Podcast
Questions and Answers
Which of the following best describes the relationship between basic immunological principles and immunopathology?
Which of the following best describes the relationship between basic immunological principles and immunopathology?
- Basic immunological principles are irrelevant to the understanding of immunopathology.
- Immunopathology operates under a completely different set of immunological principles than normal immunity.
- The same principles and components applicable to normal immunity also apply to immunopathology. (correct)
- Immunopathology selectively utilizes a subset of immunological principles unrelated to normal immune responses.
In immunology, what does 'tolerance' primarily signify?
In immunology, what does 'tolerance' primarily signify?
- The immune system's ability to reject foreign invaders aggressively.
- The immune system's heightened response to self-antigens.
- The immune system's indiscriminate attack on both self and foreign antigens.
- The immune system's state of unresponsiveness to self-antigens. (correct)
During which life stage is immunological tolerance most readily developed?
During which life stage is immunological tolerance most readily developed?
- Adulthood
- Infancy
- Old age
- Fetal life (correct)
Which of the following is an example of central tolerance?
Which of the following is an example of central tolerance?
What is the primary mechanism behind peripheral tolerance?
What is the primary mechanism behind peripheral tolerance?
Which cell type is associated with the induction of tolerance in the gut?
Which cell type is associated with the induction of tolerance in the gut?
How does the thymus contribute to immunological self-tolerance?
How does the thymus contribute to immunological self-tolerance?
What is a key distinction between autoimmunity and autoimmune disease?
What is a key distinction between autoimmunity and autoimmune disease?
Which of the following is considered a possible mechanism for the development of autoimmune disease?
Which of the following is considered a possible mechanism for the development of autoimmune disease?
Which of the following is a general characteristic of autoimmune diseases?
Which of the following is a general characteristic of autoimmune diseases?
Autoimmunity can involve which aspect of the adaptive immune response?
Autoimmunity can involve which aspect of the adaptive immune response?
What is thought to be a key factor by some researchers regarding autoimmunity?
What is thought to be a key factor by some researchers regarding autoimmunity?
What term defines the normal immune response to a foreign antigen from the same species?
What term defines the normal immune response to a foreign antigen from the same species?
Which of the following is a clinically significant alloantigen system?
Which of the following is a clinically significant alloantigen system?
In the context of maternal-fetal alloimmunity, which alloantigen system is most commonly associated with alloimmune disease of the newborn?
In the context of maternal-fetal alloimmunity, which alloantigen system is most commonly associated with alloimmune disease of the newborn?
What is the primary mechanism of action of Rho(D) Immune Globulin (RhoGAM) in preventing maternal-fetal alloimmunity?
What is the primary mechanism of action of Rho(D) Immune Globulin (RhoGAM) in preventing maternal-fetal alloimmunity?
Which of the following blood components is NOT considered a blood product?
Which of the following blood components is NOT considered a blood product?
Besides transfusions, which other allograft mentioned can cause alloimmunity?
Besides transfusions, which other allograft mentioned can cause alloimmunity?
Which of the following is associated with hyperacute organ rejection?
Which of the following is associated with hyperacute organ rejection?
Which of the following best describes the mechanism of acute organ rejection?
Which of the following best describes the mechanism of acute organ rejection?
What is a component of chronic organ rejection?
What is a component of chronic organ rejection?
What is a hallmark of Cyclosporine A?
What is a hallmark of Cyclosporine A?
How Steroids cross the cell mebrane?
How Steroids cross the cell mebrane?
Which of the following is a recognized side effect of GC (Glucocorticoid) therapy?
Which of the following is a recognized side effect of GC (Glucocorticoid) therapy?
When classifiying an Immunologically-mediated disease, what are the key things to assess?
When classifiying an Immunologically-mediated disease, what are the key things to assess?
What is a shared characteristic of all four types of hypersensitivity reactions (Coombs and Gell classification)
What is a shared characteristic of all four types of hypersensitivity reactions (Coombs and Gell classification)
What is the immunological definition of allergy?
What is the immunological definition of allergy?
In the context of allergy, what does 'sensitization' refer to?
In the context of allergy, what does 'sensitization' refer to?
