Lecture 11 - Uzonna Flashcards

(38 cards)

1
Q

Define tolerance.

A

SPECIFIC unresponsiveness to an antigen induced by the exposure of the specific lymphocyte to that antigen.

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2
Q

Define self tolerance.

A

Immunologic unresponsiveness to self antigens

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3
Q

Define tolerogens.

A

Antigens that induce tolerance

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4
Q

Define immunodeficiency.

A

Developmental or maturational defects in lymphoctye populations and/or function

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5
Q

Define immunosuppression.

A

Active or passive inhibition of immune response in an otherwise immunologically competent host

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6
Q

What are the two signals required for lymphocyte activation?
What does signal 1 alone result in?

A

Specific recognition of antigen (between TcR/pep/MHC or BcR/Ag)
&
non-specific signal microbially induced molecules on/from APC.

Signal 1 alone leads to unresponsiveness, anergy, deletion, and apoptosis.

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7
Q

What happens if a lymphocyte’s encounter with an antigen leads to…
Activation?
Tolerance?
Ignorance?

A

Proliferation and differentiation
Anergy and apoptosis
No response

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8
Q

Describe self/non-self discrimination in terms of tolerance of the immune system.

A

Adaptive immune system needs to respond to specific and targeted foreign antigens without responding to self. This is achieved by early and continuous presence of self-antigens. Important for self tolerance and control of autoimmunity.

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9
Q

What is self tolerance?

A

Immunologic unresponsiveness to self antigens

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10
Q

Briefly describe medawar’s classical graft experiment.

A

Performed on mice regarding skin grafts.

  1. Strain A skin on Strain B mouse = rejection
  2. Strain A cells on neonate Strain B mouse and Strain A skin graft on said mouse after 6 months = accepted
  3. Strain A cells on neonate strain B mouse and strain C skin graft on said mouse after 6 months = rejected
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11
Q

What are the general characteristics of tolerance?

A

Immune response affected only by antigens used to induce tolerance
Tolerance may be transient/permanent
Must be established at clonal level (T and /or B cell specific)
Tolerance may be induced to self/foreign Ag.

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12
Q

Tolerance is highly _____.

A

Antigen specific

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13
Q

How is tolerance inducible?

A

Foreign antigens may be administered in a way that induces tolerance.

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14
Q

What are the factors that influence development of tolerance?

A
Host status of immune system
Form/nature of antigen (soluble vs. aggregates)
Size of antigen
immunogenicity
Route of antigen administration
Dose of antigen
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15
Q

What is positive T cell selection?

A

When double positive T cells are able to recognize MHC class I or II molecules by DCs in cortex of thymus.

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16
Q

What is negative T cell selection?

A

When double positive T cells showed too strong an interaction with self peptides presented by MHC molecules in thymus. They undergo cell death.

17
Q

What are the two main types of tolerance?

A

Central and peripheral

18
Q

What falls under the central tolerance umbrella?

A

Negative selection
Development of Tregs
Receptor editing of B cells

19
Q

What falls under the peripheral tolerance umbrella?

A

Regulatory cells and suppression
Anergy/ignorance
Exclusion from lyphoid follicles (B cells)

20
Q

What are the locations, targets, and mechanisms of central T cell tolerance?

A

Location: Generative lymphoid organ - Thymus
Target: immature lymphocytes
Mechanisms: Neg selection, deletion, reg cells

21
Q

What are the locations, targets, and mechanisms of peripheral T cell tolerance?

A

Location: Peripheral/secondary lymphoid organs
Targets: mature lymphocytes
Mechanisms: Anergy, deletion, immunosuppression, T regs

22
Q

Define anergy and how it happens.

A

Anergy is the functional inactivation of T lymphocytes. This is achieved by the recognition of an antigen without adequate levels of secondary signalling via lack of co-stimulatory molecules in APC (B7). Expression of inhibitory CTLA-4.

23
Q

What is AICD and what causes it?

A

it is Activation induced Cell Death - deletion of a cell.

Repeated activation of a mature T lymphocyte by self antigen without second signal will result in AICD.

24
Q

Which cells are involved in immune suppression?

How do they do this?

A

Most reg T cells (CD4+CD25+FoxP3+)
They mediate their function through soluble factors like IL-10 and TGFbeta and direct interation through inhibition of activation and differentiation and effector functions of T cells.

25
Briefly describe central B tolerance. | What is this AKA?
The elimination of lymphocytes with high affinity receptors for abundant, widely expressed, cell membrane or soluble self antigens. This involves B cells in the bone marrow and involves either apoptosis or receptor editing and the expression of a new receptor. AKA B cell negative selection
26
What are the major mechanisms of peripheral B lymphocyte tolerance? Elaborate a bit on each.
Anergy and Exclusion Anergy: block in antigen receptor induced signals Exclusion: exclusion of B cells from lymphoid follicles
27
Why do we need B cell tolerance/
To accomodate T cell independent antigens like: Self polysaccharides Lipids nucleic acids
28
How is tolerance regulated?
By the strength of signals received.
29
What is signal strength dependent on?
``` Avidity Affinity Costimulation Inhibitory signals cytokines in the environment ```
30
What reasons could there be to induce tolerance?
Prevent rejection of organs Treat autoimmune diseases Treat allergic diseases
31
What reasons could there be to end tolerance?
To treat cancer by enhancing first or second signals | To treat infectious diseases
32
How are we able to terminate tolerance?
Clonal regeneration: tolerogenic dose not maintained during regen. Cross immunization with cross reacting antigen Costimulation of anergic clones via infectious agents/cytokines
33
What are the two umbrellas of autoimmune diseases and what do they encompass?
Systemic: involving several organs/tissues. Most involve both humoral AND cell mediated immunity Organ specific: response directed to specific organ leading to cellular damage and organ destruction.
34
What are some of the mechanisms used for developing autoimmunity?
Molecular mimicry Polyclonal B cell or T cell activation via superantigens Cytokines imbalance (Th1 vs Th17 vs Th2) Epitope spreading
35
Define epitope spreading in terms of autoimmunity.
When the body develops an immune response to an epitope completely different from the one causing diseases diversifying the reactivity to new antigens.
36
What are the the factors that could influence autoimmune disease development?
Genetic, environmental, gender (females>males), injury, etc.
37
How can autoimmunity be diagnosed?
Clinical symptoms Autoantibodies detected by immunofluorescence Autoimmune T cells detection by proliferation or cytotoxicity assay
38
Name some of each conventional, new, and experimental therapies being used to treat autoimmune diseases.
Conventional: anti-inflammatories, immunosuppressive agents, lymphocyte specific antibodies New: TNFR blocker, Anti-CD20 Experimental: Induction of tolerance, blocking peptides, and induction of apoptosis