Lec 1 Final Flashcards

(49 cards)

1
Q

What is immunologic tolerance?

A

The unresponsiveness of the immune system to an antigen (tolerogen)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why is immunologic tolerance particularly important when dealing with self-antigens?

A

It protects against autoimmunity (autoimmune diseases).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the types of immunologic tolerance?

A

1- Central tolerance
2- Peripheral tolerance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How are self-antigens presented to the immune system?

A

1- locally in the primary lymphoid organs
2- Imported after their capture from the periphery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When is peripheral tolerance used?

A

Peripheral tolerance is used when the self-antigen is not presented in the primary lymphoid organ or when the self-antigen is expressed only in adult life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens to self-reactive lymphocytes in peripheral tolerance?

A

1- apoptosis (programmed cell death)
2- anergic (unresponsive)
3- actively suppressed by regulatory T (Treg) cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How does sequestration of self-antigens in immune-privileged areas prevent immune responses?

A

By keeping self-antigens away from the immune system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where does negative selection occur in the thymus?

A

1- Double-positive (DP) T cells ➡️ Cortex
2- Single-positive (SP) T cells ➡️ Medulla.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What happens if a thymocyte’s T cell receptor (TCR) recognizes a self-antigen-HLA complex on an antigen-presenting cell with STRONG SIGNAL

A

It leads to clonal deletion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What happens if a thymocyte’s T cell receptor (TCR) recognizes a self-antigen-HLA complex on an antigen-presenting cell with WEAKER SIGNAL

A

formation of regulatory T (Treg) cells, which are released to the periphery and mediate peripheral tolerance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the pathways of programmed cell death (apoptosis) ?

A

The intrinsic (mitochondrial) pathway - The extrinsic (death receptor) pathway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The intrinsic (mitochondrial) pathway is related to . . . ?

A

Central tolerance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The extrinsic (death receptor) pathway is related to . . . ?

A

Peripheral tolerance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The intrinsic (mitochondrial) pathway is regulated by . . . ?

A

Bcl-2 family proteins, such as Bim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Explain the process of the intrinsic (mitochondrial) pathway

A

Bcl-2 family proteins, such as Bim will oligomerize and insert into the outer mitochondrial membrane, leading to the leakage of mitochondrial cytochrome c. This activates caspase-9, which then causes fragmentation of cellular DNA and cell death.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Explain the process of the the extrinsic (death receptor) pathway

A

It involves the binding of the Fas ligand (FasL) to the Fas (CD95) receptor, which activates caspase-8 and eventually leads to apoptosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is co-stimulation in T cell activation?

A

Co-stimulation involves the binding of CD28 on T cells to B7-1 (CD80) and B7-2 (CD86) on antigen-presenting cells (APCs).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How does anergy occur?

A

1- blockage of TCR-induced signal transduction
2- Ubiquitination
3- Activation of inhibitor receptors of the CD28 family, including CTLA-4 and PD-1.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How does CTLA-4 function in T cell tolerance?

A

1- competing with CD28
2- endocytosis of the corresponding B7 molecule.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How does PD-1 function in T cell tolerance?

A

By phosphatase activity that inactivates immune receptors.

21
Q

What are Treg cells?

A

Treg cells are CD4+ T cells that suppress immune responses.

22
Q

What are the characteristic features of Treg cells?

A

1- Express high levels of the IL-2 receptor α chain (CD25)
2- FoxP3 transcription factor.

23
Q

Name the divisions of Treg cells based on their mode of formation?

A

1- Thymic Treg (tTreg) cells
2- Peripheral Treg (pTreg) cells.

24
Q

peripheral Treg (pTreg) cells known as … ?

A

Known as adaptive or inducible Tregs

25
Factors that enhance regulatory T cell (Treg) formation include
IL-2 - TGF-β - Retinoic acid
26
How Treg cells, through CTLA-4, can reduce the responsiveness of antigen-presenting cells (APCs) to T cells ?
Treg cells reduce the amount of B7 on APCs and thus decrease their responsiveness to T cells
27
What is the function of IL-10 ?
Inhibit the formation of IL-12 (and thus IFNγ), MHC class II molecules as well as costimulators
28
The portal of entry for tolerogenicity is within the intradermal ( T or F )
False
29
Adjuvants are present in immunogenicity ( T or F )
True
30
Where does central tolerance occur in B cell development?
Central tolerance occurs in the bone marrow.
31
What happens if immature B cell is highly self-reactive (strong signal)
Receptor editing
32
What happens if the editing attempts of a self-reactive B cell fail?
Apoptosis
33
What happens if a self-reactive B cell receives a weak signal?
Anergy
34
What is the inhibitory receptor in the peripheral tolerance of B cells?
CD22, FcγRIIB
35
What are the two types of autoimmune diseases?
Autoimmune diseases can be either systemic or organ-specific.
36
Give an example of a systemic autoimmune disease.
Systemic lupus erythematosus (SLE)
37
Provide examples of organ-specific autoimmune diseases.
Myasthenia gravis, type 1 diabetes, and multiple sclerosis.
38
Which gene is associated with ankylosing spondylitis?
The MHC gene HLA-B27
39
How does deficiency in complement proteins contribute to autoimmunity?
Deficiency in complement proteins can reduce immune complex clearance and lead to lupus-like autoimmune diseases.
40
Which autoimmune diseases are associated with CD25 gene variants?
Multiple sclerosis and type 1diabetes
41
Which autoimmune diseases are associated with IL-23R?
Psoriasis or Crohn’s disease
42
What is the role of the AIRE protein in autoimmunity?
The AIRE protein is involved in the expression of peripheral self-antigens in the thymus.
42
What are some characteristics of single gene defects in autoimmunity?
1- clearer pathogenic mechanisms 2- higher penetrance 3- less interplay with the environment to cause diseases.
43
Defects in AIRE protein will lead to ?
Autoimmune polyendocrine syndrome type 1 (APS1)
44
What is the significance of autoantibodies against IL-17 in APS1 patients?
Autoantibodies against IL-17 in APS1 patients make them susceptible to fungal infections.
45
Defects in Fas/FasL will lead to ?
Autoimmune lymphoproliferative syndrome (ALPS)
45
Defects in CTLA-4 will lead to ?
Systemic inflammatory diseases
46
Defects in IL-10R will lead to ?
Colitis
47
Rheumatic fever is an example of ?
Molecular mimicry