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IMMUNOLOGY 2013
R.SURESH
PAMPs
PATTERN RECOGNISING RECEPTORS
EPITHELIUM AS A BARRIER
TRANS ENDOTHELIAL MIGRATION
CHEMOATTRACTANTS
CHEMOTAXIN
• 1. TNF
• 2.IL-8
• 3.PAF
• 4.LEUKOTRIENE B4
• 5.C5a
• 6.NEUTROPHIL CHEMOTACTIC
FACTOR
• 7.IL-1
• 8.INF-gamma
• 9.nFMLP
SOURCE
• MO
• PMN,ENDO CELLS
• MANY CELLS
• SERUM/PLASMA
• MAST CELLS
• B-CELLS, MO
• ACTIVATED T-CELLS
• BACTERIA
PRIMING
BYSTANDER DAMAGE
FUNCTIONS
• 1.PHAGOCYTOSIS
• 2.SECRETION OF INFLAMMATORY CYTOKINES
• 3.CLEARENCE OF DEBRIS
• 4.RESOLUTION (TISSUE REMODELLING )
• 5.ANTIGEN PRESENTATION
1.PHAGOCYTOSIS
CLEARING THE DEBRIS
N K CELLS
FROM INNATE TO ADAPTIVE
ANTIGEN PRESENTING CELLS
ANTIGEN
PRESENTATION
MACROPHAGE
DENDRITIC
CELLS
B-
LYMPHOCYTES
MAJOR HISTOCOMPATIBILITY
COMPLEX
MHC I
• ALL CELLS EXCEPT
RBC
MHC II
• 1.LANGERHANS CELL
• 2.MACROPHAGE
• 3.B-CELLS
LANGERHANS CELL
DENDRITIC CELLS
DENDRITIC CELL TRAFFICKING
IS INNATE IMMUNITY
INFERIOR ?
ADAPTIVE IMMUNITY
PERIODONTAL PATHOGENIC ADAPTIC
IMMUNE RESPONSE ( PPAIR )
3 IMPORTANT CHARACTERSTICS OF
ADAPTIVE
SELF RECOGNITION
SPECIFICITY
MEMORY
T-cell & B-cell development
T-LYMPHOCYTES
RECEPTORS / CO-RECEPTORS
ANTIGEN PRESENTATION
DC PRESENTATION
SIGNAL 1
SEQUENCE
• SIGNAL-1 ----- MHC,CD3
• CO STIMULATION ----- CD28 --- B7 CD80/86
• ACTIVATION INDUCED CELL DEATH (AICD)
CONTROL CTLA4(CYTOTOXIC T LYMPHOCYTE
ANTIGEN 4
• LATE CO STIMULATOR --- INDUCIBLE CO
STIMULATOR (ICOS ),INTEGRIN,LFA-1
SIGNAL 2 (co – stimulatory molecules )
• T(Th ) – helper cells
• T(Tc) -- cytotoxic cells
• T (Treg) – Regulatory t-cells
• T (Th) Th1
• Th2
• Th17
• Th22
• Th9
T-Lymphocytes
TH 1
• Protect against intracellular pathogen
• Promote cell mediated immunity
• Produce interferons
• Macrophage & NK cell activation –
phagocytosis – complement fixation –
opsonisation
• Induce antibody switching in B- cells leading to
production of IgG2a
TH1 CELLS
IL-12
& IFN Th1
DC/NK
TH2
• Protection against parasitic
helminths/extracellular organisms
• Produce IL-4 ,IL-5 & IL-13
• Activate eosinophils & mast cells
• Immunoglobulin class switching
Naïve T
cells/mast
cells/macrophage
IL-4 Th2
TH1/TH2
• Adoptive transfer of specific T helper type 1 or
type 2 cells into nude rats .
• In these experiments, T helper type 2 cells were
found to protect the periodontal tissues from
destruction by bacterial infection while the type 1
cells did not.
• Furthermore, antibodies to P. gingivalis reduced
the virulence of this pathogen in animal models .
• Immune modulation can be achieved
either by using
• 1) immunization protocols that would
favor a T helper type 2 response
(primary immune response)
• 2) by introducing T helper type 2
cytokines directly in the local lesion
(secondary immune response).
CYCLIC SITE
SPECIFIC EPISODIC
TH1/TH2
GENETIC
SYSTEMIC
LOCAL
FACTORS
TH22
• High production of IL-22
• Low production of IL-17 & IFN
• Cells localised in the epithelium and involved in the
production of defensins.
