IMS-I SFM 2024: Immunology Tolerance & Autoimmunity
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Questions and Answers

What is self-tolerance in the immune system?

The process that prevents an active and specific immune response against self-antigens.

Which of the following is not a mechanism of tolerance?

  • Autoimmunity (correct)
  • Negative selection
  • Peripheral tolerance
  • Central tolerance
  • What are the two levels at which tolerance is established?

    Central tolerance and peripheral tolerance.

    Where does central tolerance take place?

    <p>In primary lymphoid organs such as the bone marrow and thymus.</p> Signup and view all the answers

    What happens to T cells that have a high affinity for self-antigens during negative selection?

    <p>They undergo apoptosis.</p> Signup and view all the answers

    What is the function of regulatory T cells (Tregs)?

    <p>Suppress immune responses against self-antigens</p> Signup and view all the answers

    What role does the AIRE gene play in central tolerance?

    <p>It allows the expression of tissue-specific proteins in the thymus.</p> Signup and view all the answers

    What is peripheral tolerance?

    <p>Induced after lymphocytes mature</p> Signup and view all the answers

    What are the three mechanisms for maintaining peripheral tolerance?

    <p>Anergy, suppression, and deletion.</p> Signup and view all the answers

    Study Notes

    Tolerance and Autoimmunity

    • The immune system's primary function is distinguishing self from non-self antigens.
    • Autoimmunity occurs when the immune system incorrectly targets self-antigens, resulting in autoimmune diseases.
    • Self-tolerance mechanisms are crucial for preventing harmful immune responses against self-antigens.

    Importance of Immunological Tolerance

    • Antigen-specific binding sites in T and B cell receptors arise from random gene segment selection (V(D)J recombination).
    • This randomness leads to the production of potentially harmful receptors that may attack self-tissues.
    • Selection processes are necessary to eliminate autoreactive receptors.

    Mechanisms of Tolerance

    • Central Tolerance: Established before lymphocytes mature, occurring in primary lymphoid organs (thymus and bone marrow).
      • Involves negative selection, where immature T cells with high affinity for self-antigens undergo apoptosis.
      • Surviving cells mature and migrate throughout the immune system.
      • CD4+ T cells can differentiate into regulatory T cells (Tregs) after exposure to self-antigens.
        • Tregs play a key role in maintaining tolerance and express specific markers (CD4+, FoxP3+, CD25+).
        • Development is reliant on interleukin-2 (IL-2) and the transcription factor FoxP3.
      • Autoimmune regulator (AIRE) gene enables the expression of tissue-specific antigens in the thymus, crucial for negative selection.
        • AIRE deficiency leads to autoimmune polyendocrinopathy candidiasis ectodermal dystrophy (APECED), manifesting as multiple autoimmune symptoms.

    Peripheral Tolerance

    • Occurs after lymphocyte maturation, operating as a secondary checkpoint in peripheral tissues.
    • Prevents responses against harmless foreign antigens, such as dietary components.
    • Involves mechanisms like Anergy, Suppression, and Deletion to maintain tolerance across the body.

    Anergy

    • A state where lymphocytes recognize self-antigens but fail to activate; serves as a protective mechanism against autoimmunity.

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    Description

    This quiz focuses on the concepts of central and peripheral tolerance mechanisms in B and T cells, as well as the definition and contributing factors of autoimmunity. Enhance your understanding of how the immune system distinguishes between self and non-self. Perfect for students in immunology courses.

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