Lecture 19 Flashcards

1
Q

where does central tolerance occur

A

primary lymphoid tissue

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2
Q

what does central tolerance do

A

eliminate clones that recognise self

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3
Q

what are the 3 mechanisms for lymphocytes that recognise self

A

apoptosis, helper cells become Treg cells and B cells may ingest their receptor and undergo receptor editing

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4
Q

what are T cell populations based on

A

1) TCR has right sequence and shape so it can bind MHC
2) Can recognise a foreign peptide in grove of MHC and not self peptide

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5
Q

what happens to majority of thymocytes

A

80% die via neglect as most thymocytes that dont bind self dont get provided a signal during maturation

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6
Q

what happens to the thymocytes that bind strongly to self

A

20% of T cells die via apoptosis as they bind too strongly

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7
Q

where do Treg cells come from

A

small amount of thymocytes that bind strongly to self peptide turn into Treg cells

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8
Q

what thymocytes are positively selected

A

the 1-2% of thymocytes that dont react with self peptides

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9
Q

how are Treg cells formed

A

small subset of negatively selected are presented with a self peptide however they dont receive signals to die

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10
Q

What do Treg cells do

A

provide peripheral tolerance mechanisms and if deleted provides autoimmunity

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11
Q

what are the mechanisms for periphreal tolerance

A

Normal T cell response, Anergy, Suppression, Deletion, Ignorance

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12
Q

what is normal T cell response

A

produces effector and memory T cells

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13
Q

what is suppression

A

when there is a block in activation so Tregs control self reactive cells

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14
Q

what is deletion

A

apoptosis

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15
Q

what is anergy

A

functional unresponsiveness

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16
Q

Where does central tolerance in B cells occur

A

Bone marrow

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17
Q

what happens if they dont receive signals

A

die via apoptosis

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18
Q

What are B cells able to do if they bind self

A

B cells can ingest their receptor and edit it. It is then redisplayed as a different receptor.

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19
Q

what happens if the B cells arent able to edit their receptor

A

it dies via apoptosis

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20
Q

What happens if the B cell escapes out into the periphery

A

it becomes anergic (unresponsive) due to its low binding affinity

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21
Q

what is periphreal tolerance

A

a back up mechanism that silences any lymphocytes that recognise self

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22
Q

what is clonal anergy

A

self reactive lymphocytes that are not activated properly and become resistant to stimulation

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23
Q

what does T cell tolerance lead to

A

B cell tolerance

24
Q

what is the breakdown of tolerance

A

failure of an organism to recognize its own parts as self due to loss of tolerance

25
what are the 4 mechanisms for the breakdown of tolerance
genetic suceptibility, infections, influx of self reactive lymphocytes and activation of self reactive lymphocytes
26
what are susceptibility genes
1) complement genes are impared immune complex clearance 2) immunogoblin and TCR are antigen receptor genes 3) cytokines and co stimulators are regulatory genes 4) antigen presenting enes are class 1 and class 2
27
what is sympathetic ophthalmia
damage to eye after trauma which results in the release of intracellular antigens which active T cells in both eyes
28
what is molecular mimicry
body generates lymphocytes that display bacterial pathogen
29
what are 2 examples of molecular mimicry
acute rheumatic fever and multiple sclerosis
30
what is acute rheumatic fever
group A streptococcus post infection complication
31
what is multiple sclerosis
affects brain and spinal cord
32
how does multiple scierosis work
autoimmune attack against myelin sheat that sorrounds nerve fibres of brain and spine. the immune response causes gradual destruction of myelin and damage to nerve axons
33
what are the symptoms of multiple scierosis
change in sensation, visual problems, muscle paralysis
34
how does acute rheumatic fever work
M protein in cell wall protein shares epitopes with proeins in heart mucles and valve
35
how do you prevent acute rheumatic fever
long term dose of antibiotics
36
what is type 1 diabetes
immune system attacks beta islets cells of pancreas
37
what effect does type 1 diabetes have of Treg cells
normal levels of Treg cells with decreased function
38
how do you combat type 1 diabetes
daily injections of insulin
39
what is rheumatoid arthritis
autoimmune attack on synovial tissue and cartilage in joints
40
what are the symptoms of rheumatoid arthritis
ligament, tendon and bone degradation with pain
41
what effect does rheumatoid arthritis have on Treg cells
increased levels of Tregs with decreased function
42
what is a distinctive feature of rheumatoid arthritis
presence of rheumatoid factor in patient serum
43
what is rheumatoid factor
autoantibodies that bind to own IgG
44
what is coeliac disease
abnormal reaction to gliadin
45
what is gliadin
gluten protein found in wheat
46
how does coeliac disease work
inflammatory reaction flattens villi of intestine which interferes with nutrient absorbtion and frequently leads to anemia
47
how do you combat coeliac disease
removal of gluten from diet
48
3 ways to treat autoimmune disease
replacement, infection treatment, remove trigger
49
what is biologics
more targeted approach to suppress the immune system
50
what is biologics used for
rheumatoid arthritis
51
what is NSAIDs and what does it do
non steroidal anti inflammatory drug which blocks symptoms like pain or swelling
52
what is DMARDs and what does it do
disease modifying anti-rheumatic drugs which are slow acting immune suppressants
53
what are examples of corticosteroids
NSAIDs and DMARDs
54
what do corticosteroids do
reduce inflammation
55
what does removing the trigger work on
coeliac disease by removing gluten from the diet
56
what is an example of infection treatment
penicillin injects for rheumatic fever
57
what is an example of replacement treatment
replace lost secretions or inhibit endocrine function such as type 1 diabetes with their insulin injections