Lesson 20 of 20
What we can say, and what we cannot
Twenty lessons summarised · what this course never touched · where to go next
We covered one thing. The place where a TCR and an HLA meet. Not how the receptor gets built, not how the fragment gets into the groove.
Here is what came out of that one place.
Twenty lessons in three sentences
Come back to this cell whenever you lose track of where a number came from.
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What we can say, and what we cannot
We can say
· which domain HLA polymorphism sits in
· how little the loop a coreceptor grabs varies
· how many rows of each plate and fragment this table holds
· how many fragments a given CDR3β spans
· roughly what share of people a set of plates covers, from cited frequencies
· how little the loop a coreceptor grabs varies
· how many rows of each plate and fragment this table holds
· how many fragments a given CDR3β spans
· roughly what share of people a set of plates covers, from cited frequencies
We cannot say
· how tightly any given TCR actually binds (we never measured KD)
· the true size of cross-reactivity (we only know what was tested)
· which fragments would be immunogenic (we predicted nothing)
· whether a therapy will work in a given patient
· what any of it looks like (we used no structural coordinates)
· the true size of cross-reactivity (we only know what was tested)
· which fragments would be immunogenic (we predicted nothing)
· whether a therapy will work in a given patient
· what any of it looks like (we used no structural coordinates)
The right-hand box is longer. That is normal.
Where to go next
| What you want more of | Where it lives |
|---|---|
| How the receptor gets built — V(D)J recombination and the repertoire | "T Cell Receptors and the Repertoire, First Steps" |
| How a fragment reaches the groove — proteasome, TAP, neoantigens | "Antigen Presentation and Neoantigens, First Steps" |
| What switches on afterwards — PD-1, CTLA-4, checkpoint drugs | "Immune Checkpoints and Immunotherapy, First Steps" |
| The life and subsets of a T cell — naive, memory, exhausted | "T Cells, First Steps" |
| How a tumour gets away — the whole map of escape | "Tumour Immune Evasion, First Steps" |
All five branch off the same point as this course. Whichever way you go, you will keep using the words fragment and plate.
🤔 Check yourself
Which of these did this course not measure?
Answer KD was brought in from the literature in lesson 11. We did not measure it.
🤔 Check yourself
Why does it matter that the loop a coreceptor grabs barely varies?
Answer That is lesson 9's conclusion: the polymorphism is in the groove and not on the platform.
🤔 Check yourself
What warning did this course return to for twenty lessons?
Answer It starts in lesson 6 and arrives at who gets treated in lesson 19.