Lymphocytes Development And Tolerance Flashcards

1
Q

Where do T and B cells mature?

A
  • T cells mature in the thymus.
  • B cells mature in the bone marrow.
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2
Q

What is the role of the thymus in T cell development?

A

The thymus provides the microenvironment for T cell maturation, including positive and negative selection.

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3
Q

What is positive selection in T cell development?

A

The process that ensures T cells can recognize self-MHC molecules and survive.

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4
Q

What is negative selection in T cell development?

A

The removal of T cells that strongly bind self-antigens, preventing autoimmunity.

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5
Q

What are the three main mechanisms of B cell self-tolerance?

A
  • Deletion (apoptosis of self-reactive B cells)
  • Anergy (functional inactivation of self-reactive B cells)
  • Receptor editing (rearrangement of light chain genes to change antigen specificity)
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6
Q

T cells undergo somatic recombination of TCR genes in the

A

thymus.

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7
Q

98% of thymocytes die during the

A

selection process in the thymus.

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8
Q

The autoimmune regulator (AIRE) in thymic medullary epithelial cells helps eliminate

A

self-reactive T cells.

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9
Q

Peripheral tolerance mechanisms exist to

A

eliminate self-reactive lymphocytes that escape central tolerance.

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10
Q

Allelic exclusion ensures each B or T cell expresses

A

only one antigen receptor specificity.

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11
Q

Positive selection occurs in the thymic medulla.

A

False – it occurs in the cortex.

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12
Q

Negative selection prevents autoimmunity by eliminating strongly self-reactive T cells.

A

True

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13
Q

B cells mature in the thymus.

A

False – they mature in the bone marrow.

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14
Q

AIRE allows thymic expression of peripheral self-antigens.

A

True

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15
Q

Thymic selection ensures that T cells recognize self-______________ but not self-______________.

A

MHC, antigens

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16
Q

The main site of B cell maturation is the ______________.

A

Bone marrow

17
Q

The ______________ gene helps prevent autoimmunity by inducing the expression of peripheral antigens in the thymus.

18
Q

T cells that do not receive survival signals during positive selection undergo ______________.

19
Q

Which process ensures that T cells can recognize self-MHC?
a) Negative selection
b) Somatic hypermutation
c) Positive selection
d) Receptor editing

A

Answer: (c) Positive selection

20
Q

Which mechanism prevents the activation of self-reactive B cells in the periphery?
a) Anergy
b) V(D)J recombination
c) Positive selection
d) Somatic recombination

A

Answer: (a) Anergy

21
Q

What is the function of AIRE in the thymus?
a) Enhances T cell receptor diversity
b) Promotes peripheral tolerance
c) Expresses self-antigens for negative selection
d) Induces somatic hypermutation

A

Answer: (c) Expresses self-antigens for negative selection

22
Q

A patient with DiGeorge syndrome lacks a thymus. What immune deficiency will they experience?

A

They will have a severe T cell deficiency, leading to increased susceptibility to infections.

23
Q

A person develops an autoimmune disease due to a failure in negative selection. What type of cells escaped deletion?

A

Self-reactive T cells that recognize self-antigens too strongly.

24
Q

A patient has an inherited mutation in the AIRE gene. What condition might they develop?

A

Autoimmune polyendocrinopathy syndrome (APS-1), due to failure in central tolerance.

25
Q

Positive Selection:

A

The process that ensures T cells can recognize self-MHC and survive.

26
Q

Negative Selection:

A

The elimination of strongly self-reactive T cells to prevent autoimmunity.

27
Q

AIRE (Autoimmune Regulator):

A

A gene that promotes the expression of peripheral self-antigens in the thymus to eliminate autoreactive T cells.

28
Q

Receptor Editing:

A

A mechanism in B cells that allows modification of antigen specificity to avoid self-reactivity.

29
Q

Allelic Exclusion:

A

A process ensuring that each B or T cell expresses only one antigen receptor specificity.