Which of the following is an example of a pharmacological effect that is an expected reaction when administering drugs?
Which of the following is an example of a pharmacological effect that is an expected reaction when administering drugs?
Which hypersensitivity type is associated with IgE?
Which hypersensitivity type is associated with IgE?
What is a classic symptom caused by release of products from Mast Cell Degranulation?
What is a classic symptom caused by release of products from Mast Cell Degranulation?
What is the mechanism of damage for Type II Cytotoxic Allergy?
What is the mechanism of damage for Type II Cytotoxic Allergy?
What is a hallmark of Type III: Immune Complex Disease?
What is a hallmark of Type III: Immune Complex Disease?
Which cells can be considered Immune Effectors for Type IV: Cell-mediated Allergy
Which cells can be considered Immune Effectors for Type IV: Cell-mediated Allergy
A skin test for tuberculosis is considered what type of hypersensitivity reaction?
A skin test for tuberculosis is considered what type of hypersensitivity reaction?
To establish tolerance as a clinical goal, which therapeutic intervention is commonly pursued?
To establish tolerance as a clinical goal, which therapeutic intervention is commonly pursued?
Which of the following is a characteristic of central tolerance?
Which of the following is a characteristic of central tolerance?
What is the primary mechanism behind peripheral tolerance involving T cells?
What is the primary mechanism behind peripheral tolerance involving T cells?
Which type of immune cells are typically associated with inducing tolerance in the gut?
Which type of immune cells are typically associated with inducing tolerance in the gut?
What is an notable characteristic of autoimmunity?
What is an notable characteristic of autoimmunity?
Which event is considered a possible mechanism for the development of autoimmune disease?
Which event is considered a possible mechanism for the development of autoimmune disease?
Which of the following is often associated with autoimmune diseases?
Which of the following is often associated with autoimmune diseases?
Alloimmunity is best described as an immune response directed against:
Alloimmunity is best described as an immune response directed against:
Which of the following alloantigen systems is most clinically significant in the context of blood transfusions?
Which of the following alloantigen systems is most clinically significant in the context of blood transfusions?
In maternal-fetal alloimmunity, which alloantigen system is most commonly associated with alloimmune disease of the newborn?
In maternal-fetal alloimmunity, which alloantigen system is most commonly associated with alloimmune disease of the newborn?
The primary mechanism by which Rho(D) Immune Globulin (RhoGAM) prevents maternal-fetal alloimmunity is:
The primary mechanism by which Rho(D) Immune Globulin (RhoGAM) prevents maternal-fetal alloimmunity is:
Apart from transfusions, which other allograft can cause alloimmunity?
Apart from transfusions, which other allograft can cause alloimmunity?
Hyperacute organ rejection primarily involves:
Hyperacute organ rejection primarily involves:
Acute organ rejection is mainly mediated by:
Acute organ rejection is mainly mediated by:
Chronic organ rejection is characterized by which factor?
Chronic organ rejection is characterized by which factor?
How does Cyclosporine A (CsA) exert it's effects?
How does Cyclosporine A (CsA) exert it's effects?
How do Glucocorticoids (Steroids) cross the cell membrane?
How do Glucocorticoids (Steroids) cross the cell membrane?
Which of the following is a known side effect of Glucocorticoid (GC) therapy?
Which of the following is a known side effect of Glucocorticoid (GC) therapy?
When an immunologically-mediated disease is classified, what are the key things to assess?
When an immunologically-mediated disease is classified, what are the key things to assess?
What is a key pathological aspect shared among Type I, III, and IV hypersensitivity reactions?
What is a key pathological aspect shared among Type I, III, and IV hypersensitivity reactions?
Which situation is best described as Allergy?
Which situation is best described as Allergy?
What immunological event does 'sensitization' specifically refer to in Type I allergy?
What immunological event does 'sensitization' specifically refer to in Type I allergy?
Which event corresponds to a pharmacological effect that is expected and predictable but not allergic?
Which event corresponds to a pharmacological effect that is expected and predictable but not allergic?
In Type I hypersensitivity, what specific antibody isotype is primarily involved?
