Immunodeficiences

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Questions and Answers

What is immunodeficiency?

  • A condition where the immune system produces excessive antibodies, leading to autoimmune diseases
  • A failure in the humoral or cell-mediated limbs of the immune response, often resulting to intrinsic or extrinsic defects (correct)
  • A condition where the innate immune system functions normally, but the adaptive immune system is overly active
  • A transient immune response suppression caused solely by environmental factors

If the defect results from a loss of function of antibody and/or lymphocytes, the condition is known as _______________

Secondary immunodeficiency/acquired immuno deficiency

If there are intrinsic defects in T and/or B lymphocytes, the condition is termed as ___________

Primary immunodeficiency/congenital immunodeficiency

What is the primary distinction between primary and secondary immunodeficiencies?

<p>Primary immunodeficiencies are caused by genetic defects, while secondary immunodeficiencies are triggered by external factors. (A)</p> Signup and view all the answers

Which of the following scenarios would most likely be classified as a secondary immunodeficiency?

<p>An older animal with recurrent infections caused by stress and malnutrition (B)</p> Signup and view all the answers

At what stages of immune cell development can genetic defects lead to primary immunodeficiency?

<p>Failure of differentiation of pluripotent stem cells or production of functional neutrophils and macrophages (A)</p> Signup and view all the answers

What are the three other key stages/occurrences that can lead to primary immunodeficiency? (Primary was pluripotent stem cells)

<p>Failure of differentiation of lymphoid/myeloid lineage, and failure of T and B cell development</p> Signup and view all the answers

When should you suspect a patient with primary immunodeficiency?

<p>When you see chronic or recurrent infections in relatively young animals or multiple sites of infection occurring in young animals or litter mates</p> Signup and view all the answers

What is the primary objective in diagnosing primary immunodeficiency?

<p>To localize the immunological defect within the immune system components (B)</p> Signup and view all the answers

Which of the following testing approaches is ideal for examining potential primary immunodeficiencies?

<p>A comprehensive panel targeting both cell-mediated and humoral immunity (A)</p> Signup and view all the answers

What is the “gold standard” procedure to confirm a patient has primary immunodeficiency?

<p>Full necropsy of dead littermates</p> Signup and view all the answers

What is the underlying cause of tissue damage in Chediak-Higashi syndrome?

<p>Mutation in the lyst (CHS1) gene, causing a lysosomal defect to fuse and great large secretory granules (B)</p> Signup and view all the answers

What is the gene that causes Chediak-Higashi syndrome?

<p>A missense mutation in the lyst gene</p> Signup and view all the answers

What species is Chediak-Higashi Syndrome in?

<p>Persian cats, cattle (Hereford, Japanese black cattle), horses, mink, and white tigers</p> Signup and view all the answers

What is the primary defect in Chediak-Higashi syndrome?

<p>Disrupted lysosomal membrane trafficking (B)</p> Signup and view all the answers

What are the possible clinical manifestations of Chediak-Higashi syndrome?

<p>Melanocyte defects and increased risk of infection (A)</p> Signup and view all the answers

Which cells are primarily affected by the fusion and rupture of large lysosomes in Chediak-Higashi syndrome?

<p>Neutrophils, eosinophils, and monocytes (A)</p> Signup and view all the answers

What consequences might result from endothelial defects in Chediak-Higashi syndrome?

<p>Formation of hematomas and hemorrhage (A)</p> Signup and view all the answers

What are the consequences of neutrophil/monocyte/NK/T cell defects in patients with CHS?

<p>Increased risk to infection , higher risk of tumors and septicemia</p> Signup and view all the answers

What is CLAD?

<p>Canine leukocyte adhesion deficiency</p> Signup and view all the answers

Which molecular defect underlies the failure of neutrophil extravasation in LAD?

<p>Mutation causing defective CD18/CD11b (Mac-1), preventing integrity functionality (B)</p> Signup and view all the answers

What causes the incorrect protein formation in Canine Leukocyte adhesion deficiency?

<p>A missense mutation in the Beta chain of CD18 (A)</p> Signup and view all the answers

What structural change occurs in the CD18 molecule due to the mutation?

<p>Disruption of disulfide bonds (B)</p> Signup and view all the answers

Why is the CD11b not expressed on the cell surface in Canine Leukocyte adhesion deficiency?

<p>It requires interaction with the Beta chain of CD18 for expression (D)</p> Signup and view all the answers

What is the primary effect of the mutation in the Beta chain of CD18 on neutrophil function?

<p>Impaired binding of neutrophils to blood vessels (A)</p> Signup and view all the answers

In what species is the defect of Canine Leukocyte Adhesion deficiency found in?

