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Immuno 12/05/12 Tolerance
HDPP final at UMMSM
21
Immunology
Graduate
12/09/2012

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Cards

Term
What is antibody feedback?
Definition
Binding of IgG/antigen complex to the B cell which results in inactivation as a means to regulate activity
Term
What can affect the nature of T cell and B cell immune responses?
Definition
The ratio of TH1 and TH2 cells
Term
What determines activation of TH1 generation by dendritic cells?
Definition
Viruses and some bacteria induce IL-12 secretion by dendritic cells that can activate NK cells to produce IFN-y and stimulate CD4 cells to become TH1
Term
What determines activation of TH2 generation by dendritic cells?
Definition
Other pathogens like worms do not induce IL-12 expression in dendritic cells but may cause NK1.1+ T cells to synthesize and secrete IL-4, stimulating CD4 T cells to become TH2
Term
How do APCs stimulate formation of TH2?
Definition
Presentation of a weakly-binding peptide to the TCR will result in TH2 formation
Term
How do APCs stimulate formation of TH1?
Definition
Presentation of a strongly-binding peptide to the TCR will result in TH1 formation
Term
How do TH1 and TH2 negatively regulate each other?
Definition
TH1 secretes IFN-y, which inhibits TH2 proliferation
TH2 secretes TGF-b and IL-10, which inhibit activation and growth of TH1
Term
What are four tolerance mechanisms, and what are the results?
Definition
1) Clonal deletion --> death
2) Clonal anergy --> loss of function
3) Receptor editing by RAGS --> change of receptor specificity
4) Active suppression --> loss of function
Term
What is tolerance?
Definition
When an immature lymphocyte receives signal one without signal two (NOT the other way around)
Term
How are autoreactive T cells suppressed?
Definition
Regulatory T cells (Tregs) on the same antigen presenting cell can suppress autoreactive T cells
Term
What do Tregs express?
Definition
CD25, the IL-2Ra chain
Term
What is IPEX?
Definition
Deficiency in transcriptional repressor FoxP3 causes a lack of functional Tregs. Fatal autoimmunity develops to the gut, endocrine, and skin
Term
What happens when immune regulation fails?
Definition
Autoimmunity
Term
What autoimmune reaction occurs in type 1 diabetes?
Definition
Effector T cells recognize peptides from a b cell-specific protein and kills the b cell
Term
What is Aire?
Definition
Autoimmune regulator gene, a protein transcription factor which induce expression of 100s of genes that encode proteins normally only expressed by one or a few peripheral tissues
Term
Where is Aire expressed?
Definition
By thymus epithelial cells in the thymic medulla
Term
What occurs in APECED?
Definition
Patients have defective Aire alleles and develop T and B responses to self antigens
Term
What other factors are associated with autoimmunity?
Definition
HLA allotype, genetic variation in the peptide-binding region of MHC
Term
What is sympathetic ophthalmia?
Definition
A loss of tolerance where trauma to an eye results in release of sequestered intraocular protein antigens and subsequent activation and migration of effector T cells, which attack antigen in both eyes
Term
How does rheumatic fever occur?
Definition
Streptococcal cell wall stimulates an antibody response, but some antibodies cross-react with heart tissue, causing rheumatic fever
Term
What is epitope spreading?
Definition
Lack of tolerance of CD4 T-cells to a nuclear component leads to many self-active B cells (Each T cell can activate several B cells)
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