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Immunology · Introduction to Immunology

T lymphocytes

T-lymphocytus

T lymphocytes are key cells of the immune system that provide antigen-specific recognition and the execution of cellular immune responses. They develop in the thymus and are subdivided into several subpopulations, the main ones being T helper cells and cytotoxic T lymphocytes.

Blood proportionAbout 73% (55–85%) of the total number of all lymphocytes.
LifespanNaive αβ T cells live from several months to several years.
Site of maturationThymus — a primary lymphoid organ.
Naive markerCD45RA — distinguishes cells that have not yet contacted an antigen.
6 min readFor medical studentsUpdated Sep 25, 2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Main T lymphocyte subpopulations

"Classical" αβ T cells make up the overwhelming majority (85–90%) and circulate in the bloodstream, settling in secondary lymphoid organs (primarily in the T zones of lymph nodes and spleen). They are divided into two main fractions depending on coreceptors and their assigned tasks:

  • CD4+ T lymphocytes (T helper cells). They recognize antigenic peptides in complex with MHC class II molecules. Their main task is to provide auxiliary signals for the activation of macrophages and B lymphocytes. Contact of these cells with dendritic cells triggers a T-dependent immune response.
  • CD8+ T lymphocytes (cytotoxic T lymphocytes, CTLs, T killer cells). They recognize the antigen presented by MHC class I molecules. They perform the function of destroying cells carrying a foreign or altered antigen.

In addition, there is a separate developmental branch — γδ T cells (10–15%). They have a limited receptor diversity (TCR), do not require antigen presentation via MHC molecules, and are localized mainly in mucous membranes (barrier tissues).

Natural regulatory T cells (Treg)

This is a specific, antigen-independent subpopulation originating from CD4+ cells.

Their main function is the prevention of autoaggression. They control and suppress the activity of autospecific T lymphocyte clones that mistakenly escaped deletion in the thymus and entered the periphery, and can also limit any other forms of immune response.

Key markers of such cells include the intracellular factor FOXP3, and on the membrane — CD25 molecules (at high density) and CTLA-4 (CD152).

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Development and markers

The maturation process of T lymphocytes takes place in the unique microenvironment of thymic epithelial cells. Differentiation takes longer than that of B lymphocytes because it requires fine-tuning of the antigen-recognizing apparatus — the T-cell receptor (TCR).

Important molecules are present on the surface of mature T cells:

  • The TCR–CD3 complex. At the same time, there are 10 times more CD3 molecules on the membrane than the TCRs themselves.
  • Coreceptors CD4 or CD8, which determine the direction of the cell's function.
  • The costimulatory molecule CD28.

Naive cells that have not yet encountered "their" antigen are characterized by the expression of molecules that help them migrate: L-selectin (CD62L) and the chemokine receptor CCR7, as well as integrins (LFA-1, VLA-4). The survival of these cells heavily depends on interleukin-7 (IL-7) and basic signals from the TCR.

Lymphocyte recirculation

T lymphocytes are constantly in motion, patrolling the body. Their route is as follows: lymphoid organ $\rightarrow$ lymph $\rightarrow$ bloodstream $\rightarrow$ postcapillary venules $\rightarrow$ return to the lymphoid organ.

The strict direction of this movement is ensured by the interaction of chemokine receptors and adhesion molecules on the cell surface with corresponding structures in the tissues. This guarantees that T cells get precisely to the areas of lymphoid organs where they are needed. After contacting an antigen, some cells are diffusely distributed in non-lymphoid barrier-type tissues (skin, mucous membranes).

Briefly: answers to topical questions

What main subpopulations are CD4+ T helper cells divided into depending on the cytokines they produce?

The main adaptive subpopulations of CD4+ T helper cells include Th1, Th2, Th17, and Treg, as well as additional ones (Th9, Th20, TFH). Depending on the produced cytokines, the following are distinguished:

  • Type 1 T helper cells (Th1) — secrete IFNγ, IL-2, IL-3, TNFα, TNFβ, GM-CSF. The key cytokine is IFNγ.
  • Type 2 T helper cells (Th2) — secrete IL-4, IL-5, IL-6, IL-9, IL-11, IL-13, IL-21, IL-25, IL-10, IL-3, GM-CSF. The key cytokine is IL-4.
  • Type 9 T helper cells (Th9) — specialize in producing IL-9.
  • Type 20 T helper cells (Th20) — specialize in producing IL-20.
  • Regulatory T cells (Treg) — produce inhibitory cytokines TGFβ, IL-10, IL-35.

