Immune Tolerance Flashcards

1
Q

What is immune regulation?

A

Control of the immune response to prevent inappropriate reactions

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2
Q

What is immune regulation required to do?

A

Avoid excessive lymphocyte activation and tissue damage

Prevent inappropriate reactions against self antigens

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3
Q

What is autoimmunity?

A

Immune response against self antigens or microbial antigens

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4
Q

What causes autoimmunity?

A

Imbalance between immune activation and control —> failure of control mechanisms

Susceptibility genes + environmental influences

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5
Q

Why are many immunological diseases chronic and self-perpetuating?

A

Attacking self-antigen there is always more antigen to attack

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6
Q

What is allergy?

A

Harmful immune responses to non-infectious antigens that cause tissue damage and disease

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7
Q

What can allergy be mediated by?

A

Antibody (IgE) and mast cells —> acute anaphylactic shock

T cells —> delayed type hypersensitivity

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8
Q

What is hypercytokinemia and sepsis?

A

Too much immune response

Often in a positive feedback loop

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9
Q

What is hypercytokinemia and sepsis triggered by?

A

Pathogens entering the wrong compartments (sepsis)

Failure to regulate response to correct level

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10
Q

What are the 3 phases of cell mediated immunity?

A

Induction

Effector

Memory

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11
Q

What happens in the induction stage in cell mediated immunity?

A

Cell infected

Dendritic cell (DC) collects material

Loads it onto MHC

Moves into lymph nodes

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12
Q

What happens in the effector stage of cell mediated immunity?

A

Present antigen through MHC to T cells —> recognise specific MHC complex

Get activated and expand clonally

Effector T cells return to site of infection —> elicit response

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13
Q

What happens in the memory stage of cell mediated immunity?

A

Infected cells cleared —> T cells move into contraction phase —> shut down immune response

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14
Q

How is the immune response self-limiting?

A

Decline of immune response due to the response of the eliminating agent that initiated the response

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15
Q

What 3 signals are required to license a response?

A

Antigen recognition

Co-stimulation

Cytokine release

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16
Q

How are the responses against pathogens declined as the infection is eliminated?

A

Apoptosis of lymphocytes that lose their survival signals

Memory cells are the survivors

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17
Q

How are responses to persistent antigens limited?

A

Active control mechanisms —> ‘tolerance’

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18
Q

What are the 3 possible end responses of an infection?

A

Resolution —> no tissue damage, return to normal, phagocytosis of debris my macrophages

Repair —> healing with scar tissue and regeneration

Chronic inflammation —> active inflammation and attempts to repair damage ongoing

19
Q

What is tolerance?

A

Specific unresponsiveness to an antigen that is induced by exposure of lymphocytes to that antigen

20
Q

What is the significance of immunological tolerance?

A

All individuals are tolerant of their own antigens —> breakdown results in autoimmunity

Therapeutic potential —> restoring tolerance may be exploited to prevent graft rejection, treat autoimmune and allergic diseases

21
Q

At what two times does tolerance occur?

A

Before T or B cells ever enter the circulation —> central

Once in the circulation —> peripheral

22
Q

What happens in central tolerance?

A

Lymphocytes that recognise self antigens are eliminated or made harmless in the generative organs as part of the maturation process

23
Q

Why delete cells before circulation?

A

Function of the way the immune restore is generated

24
Q

How are B cells centrally tolerated?

A

If immature B cells in borne marrow encounter antigen in a form which can cross link their IgM —> apoptosis is triggered

25
How are T cells centrally tolerated?
T cell selection occurs in the thymus Need to select for T cell receptor that’s capable of binding self MHC T cell receptor don’t bind to any self-MHC —> death by apoptosis T cell binds too strongly to self-MHC —> apoptosis triggered - negative selection T cell bins=do weakly to self-MHC —> signal to survive - positive selection
26
What is AIRE?
Autoimmune regulator A specialised transcription factor that allows thymidine expression of genes tat are expressed in peripheral tissues —> promotes elf tolerance by allowing the tunic expression of genes from other tissues
27
What happens in peripheral tolerance?
Destroy or control any self reactive T or B cells which enter the circulation
28
What are the 3 pathways activated B cells can undergo?
Antibody production Memory Affinity maturation —> recognise antigen and change shape of antibody to better bind to it
29
How can affinity maturation cause autoimmunity?
Normally good but exposure to environmental antigens or self antigens in context of infections can alter the outcome
30
Mechanism of peripheral tolerance - what is anergy?
Naive T cells need co-stimulatory signals in order to become activated Most cells lack co-stimulatory proteins and MHC class II If naive T cells sees firs MHC w/out appropriate costimulatory protein —> becomes anergic —> deactivated Less likely to be stimulated in future
31
Mechanism of peripheral tolerance - what is ignorance?
Antigen may be present in too low a conc. to reach the threshold for T cell receptor triggering Happens in immunologically privileged sites —> T cells never sees antigen so can ‘ignore’ it Also happens in compartmentalisation of cells and antigens —> T cell never encounters antigen so never becomes reactive
32
Mechanisms of peripheral tolerance - antigen induced cell death
Activated through the T cell receptor can result in apoptosis Influenced by the nature if the initial T cell activation events In peripheral T cells —> often caused by induction of expression of the death ligand —> Fas ligand
33
What are Treg cells?
Sunset of helper T cells that inhibit other T cells and other cells
34
What are some of the defining features of Treg cells?
CD4 High IL-2 receptor (CD25) Foxp3 transcription factors
35
What are some mechanics of Treg cells?
Secretion of immune-suppressive cytokines Inactivation of dendritic cells or responding lymphocytes
36
What do mutations in FoxP3 lead to?
Severe and fatal autoimmune disorder -immune dysregulaton, Polyendocrinopathy, Enteropathy X linked (IPEX) syndrome
37
What does the IL-10 cytokine do?
Key anti-inflammatory cytokine Multi-functional —> acts on a range of cells Block pro-inflammatory cytokine synthesis Downregulates macrophage functions Viral mimics
38
Who do Tregs only exist in mammals?
Critical when mother is exposed to antigens often expressed in context of MHC I in baby —> half of baby’s from dad so foreign
39
What is ‘natural’ regulatory T cells?
Development in thymus requires recognition of self antigen during T cell maturation Residues in peripheral tissues to prevent armful rations against self
40
What are inducing regulatory T cells?
Develop from mature CD4 T cells that are exposed to antigen in periphery —> no role for thymus May be generated in all immune responses to limit collateral damage
41
What are cytokines?
They program immune response —> focus it for the right kind of response Can be inflammatory or anti-inflammatory
42
What are chemokines?
Drive movement around the body Act like address labels sending stuff to the right place Receptor profile change with activation state of the cells
43
What is cross regulation in regards to T cells?
T helper type is defined by transcription factors —> Cytokines shape transcription factor pathways Cross regulation is where cytokine response from 1 type of Th cell will shutdown the response of other Th cell types
44
How do T cells help[ improve the function of antibodies?
Different antibody classes have different constant regions which is important for their functions Difference in function reflect the different types of response required to clear pathogens There are a number of gene cassettes that can be swapped in and out T cell produce cytokines which programme B cells to activate gene factors to switch Ig classes