IMMUNOREGULATION
Dr. SAFARI WAHYU JATMIKO
The importance of immune
regulation
• To avoid excessive lymphocyte activation and
tissue damage during normal protective responses
against infections
• To prevent inappropriate reactions against self
antigens (“self-tolerance”)
• Failure of control mechanisms is the underlying
cause of immune-mediated inflammatory diseases
Regulation of immune responses
• Magnitude of immune response determined by:
– Ag-driven activation of lymphocytes
– Negative regulatory influences that prevent or
dampen response
• Regulatory mechanisms act at all phases of
immune response
– Recognition
– Activation
– Effector function
Regulation in response
to Antigen
• Recognition:
– in absence of co-stimulation → anergy
(inability to respond)
• Activation:
– with CTLA-4 engagement of CD80/CD86 →
down regulation of Ts (dampens activation)
• Effector function:
– Too much Ag → tolerance (induced state of
unresponsiveness)
Summary: Lack of co-
stimulation can lead to
tolerance (anergy)
Normal
Response Proliferation &
differentiation
CD28 B7
Anergy
Antigen Recognition
without co-stimulation
Regulation by CTLA-4
CTLA4
CTLA4-B7 interaction
B7
Functionally
Activated T cell Unresponsive (Anergic) T cell
Regulatory T cells
From Abbas, Lichtman and Pillai. Cellular and Molecular Immunology 6th ed, 2007
Properties of regulatory T cells
• Phenotype: CD4, high IL-2 receptor
(CD25), low IL-7 receptor, Foxp3
transcription factor; other markers
• Mechanisms of action: multiple
– secretion of immune-suppressive
cytokines (TGF, IL-10, IL-35),
– inactivation of dendritic cells or
responding lymphocytes
Thymic (“natural”) regulatory T cells
(Treg)
• Development requires recognition of self
antigen during T cell maturation
• Reside in peripheral tissues to prevent
harmful reactions against self
Peripheral (adaptive, inducible)
regulatory T cells
• Develop from mature CD4 T cells that are
exposed to persistent antigen in the
periphery; no role for thymus
• May be generated in all immune responses,
to limit collateral damage
• Can be induced in vitro (stimulation of CD4
T-cells in presence of TGF + IL-2)
• What factors determine the balance of
effector cells and Treg?
CD4 T cell subsets: function
Th1 cells (IFN-g)
Host defense: many microbes
Systemic and organ-specific
autoimmune diseases
Th2 cells (IL-4, IL-5)
Host defense: helminths
Allergic diseases
Naïve CD4
T cell
Th17 cells (IL-17)
Host defense: fungi, bacteria
Organ-specific
autoimmune diseases
Regulatory T cells
CD4 subsets: generation and function
Th1 cells (IFN-g)
Host defense: many microbes
Systemic and organ-specific
autoimmune diseases
Th2 cells (IL-4, IL-5)
Host defense: helminths
Allergic diseases
Naïve CD4
T cell
Th17 cells (IL-17)
TGF-IL-2: Host defense: fungi, bacteria
Foxp3, Stat5 Organ-specific
autoimmune diseases
Regulatory T cells