Steps in cell mediated immunity
1. Antigen-presenting cells with foreign antigens on MHC-II markers bind to specific helper T cells in lymph nodes
2. Helper T cells undergo clonal selection and expansion, forming effector and memory T cells
3. Helper T cells secrete interleukins (cytokines) to stimulate immature T cells
4. Immature cytotoxic T cells bind to self-cells with abnormal foreign MHC-I markers or APC displaying foreign antigens (MHC-II markers for APC, MHC-I for other infected cells)
5. Cytokines from helper T cells stimulate cytotoxic T cells to proliferate, forming activated and memory cytotoxic T cells through clonal selection and expansion
6. Cytotoxic T cells destroy infected cells through apoptosis