Podcast
Questions and Answers
What is the role of chemokines CCL2 and CXCL10 in the context of beta cells?
What is the role of chemokines CCL2 and CXCL10 in the context of beta cells?
- They promote the destruction of beta cells by NK cells.
- They stimulate the proliferation of beta cells.
- They induce the recruitment of neutrophils and monocytes. (correct)
- They inhibit the activation of T cells.
Which cells are primarily recruited and activated due to the expression of stress ligands by beta cells?
Which cells are primarily recruited and activated due to the expression of stress ligands by beta cells?
- Neutrophils and B cells
- Macrophages and CD8 T cells
- NK cells and TH1 T cells (correct)
- Monocytes and CD4 T cells
What is the consequence of epitope spreading in the immune response against beta cells?
What is the consequence of epitope spreading in the immune response against beta cells?
- It prevents macrophage infiltration into the tissue.
- It leads to the rapid recovery of beta cell function.
- It decreases the recruitment of neutrophils.
- It results in activation of additional T helper and cytotoxic T cell clones. (correct)
What happens to monocytes once they are recruited to the tissue in this context?
What happens to monocytes once they are recruited to the tissue in this context?
Which receptors are involved in recognizing the stress ligands expressed by beta cells?
Which receptors are involved in recognizing the stress ligands expressed by beta cells?
What is the role of phagocytes during an infection?
What is the role of phagocytes during an infection?
Why are regulatory T cells not activated during an infection?
Why are regulatory T cells not activated during an infection?
What effect does inflammation have on the potential for autoimmune diseases?
What effect does inflammation have on the potential for autoimmune diseases?
Which type of cells are primarily involved in the inflammation seen in autoimmune diseases?
Which type of cells are primarily involved in the inflammation seen in autoimmune diseases?
What is the relationship between dendritic cells in the joint and autoimmune disease symptoms?
What is the relationship between dendritic cells in the joint and autoimmune disease symptoms?
During the inflammation response after an infection, which cytokines are inhibited in their release by T regulatory cells?
During the inflammation response after an infection, which cytokines are inhibited in their release by T regulatory cells?
What is primarily responsible for the bystander activation of neighboring T cells in lymph nodes?
What is primarily responsible for the bystander activation of neighboring T cells in lymph nodes?
What happens when dendritic cells are targeted and eliminated during an autoimmune response?
What happens when dendritic cells are targeted and eliminated during an autoimmune response?
What mechanism is primarily involved in the activity of therapeutic monoclonal antibodies against tumor cells?
What mechanism is primarily involved in the activity of therapeutic monoclonal antibodies against tumor cells?
Which process is specifically described as being enhanced by antibodies to promote tumor cell destruction?
Which process is specifically described as being enhanced by antibodies to promote tumor cell destruction?
What specific role does trastuzumab play in relation to Her2-positive breast cancer cells?
What specific role does trastuzumab play in relation to Her2-positive breast cancer cells?
What effect does the binding of therapeutic monoclonal antibodies have on tumor cell receptors?
What effect does the binding of therapeutic monoclonal antibodies have on tumor cell receptors?
What is a potential approach for developing new monoclonal antibodies targeted at tumor cells?
What is a potential approach for developing new monoclonal antibodies targeted at tumor cells?
What process is involved in the destruction of tumor cells after antibody binding?
What process is involved in the destruction of tumor cells after antibody binding?
What is the consequence of opsonization of tumor cells by antibodies?
What is the consequence of opsonization of tumor cells by antibodies?
What therapeutic effect is associated with complement-mediated cytotoxicity (CMC)?
What therapeutic effect is associated with complement-mediated cytotoxicity (CMC)?
What is the primary reason for the persistence of immunocomplexes in circulation during self-antigen release?
What is the primary reason for the persistence of immunocomplexes in circulation during self-antigen release?
What is meant by epitope spreading in the context of autoimmune diseases?
What is meant by epitope spreading in the context of autoimmune diseases?
