T1 L7: Mechanisms of tolerance (NT)

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Questions and Answers

Which therapeutic approach involves the continuous administration of small amounts of allergens to induce antigen-specific tolerance?

  • Tolerogenic Vaccines
  • IL-2 Therapy
  • Hyposensitisation Immunotherapy (correct)
  • T cell Therapy

Which type of immunotherapy shows promise for the control of peanut allergy?

  • T cell Therapy
  • IL-2 Therapy
  • Tolerogenic Vaccines
  • Oral/sublingual desensitisation immunotherapy (correct)

How can sensitization to food antigen occur?

  • Through intravenous injection
  • Through oral ingestion
  • Through inhalation
  • Through cutaneous exposure (correct)

Which cells are involved in the expansion of intestinal mast cells and food-induced anaphylaxis?

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

What is the learning outcome related to immune tolerance?

<p>To explain the mechanisms of central and peripheral tolerance in T and B cells (C)</p> Signup and view all the answers

Which article provides information on the mechanism of oral tolerance induction to therapeutic proteins?

<p>Mechanism of oral tolerance induction to therapeutic proteins (C)</p> Signup and view all the answers

Which of the following best defines immunological tolerance?

<p>The immune system's ability to recognize self from non-self antigens (A)</p> Signup and view all the answers

Where does the induction of tolerance to self antigens occur?

<p>In the thymus and bone marrow (B)</p> Signup and view all the answers

Which type of cells play a role in peripheral tolerance induction?

<p>FoxP3+ Regulatory T cells (D)</p> Signup and view all the answers

What is the difference between tolerance and immunosuppression?

<p>Tolerance is antigen-specific, while immunosuppression is not antigen-specific (A)</p> Signup and view all the answers

Where do B cells develop?

<p>In the bone marrow (D)</p> Signup and view all the answers

How does the immune system learn to discriminate between self and non-self?

<p>Through central and peripheral tolerance mechanisms (D)</p> Signup and view all the answers

Which type of cells express TCR in the thymus?

<p>Thymocytes (C)</p> Signup and view all the answers

What happens to thymocytes that cannot recognize self MHC expressed on the surface of cortical epithelial cells?

<p>They undergo apoptosis (A)</p> Signup and view all the answers

What is the purpose of positive selection in the thymus?

<p>To retain thymocytes expressing TCR that recognize self MHC (C)</p> Signup and view all the answers

Which cells are responsible for negative selection in the thymus?

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

What is the role of AIRE (autoimmune regulator) in the thymus?

<p>To regulate gene transcription in thymic medullary epithelial cells (A)</p> Signup and view all the answers

How is tolerance established to antigens that cannot be expressed in the thymus?

<p>Tolerance is induced and maintained outside the thymus (A)</p> Signup and view all the answers

Which immune checkpoint inhibitor has shown better results in combination with anti-PD-1 for the treatment of melanoma, lymphoma, lung, and renal cancer?

<p>Anti-CTLA-4 antibody (C)</p> Signup and view all the answers

Which cells are critical for maintaining peripheral tolerance through suppressive mechanisms?

<p>T regulatory cells (Tregs) (C)</p> Signup and view all the answers

What is the function of CD25 (IL-2Rα) in T regulatory cells (Tregs)?

<p>Consumes IL2 to limit expansion of Teff (B)</p> Signup and view all the answers

What is the role of Tregs in promoting tolerance?

<p>Strengthen or re-establish self-tolerance in autoimmune disease (C)</p> Signup and view all the answers

Which inhibitory receptors are associated with increased expression in HIV-specific T cells and SARS-COV2-specific T cells, and are associated with disease severity?

<p>CTLA-4 and PD-1 (B)</p> Signup and view all the answers

What antigen properties favor tolerance rather than immunogenicity?

<p>Smaller, soluble, not-aggregated molecules (B)</p> Signup and view all the answers

Which cells undergo random somatic gene rearrangement to generate a diverse repertoire of antigen receptors?

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

What is the primary function of the thymus in the immune system?

<p>Positive selection of T cells with appropriate affinity for self MHC (A)</p> Signup and view all the answers

Which cells are involved in the process of central tolerance induction in the bone marrow?

