Autoimmune diseases Flashcards
Conditions where damage results from autoantibody or autoreactive cells
autoimmune diseases
Self-tolerance in the immune system
Ability to accept self-antigen and not initiate a response
General signs of autoimmune diseases
Decreased regulatory cells, increased autoantibody complex, increased antigen-autoantibody complex, increased complement proteins
Types of tolerance
Central (bone marrow, thymus) and Peripheral (spleen, lymph nodes, secondary lymph organs)
Viral or bacterial antigens resembling self-antigens
Molecular mimicry
Molecular mimicry example: Polio virus VP2 resembles
acetylcholine
Molecular mimicry example: Measles virus P3 resembles
myelin basic protein
Molecular mimicry example: Papilloma virus VP2 resembles
insulin receptors
Microorganism-induced inflammatory response activating T cells effect
Bystander effect
Super antigens role in autoimmune diseases
Bind to both MHC Class II and TCRs, regardless of antigen specificity
Characteristic of Systemic Lupus Erythematosus (SLE)
Immune complex disease with overproduction of autoantibodies
Key diagnostic feature of SLE
Butterfly rash (Red wolf) on face
Laboratory diagnosis of SLE
Presence of anti-nuclear antibodies and complement proteins (C3)
Le cells seen in SLE
PMN leukocytes with ingested LE bodies in rosette formation
Drugs associated with lupus
Procainamide, Hydralazine, Chlorpromazine, Isoniazid, Quinidine
Targets of antinuclear antibodies
dsDNA, ssDNA, histones, nucleosomes, centromere proteins, extractable nuclear antigens (ENAs)