finals stuff Flashcards
True/False- both B and T cells can be self-reactive
True Chainz
True/False: In a normal immune response, previously “hidden”antigens should not be able to generate an autoimmune response
false- hidden antigens such as testes etc can cause a self-reactive response, they may come into contact with immune system during tissue damage
Molecular mimicry
in response to virus that looks like self, T cells will be activated by APC and will be cross reacted with normal tissues which stimulates an autoimmune response
Abnormal immune response is due to a failure in regulatory control such as:
failure of apoptosis, viral infections, microchimerism
cross reaction with self antigen
when a foreign antigen is recognized, cross reactions with foreign antigens may be sufficient to trigger a helper T cell population that will promote an autoimmune response by B cells (inadvertent)
ways viruses generate autoimmunity
mimicry or bystander activation
predisposing factors to autoimmunity
genetics, breed, intestinal microflora, hypersensitivity,
organ specific autoimmunity
ex: autoimmune thyroiditis–>antibody produced against T3 and T4 hormone
autoimmune skin diseases
cause blistering
Ab against squamous desmosomes: pemphigus foliaceus
Ab against desmosomes: pemphigus vulgaris
Ab against a type of collagen: bullous pemphigoid
hemolysis
immune mediated hemolytic anemia
-immune response to RBC membrane which is altered by bacteria, virus, or drugs
myasthenia gravis
autoimmune response to Ach receptors, prevents effective neuromuscular transmission (blocked by Abs)
-blockage of cholinesterase activity by Ach drugs permits Ach accumulation and enhances neuromuscular transmission
SLE (systemic lupus erythematosus)
- abs produced against RBCs, muscle cells, skin basement membranes
- immune response causes lesions in skin, kidney, and blood
Rheumatoid arthritis
antibodies produced against collagen type 2
-localized autoimmunity in the joints
primary immunodeficiency
happens early in life in response to mutation in genes (inherited/congenital), has high mortality
can depend on breed and present as chronic recurrent infections at multiple body sites with failure to respond to antibiotics of vax
levels of primary immunodeficiency
pluripotent stem cells (most severe), stem cells, T cell development, B cell development, B cell maturation to plasma cells, production of selected Ig classes production of functional phagocytic cells, production of one or more complement molecules