Lecture 6: Dynamics of Adaptive Immunity, Autoimmunity and Autoimmune Disease Flashcards

1
Q

What is immunological memory?

A

Immunity mediated by T-cells and B-cells. These cells will provide protection against reinfection.
The response of memory cells will be faster and and more specific to the pathogen that is infecting the host.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three phases of immune response?

A

Innate immunity, involving barriers and non-specific immune cells such as neutrophils.

Early induced innate response, which includes responses such as inflammation and recruitment of adaptive cells.

Adaptive response, this involves lymphocytes and memory cells, helps fight pathogen faster than innate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What happens when the MHCII gene in mice is deactivated?

A

This results in no MHCII protein and therefore, no CD4+ T cells. Without CD4+ T cells, the mice cannot use helper cells to establish an adaptive response and therefore deal with reinfection poorly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What mainly handles the reaction to a secondary infection and subsequent infections involving the same pathogen?

A

Memory lymphocytes are mostly responsible.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the two locations where Memory T cells reside after infection?

A

Memory T cells can reside at the area of infection, these are known as effector memory T cells.

Memory T cells can reside in lymphoid tissues and thus be ‘dispatched’ to other areas of the body.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the difference between memory cells and plasma cells?

A

Plasma cells are terminally differentiated B cells.

CD27 is a marker of human memory B cells.

Memory B-cells need to be reactivated to exert their effects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What forms of hypersensitivity reactions are caused by which immune components?

A

Type I: Antibodies (IgE + Mast cells)

Type II: Cytotoxic (IgG/IgM + complement)

Type III: Immune complexes (IgG/IgM + Antigen

Type IV: Delayed (CD8+ CD4+ (ThI))

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What classifications of autoimmune diseases are there?

A

These diseases are single organ diseases or systemic diseases that can be caused by either genetics or an environmental trigger such as in rheumatoid arthritis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the purpose of tolerance mechanisms in the body?

A

Tolerance systems in the body are designed to prevent autoimmune diseases from developing, by requiring lymphocytes to not react to self antigens in lymphatic nurseries.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How can autoimmune diseases be genetic?

A

The HLA alleles you have can determine the likelihood of developing an autoimmune disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What environmental triggers can cause the development of an autoimmune disease?

A

Mould (mycotoxin)
Asbestos, dioxins, silica, lead.
Drug induced lupus
Silicone
Pesticides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What mechanisms are linked with the development of autoimmune diseases?

A
  • Over-active positive feedback loops
  • Epitope-spreading
  • The Toll hypothesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Explain why over-active positive feedback loops cause autoimmune disease.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Explain how “epitope spreading” can cause autoimmune disease.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Explain what the “Toll hypothesis” is.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What statistical measures are used to determine the usefulness of a test in a diagnosis or prognosis?

A

Sensitivity and specificity.

17
Q

What is sensitivity? (disease diagnosis)

A

The ability to correctly detect a disease ‘indicator’

18
Q

What is specificity?

A

The reliability of the indicator in correctly identifying the disease.

19
Q

What is SLE?

A
20
Q

What are the symptoms of Lupus?

A

Malar rash:
- Serositis
- Oral ulcers
- Arthritis
- Photosensitivity

Discoid rash:
- Blood (low levels of all blood cells)
- Renal (protein in urine)
- ANA
- Immunologic
- Nephrogenic

21
Q

What is ANA detection?

A

A test that reports the presence of anti-nuclear antibodies (ANAs), in serum samples. This test uses HEP 2 cells to supply the antigenic target.

22
Q

What limitations does the ANA test have?

A

The test is sensitive but not specific for SLE. A number of rheumatic and infectious diseases can result in ANA positive result. ANA prevalence can also increase in ‘healthy persons’ for non pathogenic reasons.

23
Q

What is the anti-dsDNA autoantibody test?

A
24
Q

What are the limitation of the anti-dsDNA autoantibody test?

A
25
Q

What is the specificity and sensitivity of the anti-dsDNA autoantibody test?

A

Sensitivity: 70%
Specificity: 95%

26
Q

What is the specificity and sensitivity of the ANA test?

A

Sensitivity:
Specificity:

27
Q

What cures are there for SLE?

A

No cures exist, just treatment options