platelets contribute to leukocyte migration – move to site of infection
Platelets can direct and destroy bacteria – co-culture bacteria dn platelet, bacteria tries to survive,
platelets tries to destroy the bacteria – important for certain bacterial infections
HIV patients – decreased platelet numbers
Parasites – attack certain parasites, like malaria – transmitted by mosquitoes – live in red blood cells –
once proliferate to certain level, red blood cells burst open
Disease progress – Science 2009 paper – once malaria infected red blood cells, platelets stick to it,
releasing chemicals to induce aptoptosis of malaria-infected cell –
Platelets help lymphocyte homing
CD40 ligand – molecule important for Ig class switching – if animal is deficient in this, difficult to switch
classes – but this knockout mice, transfuse with normal platelets(contain large amount of CD40 ligand),
can help B cell class switch
Platelets contain large amount of TGF beta – positively support inflammation – important to immune
suppressive cytokines – do platelets have immune regulatory function?
Malignant tumour – Cancer Research paper – TGF beta could decrease function of NK cells
Tumour infiltrated lymphocytes – if see many of tehse in tumour area, prognosis is good for patient Usually in early stage of malignant tumour, have these cells proliferating in tumours – anergy – lose
certain function, cannot kill the tumour cells; able to kill in vitro but in vivo, unable to function/kill
tumour cells
Removing tumour may leave behind residual cells – tumour comes back
Able to educate immune system – remove tumour so platelet interaction with malignant tumour could
be new area for development of anti-tumour therapies
Semple paper in Nav Rev Imm – platelets
P-selectin needed in inflammation – mediate tethering of leukocyte – or for T cell/B cell to come to the
site for proliferation
Animal knockouts for P selectin – leukocyte cannot interact with vessel wall – but later, p-selectin is
important to develop TH1 immune response, which is important for cell mediated immunity for anti-
virus, anti-TB, anti-tumour
Ni lab – found fibrinogen (major protein in blood circulation) is ligand of Beta 3 integrin – platelet has
no nucleus but able to de novo synthesize p-selectin – platelets have remaining mRNA that can be
translated into protein – p-selectin important for interacting with lymphocytes, for stem cells, etc.
Platelets affect immune control/modulate/regulate immune response, including tolerance
Platelets in immunology
Innate immunity
Direct interaction with T, B cells, etc. other cells
Express p-selectin and regulate themselves – immunocompetent cells and affect adaptive immunity
Contain large amounts of TGF beta – effect T regulatory cell develop, decrease immune response
Blood paper – 2010 – Cara C. Bertozzi et al.
Platelets regulate lymphatic vascular develppment through CLEC-2-2 SLP-76 signalling
Remove CLEC 2 from platelet surface, these animals cannot separate blood cell vessels vs lymphatic
vessels – if not separated, then not good for immune system
Conglei Li – Advances in Hamtology 2012
Crosstalk between platelets and the immune system
Close to site of inflammation
Interaction between innate-adaptive imunity
TGB – beta – important immunosuppression
Adaptive imunity – immune response is process; immune reactions are once generate antibodies or
cytokines or cells, have action to target – multiple layers of self-tolerance
Opsonisation – antibody bind to macrophage Fc receptor
Crosstalk between the two – mutually help
Emphasize multiple layers –
Cells involved in cellmediated specific immune responses
APC – non professional lead to tolerance; professional lead to immunity
T lymphocytes – Th17 – inflammatory helper cells
Significant T suppressive cells – called regulatory cells – could be positive or negative –
Professional APC – different morphology Tolerance vs immunity
Role of APC
If function too high, lead to autoimmunity
If resting antigen presenting cell, induce tolerance
For anti-microorganisms, and anti-tumour – help lead into tolerance – decrease inflammatory disease
How does APC become mature
Triggered by TLR or adhesion molecues?
Clear evidence that suggest molecules important
In 2006, California San Fran University – observed beta 8 integrins deficient animals develop very severe
autoimmune disease – publish Nature 2007 –
Alpha V beta 8 expressed on DC play important role in autoimmune response
Gamma globulin – IvIg – treat autoimmune disease – if incubate with DC – let DC decrease immune
response to control autoimmune disease to treat patient –
Maturation of DC could affect immune response as well as immune tolerance
Naïve T cells that recognize Ag on the surface of APC and receives
CTL cells could target virus infected cells or CTL cells could target the beta cell in the pancreas islets –
lead to type 1 diabetes – already have CTL cells – important for immune surveillance to target immune
surveillance cell –
TH1 and Th2 immune response important
Th1 – role for ar
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