Podcast
Questions and Answers
What is the primary cause of Guillain-Barré syndrome as described in the passage?
What is the primary cause of Guillain-Barré syndrome as described in the passage?
What role do predisposing genes and MHC haplotypes play in the development of Guillain-Barré syndrome?
What role do predisposing genes and MHC haplotypes play in the development of Guillain-Barré syndrome?
How does the immune response in Guillain-Barré syndrome ultimately resolve itself?
How does the immune response in Guillain-Barré syndrome ultimately resolve itself?
What is the significance of developing immune memory, as mentioned with regards to vaccines?
What is the significance of developing immune memory, as mentioned with regards to vaccines?
Signup and view all the answers
Why is it important for T lymphocytes to receive Signal 2 (CD8) during T cell activation?
Why is it important for T lymphocytes to receive Signal 2 (CD8) during T cell activation?
Signup and view all the answers
What happens to T lymphocytes that fail to receive Signal 2 (CD8) during T cell activation?
What happens to T lymphocytes that fail to receive Signal 2 (CD8) during T cell activation?
Signup and view all the answers
What is the function of regulatory T cells, as described in the passage?
What is the function of regulatory T cells, as described in the passage?
Signup and view all the answers
Why did a significant number of individuals die during the COVID-19 pandemic?
Why did a significant number of individuals die during the COVID-19 pandemic?
Signup and view all the answers
What is the primary goal of a bone marrow transplant in the treatment of autoimmune diseases?
What is the primary goal of a bone marrow transplant in the treatment of autoimmune diseases?
Signup and view all the answers
What is the role of cyclophosphamide in the bone marrow transplant procedure?
What is the role of cyclophosphamide in the bone marrow transplant procedure?
Signup and view all the answers
What type of cells are targeted for collection during a bone marrow transplant?
What type of cells are targeted for collection during a bone marrow transplant?
Signup and view all the answers
What is the purpose of the conditioning step in a bone marrow transplant?
What is the purpose of the conditioning step in a bone marrow transplant?
Signup and view all the answers
What is the significance of myeloablative treatments in bone marrow transplantation for autoimmune diseases?
What is the significance of myeloablative treatments in bone marrow transplantation for autoimmune diseases?
Signup and view all the answers
Why is collecting stem cells from peripheral blood preferred over bone marrow biopsy in modern bone marrow transplant procedures?
Why is collecting stem cells from peripheral blood preferred over bone marrow biopsy in modern bone marrow transplant procedures?
Signup and view all the answers
What is the main principle behind the use of bone marrow transplants in the treatment of autoimmune diseases?
What is the main principle behind the use of bone marrow transplants in the treatment of autoimmune diseases?
Signup and view all the answers
Which of the following statements accurately describes the mechanism of bone marrow transplantation in autoimmune diseases?
Which of the following statements accurately describes the mechanism of bone marrow transplantation in autoimmune diseases?
Signup and view all the answers
What type of cells are responsible for initiating an immune response?
What type of cells are responsible for initiating an immune response?
Signup and view all the answers
What is the main environmental factor that has contributed to the rise of autoimmune diseases post World War II?
What is the main environmental factor that has contributed to the rise of autoimmune diseases post World War II?
Signup and view all the answers
How does the immune system differentiate between self and non-self antigens?
How does the immune system differentiate between self and non-self antigens?
Signup and view all the answers
Which type of MHC molecule presents proteins from inside the cell?
Which type of MHC molecule presents proteins from inside the cell?
Signup and view all the answers
What is the role of NK cells in the immune system?
What is the role of NK cells in the immune system?
Signup and view all the answers
Which of the following is NOT a characteristic of autoimmune diseases?
Which of the following is NOT a characteristic of autoimmune diseases?
Signup and view all the answers
According to the passage, why has the incidence of autoimmune diseases increased since the second World War?
According to the passage, why has the incidence of autoimmune diseases increased since the second World War?
Signup and view all the answers
The passage mentions a link between autoimmune diseases and the decline of parasites. Which of the following best describes the relationship?
The passage mentions a link between autoimmune diseases and the decline of parasites. Which of the following best describes the relationship?
Signup and view all the answers
What is the main reason why bone marrow transplantation is not used for every patient with an autoimmune disease?
What is the main reason why bone marrow transplantation is not used for every patient with an autoimmune disease?
Signup and view all the answers
What evidence suggests that MS is an immune-mediated disease?
What evidence suggests that MS is an immune-mediated disease?
Signup and view all the answers
What happens to the patient's immune system during the recovery phase after bone marrow transplantation?
What happens to the patient's immune system during the recovery phase after bone marrow transplantation?
Signup and view all the answers
What is a significant risk associated with bone marrow transplantation during the recovery phase?
What is a significant risk associated with bone marrow transplantation during the recovery phase?
