The Immunological Synapse

• antibody-mediated and
• cell-mediated

Examples:

• Helper T cells (Th1) with "professional" antigen-presenting cells like dendritic cells and some macrophages [Link]
• Helper T cells (Th2) with B cells [Link]
• Cytotoxic T lymphocytes (CTLs) with their targets [Link]
• NK cells with their targets

Electron microscopy (right) and several types of light microscopy have shown that these interactions involve a tight union between the two types of cells. This has been named the immunological synapse in recognition of the several ways in which it resembles the synapses of the nervous system.

The electron micrograph (courtesy of J. W. Uhr) shows a B cell and T cell bound to each other. The bar = 1 μm.

A number of pairs of molecules participate in the formation of the immunological synapse.

TCR/MHC-peptide pair

• On the T cell, the T-cell receptor for antigen (TCR) bound to
• a Major Histocompatibility Complex molecule on the Antigen-Presenting Cell (APC).
  • For CD4⁺ T cells, the MHC molecules are class II, and the binding is aided by CD4. [View]
  • For CD8⁺ T cells (e.g., CTLs), the MHC molecules are class I, and the binding is aided by CD8. [View]
  • In both cases, the MHC molecule has an antigenic peptide nestled in an exterior groove (MHC-peptide). [View]
• The TCR molecules are tethered by actin filaments in the cytoplasm.
• Several hundred TCR/MHC-peptide pairs are needed to stimulate a naive T cell to begin mitosis, but only 50 or so are needed to activate a "memory" T cell to do its work; that is, to become an effector T cell.

Costimulatory pairs

• The costimulatory molecule CD28 on the T cell bound to
• its ligand, B7, on the APC.

General adhesion molecules

• Leukocyte Function-associated Antigen-1 (LFA-1), an integrin on the T cell, bound to
• InterCellular Adehesion Molecule-1 (ICAM-1) on the APC.

Cytokine receptors

Cytokine receptors also cluster in the synapse (not shown in the diagram) where they are exposed to cytokines secreted into the synapse. Example: if receptors for IFN-γ cluster in the synapse, the T cell is stimulated to to enter the Th1 pathway [Link].

• become activated with various signal pathways turning on new gene transcription;
• release, by exocytosis, the contents of its vesicles:
  • Type 1 helper T cells (Th1): lymphokines like IFN-γ and TNF-β [Link]
  • Type 2 helper T cells (Th2): lymphokines like IL-4, IL-5, IL-10, and IL-13 that stimulate B cells [Link]
  • Cytotoxic T Lymphocytes (CTLs): cytotoxic molecules like perforin and granzymes that kill the target. [Link]

Why an Immunological Synapse?

The molecules released by effector T cells (e.g., interleukins, perforin) are potent cytokines. Confining them to the immunological synapse ensures that they will not act nonspecifically against innocent bystander cells.

Exosomes

• dendritic cells and
• B cells

Antigen-presentation by exosomes may in some cases inhibit — rather than stimulate — an immune response.