In Type I hypersensitivity, what specific antibody isotype is primarily involved?
In the context of type I hypersensitivity allergic response, what is the role of histamine?
In the context of type I hypersensitivity allergic response, what is the role of histamine?
What is the main mechanism of cell damage in Type II cytotoxic hypersensitivity reactions?
What is the main mechanism of cell damage in Type II cytotoxic hypersensitivity reactions?
Which factor characterizes Type III immune complex hypersensitivity reactions?
Which factor characterizes Type III immune complex hypersensitivity reactions?
Which type of cells are immune effectors during Type IV: Cell-mediated Allergy?
Which type of cells are immune effectors during Type IV: Cell-mediated Allergy?
A positive result in a contact dermatitis test indicates which specific type of hypersensitivity reaction?
A positive result in a contact dermatitis test indicates which specific type of hypersensitivity reaction?
What are the three main characteristics of Alloimmunity?
What are the three main characteristics of Alloimmunity?
Name the three main organ rejections types
Name the three main organ rejections types
The mechanism of action Cyclosporine-A involves?
The mechanism of action Cyclosporine-A involves?
What is a result of taking steroids?
What is a result of taking steroids?
What is the key aspect of Central Tolerance
What is the key aspect of Central Tolerance
How does the concept of immunological 'Specificity' apply in the context of immunopathology?
How does the concept of immunological 'Specificity' apply in the context of immunopathology?
In the context of immunological tolerance, how does the timing of antigen exposure influence tolerance induction?
In the context of immunological tolerance, how does the timing of antigen exposure influence tolerance induction?
Which of the following is a critical difference between central and peripheral tolerance?
Which of the following is a critical difference between central and peripheral tolerance?
How do genetic factors contribute to the development of autoimmune diseases?
How do genetic factors contribute to the development of autoimmune diseases?
How does molecular mimicry potentially initiate autoimmune disease?
How does molecular mimicry potentially initiate autoimmune disease?
Why is it difficult to avoid immunogen exposure and manage therapy in autoimmunity?
Why is it difficult to avoid immunogen exposure and manage therapy in autoimmunity?
Which concept is important regarding HLA-associated diseases?
Which concept is important regarding HLA-associated diseases?
What characterizes alloantigens?
What characterizes alloantigens?
How does prior sensitization in multiply transfused patients affect their risk of transfusion reactions:
How does prior sensitization in multiply transfused patients affect their risk of transfusion reactions:
What is the immunological basis of hyperacute organ rejection?
What is the immunological basis of hyperacute organ rejection?
What is the mechanism of action of Cyclosporine A (CsA) and what pathway does it inhibit?
What is the mechanism of action of Cyclosporine A (CsA) and what pathway does it inhibit?
What are some of the effects of Glucocorticoids?
What are some of the effects of Glucocorticoids?
Why does type II hypersensitivity not involve inflammation?
Why does type II hypersensitivity not involve inflammation?
In the classification of immunologically-mediated diseases, what factors are important to consider?
In the classification of immunologically-mediated diseases, what factors are important to consider?
In Type I hypersensitivity, how does the allergen cause mast cell and basophil activation?
In Type I hypersensitivity, how does the allergen cause mast cell and basophil activation?
Which of the following is a primary objective when studying immunologically-mediated diseases?
Which of the following is a primary objective when studying immunologically-mediated diseases?
In what scenario does the actual immune response typically result in damage to the host?
In what scenario does the actual immune response typically result in damage to the host?
How are immunologically-mediated diseases classified, considering the source of the offending antigen?
How are immunologically-mediated diseases classified, considering the source of the offending antigen?
What is the meaning of tolerance in the context of immunology?
What is the meaning of tolerance in the context of immunology?
During which period is immunological tolerance most effectively developed?
During which period is immunological tolerance most effectively developed?
What would be the result of immunogen-induced apoptosis of double-positive T cells?
What would be the result of immunogen-induced apoptosis of double-positive T cells?
What is the outcome of immunogen-induced anergy in the absence of costimulation, in regards to the Mechanisms of Tolerance?
What is the outcome of immunogen-induced anergy in the absence of costimulation, in regards to the Mechanisms of Tolerance?