TH9
• TGF & IL-4 inducing
• Can affect TNF.IL-1 ,IL-17 &IFN , TH-17 &Treg
cells
WHY SHIFT IN THE Th PARADIGM
• 1.Many cytokines origin cannot be explained by
Th1&2
• 2.Certain species produce only IL-17
• 3.Resistance to certain diseases inspite of Th1&2
• 4.PGE2 increase IL-23 & inhibit IL-12
• 5.No consensus on Th1&2 and disease
progression
• 6.Associated bone loss
Th17
SIGNATURE CYTOKINE IL-17A
INITIATION
TGF +IL-6+IL-1
EXPANSION
IL-21 & IL-
23
SECRETE
IL-17,IL-17F,IL-
22,IL-6,TNF
17A ----17 F
• The IL-17 family play a role in a number of
diseases
• Rheumatoid arthritis
• Pulmonary disease
• Lupus
• Multiple sclerosis
• IBD
TH17 in periodontitis
• Pro – and anti inflammatory property
• Stimulate epithelial,endothelial
&fibroblast to produce IL-6,IL-8 & PGE2
• Primary source of RANKL
BORDERING ADAPTIVE & INNATE
Th17
PMN
ENDOTHELIAL
CELLS
FIBROBLAST
RANKL
CYTOTOXIC (KILLER )
T LYMPHOCYTES
• Tc1 -- IFN ,TNF
• Tc2 -- IL-4 ,IL-5
• SUPRA MOLECULAR ACTIVATION CLUSTER (SMAC )
• Actin reorganisation
• Position lytic granules to the target cell contact site
• Perforin form pores
• Granzyme enter & cleaves
• Involve cell surface receptors ( FAS ligand –FasL )
• FasL – Fas – FADD -- CASPASE
B- cells
• B cells divided into B-1a & B-1b
• B-1a express CD5 .Specific sites . Early T –cell independent
• Low affinity
B1a --- from peripheral blood of patients with auto immune
diseases
• Produce IgM autoantibodies
• Marker of susceptibility
• No decrease in level after therapy
B2 --- from bone marrow .CONVENTIONAL B
CELLS.
T-dependent
Yield isotype swiched high affinity memory
cells & plasma cells .
Periodontitis have B-1a & B-2 .
Internalization of antigen by Ig receptor
RECOGNITION OF ANTIGENS
SOMATIC HYPERMUTATION
ACUTE LESION
STABLE LESION
TH1 PREDOMINANT
• IFN ENHANCE THE
PHAGOCYTIC ACTIVIT
OF PMN & MO
• CONTAINMENT OF
INFECTION
• LESION PERSISTS DUE
TO CONTINUOUS
FORMATION OF PLAQUE
PROGRESSIVE LESION
IF THE INNATE IS POOR ,LOW
IL-12 PRODUCED
,SUPPRESSING TH1
RESPONSE
• TH2 LESION
• B CELLS PLASMA CELLS
• POOR TH1 RESPONSE
,MAST CELL STIMULATION
OF IL-4 =WILL ENCOURAGE
TH2 RESPONSE. , B CELL
ACTIVATION AND ANTIBODY
PRODUCTION
AUTO IMMUNITY
Collagen I
Desmosomes
Anti neutrophil cytoplasmic antigen
HSP60 --- GroEL
REGULATORY T -CELLS
• Suppresses the activation of other cells in
contact dependent or independent manner .
• Interact with both Th1 & Th2 effectoer T
cells and suppress both.
• Which can be thru” APC or direct T-T
interactions
TWO MECHANISMS FOR SELF TOLERANCE
:
1.RECESSIVE
2.DOMINANT
REGULATORY T CELLS
IMMUNE TOLERANCE
RECESSIVE (CELL INTRINSIC )
• 1.Apoptosis of lymphocytes when exposed to self
• 2.Receptor Editing
• 3.Anergic (functionally inactivated )
• 4.Inhibitory receptors/negative signaling (which
increase tha activation threshold )
DOMINANT / CELL EXTRINSIC
• REGULATORY CELLS
• A) Natural --- TREG (CD 25 +CD4 +Foxp3)
Induced by TGF
• B)Adaptive -- Tr1 & Th3 ( CD4 +CD25CTLA-4 (–
Foxp3)
Tr1 induced by IL-10
Tr1 promote tolerogenecity
TREG IN PERIODONTITIS
• Nakajima et al. discovered that CD4+ CD25+ regulatory T
cells were present in all healthy ⁄ gingivitis lesions,
although at lower levels than in periodontitis lesions. The
authors speculate that in gingivitis lesions, regulatory T
cells control the immune pathology so as to avoid
periodontal tissue destruction, whereas in established
periodontitis lesions, the regulatory T cells may be
recruited into the lesions in an attempt to suppress
tissue destruction through putative autoimmune
mechanisms via a negative feedback system.
OSTEOIMMUNOLOGY
A
AR
O
N
&
C
H
OI
20
00
AARON &
CHOI 2000 OSTEOBLAST
IL-18
MO
Th17 AND BONE
• 1.Expressed higher level of RANKL than Th1
• 2.Decrease OPG expression
• 3.With TNF α it increases bone resorption
INNATE INDUCED
• 1.IL-1
• 2.PGE2
• 3.TNF
IMMUNE INDUCED
STEM CELLS & Th subset
• In vitro & in vivo studies have indicated that
GMSC could significantly inhibit Th17 cells and
simutaneously promote xpansion of nTreg.
STEM CELLS AND Th17/TREG
MSC ON DENDRITIC CELL
• INTERFERE WITH MATURATION OF DC BY
DOWN REGULATING CD1a,HLA- DR,CD80,86
INNATE
ACQUIRED
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Editor's Notes

  1. Pathogen-associated molecular patterns (PAMPs) are small molecular motifs conserved within a class of microbes, but not present in the host. They are recognized by toll-like receptors (TLRs) and other pattern recognition receptors (PRRs) in both plants and animals.