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WHAT HAS TO HAPPEN TO CLEAR A VIRAL INFECTION?? IMMUNE RESPONSES

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WHAT HAS TO HAPPEN TO CLEAR A VIRAL 

INFECTION??

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INNATE COMPONENT 

•  Recognition of PAMP’s by PRR’s•  Induction of the “anti-viral” state by Type1 IFN’s

•  NK cell activation and cytolysis

•  Complement

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ADAPTIVE IMMUNITY

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Goldsby, Immunology, 5th ed.

COMPARISON OF INNATE AND ADAPTIVE IMMUNITY 

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days

virus

Efficient response to an acute infection depends on

coordination of both innate and adaptive responses 

7 2114

innate  adaptive 

INNATE AND ADAPTIVE IMMUNITY ARE BOTH 

REQUIRED FOR VIRAL CLEARANCE 

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THE ADAPTIVE (ACQUIRED) IMMUNE RESPONSE 

•  humoral response:actions of serum and lymph proteins

•  cellular response:actions of specific helper and effector cells

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PLAYERS IN HUMORAL AND CELLULAR IMMUNITY 

Humoral Cellular 

Goldsby, Immunology, 5th ed.

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WHAT HAS TO HAPPEN TO CLEAR A VIRAL 

INFECTION??

1.  Recognize infection2.  Activate adaptive immune response

a)  T cells (Cellular)

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REQUIREMENTS TO INITIATE A T CELL RESPONSE 

Activation of T cells is a 3-step process…1. TCR/MHC/peptide recognition

2.  Co-stimulatory signals

•  T cell: CD28

•  APC: B7 (CD80/86

3.  Cytokine mediated differentiation

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IMPORTANT RECEPTORS ON T CELLS 

Th: Helper T cell Tc: Cytotoxic T cell

TCR: T cell receptor 

CD4: co-receptor (MHCII)

CD8: co-receptor (MHCI)Goldsby, Immunology, 5th ed.

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TCR’S RECOGNIZE PEPTIDE PRESENTED BY MHC 

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presents endogenous antigenproteins synthesized in an infected cell

- CD8 T cell restricted

MHC I 

presents exogenous antigens proteins

or antigens endocytosed from outside

the cell

- CD4 T cell restricted

MHC II 

ANTIGEN PRESENTATION

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Cells presenting both

MHC I and MHC II:

Dendritic cells

macrophages

B-cells

Cells presenting MHC I:

all nucleated cells

ANTIGEN PRESENTING CELLS (APCs)

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ANTIGEN PRESENTING CELLS 

Dendritic cells, macrophages, B cells"

-  Immature APCs patrol tissues and collect antigen"-  Rapidly recognize danger through expression of PRRs"-  Mature APCs migrate to lymphoid organs and activate

specific T cell response"-  Bridge between innate and adaptive immunity "

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presents endogenous antigenproteins synthesized in an infected cell

- CD8 T cell restricted

MHC I 

ANTIGEN PRESENTATION

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cytosol

cytosol

cell

surface

MHC

class I

AG PRESENTATION BY MHC CLASS I

(infected cell)

TAP

transporter 

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AG CROSS-PRESENTATION BY MHC CLASS I (APC)

Immunology and Cell Biology (2008) 86, 353–362

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presents exogenous antigens proteinsor antigens endocytosed from outside

the cell

- CD4 T cell restricted

MHC II 

ANTIGEN PRESENTATION

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Ag

MHCII

AG PRESENTATION BY MHC CLASS II

(APC)

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IMPORTANCE OF CO-STIMULATORY MOLECULES 

Activation of T cells is a 3-step process…1.  TCR/MHC/peptide recognition

2. Co-stimulatory signals•  T cell: CD28

•  APC: B7 (CD80/86)

3.  Cytokine mediated differentiation

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Adapted from Nature Reviews Immunology 4, 24-35 (January 2004)

DENDRITIC CELL MATURATION:

REQUIREMENT FOR CO-STIMULATION 

Immature DC

No B7 expression

Low MHCII expression

Mature DC

B7 expressed

High MHCII expression

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Co-stimulation is essential  for differentiation of 

effector T cells

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GRANZYMEB MEDIATED TARGET CELL KILLING USES 

PERFORIN 

Goldsby, Immunology, 5th ed.

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Naïve CD4+ Th0

Effector Th1 OR Th2 (balance determines disease outcome) 

Memory CD4 T cellsGoldsby, Immunology, 5th ed.

ROLE OF CD4 T CELLS 

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CD8

“help” for CTLs

via cytokines

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IL-2 signals from nearby Th1 cells “help”

CTL differentiation and proliferation

TCR/CO-STIM ACTIVATION OF CD4 TH CELLS 

Goldsby, Immunology, 5th ed.