Regulatory T cells (Tregs) inhibit autoimmune cell function by what mechanism?
Regulatory T cells (Tregs) inhibit autoimmune cell function by what mechanism?
What is a fundamental feature that distinguishes autoimmunity from autoimmune disease?
What is a fundamental feature that distinguishes autoimmunity from autoimmune disease?
Which is a possible mechanism in the development of autoimmune disease?
Which is a possible mechanism in the development of autoimmune disease?
Which of the following is a shared trait among HLA-associated autoimmune diseases?
Which of the following is a shared trait among HLA-associated autoimmune diseases?
What is a significant challenge in treating autoimmune diseases?
What is a significant challenge in treating autoimmune diseases?
How can autoimmunity involve the adaptive immune response?
How can autoimmunity involve the adaptive immune response?
What is the proper definition of alloimmunity?
What is the proper definition of alloimmunity?
What are the three clinically significant alloantigen systems?
What are the three clinically significant alloantigen systems?
What is the Rh alloantigen systems associated with in maternal-fetal alloimmunity?
What is the Rh alloantigen systems associated with in maternal-fetal alloimmunity?
What is the primary reason of using Rho(D) Immune Globulin to prevent maternal-fetal alloimmunity?
What is the primary reason of using Rho(D) Immune Globulin to prevent maternal-fetal alloimmunity?
What is an example of alloimmunity outside of blood transfusions?
What is an example of alloimmunity outside of blood transfusions?
What is the primary mechanism of hyperacute organ rejection?
What is the primary mechanism of hyperacute organ rejection?
What is the main mechanism of acute organ rejection?
What is the main mechanism of acute organ rejection?
A hallmark of chronic organ rejection is...
A hallmark of chronic organ rejection is...
How does Cyclosporine A (CsA) function as an immunosuppressant?
How does Cyclosporine A (CsA) function as an immunosuppressant?
What is a recognized clinical application of glucocorticoids?
What is a recognized clinical application of glucocorticoids?
What is a known side effect of prolonged glucocorticoid therapy?
What is a known side effect of prolonged glucocorticoid therapy?
What factors are key when classifying an immunologically-mediated disease?
What factors are key when classifying an immunologically-mediated disease?
How does an expected pharmacological effect differ from an allergic reaction?
How does an expected pharmacological effect differ from an allergic reaction?
What is the underlying mechanism for Type I hypersensitivity reactions (immediate hypersensitivity)?
What is the underlying mechanism for Type I hypersensitivity reactions (immediate hypersensitivity)?
Type II hypersensitivity reactions involve which process.
Type II hypersensitivity reactions involve which process.
Immune complexes being deposited in the blood is characteristic of _________.
Immune complexes being deposited in the blood is characteristic of _________.
Which is an immune effector in a Type IV: Cell-mediated Allergy?
Which is an immune effector in a Type IV: Cell-mediated Allergy?
What is the correct order of events?
What is the correct order of events?
What is the relation between IFNy and Th17 cells when discussing autoimmunity?
What is the relation between IFNy and Th17 cells when discussing autoimmunity?
Tolerance in mature immunogen responsive cells induces what cells?
Tolerance in mature immunogen responsive cells induces what cells?
What mechanisms are in place to perform immunological self-tolerance?
What mechanisms are in place to perform immunological self-tolerance?
The complement MAC complex inserts and causes cell death, while ADCC is an antibody driven cellular toxicity, which is the most relevant antibody?
The complement MAC complex inserts and causes cell death, while ADCC is an antibody driven cellular toxicity, which is the most relevant antibody?
How does the allergen cause mast cell and basophil activation?
How does the allergen cause mast cell and basophil activation?
Which of the following is correct regarding clinical uses of drugs and what they cause?
Which of the following is correct regarding clinical uses of drugs and what they cause?
Which of the following is a key characteristic that distinguishes the ideal immune response from an actual immune response?
Which of the following is a key characteristic that distinguishes the ideal immune response from an actual immune response?
Under what circumstance might it be difficult to differentiate between protective immunity and immunologically-mediated disease?