What stages of maturation do T lymphocytes go through in the thymus?

In the thymus, T lymphocytes undergo sequential stages of maturation, accompanied by changes in the expression of CD4 and CD8 markers:

  • Double-negative cells (DN1–DN4) — CD4 and CD8 are absent.
  • Immature single-positive cells (ISP) — an intermediate stage.
  • Double-positive cells (DP) — simultaneously express CD4 and CD8.
  • Single-positive cells (SP) — mature CD4+ or CD8+ cells; T helper cells and cytotoxic T lymphocytes are formed.

What mechanisms do cytotoxic T lymphocytes (CD8+) use to destroy target cells?

Cytotoxic T lymphocytes destroy target cells by inducing apoptosis using three main mechanisms.

  • Perforin-granzyme pathway (Perforin-granzyme) — release of proteins that disrupt membrane integrity. Perforin forms pores through which granzyme B enters, cleaving caspases.
  • Receptor-mediated pathway (Fas/FasL) — contact interaction of the effector cell membrane ligand with the target receptor, leading to caspase activation without granule exocytosis.
  • Cytokine mechanism (TNF-dependent) — exposure to tumor necrosis factor, which exhibits cytotoxicity upon binding to its receptor.

What are NKT cells and what specific markers characterize them?

NKT cells are a specialized subpopulation of T lymphocytes that combine the phenotypic and functional properties of T cells and natural killer cells. They are characterized by the co-expression of the following specific markers:

  • T cell markers (TCR–CD3) — antigen-recognizing receptors.
  • Natural killer markers (NK1.1, CD56, CD161) — typical molecules of NK cells, including the NKR-P1 receptor.
  • Activation markers (CD69, CD95, CD44) — indicate an activated cell phenotype.
  • Regulatory receptors (KIR, CD94, NKG2D) — inhibitory and activating receptors.

What molecules make up the T cell receptor complex (TCR complex)?

The T cell receptor complex is a multimolecular structure whose components are linked non-covalently. It includes:

  • T cell receptor dimer (TCR) — the antigen-recognizing part, consisting of variable chains.
  • CD3 complex (CD3) — includes γ, δ, and ε chains containing ITAM activation motifs for intracellular signal transduction.
  • Zeta chain dimer (ζ2) — a homodimer of two ζ chains (or ζη, ζγ heterodimers) containing 3 ITAM motifs each and responsible for signal transmission from the receptor to intracellular kinases.
How to memorize

The rule of eight for MHC recognition: 4 × 2 = 8 and 8 × 1 = 8. That is, CD4+ cells interact with MHC class II, and CD8+ cells interact with MHC class I.

Class and exam questions

What is the difference between CD4+ and CD8+ lymphocytes?

CD4+ (helper) cells recognize antigens in complex with MHC class II and help other cells become activated. CD8+ (cytotoxic) cells recognize antigens within MHC class I and directly destroy targets.

What are NKT cells?

This is a subpopulation of T lymphocytes that develop in the thymus, but at late stages acquire surface markers and certain functions characteristic of natural killer (NK) cells.

What is the function of regulatory T cells?

They suppress the activity of autospecific lymphocytes, protecting the body from its own immune attacks (autoimmune diseases), and control the strength of a normal immune response.

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What else to study on this topic

  • Dynamics of TCR V-gene rearrangement and expression of TdT, RAG, and Notch genes.
  • Stages of thymocyte differentiation: from double-negative (DN1–DN4) to double-positive (DP).
  • Features of the receptor apparatus of γδ T cells and their localization.
  • Structure and cellular composition of primary and secondary lymphoid organs.
  • The role of macrophages in the first line of immune defense and secretion of pro-inflammatory cytokines.

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