Tolerance and Autoimmune Disorders
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Questions and Answers

What best describes central tolerance in the immune system?

  • The suppression of autoreactive responses by cytokines from regulatory T cells.
  • Deactivation of autoreactive cells through antigen sequestration.
  • Functional inactivation of autoreactive lymphocytes outside of primary lymphoid organs.
  • Clonal deletion of autoreactive T and B lymphocytes in the thymus or bone marrow. (correct)
  • Which mechanism is NOT a primary function of peripheral tolerance?

  • Apoptosis initiated by pathogenic infections. (correct)
  • Cytokine secretion leading to suppression of lymphocyte activation.
  • Sequestration of antigens in specific tissues.
  • Anergy through irreversible functional inactivation.
  • What causes the breakdown of self-tolerance leading to autoimmune diseases?

  • Exclusively genetic susceptibility factors.
  • Environmental triggers in conjunction with genetic factors. (correct)
  • Increased production of regulatory T cells.
  • Isolation of immune cells from self-antigens.
  • Which of the following correctly identifies a consequence of traumatic injury in relation to autoimmune responses?

    <p>It exposes sequestered antigens, potentially triggering an autoimmune reaction.</p> Signup and view all the answers

    Which statement is true concerning autoimmune lymphoproliferative disorders?

    <p>They are usually caused by failure of apoptosis in autoreactive lymphocytes.</p> Signup and view all the answers

    What role does antigen sequestration play in maintaining self-tolerance?

    <p>It hides self-antigens from immune surveillance behind barriers.</p> Signup and view all the answers

    Which factor is NOT typically involved in the mechanisms of autoimmunity?

    <p>Direct damage to immune system by external forces.</p> Signup and view all the answers

    Which statement about autoimmune diseases is NOT accurate?

    <p>The symptoms of autoimmune diseases are always distinct and easily classified.</p> Signup and view all the answers

    Which of the following is classified as an organ-specific autoimmune disease?

    <p>Grave's disease</p> Signup and view all the answers

    What common factor can influence the manifestation of autoimmune diseases?

    <p>Age, hormones, and environmental factors</p> Signup and view all the answers

    What leads to the breakdown of T cell anergy and subsequent activation of T cells specific for self-antigens?

    <p>Upregulation of costimulatory molecules on APCs</p> Signup and view all the answers

    Which of the following phenomena is best exemplified by rheumatic heart disease?

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

    What is the most significant association of HLA alleles with autoimmune disease?

    <p>Ankylosing spondylitis with HLA-B27</p> Signup and view all the answers

    What mechanism involves the alteration of self antigens by microbial agents leading to autoimmune diseases?

    <p>Modification of self antigens</p> Signup and view all the answers

    What role does tissue trauma play in the development of autoimmune diseases?

    <p>It exposes hidden epitopes through inflammatory destruction</p> Signup and view all the answers

    Which of the following statements is true regarding susceptibility genes in autoimmune diseases?

    <p>They typically show complex, multigenic patterns of susceptibility</p> Signup and view all the answers

    Which microorganism is known to cause polyclonal activation of B cells leading potentially to autoreactivity?

    <p>Epstein-Barr virus (EBV)</p> Signup and view all the answers

    How does failure of T cell mediated suppression contribute to autoimmune diseases?

    <p>It allows activated T cells to respond to self-antigens</p> Signup and view all the answers

    Which of the following methods can lead to autoimmune reactions through molecular mimicry?

    <p>Cross-reactivity with similar amino acid sequences</p> Signup and view all the answers

    What can trigger the release of sequestered self antigens, potentially leading to autoimmune responses?

    <p>Tissue trauma or inflammatory destruction</p> Signup and view all the answers

    Study Notes

    Tolerance and Autoimmune Disorders

    • Tolerance is the inability of the immune system to respond to self-antigens.
    • Self-tolerance prevents the immune system from attacking the body's own cells and tissues.
    • Central tolerance involves clonal deletion of autoreactive T and B lymphocytes in the thymus or bone marrow.
    • Peripheral tolerance removes or deactivates autoreactive cells that escape central tolerance.
    • Anergy, suppression by regulatory T cells, and deletion by apoptosis are mechanisms of peripheral tolerance.
    • Autoimmune diseases occur when self-tolerance fails, allowing the immune system to attack self-antigens.
    • Mechanisms of autoimmunity include failure of self-tolerance, genetic factors, and infectious factors.
    • Examples of autoimmune diseases include type I diabetes mellitus, rheumatoid arthritis, systemic lupus erythematosus, and autoimmune thyroid disease.
    • Genetic defects in apoptotic pathways can lead to immune dysregulation and autoimmune diseases.

    Mechanisms of Autoimmunity

    • Failure of self-tolerance: Breakdown of T cell anergy, failure of T cell suppression, molecular mimicry.
    • Genetic factors: Inheritance of susceptibility genes.
    • Infectious factors: Modification of self-antigens, cross-reaction with microbial epitopes, resulting inflammation and immune activation.
    • Molecular mimicry: When a microbial antigen resembles a self-antigen, the immune response may attack both.
    • Release of sequestered self-antigens and exposure of hidden epitopes through tissue trauma or inflammatory destruction can trigger an immune response.

    Types of Autoimmune Diseases

    • Organ-specific autoimmune diseases affect a specific organ or tissue.
      • Examples include autoimmune thyroid disease, type 1 diabetes mellitus, and myasthenia gravis.
    • Systemic autoimmune diseases affect multiple organs and systems.
      • Examples include systemic lupus erythematosus, rheumatoid arthritis, and inflammatory bowel diseases.

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    Description

    This quiz explores the concepts of tolerance and autoimmune disorders, focusing on how the immune system distinguishes between self and non-self. It covers mechanisms of central and peripheral tolerance and the failure of self-tolerance leading to various autoimmune diseases. Test your understanding of this critical aspect of immunology.

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