Chapter 18 Flashcards
Disorders caused by abnormal immune responses
are called what?
hypersensitivity diseases. Pathologic
immune responses may be autoimmune responses
directed against self antigens or uncontrolled and
excessive responses to foreign (e.g., microbial)
antigens
Hypersensitivity diseases may result from what?
antibodies that bind to cells or tissues, circulating immune
complexes that are deposited in tissues, or T lymphocytes reactive with antigens in tissues
The effector mechanisms of antibody-mediated
tissue injury are what?
complement activation and Fc
receptor–mediated inflammation. Some antibodies
cause disease by interfering with normal cellular
functions without producing tissue injury
The effector mechanisms of T cell–mediated tissue
injury are inflammatory reactions induced by what?
cytokines secreted mainly by CD4+
TH1 and TH17
cells and cell lysis by CTLs.
The classical T cell–
mediated reaction is delayed-type hypersensitivity,
induced by?
activation of previously primed T
cells and the production of cytokines that recruit
and activate various leukocytes, predominantly
macrophages
The current treatment of autoimmune diseases is
targeted at reducing what?
immune activation and the
injurious consequences of the autoimmune reaction
A future goal of therapy is to inhibit the responses of what?
lymphocytes specific for self antigens
and to induce tolerance in these cells.
Autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, and type 1 diabetes illustrate many of the what?
effector mechanisms that cause tissue injury in
hypersensitivity reactions and the roles of susceptibility genes and environmental factors in the
development of autoimmunity