III - autoimmune disease Flashcards

1
Q

what is a normal CD4 T cell response steps 1-3

A

antigen presenting cell recognises a pathogen
internalisation and antigen processing
peptide presented via MHC class II

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2
Q

normal CD4 T cell response steps 4-6

A

interaction of the TCR complex with the peptide
danger signal/co-stimulation
T cell proliferation/cytokine production

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3
Q

what do T cells signal to, to launch an immune response

A

B cells and CD8 T cells

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4
Q

what is tolerance

A

prevention of an immune response against a specific antigens
tolerant against self antigens

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5
Q

features and function of MHC

A

act as antigen presenting structure
partly determines response to antigen
implicated in susceptibility and development of autoimmune diseases

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6
Q

what is central tolerance

A

mature T cells in the thymus are tested to check their reactivity to self
if they react to self they are destroyed
negative selection

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7
Q

what happens to a T cell precursor

A

rearrangement of TCR genes
converted into an immature thymocyte

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8
Q

what receptors does an immature thymocyte present

A

CD8
CD4
CD3
TCR

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9
Q

what happens to immature thymocytes that do not interact with MHC

A

death by apoptosis

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10
Q

what happens to immature thymocytes that do not interact with MHC

A

death by apoptosis

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11
Q

what do thymocytes interact with

A

class I/II MHC molecules presented on epithelial cell

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12
Q

what thymocytes are negatively selected

A

thymocytes with high affinity for self-MHC or self-antigen

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13
Q

what is the difference in the development of a T-cell with low and intermediate affinity to self-antigen

A

low affinity - becomes a T cell
intermediate affinity - becomes a T regulatory cell

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14
Q

what is peripheral tolerance

A

deletion or anergy of lymphocytes
that recognize self antigens in
peripheral tissue

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15
Q

what may lead to anergy or inactivation

A

Lack of accessory signals in presence of TCR
engagement with MHC-peptide

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16
Q

what do T regulatory cells induce an inhibitory response in

A

Ag

17
Q

what happens if IgM is cross linked with an immature B cell

A

causes cell death

18
Q

which immature B cells are not allowed to mature

A

ones with no strong reactivity to self-antigens
If Ag receptor is cross linked in the bone marrow - apoptosis

19
Q

what is pernicious anemia

A

auto-antibodies against membrane bound intestinal proteins on gastric parietal cells

20
Q

what does the thyroid convert tyrosine into

A

T4 - thyroxine
T3 - triiodothyromine

21
Q

function of T4/3

A

regulation of basal metabolism and protein synthesis

22
Q

what is hashimoto’s thyroiditis and how does it affect the thyroid

A

auto-reactive antibodies and T cells that attack the thyroid
inflammation, larger thyroid, destruction of thyroid follicles

23
Q

what blocks antibodies in hashimoto’s thyroiditis

A

TSH
thyroid peroxidase
thyroglobulin

24
Q

what is Grave’s diseases

A

unregulated overproduction of thyroid hormones

25
Q

what are the antibodies produced by Grave’s disease

A

long-acting thyroid-stimulating antibodies (LATS)
increases metabolic rate by 60-100%

26
Q

what are the symptoms of Grave’s disease

A

anxiety, irregular heartbeat, fatigue, tremor, exophthalmos

27
Q

what is systemic lupus erythematosus and symptoms

A

systemic autoimmune disease that attacks many tissues
fever, arthritis, skin rash, pleurisy, kidney dysfunction

28
Q

how does LSE effect the kidney

A

auto-antibodies bind to basement membrane in glomerulus
results in immune-driven inflammation

29
Q

what is multiple sclerosis

A

auto-antibodies attacks myelin
causes inflammation

30
Q

what are the possible causes of autoimmune diseases

A

release of sequestered antigen
molecular mimicry
inappropriate activation of MHC class II
polyclonal activation of B cells