Under what circumstance might it be difficult to differentiate between protective immunity and immunologically-mediated disease?
When classifying immunologically-mediated diseases, what is considered as the source of the antigen?
When classifying immunologically-mediated diseases, what is considered as the source of the antigen?
In the context of classifying immunologically-mediated diseases, what does the 'Mechanism' refer to?
In the context of classifying immunologically-mediated diseases, what does the 'Mechanism' refer to?
What does immunological tolerance primarily prevent?
What does immunological tolerance primarily prevent?
During which stage of life is immunological tolerance most readily developed?
During which stage of life is immunological tolerance most readily developed?
What event occurs because of immunogen-induced apoptosis of double-positive T cells, in regards to Central Tolerance?
What event occurs because of immunogen-induced apoptosis of double-positive T cells, in regards to Central Tolerance?
What would be the result of immunogen-induced anergy in the absence of costimulation, in regards to Peripheral Tolerance?
What would be the result of immunogen-induced anergy in the absence of costimulation, in regards to Peripheral Tolerance?
Which T helper cell subset is known to inhibit autoimmune cell function by producing immunosuppressive cytokines?
Which T helper cell subset is known to inhibit autoimmune cell function by producing immunosuppressive cytokines?
What characteristic distinguishes autoimmunity from autoimmune disease?
What characteristic distinguishes autoimmunity from autoimmune disease?
Failure to adequately delete autoreactive clones can lead to what event?
Failure to adequately delete autoreactive clones can lead to what event?
In the context of general characteristics of autoimmune disease, what best describes the cause?
In the context of general characteristics of autoimmune disease, what best describes the cause?
What type of immune response does autoimmunity characteristically involve?
What type of immune response does autoimmunity characteristically involve?
In the context of alloimmunity, which alloantigen system is of greatest concern?
In the context of alloimmunity, which alloantigen system is of greatest concern?
What is the primary reason for using Rho(D) Immune Globulin in maternal-fetal alloimmunity?
What is the primary reason for using Rho(D) Immune Globulin in maternal-fetal alloimmunity?
Apart from blood transfusions, which clinical can cause alloimmunity response?
Apart from blood transfusions, which clinical can cause alloimmunity response?
A hallmark of chronic organ rejection involves what?
A hallmark of chronic organ rejection involves what?
How does Cyclosporine-A function when used during transplants?
How does Cyclosporine-A function when used during transplants?
Which of the following situations is best described as allergy?
Which of the following situations is best described as allergy?
What immunological event does 'sensitization' specifically refer to?
What immunological event does 'sensitization' specifically refer to?
A pharmacological effect that is expected and predictable corresponds to:
A pharmacological effect that is expected and predictable corresponds to:
In Type I hypersensitivity, what is the role of histamine after Mast Cell Degradulation?
In Type I hypersensitivity, what is the role of histamine after Mast Cell Degradulation?
Complement activation by is by IgG or IgM , and ADCC, is a result of:
Complement activation by is by IgG or IgM , and ADCC, is a result of:
In the context of type IV hypersensitivity reactions, what is the primary role of $CD4^+$ T cells?
In the context of type IV hypersensitivity reactions, what is the primary role of $CD4^+$ T cells?
Which of the following mechanisms is involved in immunological self-tolerance?
Which of the following mechanisms is involved in immunological self-tolerance?
What is a result of Type II: Cytotoxic Allergy, that targets blood cells?
What is a result of Type II: Cytotoxic Allergy, that targets blood cells?
To provide clinicians with more appropriate and specific therapies for auto-immune diseases, what is a primary objective when studying immunologically-mediated diseases?
To provide clinicians with more appropriate and specific therapies for auto-immune diseases, what is a primary objective when studying immunologically-mediated diseases?
Complete this senetence: 'Establishment of tolerance as a clinical goal...'
Complete this senetence: 'Establishment of tolerance as a clinical goal...'
Bacterial endocarditis, Mixed cryoglobulinemia, Systemic lupus erythematosus all have what in common?
Bacterial endocarditis, Mixed cryoglobulinemia, Systemic lupus erythematosus all have what in common?
