Immune Tolerance Flashcards

1
Q

What causes auto immune diseases

A

No known causes, one susceptibility reasons

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2
Q

What property of the adaptive immune system causes these diseases to be chronic?

A

Memory

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3
Q

What are the three outcomes for immature lymphocytes that bind strongly to self antigen in primary lymphoid organs?

A

Apoptosis Bcr editing, t regs

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4
Q

What. Happens to mature reactive cells in the periphery

A

’ inactivated- anergy
Deleted apoptosis
Suppressed by treg

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5
Q

What allows thymic epithelial cells to express all antigen

A

‘AIRE- allows for clonal deletion ( central tolerance)

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6
Q

Production of natural t reg cells relay on expression of what?

A

Fox p3

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7
Q

What are the markers for tregs

A

CD 4
CD 25
Fox p3
CT LA 4

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8
Q

What is the purpose of T regs

A

Prevent auto immune reactions

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9
Q

What type of T cells regulate in the periphery

A

Induced T regs

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10
Q

What must be p resent to induce fox p3 in inducible T cells in periphery?

A

TGF-b

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11
Q

Describe what is need ed to induce differentiation into iT reg versus th17

A

In lymph node

, Itreg needs TGFb and IL-2
T17 needs TGFb and Il 6 and IL 1

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12
Q

How do t regs promote peripheral tolerance

A

Directly block apc ability to activate T cells
Prevent T cells from helping with B cell affinity mat and switching
Prevent CD 4 and 8 from differentiating into effector cells

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13
Q

Where do B cells expressing bcr for self antigen under go editing?

A

Bone marrow

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14
Q

What chain undergoes editing if B cells are self reactive?

A

Light chain

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15
Q

What inhibitory receptor on B cells is involved in induction of peripheral b tolerance to self antigen

A

CD22

Activate recruit SHP-1 tyrosine phosphotase which turns off b c cell s’ignaling

Binds Salic acid which is only on human cells

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16
Q

What is the only genetic defect that increases chances of a defect in central tolerance

A

AIRE

17
Q

Describe the effect of AIRE mutation

A

APS- autoimmune polyendocrine syndrome

Decreased exposure to self antigen in thymus and marrow

Don’t deletion reactive t and b cells mostly T

18
Q

What causes SLE

A

Gene mutations in C1 c2 and. C4-stimulates autoantibodies
Cannot clear immune complexes, antibody issues with self B cells