Measles Vaccination and Multiple Sclerosis Risk

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Questions and Answers

What can induce an autoimmune disease in animals of some sensitive lines?

  • Injecting them with a certain autoantigen (correct)
  • Removing certain epitopes from their system
  • Exposing them to foreign antigens
  • Injecting them with a pathogenic virus

What can happen when tissues are damaged due to a viral infection affecting a certain organ?

  • Reduction in the activation of lymphocytes
  • Release of tissuespecific own antigens not normally present in significant quantities (correct)
  • Decrease in the immune response
  • Increase in the immunogen's epitopes

What may be a consequence of an autoimmune response spreading from the epitopes of a virus to the epitopes of its own tissue?

  • Prevention of further autoimmune damage
  • Decrease in the likelihood of chronic autoimmune destructive process
  • Weakening of both the antiviral and autoimmune responses
  • Transition of the antiviral immune response to an autoimmune response (correct)

What is a key factor in the development of a chronic autoimmune destructive process according to the text?

<p>Epitopic spread induced by a viral infection (B)</p> Signup and view all the answers

Which scenario describes the epitopic spread concept mentioned in the text?

<p>Immune response targeting virus antigens transitioning to targeting own tissue antigens (B)</p> Signup and view all the answers

What could cause the activation of lymphocytes specific to other epitopes of a protein or tissue?

<p>Tissuespecific own antigens released upon tissue damage (D)</p> Signup and view all the answers

What type of hypersensitivity reaction develops when immune complexes of autoantibodies with various nuclear antigens are deposited on the walls of small vessels?

<p>Type III hypersensitivity (A)</p> Signup and view all the answers

What is the consequence of excessive complement activation in Systemic Lupus Erythematosus (SLE)?

<p>Increased C3a and C5a levels (B)</p> Signup and view all the answers

What effect does C5a have on neutrophils in the context of SLE?

<p>Increases neutrophil expression of CR3 (C)</p> Signup and view all the answers

What is the consequence of the aggregation of neutrophils on the walls of small blood vessels in SLE?

<p>Stimulation of vasculitis (A)</p> Signup and view all the answers

What can lead to the occurrence of neutropenia in SLE?

<p>Attachment of neutrophils to capillaries (D)</p> Signup and view all the answers

What is the cause of glomerulonephritis in SLE?

<p>Formation of immune complex deposits on glomerular basement membrane (C)</p> Signup and view all the answers

What is the primary cause of Lyme disease?

<p>A bacterium (A)</p> Signup and view all the answers

Which components of Borrelia bacteria are most commonly associated with the induction of an autoimmune response in Lyme disease?

<p>Polypeptides of flagella and lipopolysaccharides of bacterial cell walls (D)</p> Signup and view all the answers

Which mechanism is responsible for the breakdown of tolerance to its own antigens in Lyme disease?

<p>Molecular mimicry (D)</p> Signup and view all the answers

Which hypothesis explains the initiation of autoimmune disease in Lyme disease?

<p>Hypothesis of molecular mimicry (C)</p> Signup and view all the answers

Which immune components are involved in the pathogenesis of autoimmune arthritis in Lyme disease?

<p>Autoreactive T lymphocytes and autoantibodies (C)</p> Signup and view all the answers

Which immune response is triggered due to molecular mimicry in Lyme disease?

<p>Humoral immune response (C)</p> Signup and view all the answers

What are the high levels of autoantibodies in AIDS patients often associated with?

<p>Polyclonal B-cell activation caused by other viruses (B)</p> Signup and view all the answers

What mechanism can provide costimulating signals for autoreactive lymphocytes?

<p>Infectious agents parasitizing intracellularly in the antigen-presenting cells (B)</p> Signup and view all the answers

Which cells most often act as antigen-presenting cells, activating autoreactive lymphocytes?

<p>Dendritic cells (D)</p> Signup and view all the answers

What does the absence of specific mechanisms contributing to peripheral tolerance lead to?

<p>Activation of autoreactive clones of lymphocytes during infection (A)</p> Signup and view all the answers

Which molecules increase in expression on dendritic cells in infected tissue?

<p>Co-stimulators (B7-1, B7-2) (D)</p> Signup and view all the answers

What is presented on the surface of dendritic cells migrating to peripheral lymphoid organs?

<p>Peptide-MHC protein complexes, including infectious and bodily peptides (A)</p> Signup and view all the answers

What is a rare complication of measles vaccination?

<p>An autoimmune lesion of the myelin sheath (C)</p> Signup and view all the answers

Which virus shows a particularly high degree of homology with the main protein of myelin?

<p>Hepatitis B virus (C)</p> Signup and view all the answers

What is the result of immunizing rabbits with a peptide from the hepatitis B virus?

<p>Antibody synthesis and T-lymphocyte proliferation (D)</p> Signup and view all the answers

What type of autoimmune response can be induced by infection with certain viruses?

<p>Autoimmune response to sequestered antigens (D)</p> Signup and view all the answers

What may also influence sensitivity to autoimmune reactions?

<p>The individual's MHC haplotype (A)</p> Signup and view all the answers

What is a possible consequence of certain viruses expressing epitopes with molecular mimicry to the main myelin protein?

<p>The development of multiple sclerosis (A)</p> Signup and view all the answers

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