Type 1 diabetes (insulin-dependent diabetes mellitus), Rheumatoid arthritis and Multiple sclerosis are what T-cell mediated diseases?
Type 1 diabetes (insulin-dependent diabetes mellitus), Rheumatoid arthritis and Multiple sclerosis are what T-cell mediated diseases?
Which of the following would be the next immediate step after the MAC complex inserts into the target membrane?
Which of the following would be the next immediate step after the MAC complex inserts into the target membrane?
An Idiosyncrasy is described as:
An Idiosyncrasy is described as:
The establishment of allografts have the following in store:
The establishment of allografts have the following in store:
In the context of immunologically-mediated tissue damage, how does an allergic response fundamentally differ from a normal immune response?
In the context of immunologically-mediated tissue damage, how does an allergic response fundamentally differ from a normal immune response?
Which scenario exemplifies how the typical immune response leading to allograft rejection differs from graft-versus-host disease (GVHD)?
Which scenario exemplifies how the typical immune response leading to allograft rejection differs from graft-versus-host disease (GVHD)?
If a patient exhibits symptoms indicative of an adverse drug reaction, which factor would suggest the reaction is an 'idiosyncrasy' rather than a 'side effect'?
If a patient exhibits symptoms indicative of an adverse drug reaction, which factor would suggest the reaction is an 'idiosyncrasy' rather than a 'side effect'?
In a Type I hypersensitivity reaction, what is the immunological basis for why cross-linking of IgE antibodies is required to initiate mast cell degranulation?
In a Type I hypersensitivity reaction, what is the immunological basis for why cross-linking of IgE antibodies is required to initiate mast cell degranulation?
How does the mechanism of tissue damage in Type II hypersensitivity (cytotoxic) reactions differ fundamentally from that in Type I, III, and IV hypersensitivity reactions?
How does the mechanism of tissue damage in Type II hypersensitivity (cytotoxic) reactions differ fundamentally from that in Type I, III, and IV hypersensitivity reactions?
In Type III hypersensitivity reactions, also known as immune complex diseases, what is the primary mechanism driving tissue damage, and where does this process typically localize?
In Type III hypersensitivity reactions, also known as immune complex diseases, what is the primary mechanism driving tissue damage, and where does this process typically localize?
How do Th1 and Th17 cells contribute differently to the pathogenesis of immunologically-mediated tissue damage?
How do Th1 and Th17 cells contribute differently to the pathogenesis of immunologically-mediated tissue damage?
Central tolerance primarily involves the elimination of autoreactive lymphocytes during immune cell development. Which process exemplifies this mechanism?
Central tolerance primarily involves the elimination of autoreactive lymphocytes during immune cell development. Which process exemplifies this mechanism?
Under what circumstances would a clinician consider establishing tolerance as a primary clinical goal?
Under what circumstances would a clinician consider establishing tolerance as a primary clinical goal?
In clinical settings, which treatment strategy is most aligned with the objective of inducing peripheral tolerance?
In clinical settings, which treatment strategy is most aligned with the objective of inducing peripheral tolerance?
What is the mechanism that leads to tolerance within the gut?
What is the mechanism that leads to tolerance within the gut?
What triggers hyperacute rejection?
What triggers hyperacute rejection?
If a patient has chronic organ rejection, what is a known hallmark?
If a patient has chronic organ rejection, what is a known hallmark?
Cyclosporine A acts on what pathway?
Cyclosporine A acts on what pathway?
What is the MOA (mechanism of action) for Glucocorticoids (Steroids)?
What is the MOA (mechanism of action) for Glucocorticoids (Steroids)?
Flashcards
Immunologically-mediated Disease
Immunologically-mediated Disease
Diseases where the immune system causes damage to the body.
Loss of Tolerance
Loss of Tolerance
Loss of the ability to ignore self-antigens.
Alloimmunity
Alloimmunity
Normal immune response against foreign antigen from the same species.