Signup and view all the answers
Why is it considered unethical to propose bone marrow transplantation for every patient with an autoimmune disease?
Why is it considered unethical to propose bone marrow transplantation for every patient with an autoimmune disease?
Signup and view all the answers
What does the author mean by saying that the transplant process "demonstrates that substituting the existing immune system with a new one can lead to the resolution of the disease"?
What does the author mean by saying that the transplant process "demonstrates that substituting the existing immune system with a new one can lead to the resolution of the disease"?
Signup and view all the answers
Which of the following statements is TRUE about bone marrow transplantation for MS?
Which of the following statements is TRUE about bone marrow transplantation for MS?
Signup and view all the answers
What conclusion can be drawn from the success of bone marrow transplantation in resolving MS?
What conclusion can be drawn from the success of bone marrow transplantation in resolving MS?
Signup and view all the answers
Why are the T lymphocytes that have a very high affinity for antigens within the thymus eliminated?
Why are the T lymphocytes that have a very high affinity for antigens within the thymus eliminated?
Signup and view all the answers
What happens to T lymphocytes with very low affinity for antigens within the thymus?
What happens to T lymphocytes with very low affinity for antigens within the thymus?
Signup and view all the answers
What is the main function of T-regulatory cells in the immune system?
What is the main function of T-regulatory cells in the immune system?
Signup and view all the answers
What condition results from a genetic defect in FOXP3?
What condition results from a genetic defect in FOXP3?
Signup and view all the answers
What is the effect of a severe impairment or deletion of the FOXP3 protein?
What is the effect of a severe impairment or deletion of the FOXP3 protein?
Signup and view all the answers
Which of the following is NOT a consequence of a dysfunctional T-regulatory cell?
Which of the following is NOT a consequence of a dysfunctional T-regulatory cell?
Signup and view all the answers
What type of cell, besides T-regulatory cells, has been identified as playing a role in immune regulation?
What type of cell, besides T-regulatory cells, has been identified as playing a role in immune regulation?
Signup and view all the answers
Which statement accurately reflects the importance of T-regulatory cells in the immune system?
Which statement accurately reflects the importance of T-regulatory cells in the immune system?
Signup and view all the answers
What is the primary consequence of the absence of functioning T-regulatory cells?
What is the primary consequence of the absence of functioning T-regulatory cells?
Signup and view all the answers
What is the key characteristic that distinguishes bystander activation in autoimmune diseases?
What is the key characteristic that distinguishes bystander activation in autoimmune diseases?
Signup and view all the answers
Which of the following conditions IS NOT an example of an autoimmune disease?
Which of the following conditions IS NOT an example of an autoimmune disease?
Signup and view all the answers
What is the dilemma faced by healthcare providers in cases of paraneoplastic syndromes?
What is the dilemma faced by healthcare providers in cases of paraneoplastic syndromes?
Signup and view all the answers
Flashcards
Autoimmune Disease Resolution
Autoimmune Disease Resolution
The improvement or disappearance of symptoms in autoimmune diseases following treatment.
Bone Marrow Transplant Risks
Bone Marrow Transplant Risks
The potential dangers including infections and complications from undergoing a bone marrow transplant.
Procedure-related Mortality
Procedure-related Mortality
The risk of death directly associated with bone marrow transplantation procedures, estimated around 1-2%.
Ethical Patient Selection
Ethical Patient Selection
Signup and view all the flashcards
Post-Transplant Vaccinations
Post-Transplant Vaccinations
Signup and view all the flashcards
Immune-mediated Mechanism
Immune-mediated Mechanism
Signup and view all the flashcards
Memory Cell Elimination
Memory Cell Elimination
Signup and view all the flashcards
MS Inflammation Cause
MS Inflammation Cause
Signup and view all the flashcards
T lymphocyte affinity selection
T lymphocyte affinity selection
Signup and view all the flashcards
Autoreactive T cells
Autoreactive T cells
Signup and view all the flashcards
Thymus function
Thymus function
Signup and view all the flashcards
FOXP3 gene
FOXP3 gene
Signup and view all the flashcards
IPEX syndrome
IPEX syndrome
Signup and view all the flashcards
T-regulatory cells
T-regulatory cells
Signup and view all the flashcards
Peripheral tolerance
Peripheral tolerance
Signup and view all the flashcards
Suppressive myeloid cells
Suppressive myeloid cells
Signup and view all the flashcards
Guillain-Barré syndrome
Guillain-Barré syndrome
Signup and view all the flashcards
Molecular mimicry
Molecular mimicry
Signup and view all the flashcards
Campylobacter jejuni
Campylobacter jejuni
Signup and view all the flashcards
MHC molecules
MHC molecules
Signup and view all the flashcards
Signal II in T lymphocytes