<p>Irish Red or White setters</p> Signup and view all the answers

This disease has similar clinical presentation as CLAD. What is this disease and in what animal(s) is it found in?

<p>It is Bovine Leukocyte Adhesion Deficiency. This is found in Holstein calves</p> Signup and view all the answers

The clinical signs in CLAD present dogs dying between 2-7 months of severe infections , whereas in BLAD calves have recurrent infections despite high number of neutrophils

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

The cause of BLAD is due to the ____ mutation in the gene encoding ____, in which it replaces _____ with _____, instead of cysteine with serine in CLAD.

<p>The cause of BLAD is due to the point mutation in the gene encoding CD18, in which it replaces aspartic acid with glycine, instead of cysteine with serine in CLAD</p> Signup and view all the answers

Canine Cyclic Neutropenia is also known as _________

<p>Canine Cyclic Neutropenia is also known as Grey Collie syndrome</p> Signup and view all the answers

What is the primary result of the mutation in the AP3β1 gene in Canine Cyclic Neutropenia?

<p>Compromised trafficking of granular proteins (A)</p> Signup and view all the answers

How frequently do the neutrophil numbers fluctuate in a dog with Canine Cyclic Neutropenia?

<p>Every 11-12 days (D)</p> Signup and view all the answers

What impact does chronic neutropenia have on a dog's immune response?

<p>Compromised inflammatory response (D)</p> Signup and view all the answers

What is the duration of neutrophil drop experienced in Canine Cyclic Neutropenia?

<p>2-4 days (B)</p> Signup and view all the answers

Which of these best describes the histological findings in the bone marrow of a dog with Canine Cyclic Neutropenia?

<p>Cyclic arrest of myeloid progenitor maturation (A)</p> Signup and view all the answers

What are clinical signs of dogs with Grey collie syndrome?

<p>Discoloration of hair and nose, bleeding, and respiratory tract infections.</p> Signup and view all the answers

What does SCID stand for?

<p>Severe Combined Immunodeficiency Disease</p> Signup and view all the answers

What species are prone to SCID?

<p>Arabian horses and Jack Russels</p> Signup and view all the answers

What mutation is most commonly associated with SCID in horses?

<p>Deletion of nucleotides in DNA-PKcs leading to defective DNA repair. (B)</p> Signup and view all the answers

What is the consequence of the lack of recombination of variable regions of TCR and BCR in horses with SCID?

<p>Inability for lymphocytes to effectively recognize antigens. (A)</p> Signup and view all the answers

How does the mutation associated with SCID affect lymphocyte circulation in affected horses?

<p>It results in very low numbers of T and B lymphocytes in circulation. (C)</p> Signup and view all the answers

What specifically is removed from the gene coding region in the case of SCID in horses?

<p>Five nucleotides causing a substantial loss of genetic material. (D)</p> Signup and view all the answers

Which aspect of immune function is primarily impaired due to the mutation in SCID in horses?

<p>The ability to recognize and respond to antigens. (B)</p> Signup and view all the answers

Which combination of factors is needed to confirm SCID in horses?

<p>Few circulating lymphocytes, absence of IgM pre-suckling, marked lymphoid organ hypoplasia (C)</p> Signup and view all the answers

What are the primary immune cells that may still function in horses with SCID?

<p>Natural Killer cells, neutrophils, and monocytes (D)</p> Signup and view all the answers

What is a significant histological finding characteristic of SCID in horses?

<p>Hypoplasia of primary and secondary lymphoid organs (D)</p> Signup and view all the answers

Which of the following characterizes the serum immunoglobulin levels in horses diagnosed with SCID?

<p>Lack of IgM present in serum before suckling (A)</p> Signup and view all the answers

SCID in dogs is an _______ disease of Jack Russel terriers

<p>SCID in dogs is an autosomal recessive disease of Jack Russell terriers</p> Signup and view all the answers

What is the primary genetic defect associated with SCID in dogs?

<p>Mutation in the gene coding for DNA-PKsc (A)</p> Signup and view all the answers

Which of the following conditions primarily results from SCID in Jack Russell terriers?

<p>Lymphopenia, agammaglobulinemia, and aplazia of the thymus and lymphoid tissue (A)</p> Signup and view all the answers

Which of the following best describes the inheritance pattern of SCID in dogs?

<p>Autosomal recessive inheritance (A)</p> Signup and view all the answers

What specific immunological structures are reduced or absent in dogs affected by SCID?

<p>Thymus and lymphoid tissue (B)</p> Signup and view all the answers

What characterizes the immune response of Jack Russell terriers afflicted with SCID?