Alloantigens
Alloantigens
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Allergy
Allergy
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Tolerance in immunology
Tolerance in immunology
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Fetal life tolerance
Fetal life tolerance
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Central Tolerance
Central Tolerance
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Peripheral Tolerance
Peripheral Tolerance
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Induction of tolerance
Induction of tolerance
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Alloimmunity clinical significance
Alloimmunity clinical significance
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maternal/fetal alloimmunity
maternal/fetal alloimmunity
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Hyperacute organ rejection
Hyperacute organ rejection
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Acute organ rejection
Acute organ rejection
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Chronic organ rejection
Chronic organ rejection
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Graft-versus-host disease
Graft-versus-host disease
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Cyclosporine A
Cyclosporine A
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Corticosteroids
Corticosteroids
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Side effect
Side effect
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Direct toxicity
Direct toxicity
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Idiosyncrasy
Idiosyncrasy
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Allergy (Hypersensitivity)
Allergy (Hypersensitivity)
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Type I Allergy
Type I Allergy
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Type II Allergy
Type II Allergy
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Type III Allergy
Type III Allergy
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Type IV Allergy
Type IV Allergy
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Immunopathology
Immunopathology
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Diversity (Immunology)
Diversity (Immunology)
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Immunologic Memory
Immunologic Memory
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Termination of Immune Response
Termination of Immune Response
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Ideal Immune Response
Ideal Immune Response
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Actual Immune Response
Actual Immune Response
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Iatrogenic Response
Iatrogenic Response
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Immunological Classification
Immunological Classification
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Disease Mechanism
Disease Mechanism
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Tolerance acquisition
Tolerance acquisition
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Central T Cell Tolerance
Central T Cell Tolerance
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Central B Cell Tolerance
Central B Cell Tolerance
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Immunogen-induced anergy
Immunogen-induced anergy
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Specific Suppressive Cells
Specific Suppressive Cells
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M Cells
M Cells
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Gut Dendritic Cells
Gut Dendritic Cells
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Normal Autoimmunity
Normal Autoimmunity
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Effect of Autoimmunity
Effect of Autoimmunity
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Autoimmune Disease Mechanisms
Autoimmune Disease Mechanisms
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Autoimmune Disease Characteristics
Autoimmune Disease Characteristics
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Anti-idiotypic antibodies
Anti-idiotypic antibodies
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Normal alloimmunity
Normal alloimmunity
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Isoantigens
Isoantigens
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Alloantigen Systems
Alloantigen Systems
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Pregnancy alloimmunity
Pregnancy alloimmunity
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RhoGAM
RhoGAM
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Transfusion Reactions
Transfusion Reactions
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Blood Derivatives
Blood Derivatives
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Transplantation
Transplantation
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Immunosuppressants
Immunosuppressants
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Cyclosporine immunosuppressant
Cyclosporine immunosuppressant
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T Lymphocyte Effects
T Lymphocyte Effects
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B Lymphocyte inhibition
B Lymphocyte inhibition
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Immune-complex disease
Immune-complex disease
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Steroids on Mast Cells
Steroids on Mast Cells
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Hypersensitivity Type 1 reactions
Hypersensitivity Type 1 reactions
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Cytotoxic reaction
Cytotoxic reaction
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Cytotoxicity
Cytotoxicity
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Immune response
Immune response
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Immediate allergic response:
Immediate allergic response:
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Cell receptor reaction
Cell receptor reaction
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Activation of cell release
Activation of cell release
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Study Notes
Immunologically-mediated Disease
- Objectives include: describing immunological abnormalities, summarize basic immunological principles related to immunopathology, comparing ideal vs. actual immune response, and listing parameters to classify immunologically-mediated disease.