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CYTOKINE MEDIATED T CELL DIFFERENTIATION 

•  Activation of T cells is a 3-step process…1.  TCR/MHC/peptide recognition

2.  Co-stimulatory signals

•  T cell: CD28

•  APC: B7 (CD80/86)

3. Cytokine mediated differentiation

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BALANCE BETWEEN CELLULAR (TH1) AND 

HUMORAL (TH2) RESPONSES 

TH1 TH2

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TH1 TH2

BALANCE BETWEEN CELLULAR (TH1) AND 

HUMORAL (TH2) RESPONSES 

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TH1 TH2

BALANCE BETWEEN CELLULAR (TH1) AND 

HUMORAL (TH2) RESPONSES 

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TH1 TH2

BALANCE BETWEEN CELLULAR (TH1) AND 

HUMORAL (TH2) RESPONSES 

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TH1 TH2

BALANCE BETWEEN CELLULAR (TH1) AND 

HUMORAL (TH2) RESPONSES 

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REQUIREMENTS FOR INITIATING A T CELL RESPONSE 

Activation of T cells is a 3-step process…1.  TCR/MHC/peptide recognition

•   APC’s present multiple peptides

•  T cells specifically recognize unique non-self peptide

2.  Co-stimulatory signals•  T cell: CD28

•  APC: B7 (CD80/86)

•  Co-stim signals NECESSARY for T cell priming,

 proliferation and acquisition of effector function3.  Cytokine mediated differentiation

•  Determines T H 1 versus T H 2 response

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WHAT HAS TO HAPPEN TO CLEAR A VIRAL 

INFECTION??

1.  Recognize infection2.  Activate adaptive immune response

a)  T cells

b)  B cells (Humoral)

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Goldsby, Immunology, 5th ed.

HUMORAL IMMUNITY 

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ANTIBODIES 

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B CELL ACTIVATION 

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“help” for B-cells

via cytokines

IL-4

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Janeway, Immunobiology, 6th ed.

1 - Ag/Ab cross-linking

2 - CD40/CD40L interactionwith Th cell

IL-4/CD40 IL-5/IL-6

B CELL ACTIVATION ALSO REQUIRES A SECOND SIGNAL 

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• Can be localized toinfection site and

inhibit infection• IgA in mucosal

secretions

• Inhibition of viralattachment

• Inhibiton of viral entry

• Opsonization

• Complement

mediated lysis

(enveloped)

ROLE OF B CELLS/HUMORAL IMMUNITY IN VIRAL INFECTION 

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CELLULAR AND HUMORAL IMMUNITY 

- Putting it all together 

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WHAT HAS TO HAPPEN TO CLEAR A VIRAL 

INFECTION??

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WHAT HAS TO HAPPEN TO CLEAR A VIRAL 

INFECTION??

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LYMPHOCYTE CLONAL EXPANSION AND MEMORY GENERATION 

Goldsby, Immunology, 5th ed.

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weeks

T cells

virusAb

Efficient response to an acute infection involves innate, 

cellular  and humoral responses

NK cells IgG

IgM

VIRAL CLEARANCE AND GENERATION OF MEMORY 

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Memory is specific and results in more robust

response with subsequent exposureGoldsby, Immunology, 5th ed.

ADAPTIVE RESPONSE RESULTS IN GENERATION OF MEMORY 

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WHY IS MEMORY “BETTER”?

• Higher frequency of Ag specific T and B cells

•  Primed for quick response

•  Memory T cells do not require co-stimulation for 

activation

•  Tissue localization

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• Adaptive response: pliable, flexible

•  Multiple antigens presented on a single APC

•  Single lymphocyte = monospecific response

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• Clonal selection and expansion of virus-specificB and T cells

•  The host repertoire: genetic differences

•  Recognition of antigen: specific, pluripotent

•  Amplification of virus specific cells

•  Somatic mutation in B cells: refinement

•  Immune memory

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• Specific recognition of Antigen

•  Clearance of Antigen

•  Memory of Antigens

P

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PATTERNS OF INFECTION AND THEIR RELATIONSHIP 

TO IMMUNE DEFENSES 

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weeks

CTLs

virus

Ab

Brief course; virus eliminated within days.

ACUTE INFECTION AND CLEARANCE OF VIRUS 

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weeks

CTLs

virus

Ab

No clearance of virus, lack of immune response

Ex: measles/SSPE, arenaviruses

PERSISTENT INFECTION 

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1) Acute infection

2) Immune reactivation and apparent clearance

3) Virus goes into hiding

• herpesvirus: latency in neurons

4) Virus is reactivated at later time.

LATENT INFECTION 

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Hallmarks: very slow replication

Low/no immune response

Ex: Scrapie, Kuru, Bovine Spongiform

Encephalopathy

“SLOW” INFECTION