In the case of pemphigus, what triggers the activation of antibodies against α-desmoglein1?
In the case of pemphigus, what triggers the activation of antibodies against α-desmoglein1?
What happens to the number of epitopes recognized by the immune system after the first immune reaction?
What happens to the number of epitopes recognized by the immune system after the first immune reaction?
What is a key example of epitope spreading observed in diabetes type 1?
What is a key example of epitope spreading observed in diabetes type 1?
Which of the following statements is true regarding the effector mechanism in autoimmune diseases?
Which of the following statements is true regarding the effector mechanism in autoimmune diseases?
What is a potential trigger for the immune response in pemphigus at the cellular level?
What is a potential trigger for the immune response in pemphigus at the cellular level?
During self-antigen release, what characteristic of inflammation is notably different compared to an infection?
During self-antigen release, what characteristic of inflammation is notably different compared to an infection?
What role do dendritic cells play in the context of inflammation?
What role do dendritic cells play in the context of inflammation?
Which cytokine is primarily associated with the response to viral infections?
Which cytokine is primarily associated with the response to viral infections?
What is a consequence of cytotoxic T cells destroying infected cells?
What is a consequence of cytotoxic T cells destroying infected cells?
How does interferon gamma influence B cells and macrophages?
How does interferon gamma influence B cells and macrophages?
What does the term 'molecular mimicry' refer to in immunology?
What does the term 'molecular mimicry' refer to in immunology?
What is the primary result of increased expression of peptide-HLA complexes on epithelial cells due to interferon?
What is the primary result of increased expression of peptide-HLA complexes on epithelial cells due to interferon?
What happens when B cells encounter self-antigens in an inflammatory context?
What happens when B cells encounter self-antigens in an inflammatory context?
What initiates the activation of dendritic cells during inflammation?
What initiates the activation of dendritic cells during inflammation?
What factor primarily causes the T cells to recognize tumor cells in the described experiment?
What factor primarily causes the T cells to recognize tumor cells in the described experiment?
Which of the following best describes tumor-associated antigens (TAA)?
Which of the following best describes tumor-associated antigens (TAA)?
How are cancer testis antigens like MAGE and TRP-1 aberrantly expressed?
How are cancer testis antigens like MAGE and TRP-1 aberrantly expressed?
What is a common characteristic of tumor antigens expressed as a result of viral infections?
What is a common characteristic of tumor antigens expressed as a result of viral infections?
What is the role of the major histocompatibility complex (MHC) in the context of tumor antigens?
What is the role of the major histocompatibility complex (MHC) in the context of tumor antigens?
What method is commonly used to identify specific antigens from tumor cells?
What method is commonly used to identify specific antigens from tumor cells?
What was an initial misconception regarding tumor-specific antigens?
What was an initial misconception regarding tumor-specific antigens?
Which of the following best illustrates the expression of embryonic antigens in adult cells?
Which of the following best illustrates the expression of embryonic antigens in adult cells?
Flashcards
Chemokines
Chemokines
Immune cells that release substances called chemokines which attract other immune cells to the site of inflammation.
Chemokine release by beta cells
Chemokine release by beta cells
Beta cells start releasing CCL2 and CXCL10, attracting neutrophils and monocytes (which mature into macrophages) and specific types of T cells called TH1 and CD8 T cells.
MIC-A and -B ligands
MIC-A and -B ligands
Stress ligands expressed on beta cells that activate NK cells, leading to their destruction.