Immunological Abnormalities
- It is possible to define deficiency through knowledge of physiological function relating to immunological deficiency disorders
- A function of the immune system is to prevent neoplastic growth when the host is immunocompromised
Actual Immune Response
- It is not always easy to distinguish between protective immunity and immunologically-mediated disease because they are often part of the same process
- Adverse effects that result in damage to the patient include: the etiologic agent before immunity or deficiency, inflammatory or immune response to agent, autoimmunity against self-antigens, and iatrogenic meaning adverse response to therapy
Mechanisms of Tolerance
- Central Tolerance involves immunogen-induced apoptosis of double-positive T cells and IgM-expressing B cells
- Peripheral Tolerance involves immunogen-induced anergy in absence of co-stimulation
- The induction of tolerance in mature cells can include oral tolerance through regulatory T cells to proteins using CD103+ dendritic cells in the gut from high dose tolerance to aqueous proteins
- Gut induction: M Cells process antigen and is taken up by gut dendritic cells which then then travel to mesenteric lymph nodes to make IL-10 and thus favor Treg development
- Specific suppressive cells (Treg, M2 macrophages and Nkreg cells) exist that produce immunosuppressive cytokines
General Characteristics of Autoimmune Disease
- Autoimmune diseases involve a failure to delete autoreactive clones by the thymus or bone marrow, breakdown of peripheral tolerance, antigen-nonspecific lymphocyte activation, molecular mimicry, or abnormalities in lymphocyte interactions
Effects of Autoimmunity
- Autoimmunity can be the cause of inflammation and tissue damage
- In IFNγ deficient mice, there is an increased incidence of certain autoimmune diseases, where Th17 cells are key in responses
Definitions of Alloimmunity
- Alloimmunity can cause clinical significance as three main alloantigen systems ABO, Rh, and HLA
Treatment of Alloimmunity
- Rho(D) Immune Globulin Human can be used for prophylaxis during pregnancy
- For transplants; Kidney, Cornea, Liver, Heart, Lung and Pancreas. Alloimmunity and rejection can occur
Alloreactions from Drugs
- Drugs dervied from humans cause allergic reactions
- Potential allergic reaction must be evaluated from human
- Factors to be considered is how conserved is the gene? How big is the protein? How are you going to administer it?
- Chance of allergic reaction depends on the manufacturing of the drug
Organ transplant Rejection
- Transplants can lead to allograft rejection vs Graft vs Host Disease
- There are three types: hyper acute rejection from pre-existing antibody, acute rejection through T cells, and chronic due through antibody mediated decreased perfusion
Hyper acute vs Acute Rejection
- In hyperacute rejection antibodies bind vascular endothelium of graft by initiating an inflammatory response that occludes blood vessels
- In Acute rejection T cells recognize Class I and ClassII
- A treatment is Cyclosporine A which inhibits signal pathways
Actions of Cyclosporine A
- An immunosuppressant without myelotoxicity
- Inhibits TCR signaling pathway in expression II-2 and T call proliferation
- Does not kill T cells
- Steroids for clinical use in rehumatoid arthritis, transplantation from systemically local applications
Corticosteroids Effects and Side Effects
- Clinical systemic uses extend to rheumatoid arthritis, IBS, SLE, sarcoidosis, post-transplantation, CNS edema and toxic shock.
- Side effects such as Skin atrophy, muscle atrophy, VAT, Infections Peptic ulcers
Clinical Applications and Mechanisms
- Side effects that are long term; resistance GC therapy and cataracts
- Local and systemically has a big impact on the liver
- Long term effects with many side effects. Peptides ulcers.
Alloimmunity and Pregnancy Interactions
- Pregnancy can affect HLA
- With transplant from the mother vs pregnancy
- Transplant rejection vs Graft-host disease
- GVH will be discussed
Mechanisms of Allergy Types
- Includes terminology of Hypersentitivity
- Side effects, all end up being from adverse reactions
- Drugs as factor in all reactions.
Type II Allergies
- IgC and 1gm for immune effector complement.
- Abcde ad cc as well
- Chock tissues which involves circulatory cells
- Main problem and cause is a high dose to cause disease
Mechanisms of Damage
- I, III and IV involves immune type factors
- All lead to inflammation
- Each involves complex tissue
- Some time is not endpoint
Type 1 Allergy
- Type 1 is where effector,
- Can lead to 270,000 CE receptors
- May need to change antibody for the better or it will no stick
Type 3 mechanisms
- Can come from classical complex from high dose and more
Terms to know
- Ig Mediated allergy and Anaphylatic Hypersensitivity
- Know where in the body it happens with these diseases
- Type 3 - those which can kill because there is tons vessel involvement
- It is important that DTH used is used as a test Anergy - is used as the test as indicator or if have
- Sects for the assignment 14+ on
- Not specific with diagnoises
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