Tolerance, autoimmunity and autoimmune disease Flashcards

1
Q

Define tolerance?

A

failure of the immune system to respond to a particular antigen

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2
Q

How do dizygotic cattle twins become tolerant to each other?

A
  • share placental circulation
  • exposed to each other’s alloantigens in utero
  • become tolerant to these alloantigens
  • do not reject tissue grafts from one another
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3
Q

Bovine viral diarrhoea virus tolerance?

A
  • calves exposed to viral antigens in utero become tolerised to the virus
  • so in life there is no immune response to it
  • are born with the infection and become persistently infected
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4
Q

What is High zone adult tolerance?

A

A single high dose of antigen can induce tolerance in both T and B cells

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5
Q

What is Low zone adult tolerance?

A
  • repeated injections of low dose antigen
  • induces T-cell tolerance
  • T cells more readily tolerised than B cells
  • if antigen is T-dependent, B cells are effectively tolerant anyway
  • remember that a lot of B cell activity is T cell dependent, and so by tolerating the T cells you also tolerise B cells
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6
Q

How is oral tolerance induced?

A
  • foreign antigen is fed to a human or animal
  • when the same antigen is injected systemically then the individual will fail to respond
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7
Q

How can oral tolerance be of advantage?

A
  • can use as a therapy to switch off autoimmune reactive responses
  • systemic immune responses are suppressed by feeding the antigen
  • oral delivery of autoantigens or allergens may have therapeutic application
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8
Q

What is Self tolerance?

A
  • failure of the immune system to recognise self antigens (A GOOD THING)
  • T and B cells are ‘educated’ to render them tolerant to self
  • breakdown of self tolerance = autoimmunity = bad
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9
Q

What is Central tolerance?

A
  • cells that bind to “self” cells are deleted in thymus
  • Treg cells monitor autoreactive cells to have them destroyed
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10
Q

How do T cells become autoreactive?

A
  • A small number of self reactive T cells can escape and hence are self intolerant
  • Various mechanisms that prevent these self reactive T cells from doing any damage
  • Called peripheral tolerance
  • Recognition of self peptide by autoreactive T cells is done in absence of signal 2 and 3
    Peripheral tolerance maintained by
  • Treg cells which suppress these autoimmune responses
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11
Q

How may B cells come to be self tolerant?

A
  • immature B cells encounter self antigen in bone marrow
  • negative selection process
  • apoptosis of autoreactive clones
  • cannot activate without T-cell help
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12
Q

What is Autoimmunity?

A

failure of self tolerance resulting in activation of autoreactive cells which may produce pathology and disease

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13
Q

Name some autoimmune diseases in companion animals

A
  • IMHA
  • IMTP
  • IMNP
  • pemphigus
  • polyarthiritis
  • myasthenia gravis
  • thyroiditis
  • diabetes mellitus
  • systemic lupus
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14
Q

What 5 factors are associated with autoimmunity?

A
  1. immunological abnormalities
  2. genetic background
  3. age
  4. gender
  5. environmental triggers
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15
Q

What can a loss of self tolerance be caused by?

A

lack of regulatory cells

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16
Q

How does Immunological abnormalities cause AI

A
  • loss of self tolerance
  • expression of MHC II and peptide by target cells
  • remember that MHCII is normally only expressed by professional antigen presenting cells
  • self tissue becomes a target
17
Q

Genetic background

A
  • major factor that contributes to autoimmunity
  • some human AI diseases are more common in particular races
  • human autoimmune disease runs in families
18
Q

What genes are associated with autoimmune disease?

A

MHC genes

19
Q

Why are MHC genes linked to autoimmunity?

A

-Preferential presentation of self peptide
-Linkage to other disease genes

20
Q

Age and autoimmunity

A

Age changes in dog:
- lymphocyte function (decre)
- CD4 T cells (decre)
- CD8 T cells (incre)
- B cells (decre)
- the hypothesis is that some of the CD4 T-cells that disappear are regulatory

21
Q

Gender

A
  • human females predisposed to autoimmunity
  • hormonal influences
  • effect of pregnancy (where an AI disease can go into remission)
22
Q

Environmental triggers of autoimmunity

A
  • season
  • climate
  • air pollution
  • diet
  • drugs
  • infection
23
Q

Superantigenic activation

A
  • Some pathogens produce superantigens
  • Stimulate autoreactive T-cells and B-cells
  • superantigens non-specifically stimulate autoreactive T cells and B cells
24
Q

Innocent bystander effect

A
  • infectious agent attached to cell surface
  • cell destroyed secondary to immune response to microbe
  • cell gets destroyed by immune system too even though its the infectious agent that was intended to be killed exclusively
25
Q

Immune complex disease

A
  • a response to infection results in immune complexes which then circulate around the body
  • accumulate in certain organs
26
Q

What does IFN gamma’s role in type III hypersensitivity lead to?

A
  • induction of MHC
  • self antigen expression
  • Interferon gamma causes expression of MHC II on normal cell surfaces that wouldn’t normally express MHC II
    • Increase self antigen expression
      So makes them target for autoreactive T cell attack
27
Q

Molecular mimicry

A
  • close resemblance between foreign and self-antigen
  • Pathogen infects individual, stimulating T cell response
  • But if some of these T cells are autoreactive
  • they MAY respond to antigen on surface of self cells that look super similar/molecularly similar to the antigen that initiated the T cell response in the first place