LA 5: Autoimmunity Flashcards

1
Q

Are auto b and t cleks common

A

Yes. We just have ways to control them which is lost in autoimmjne diseases

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2
Q

Give some organ specific aids

A

Graves diesease, ms, type 1 d

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3
Q

Give some systemic aids

A

Ra, sle

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4
Q

Are aids ab or t cell mediated

A

Blth and usuallt th17 or th1 if t cell mediated

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5
Q

What causes the innate and adaptice in aids

A

Pamps on harmless self proteins

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6
Q

Explain graves disease (type II response)

A

Its auto ab mediated. An auto ab which binds the tsh recltor of thuroid and mimics the efect of tsh causinf excessive thyroid hormone release. This is because thyroid levels cant influence auto ab levels only tsh levels

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7
Q

Which other ttpe II reaponse is there where auto ab against ach recpeotsa on muscle causing internalisation so no muscle contraction

A

Myasthenia gravis

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8
Q

How would you study ab and determine if they cause phenotypes

A

Taken from blood snd purified, either use weatern blot to aee bindinf to self or inject into kouse and see change in phenotypes

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9
Q

Other than changing molecular mechanisms wg in graves, what other parhogenic effect do auto ab have

A

Desteuction or self cells

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10
Q

Haemolytic disease is an example ot cell desteucrion, give another

A

Thrombocytopenic purpura - auto ab against platelets

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11
Q

What type of sumptoms does immune thrombocytopenic purpura have

A

Bleeding from blood bessels causing brusing and rashes

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12
Q

What is another parhogenic effect of auto ab

A

Ic formation in type III wg in sle

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13
Q

Why arw ic depsoits systemic in type IiI

A

Necause ab are against nuclear ag which wre expressed on most cells/ in most cells wg dna. Forming immune complexes all over

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14
Q

What happens if ic deposited in blood bessels

A

Leakint and rashes appear

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15
Q

Auto ab eg in graves can cross placenta and cause same aid in baby. What is given to remove these

A

Blood transfusion

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16
Q

What mouse models for ms and t1d for auto reactive t cell disease

A

Eae and nod for diabetes

17
Q

What are auto t cells against in ms

A

Myelin basic protein MBP. On neurones

18
Q

What causes the initial issue in ms

A

Infiltratiom of auto t cells into privileged site cns where it encourters ag

19
Q

What types of cells are apc in ms which bind the mbp for auto t activation

A

Microglial cells

20
Q

What happens onfe auto t activated

A

Inflammstion and demyelination

21
Q

What types of cells are reaponsbible for b cell destruction

A

Auro cd8 wctivated by auto th1 cells recofnsiing b cell peptides

22
Q

Explain ra being an auto t cell mediated response

A

T cells infiltrate synovial membrnae and react wirht hinfs like collagen in caetilage. This causes a th1 eeaponse via apc like macrophages and then tnf a etc release causes mmp and rank L release causinf breakdown of cartilage and bones

23
Q

Which auto ab in ra werent found ti produce the illness

A

Rf and acpa