Epitope spreading
Epitope spreading
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Antigen presentation by macrophages
Antigen presentation by macrophages
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Cryptic Epitopes
Cryptic Epitopes
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Pemphigus
Pemphigus
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Alpha-Desmoglein 3
Alpha-Desmoglein 3
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Alpha-Desmoglein 1
Alpha-Desmoglein 1
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Pathogenetic Mechanism
Pathogenetic Mechanism
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Glutamic Acid Decarboxylase (GAD)
Glutamic Acid Decarboxylase (GAD)
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Type 1 Diabetes
Type 1 Diabetes
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Autoimmune Disease
Autoimmune Disease
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Dendritic Cells and Immune Response
Dendritic Cells and Immune Response
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Self-Antigens and Autoimmunity
Self-Antigens and Autoimmunity
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Molecular Mimicry in Autoimmunity
Molecular Mimicry in Autoimmunity
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Interferons in Autoimmunity
Interferons in Autoimmunity
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Autoreactive T and B Cells
Autoreactive T and B Cells
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Autoantibodies in Autoimmune Disease
Autoantibodies in Autoimmune Disease
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MHC Molecules and Autoimmunity
MHC Molecules and Autoimmunity
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What are PAMPs?
What are PAMPs?
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How do phagocytes activate T cells in lymph nodes?
How do phagocytes activate T cells in lymph nodes?
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What is the bystander effect?
What is the bystander effect?
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What is the role of regulatory T cells (Tregs)?
What is the role of regulatory T cells (Tregs)?
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How does inflammation affect Tregs?
How does inflammation affect Tregs?
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Why can infection lead to autoimmune disease?
Why can infection lead to autoimmune disease?
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What is the role of dendritic cells in autoimmune diseases?
What is the role of dendritic cells in autoimmune diseases?
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What is the significance of targeting dendritic cells in autoimmune diseases?
What is the significance of targeting dendritic cells in autoimmune diseases?
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What are tumor-specific antigens (TSAs)?
What are tumor-specific antigens (TSAs)?
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What are tumor-associated antigens (TAAs)?
What are tumor-associated antigens (TAAs)?
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How do T cells recognize tumor cells?
How do T cells recognize tumor cells?
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How does the immune system recognize TAAs specifically?
How does the immune system recognize TAAs specifically?
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How are TAAs identified?
How are TAAs identified?
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Describe the 'genetic approach' for TAA identification.
Describe the 'genetic approach' for TAA identification.
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How can the identity of a TAA be determined?
How can the identity of a TAA be determined?
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What is the importance of TAA identification?
What is the importance of TAA identification?
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What is ADCC?
What is ADCC?
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How do antibodies trigger phagocytosis?
How do antibodies trigger phagocytosis?
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What is complement-mediated cytotoxicity (CMC)?
What is complement-mediated cytotoxicity (CMC)?
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How do therapeutic monoclonal antibodies block tumor growth?
How do therapeutic monoclonal antibodies block tumor growth?
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How do antibodies lead to internalization?
How do antibodies lead to internalization?
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How can monoclonal antibodies be used to deliver toxins to tumor cells?
How can monoclonal antibodies be used to deliver toxins to tumor cells?
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What are monoclonal antibodies conjugated with isotopes used for?
What are monoclonal antibodies conjugated with isotopes used for?
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Can monoclonal antibodies kill tumor cells without internalization?
Can monoclonal antibodies kill tumor cells without internalization?
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Study Notes
Autoimmune Reaction
- Autoimmune reactions are closely linked to hypersensitivity reactions. Type 1, 2, 3, and 4 hypersensitivity reactions can lead to autoimmune diseases.
- An autoimmune response is an immune response directed against self-antigens and self-cells.
- Paul Ehrlich first described this response as "horror auto-toxic" in the early 1900s.
- Lupus erythematosus and multiple sclerosis were the first clinically recognized autoimmune diseases (1950s and 1960s, respectively).
- For a disease to be considered autoimmune, it must involve tissue damage and resulting clinical symptoms.
Noel Rose
- Noel Rose was a pioneer in autoimmune disease research.
- He worked with animal models (mice and rabbits) to study thyroiditis (Hashimoto's disease).
- His early work was initially rejected for lack of clinical evidence.
- His subsequent research led to the description of Hashimoto's disease in humans.
Autoimmune Mechanisms
- Autoimmune reactions can be triggered by autoantibodies or T cells.
