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Molecular Biology of the Cell by Bruce Alberts, Alexander Johnson, Julian Lewis, David Morgan, Martin Raff, Keith Roberts, Peter Walter by by Bruce Alberts, Alexander Johnson, Julian Lewis, David Morg

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T CELLS AND MHC PROTEINS

1333

Figure 24–41 Positive and negative

progenitor cell

selection in the thymus. Developing

thymocytes with TCRs that would

potentially enable them to respond to

peptides in association with self MHC

DIVERSIFICATION OF T CELL RECEPTORS (TCRs) ON DEVELOPING THYMOCYTES

proteins after they leave the thymus are

positively selected: the binding of their

TCRs to self peptides bound to self

MHC proteins in the thymus signals such

cells to survive, mature, and migrate to

TCRs with no TCRs with two strong TCRs with appropriate

peripheral lymphoid organs. All of the other

recognition of recognition of

recognition of

thymocytes undergo apoptosis—either

self MHC +

self MHC +

self MHC +

self peptide

self peptide

self peptide

because they do not express TCRs that

recognize self MHC proteins with self

peptides bound or because they recognize

such complexes too well and undergo

negative selection.

The regulatory T cells (T reg cells) that

DEATH BY NEGATIVE SELECTION POSITIVE SELECTION

are positively selected in the thymus are

DEFAULT

(signaled death)

(signaled survival)

called natural T reg cells to distinguish them

from induced T

SURVIVAL,

reg cells, which develop

MATURATION,

in peripheral lymphoid organs from naive

and EMIGRATION helper T cells (T H cells), as we discuss

shortly.

apoptotic cell

T H T H T C T C T reg T reg

no TCRs

expressed

DEATH BY

DEFAULT

T cells in peripheral lymphoid organs

proteins on the surface of insulin-secreting β cells in the pancreas. Any failure to

do so would result in the T‐cell-dependent destruction of the β cells and, as a consequence,

cause type 1 (or juvenile) diabetes.

The mechanism that enables the deletion of all such cells in the thymus

depends on a subpopulation of epithelial cells in the thymus that express a transcriptional

regulator called MBoC6 AIRE m25.64/24.43

(autoimmune regulator). By a poorly understood

mechanism, the AIRE protein promotes the production of small amounts

of mRNA from many genes that encode such “organ-specific” proteins, including

the insulin gene. When the peptides derived from the proteins encoded by these

genes are bound by MHC proteins and displayed on the surface of the epithelial

cells in the thymus medulla, this is sufficient to provoke the deletion of the potentially

self-reactive thymocytes. Mutations that inactivate the AIRE gene cause a

severe multiorgan autoimmune disease in both mice and humans, indicating the

importance of AIRE in self-tolerance.

Cytotoxic T Cells Induce Infected Target Cells to Kill Themselves

Cytotoxic T cells (T C cells), like the NK cells discussed earlier, protect us against

intracellular pathogens, including viruses, bacteria, and parasites, that multiply

in the cytoplasm of a host cell. T C cells kill infected host cells before the pathogen

can escape to infect neighboring host cells. Before it can kill, however, a naïve

T C cell has to become an effector cell by activation on an APC, usually an activated

dendritic cell that has pathogen-derived peptides bound to class I MHC

proteins—a process that depends on helper T cells. The effector T C cell can then

recognize any target cell harboring the same pathogen and expressing some of

the same peptide–MHC complexes on its surface: its TCRs cluster, along with CD8

co-receptors, adhesion molecules, and intracellular signaling proteins (discussed

later), at the interface between the two cells, forming an immunological synapse.

In this process, the effector T C cell reorganizes its cytoskeleton to focus its killing

apparatus on the target cell, secreting its toxic proteins into a confined space

(Figure 24–42); in this way, it avoids killing neighboring cells. A similar synapse

forms when an effector helper T cell interacts with its target cell, except that the

co-receptor is CD4 (Movie 24.11).

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