Tolerance And Autoimmunity Flashcards

1
Q

3 key properties of human immune system

A

Highly diverse antigen receptor that enables recognition of infinite number of pathogens

Immune memory

Immunologic tolerance( avoid attack to normal cells)

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2
Q

Define Tolerance

A

Tolerance refers to specific immunologic non reactivity to an antigen resulting from a previous exposure to the same antigen

Most important form is to self antigens but its possible to induce tolerance to non self antigens

An antigen that induces tolerance( Tolerogen )

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3
Q

Theories on induction of tolerance

A

R.D Owen observation
This observation demonstrated that tolerance could be induced by exposure to antigens in utero irrespective of whether they’re self or foreign.

F.M Burnet theory(Clonal Selection Theory)
Each lymphocyte is specific for only one antigen and if a lymphocyte met this antigen during early development , it will be deleted from the repertoire

Modified by J.Lederberg
Suggested correctly that it was the stage in the development of the lymphocyte that was critical rather than the animal

Medewar (transfer of hemopoietic cells from histoincompatible mice at different times after birth)
Found that if cells were transferred in the first few days of life and not later, the mice developed life long tolerance to the antigen of the donor.

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4
Q

Factors determining induction of tolerance or immune response after antigen challenge

A
Physical form of antigen
Route of administration 
Dose of antigen
Age of responding animal
Differentiation state of cells
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5
Q

Division of tolerance

A
Central & Peripheral
Central: 
Site for t cells is the thymus
Site for b cells is the bone marrow
The mechanism is clonal deletion

Peripheral:
Site- everywhere in the body
Cells- both t and b
Mechanism- anergy, cell death, immune deviation

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6
Q

Mechanism of Central tolerance

A

CD4+ T cell self tolerance is the most important and occur at a lower antigen threshold than that for B and CD8+ cells

Mechanism of central tolerance include thymus and bone marrow and mostly due to elimination or inactivation of those t and b cells that recognize self antigens (clonal deletion or abortion)

T cells with low affinity for Mhc complex die in thymus( do no receive signals that’ll prevent spontaneous apoptosis)
T cells with high affinity for Mhc complexes undergo apoptosis and die( Negative selection)
T cells with intermediate affinity for this complex mature in thymus and migrate to periphery (Positive selection)

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7
Q

Mechanism of peripheral tolerance

A

Mechanisms acting on B and T lymphocytes after they’ve left the primary lymphoid organs

1Clonal Deletion
2Clonal Anergy
3Regulatory T cells
4Clonal Ignorance
5Anti idiotype antibodies
6Termination of tolerance
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