Autoimmune Disease Flashcards

1
Q

Mutation or knockout of which gene causes IPEX disease and what are the resulting effects?

A

9Foxp3

decreased function of Treg cells, CD4 and CD25

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2
Q

what inhibitory cytokines do Treg cells release

A

IL-10 IL-35 and TFGb

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3
Q

aside from releasing inhibitory cytokines, what other funtions do Treg cells have?

A

they inhibit effector T cells, release Granzymes against apoptotic effector cells, target DCs to inhibit their maturation and function

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4
Q

which organ does Pemphigas vulgaris effect

A

skin

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5
Q

what drugs are used to treat Pemphigus Vulgaris

A

corticosteroids and immunosupressive drugs such as rituximab

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6
Q

what are the initial effects of pemphigus vulgaris

A

erosion of the mucosa- loss of epithelial cell adhesion causing detachment of cells. IgG and complement target desmosomes (structures required for cell adhesion)

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7
Q

which class of hypersensitivity reactions does pemphigus vulgaris belong to

A

type 2 hypersensitivity

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8
Q

which proteins are targeted by antibodies in pemphigus vulgaris

A

Dsg1 and Dsg3

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9
Q

what are the symptoms of pemphigus vulgaris

A

blistering of the epidermis

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10
Q

in which country is the edemic form of pemphigus foliacious found

A

brazil

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11
Q

what are antibodies produced against in the autoimmune disease Lupus erythematosus

A

nuclear antigens

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12
Q

what are the triggers for chronic discoid Lupus erythematosus

A

Uv light, infection, cold, stress

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13
Q

what are the symptoms of neonatal LE

A

skin rash, congenital atrioventricular block, thrombocytopenia, leukopenia and anaemia

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14
Q

how do neonates develop LE

A

acquire it transplacentally

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15
Q

why is rapid and efficient clearance of apoptotic debris key to preventing autoimmune disease

A

as failing this autoantigens become accesible to the immune system resulting in an immune response

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16
Q

how does degregulated apoptosis lead to immune response

A

DCs take up autoantigen and activate t cells and Bcells. B cells release antibodies whihc bind self nucleosomes

17
Q

which interleukin promotes apotosis in LE

A

IL-18

18
Q

which cytokine reduces the effects of the IL which induces apotosis in LE

A

TNFa

19
Q

what treatment is used for LE

A

protection from UV, immunosupression and chloroquine