Immunological Tolerance And Autoimmunity (Ch. 9) Flashcards

1
Q

Define immunological tolerance

A

A lack of response to Self-Ag that is induced by exposure o lymphocytes to these Ag.

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2
Q

What are Ag called that induces tolerance

A

Tolergenic

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3
Q

Define central tolerance

A

Developing lymphocytes meet Self-Ag in central lymph organs

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4
Q

Define peripheral tolerance

A

Mature lymphocytes meet self-Ag in secondary lymph nodes

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5
Q

Immature T-cells in Central Lymph organs get a strong TCR reaction to self-Ag, what happen

A

Apoptosis

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6
Q

Define AIRE

A

Protein responsible for expression of peripheral Self-Ag into the thymus

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7
Q

What does a mutation in AIRE cause

A

Autoimmune polyendocrine syndrome - Self-Ag are not expressed in thymus by APC, thus T-cells self-react

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8
Q

Self-reaction in peripheral lymp[h organs is suppressed by what

A

Regulatory T-cells

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9
Q

How does DC and T-cell react in terms of co-factors

A

DC has B7 and T-cell expressed CD28 to meet it

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10
Q

How does CTLA-4 work

A

Removes B7 from APC, thus stopping co-factors and stimulating anergenic cell

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11
Q

How does PD-1 work

A

Contains ITIMS that stops signals within T-cells

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12
Q

How do regulatory T-cells stop auto-immunity

A

When Tc recognized self-ag in thymus, transcription factors FoxP3 is initiated, turning T-cell into regulatory T-cell which expresses CD 25 and IL-2

This then inhibits the cells

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13
Q

What is IPEX

A

An autoimmune disease caused by a mutation of the FoxP3 gene

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14
Q

What are two other ways Self-Ag recognized cells can die

A
No-costimulators 
Death domains (initiated by FasL on TC and Fas)
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15
Q

Define receptor edits in B-cell self-Ag recognition

A

Immature B-cells express RAG which then allows for recombinant LC switching

This leads to receptor editing which allows the B-cells to ignore self-ag

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16
Q

B-cells that have a strong what are alos killes

A

Strong-self-ag recognition

17
Q

In peripheral Lymph Organs, how are B-cells kept from recognizing self ag

A

Mature B-cells without THC stimuli die

18
Q

Self-reactive lymphocytes usually result from what

A

A gene disorder

19
Q

Ankylosing spondylitits acts on what gene

A

HLA-B27

20
Q

RA acts on what gene

A

HLA-DRB 01/04/10

21
Q

Type I DB acts on what gene

A

HLA-DRB 0301/0401

22
Q

What does ALPS affect

A

FAS