Autoimmune Disease Flashcards

1
Q

Physiology of Autoimmunity Prevention.

A

During B/T cell Development, there is usually a process of selection whereby cells reactive to self antigens are eliminated or kept in check (self-tolerance).

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2
Q

Aetiology of Autoimmunity.

A
  1. Breakdown of mechanisms that maintain self-tolerance = activation of self-reactive clones of B/T cells.
  2. Generation of autoantibodies and/or cell-mediated responses to self-antigens.
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3
Q

What is Autoimmune Disease?

A

Humoral and/or Cell-Mediated Responses to self-antigens associated with pathological changes.

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4
Q

Investigation of Autoimmune Serology.

A

Identification and measurement of serum autoantibodies for diagnostic purposes e.g. ANA.

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5
Q

Which antibodies are associate with Coeliac Disease?

A
  1. IgA EMA Antibodies.

2. IgA tTG Antibodies.

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6
Q

Which antibodies are associated with Atrophic Gastritis?

A

Anti-Gastric Parietal Cell Antibodies.

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7
Q

Which antibodies are associated with Pernicious Anaemia? (2)

A
  1. Anti-Gastric Parietal Cell Antibodies.

2. Anti-Intrinsic Factor Antibodies.

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8
Q

Which antibodies are associated with Primary Biliary Cirrhosis? (2)

A
  1. Anti-Mitochondrial Antibodies.

2. Anti-PDH (M2) Antibodies.

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9
Q

Which antibodies are associated with Autoimmune Hepatitis?

A

Anti-Smooth Muscle Antibodies.

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10
Q

Which antibodies are associated with Goodpasture’s Syndrome?

A

Anti-GBM (Glomerular Basement Membrane) Antibodies.

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11
Q

Which antibodies are associated with GPA (Granulomatosis with Polyangiitis / Wegener’s) and EGPA (Eosinophilic / Churg-Strauss’)?

A

Anti-PR3 (c-ANCA) Antibodies.

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12
Q

Which antibodies are associated with Microscopic Polyangiitis, Crescenteric Glomerulonephritis, EGPA?

A

Anti-MPO (p-ANCA) Antibodies.

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13
Q

Which antibodies are associated with Anti-Phospholipid Syndrome?

A

Anti-Cardiolipin Antibodies.

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14
Q

Which antibodies are associated with Autoimmune Bullous Skin Disease (Pemphigus/Pemphigoid)?

A

Anti-Skin Antibodies.

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15
Q

Which antibodies are associated with Addison’s disease?

A

Anti-Adrenocortical Antibodies.

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16
Q

Which antibodies are associated with Sjogren’s?

A
  1. Anti-SSA (Ro).

2. Anti-SSB (La).

17
Q

Which antibodies are associated with Rheumatoid Arthritis?

A

Anti-CCP (Cyclic Citrullinated Peptide) Antibodies.

18
Q

Which antibodies are associated with Myasthenia Gravis?

A

Anti-Acetylcholine Receptor Antibodies.

19
Q

Investigations of Autoimmunity.

A
  1. Detect Autoantibodies in BLOOD SAMPLE.

2. Detect Autoantibodies in TISSUE BIOPSY.

20
Q

How can Autoantibodies be detected in a blood sample? (3)

A
  1. Indirect Immunofluorescence.
  2. ELISA.
  3. Immunoblotting (using anti-human Ig).
21
Q

How can Autoantibodies be detected in a tissue biopsy? (1)

A
  1. Direct Immunofluorescence.