Textbook
1. Anatomy
2. Microbiology
3. Physiology
4. Pathology
5. Pharmacology
6. Immunology
6.1 T and B lymphocytes
6.2 Immunoglobulins
6.3 T cell activation
6.4 Pathways of antigen processing
6.5 Hypersensitivity
6.6 Innate immunity
6.7 Immunodeficiency disorders
6.8 Complement deficiencies
6.9 Transplant rejections
6.10 Blood transfusion reactions
6.11 Additional information
7. Biochemistry
8. Cell and molecular biology
9. Biostatistics and epidemiology
10. Genetics
11. Behavioral science
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6.1 T and B lymphocytes
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6. Immunology

T and B lymphocytes

Both T and B lymphocytes originate from a common lymphoid progenitor in the bone marrow, but further development of T lymphocytes occurs in the thymus while B lymphocytes develop in the bone marrow (and liver in the fetus).

Development of T cells: Depending on their surface receptors, T cells can be divided into two lineages - alpha, beta T cells and gamma, delta T cells. Alpha, beta T cells are further divided into CD4 and CD8 T cells, depending on the class of MHC that they recognize. CD4 T cells bind to MHC class II while CD8 T cells bind to MHC class I. Early in development, T cells do not express either CD4 or CD8 and are called “double negative” T cells. Thymocytes that express both CD4 and CD8, and are called “double positive” T cells and they are precursors to CD4 and CD8 T cells. Double negative and double positive cells are located in the cortex of the thymus while single positive cells are located in the medulla from where they enter the bloodstream. CD44, c-Kit and CD 25 (receptor for IL 2) are seen in early T cells while CD3 and CD2 are expressed in more mature T cell lineages. Hormones thymosin and thymopoietin help T cell differentiation in the thymus.

Only those thymocytes (T cells) whose receptors can interact with self MHC are selected for survival, a phenomenon called “positive selection”. On the other hand, thymocytes that react against self-antigens undergo “negative selection” and are eliminated. A transcriptional regulator called AIRE or Autoimmune Regulator, enhances the synthesis of an array of self - proteins to be displayed on Thymic epithelial cells which helps in T cell tolerance. Mutations in AIRE cause Autoimmune polyendocrinopathy. Thymic cortical epithelial cells have branching processes that make contact with developing T cells and expose them to MHC molecules, playing an important role in positive selection. Dendritic cells regulate negative selection of self-reactive T cells… Mature, single positive CD4 or CD8 T cells then leave the thymus. CD4+ T cells are also called helper T cells while CD8+ T cells are called cytotoxic T cells.

The CD4 molecule is composed of four domains - D1,2,3 and 4. Domains D1 and D2 are involved in binding to the MHC class II molecule. A CD8 molecule is a heterodimer of one alpha and one beta chain or two alpha chains that are linked to each other. CD8 binds to alpha 3 domain on MHC I. CD4 and CD8 act as co-receptors and bind to MHC II or I, respectively. This binding is essential for an effective immune response.

Development of B cells: Bone marrow stromal cells are essential in the early stages of B cell development. Stromal cells secrete several growth factors like stem cell factor, cytokines and adhesion molecules to help B cell differentiation. Immature B cells have IgM on their surface while mature B cells have IgM and IgD on their surface. B cell surface proteins CD45R and CD19 are expressed in all stages of B cell development. Self-reactive B cells undergo clonal deletion.

B cell development
B cell development

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