Immune Tolerance Flashcards
Why is immune tolerance important?
To shut down an immune response after it is not needed to avoid inflammation and damage to our own tissues
What is autoimmunity?
System of immune responses in an organism against its own cells and tissues, mediated by self antigens
What is the fundamental problem in regulating immune responses?
The imbalance between immune activation and control
How are allergies considered an autoimmune disease?
An allergic response is a harmful immune response to an normally non-harmful antigen which causes tissue damage and disease
What is hypercytokinemia?
A cytokine storm
What is meant by self-limitation?
The immune systems first response is to eliminate the antigen which initiated the response, meaning the first signal for the lymphocytes has been eliminated
What are the three mechanisms which license a cell to respond?
Antigen recognition
Co-Stimulation
Cytokine release
What are the three possible outcomes of an immune response?
Resolution - no damage
Chronic Inflammation - active inflammation and attempts to repair damage
Repair - healing with scar tissue and regeneration
What is meant by self tolerance?
Self Antigens will not cause harm to us
Inducing tolerance may be exploited to prevent…
Graft rejection, treat autoimmune conditions and allergic diseases
What is central tolerance?
The destruction of self- reactive T and B cells in the sites of their production / maturation, before they enter circulation
Where does central tolerance occur?
In the bone marrow and the thymus for B and T cells
What is the central tolerance mechanism for B cells?
if immature B cells in the bone marrow encounter any antigen which can cross link their IgM, then death of that cell is triggered via apoptosis
What is the mechanism for central tolerance for T cells?
If the T cells binds MHC too strong = apoptosis (negative selection)
If the T cell doesn’t bind any MHC = apoptosis
If the T cell binds MHC too weakly, kept
How can a T cell developing in the thymus encounter MHC bearing peptides that might be expressed in other parts of the body?
AIRE is a specialised transcription factor which allows for the expression of genes that are normally expressed in peripheral tissues, so these proteins and therefore peptides can be made and presented to T cells
What does an AIRE deficiency lead to ?
Multi-organ autoimmunity
What is peripheral tolerance?
Ensures that self reactive T and B cells which escaped central tolerance do not cause autoimmunity
How does the high level of IL-2 receptors on Tregs affect peripheral tolerance?
The Tregs therefore soak up the IL-2, meaning other lymphocytes like B cells and T cells cannot get as much IL-2, and therefore are not stimulated to proliferate as much
What are some of the immunosuppresive cytokines that Tregs release?
TGF, IL-10
What are Tregs?
T Regulatory cells which regulate the activation of other T cells
What affect does IL-10 have?
Causes cells to express more death ligands
What affect do Tregs have on DC’s?
They inhibit dendritic cells
What are the two types of Tregs?
Natural Tregs (nTreg) and Inducible Treg (iTreg)