Signal II in T lymphocytes
Signup and view all the flashcards
Effector T lymphocytes
Effector T lymphocytes
Signup and view all the flashcards
Self-limiting mechanisms
Self-limiting mechanisms
Signup and view all the flashcards
Autoimmune disease mechanism
Autoimmune disease mechanism
Signup and view all the flashcards
Inside-out mechanism
Inside-out mechanism
Signup and view all the flashcards
Oligodendrocytes
Oligodendrocytes
Signup and view all the flashcards
Bone marrow transplant
Bone marrow transplant
Signup and view all the flashcards
CD34 positive cells
CD34 positive cells
Signup and view all the flashcards
Conditioning regimen
Conditioning regimen
Signup and view all the flashcards
Myeloablative treatment
Myeloablative treatment
Signup and view all the flashcards
Stem cell repopulation
Stem cell repopulation
Signup and view all the flashcards
Autoimmune diseases
Autoimmune diseases
Signup and view all the flashcards
Increase in autoimmunity
Increase in autoimmunity
Signup and view all the flashcards
Antigenic challenge
Antigenic challenge
Signup and view all the flashcards
MHC Class 1
MHC Class 1
Signup and view all the flashcards
MHC Class 2
MHC Class 2
Signup and view all the flashcards
Antigen Presenting Cells (APCs)
Antigen Presenting Cells (APCs)
Signup and view all the flashcards
Natural Killer (NK) cells
Natural Killer (NK) cells
Signup and view all the flashcards
Bystander activation
Bystander activation
Signup and view all the flashcards
Autoimmunity
Autoimmunity
Signup and view all the flashcards
Paraneoplastic syndromes
Paraneoplastic syndromes
Signup and view all the flashcards
Lupus
Lupus
Signup and view all the flashcards
Crohn's disease
Crohn's disease
Signup and view all the flashcards
Study Notes
Introduction to Autoimmunity
- Autoimmune diseases have increased since WWII
- Reduced exposure to antigens in modern lifestyles
- Immune system now encounters unusual antigens more frequently
- Example - lack of parasitic infections
- Immune response (image) shows dynamic interaction with pathogens or self-antigens, including antigen-presenting cells (APCs)
MHC Molecules and Immune Response Initiation
- Two types of MHC molecules: MHC class I and MHC class II
- MHC molecules are surface molecules
- MHC class I molecules present intracellular proteins on cell surfaces
- MHC class II molecules present extracellular proteins on the surface of antigen-presenting cells (APCs)
- NK cells bridge innate and adaptive immunity, killing cells lacking or mismatched MHC molecules
- APCs present antigens to T cells
B and T Cell Receptors and Diverse Responses
- B and T cells have diverse receptors due to unique genomic recombination process
- T cells proliferate and differentiate into effector T cells after activation by antigen presenting cells (APCs) that recognize matching protein
- Adaptive immune response takes around 15-60 minutes (signal 1) and 40-60 mins (signal 2)
- This leads to clonal expansion and maturation to effector function
Mechanisms of Diverse Immune Responses
- Bystander activation, where a danger signal activates an unrelated immune response.
- Molecular mimicry, where the body's immune system responds to a pathogen by targeting similar molecules in the body.
Autoimmune Diseases
- Multiple mechanisms can contribute to autoimmune diseases.
- Chronic inflammation and tissue damage can result.
- Genetic predisposition and environmental factors can contribute.
Role of the Thymus
- The thymus is an organ where T cells mature and are selected
- T cells that recognize self-antigens with high affinity are deleted
- This peripheral tolerance helps prevent autoimmunity
- Failure of selection mechanisms can lead to autoimmune responses
Mechanisms of Autoimmune Diseases
- Autoimmune diseases can manifest as a variety of conditions, some of which simultaneously include neurological, arthritic, and gut diseases
- These diseases are characterized by complex and multiple mechanisms (e.g., bystander activation, molecular mimicry).
Paraneoplastic Syndromes
- Associated with tumors
- Immune responses are complex and potentially detrimental (e.g., damaging normal cells along with tumor cells).
- Include several types (e.g., affecting central nervous system or muscle tissues).
Development of Autoimmune Diseases
- Genetic risk factors can predispose individuals to autoimmune diseases.
- Environmental factors can influence disease development.
- A combination of genetic and environmental factors is often seen to affect onset of autoimmune disease
Myelin and its Importance in MS
- Normal myelin sheath = high conduction velocity (100 m/s)
- Loss of myelin sheath slows down nerve pulse conduction (1 m/s).
- This is evidenced by MRI scans.
Autoimmune Diseases and Treatment
- Treatment options are limited to immunosuppressants, though certain types of cell replacement strategies (e.g., stem cell transplant) for autoimmune diseases.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz covers key concepts related to autoimmunity, including the rise of autoimmune diseases, the role of MHC molecules in immune response initiation, and the diversity of B and T cell receptors. It emphasizes the interactions between the immune system and various antigens, providing a comprehensive look at how the immune response is generated and regulated.