Autoimmunity Flashcards
What is autoimmunity?
Immune response against the host due to the loss of immunological tolerance of self-antigen(s)
What is autoimmune disease?
Disease caused by tissue damage or disturbed physiological responses due to an auto-immune response
What is the clincal pattern of autoimmune disease?
Can be organ specific- self antigens within one single organ
or non- organ specfic- wide distribution of self antigens
What are immune mechanisms of tissue damage?
Autoantibodies
Autoreactive T cells
What are some examples of autoantibodies mechanism of tissue damage?
Complement activation
Antibody-mediated cell cytoxicity
Neutrophil activation
What are some examples of autoreactive T cells mechanism of tissue damage?
Cytotoxic cells
Macrophages
What is the set of criteria for the diagnosis of an autoimmune disease?
Presence of autoantibodies/autoreactive t cells
levels of autoantibodies collerate with disease severity
Autoantibodies/ autoreactive T cells found at the site of tissue damage
Transfer of autoantibodies or autoreactive T cells to a healthy host induces the autoimmune disease
Clinical benefit provided by immunomodulatory therapy
Family history
What can transfer during pregnancy through the placenta?
IgG
Is detecting autoantibodies 100% accurate?
No
How does autoimmunity because autoimmune disease?
Breakdown of central tolerence
Breakdown of peripheral tolerence
Activation of autoreactive B cells
What triggers autoimmunity?
Affected siblings have increased risk
AIRE mutation
Autoimmune disease associated with MHC variants
Hormones, injections drugs
What autoimmune disorders can be infection-induced?
Rhematic fever
Guillain-Barre syndrome
Diabetes type 1
What autoimmune sydromes can be drug induced?
Myasthenis gravis
Pemphigus
Systemic lupus erthematosus
Haemolytic anaemia
What are some therapeutic strategies for autoimmune disease?
plasma exchange
Immunosuppresent drugs
Anti-inflamattory drugs
Replacement therapy surgery
Future- monoclonal antibodies
If your twin has an autoimmune disease how likely are you to and why?
35x
Not 100% due to environmental factors not just genetic