- Autoantibodies can activate type 2 and type 3 hypersensitivity responses.
- Autoreactive T cells usually trigger type 4 hypersensitivity and tissue damage.
- These responses can lead to the development of autoimmune diseases.
Mechanisms of Autoimmune Disease
- Central tolerance failure: Autoreactive T cells escape from the thymus and are released into the periphery, where they encounter self-antigens. This is a rare cause of autoimmune disease, as mechanisms are tightly regulated.
- Peripheral tolerance failure: Failure of mechanisms intended to maintain tolerance via various cells (Treg cells, cytokine production, etc.) can lead to autoimmunity. This allows self-reactive lymphocytes to cause tissue damage.
- Inflammation: Chronic inflammation is necessary for several autoimmune diseases; this can arise from infections or other sources. Inflammation release danger signals activating dendritic cells and other lymphocytes..
- Molecular mimicry: Pathogen antigens can have similar structures to self-antigens; this can trigger an autoimmune response.
- Defects in immune system: Immune system components (B cells, T cells, cytokines, etc.) can have defects leading to autoimmune problems. Defects in the immune system can result from chronic inflammation.
Inflammation and Autoimmunity
- Inflammation often triggers or exacerbates autoimmune diseases.
- Danger signals, released during inflammation, activate antigen-presenting cells (APCs).
- Pro-inflammatory cytokines impair regulatory T (Treg) cell function.
- Treg cells normally release inhibitory cytokines, such as TGF-β, IL-10, and IL-35. The failing of immune tolerance related to impaired Treg activity can lead to autoimmunity.
- This inflammatory environment can contribute to or induce autoimmune disease.
Immune Response and Autoimmunity
- Many autoimmune diseases are characterized by the presence of autoantibodies and/or autoreactive T cells. These cells can trigger immune responses that damage tissues and lead to clinical symptoms.
- Some autoimmune diseases manifest with only one specific kind of response by B or T-cells. Sometimes the immune response involves many molecules that induce other inflammatory cells.
- The virus, bacteria, or chronic infections can be a trigger for autoimmune diseases because they induce a high level of inflammation which can lead to activate the regulatory T cells, leading to an immune response and autoimmunity.
Epitope Spreading
- Epitope spreading means the reaction against a specific antigen that leads to the amplification of the reaction in response to other related antigens.
- During the immune response to a specific antigen, autoreactive T-cells or B-cells may become activated against other antigens.
Effector Mechanisms
- Antibody-mediated effects: Antibodies can activate complement, leading to phagocytosis of cells, and cause tissue damage by activating various inflammatory cells.
- Lymphocyte-mediated effects: T cells attack, and damage cells, tissues, or organs as a result of the reaction to an antigen.
- Macrophages are an immune cell activated by and related to the inflammation and are crucial in the pathogenesis of inflammatory diseases.
- Molecular mimicry: Pathogen antigens can have similar structures to self-antigens, triggering an autoimmune reaction.
Abnormalities and Autoimmunity
- Defects in regulatory T cells (Treg cells) can cause autoimmune diseases.
- Defects in antigen-presenting cells (APCs) such as dendritic cells can result in immune dysfunction that causes autoimmune disorders.
- Lack of factors required for immune responses or other immune components cause disease.
Autoimmune Diseases - Examples
- Graves' disease (hyperthyroidism) and Hashimoto's thyroiditis (hypothyroidism) are common thyroid diseases.
- Multiple sclerosis results in demyelination of the nerves.
- Rheumatoid arthritis is associated with the destruction of joints.
- Myasthenia gravis is a disease in which the neuromuscular junction is affected, leading to muscle weakness.
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Description
This quiz explores the intricate roles of chemokines CCL2 and CXCL10 in beta cell function and their implications for autoimmunity. It delves into the cellular responses triggered by stress ligands and the dynamics of immune cell activation and inflammation. Understand the interactions between various immune cells and their contributions to autoimmune diseases.