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

What is the main purpose of negative selection in the thymus?

<p>To remove self-reactive T cells (A)</p> Signup and view all the answers

Which of the following statements about thymic involution is true?

<p>Thymic involution is complete by the age of 30 (D)</p> Signup and view all the answers

What is the significance of positive selection in T cell development?

<p>To generate diversity of T cell receptors (B)</p> Signup and view all the answers

Which cells are responsible for the induction of peripheral tolerance?

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

What is the main function of central tolerance?

<p>To prevent the recognition of self-antigens (C)</p> Signup and view all the answers

Which cells are involved in the process of central tolerance induction in the thymus?

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

What is the role of regulatory T cells in immune tolerance?

<p>To suppress immune response (B)</p> Signup and view all the answers

Which of the following is true about antigen-specific tolerance?

<p>It is a mechanism of general lack of responsiveness (D)</p> Signup and view all the answers

Where do B cells develop?

<p>In the bone marrow (C)</p> Signup and view all the answers

What is the purpose of positive selection in T cell development?

<p>To select T cells that can recognize self MHC (A)</p> Signup and view all the answers

What is the role of Tregs in promoting tolerance?

<p>To suppress immune responses (D)</p> Signup and view all the answers

Which organ is responsible for the maturation of T cells?

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

What is the process called when T cells are selected based on their ability to recognize self antigens?

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

Which cells are eliminated during negative selection in the thymus?

<p>T cells that cannot recognize self antigens (C)</p> Signup and view all the answers

What is the main reason for the progressive impairment of the immune system with age?

<p>Loss of thymus activity (D)</p> Signup and view all the answers

During the development of B cells, which process is responsible for rearranging the heavy and light chains of the antibody?

<p>Somatic gene rearrangement (D)</p> Signup and view all the answers

Which stage of B cell maturation occurs in the bone marrow?

<p>Immature B cell (B)</p> Signup and view all the answers

What is the mechanism by which B cells that recognize self antigens within the bone marrow are eliminated?

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

What is the purpose of receptor editing in B cells?

<p>To alter the specificity of the antibody (B)</p> Signup and view all the answers

Which of the following is true about the generation of diverse antigen receptors in T and B cells?

<p>Alternative segments are used for alternative portions of the receptor (A)</p> Signup and view all the answers

What is the purpose of the somatic rearrangement of gene segments in T and B cells?

<p>To generate a large variety of different receptors (B)</p> Signup and view all the answers

Which chromosomes are involved in the expression of light and heavy chains in T and B cells?

<p>The light chains and heavy chains are expressed on different chromosomes in humans, but on the same chromosome in mice (C)</p> Signup and view all the answers

How are the gene segments in the immunoglobulin genes rearranged to produce the full protein?

<p>The gene segments are randomly rearranged (D)</p> Signup and view all the answers

What is the purpose of somatic gene rearrangement in T cells?

<p>To generate a diverse repertoire of antigen receptors (A)</p> Signup and view all the answers

What is the difference in antigen recognition between T cells and B cells?

<p>T cells recognize antigens presented by antigen presenting cells, while B cells recognize antigens directly (B)</p> Signup and view all the answers

What is the role of T cell receptor (TCR) in T cell activation?

<p>To recognize antigens presented by antigen presenting cells (C)</p> Signup and view all the answers

What is the significance of self MSI-restricted T cells?

<p>They can engage with self antigen presenting cells (B)</p> Signup and view all the answers

Which two stages of selection are mentioned in the text?

<p>Positive and negative selection (C)</p> Signup and view all the answers

What is the role of nursing cells in positive selection?

<p>They enable positive selection by adding cells to the repertoire (D)</p> Signup and view all the answers

Which cells are responsible for negative selection?

<p>Macrophages (B)</p> Signup and view all the answers

What is the function of AIRE (autoimmune regulator) in the thymus?

<p>It regulates the expression of tissue-specific antigens (C)</p> Signup and view all the answers

What is the primary function of the thymus in the immune system?

<p>To generate a diverse repertoire of antigen receptors (A)</p> Signup and view all the answers

Which cells are critical for maintaining peripheral tolerance through suppressive mechanisms?

<p>T regulatory cells (B)</p> Signup and view all the answers

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