Immunology Lec 7 Flashcards

1
Q

Lecture 7:

What is central tolerance and where does it occur?

A

Central tolerance occurs in primary lymphoid organs (thymus and bone marrow), where self-reactive T and B cells are deleted or rendered anergic.

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2
Q

What is peripheral tolerance and where does it occur?

A

Peripheral tolerance occurs outside primary lymphoid organs and involves mechanisms like anergy, deletion, and regulatory T cell (T-reg) induction.

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3
Q

Describe the process of central tolerance in the thymus.

A

In the thymus, T cells undergo positive selection (interaction with MHC) and negative selection (elimination of self-reactive T cells).

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4
Q

How are self-reactive B cells handled in the bone marrow?

A

In the bone marrow, B cells encountering self-antigens become anergic.

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5
Q

What are the mechanisms of peripheral tolerance?

A

Mechanisms of peripheral tolerance include anergy (self-reactive T and B cells become inactive without co-stimulatory signals), deletion (apoptosis of self-reactive cells), and regulatory T cells (T-reg) suppression of immune responses to self-antigens.

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6
Q

What role do CD4+CD25+ T-reg cells play in immune tolerance?

A

CD4+CD25+ T-reg cells prevent other T cells from attacking self-antigens, maintaining tolerance.

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7
Q

What is FOXP3 and its significance in autoimmunity?

A

FOXP3 is a transcription factor crucial for T-reg function. Its deficiency leads to autoimmunity.

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8
Q

Name an autoimmune disorder associated with hyperthyroidism.

A

Graves’ Disease is an autoimmune disorder associated with hyperthyroidism caused by autoantibodies to TSH receptors.

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9
Q

What causes Hashimoto’s Thyroiditis?

A

Hashimoto’s Thyroiditis is caused by antibodies and T cells attacking thyroid tissues, leading to hypothyroidism.

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10
Q

Which cells are targeted in Type 1 Diabetes Mellitus?

A

In Type 1 Diabetes Mellitus, T cells attack insulin-producing cells in the pancreas.

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11
Q

What is the immunological target in Multiple Sclerosis?

A

In Multiple Sclerosis, T cells target CNS neurons leading to demyelination.

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12
Q

What causes inflammation and joint damage in Rheumatoid Arthritis?

A

In Rheumatoid Arthritis, autoantibodies against joint antigens cause inflammation and joint damage.

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13
Q

What autoantibodies are involved in Systemic Lupus Erythematosus (SLE)?

A

Autoantibodies against DNA and other nuclear components are involved in Systemic Lupus Erythematosus (SLE), leading to systemic inflammation.

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14
Q

How do genetics influence autoimmunity?

A

Genetics influence autoimmunity, with HLA associations with diseases (e.g., HLA-B27 with ankylosing spondylitis).

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15
Q

Why are females generally more susceptible to autoimmune disorders?

A

Females are generally more susceptible due to hormonal influences.

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16
Q

What environmental triggers can lead to autoimmune responses?

A

Infections, such as Epstein-Barr virus, can trigger autoimmune responses.

17
Q

Explain molecular mimicry in the context of autoimmunity.

A

Molecular mimicry occurs when pathogens have antigens similar to self-antigens, triggering an autoimmune response.

18
Q

What is the consequence of defective clearance of apoptotic cells?

A

Defective clearance of apoptotic cells can lead to autoantibody production.

19
Q

What are the pathophysiological manifestations of chronic inflammation in autoimmune diseases?

A

Continuous immune response causes chronic inflammation and organ damage.

20
Q

What is the aim of treatment for autoimmune diseases?

A

The aim of treatment is to suppress the immune response and manage symptoms.