USMLE (Fach) / Immunology (Lektion)
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Differentiation of T cells
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Positive selection: Thymic cortex. T cells expressing TCRs capable of binding self-MHC on cortical epithelial cells survive.
Negative selection: Thymic medulla. T cells expressing TCRs with high affinity for self antigens undergo apoptosis or become regulatory T cells. Tissue-restricted self-antigens are expressed in the thymus due to the action of autoimmune regulator (AIRE); deficiency leads to autoimmune polyendocrine syndrome-1.
Lymph node:Helper T cell → IL-12, IFN-γ → Th1Helper T cell → IL-2, IL-4 → Th2Helper T cell → TGF-β, IL-6 → Th17Heper T cell → TGF-β → Treg
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