Immune Tolerance Flashcards

1
Q

Hypercytokinemia and sepsis caused by?

A

Too much immune response in a positive feedback loop

Triggered by pathogens entering the wrong compartments or failure to regulate response to correct level

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2
Q

3 phases of cell mediated immunity?

A

Induction- APC like dendritic cell moves to lymph node
Effector- activated T cells move to affected tissue and carry out action
Memory- contraction phase, memory pool

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3
Q

3 signals required for immunity?

A

Antigen recognition
Co-stimulation
Cytokine release

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4
Q

Tolerance definition?

A

Specific unresponsiveness to an antigen that is induced by an exposure of lymphocytes to that antigen (tolerogen vs immunogen)

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5
Q

B cell central tolerance?

A

If immature B cell, IgM cross links with antigen then apoptosis occurs

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6
Q

T cell negative selection?

A

If T cell binds to self-MHC too strongly then apoptosis occcurs

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7
Q

T cell positive selection?

A

If T cell binds to self-MHC weakly it survives

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8
Q

AIRE function?

A

AutoImmune Regulator promotes self tolerance by allowing thymic expression of genes from other tissues. Mutations in this result in multi-organ autoimmunity

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9
Q

What is peripheral tolerance?

A

Destroying any self-reactive lymphocytes which enter the circulation

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10
Q

How can B cells break tolerance?

A

Somatic hypermutation can occur after leaving the bone marrow, normally good but can be bad

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11
Q

Anergy?

A
Naive T cells need co-stimulatory signals from cells with MHC class II
If a T cell sees an MHC/peptide ligand without any co-stimulatory signals it becomes anergic
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12
Q

Ignorance?

A

Antigen concentration too low for TCR triggering, e.g in eye or brain

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13
Q

AICD?

A

Antigen Induced Cell Death- activation through TCR can result in apoptosis caused by expression of death Fas ligand

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14
Q

What transcription factor do Tregs express?

A

FoxP3

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15
Q

IL-10?

A

Key anti-inflammatory cytokine, down regulates macrophage functions

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16
Q

Why are Tregs needed in mammalian pregnancies?

A

Child has foreign antigens

17
Q

2 types of Tregs?

A

Natural tregs- reside in thymus and reside in peripheral tissues
Inducible tregs- develop from mature CD4 T cells and limit collateral damage

18
Q

Cytokines vs chemokines?

A

Programme immune responses vs drive movement around the body to direct lymphocytes

19
Q

Cross regulation of cytokines and T cells?

A

Cytokines help regulate T cell responses by shaping transcription factor pathways

20
Q

How do cytokines regulate antibody production?

A

They programme B and T cells to produce antibodies, driving Ig class switch by activating transcription factors