<p>Absence of adaptive immune response (C)</p> Signup and view all the answers

What key protein is affected in X-SCID due to the mutation in the gene encoding the IL-2 receptor?

<p>γ chain of IL-2 receptor (A)</p> Signup and view all the answers

Which of the following accurately describes the immunological consequence of X-SCID?

<p>Lack of mature T lymphocytes and reduced IgG levels (B)</p> Signup and view all the answers

What is the primary reason for the premature STOP codon generated in the gene encoding the IL-2 receptor in Corgis?

<p>An insertion of a cytosine (A)</p> Signup and view all the answers

Which anatomical finding is indicative of X-SCID upon autopsy?

<p>Thymus weight at 10% of normal (C)</p> Signup and view all the answers

Which statement best describes the production of immunoglobulins in individuals with X-SCID?

<p>Impaired production of IgG and IgA, but normal IgM (B)</p> Signup and view all the answers

X-SCID is a disease of ____ and _____

<p>X-SCID is a disease of bassets and corgis</p> Signup and view all the answers

For bassests with X-SCID, what is the molecular basis behind the disease?

<p>The removal of 4 nucleotides causes a STOP codon to be generated.</p> Signup and view all the answers

Which immunoglobulin deficiency is most common in humans?

<p>Selective IgA deficiency (D)</p> Signup and view all the answers

What is a potential genetic cause of selective immunoglobulin deficiencies?

<p>Block in B cell differentiation (B)</p> Signup and view all the answers

Which breed is associated with selective IgG deficiency?

<p>Cavalier King Charles Spaniel (B)</p> Signup and view all the answers

Which of these deficiencies is NOT commonly noted in a specific dog breed?

<p>Selective IgD in Labrador Retrievers (D)</p> Signup and view all the answers

What might occasionally cause selective immunoglobulin isotype deficiencies?

<p>Homozygous deletions of constant region genes (D)</p> Signup and view all the answers

What primarily leads to the insufficient production of Ig in Common Variable Immunodeficiency (CVID)?

<p>Lack of appropriate stimulation of B cells by helper CD4+ T cells for sufficient Ig (A)</p> Signup and view all the answers

In which age group are horses typically observed to develop Common Variable Immunodeficiency (CVID)?

<p>Older horses over 3 years of age (B)</p> Signup and view all the answers

What genetic defect is known to be associated with Common Variable Immunodeficiency (CVID) in humans?

<p>Genetic defect in the co-stimulatory molecule ICOS (B)</p> Signup and view all the answers

What serious health issue can result from Common Variable Immunodeficiency (CVID)?

<p>Recurrent bacterial infections, such as meningitis (C)</p> Signup and view all the answers

What is the role of the co-stimulatory molecule ICOS in lymphocyte stimulation?

<p>It is required for optimal lymphocyte activation and function. (D)</p> Signup and view all the answers

Secondary immunodeficiencies result from damage to a normal functioning immune system due to __________

<p>Infectious agents such as viruses, toxins, stress, malnutrition and old age</p> Signup and view all the answers

What is the other term used to describe “old age”?

<p>Immunosenescence</p> Signup and view all the answers

What is one of the direct consequences of virus-induced damage to lymphatic organs?

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

A reduction in which of the following could indicate viral infection-induced immunosuppression?

<p>Lymphocyte reactivity to mitogens (B)</p> Signup and view all the answers

What are examples of virus that cause damage to lymphatic tissue?

<p>FIV, FeLV, Feline Panleukemia, Canine distemper virus and BVDV</p> Signup and view all the answers

What virus highly stimulates activity of lymphoid tissue, as identified in class?

<p>Porcine reproductive and respiratory syndrome virus (PRRSV)</p> Signup and view all the answers

List the viruses that cause lymphoid neoplasia as discussed in class.

<p>Bovine leukemia virus and feline leukemia virus</p> Signup and view all the answers

Which cells are primarily targeted by Canine distemper virus (CDV) during infection?

<p>T and B lymphocytes, particularly in the tonsils, bronchial lymph nodes, and spleen (B)</p> Signup and view all the answers

What mechanism does canine distemper virus use to destroy infected immune cells?

<p>Binding to CD150 on activated T cells, resulting in viral replication and destruction of the host cell (B)</p> Signup and view all the answers

Which cells are primarily targeted by Feline Leukemia virus (FeLV)?

<p>T lymphocytes, particularly CD4+ cells leading to immunosuppression (C)</p> Signup and view all the answers

What syndrome is commonly associated with feline Leukemia Virus (FeLV) infection?

<p>Wasting syndrome due to recurrent infections in thymic atrophy (A)</p> Signup and view all the answers

How does FeLV contribute to the development of secondary infections?

<p>By reducing CD4+ T cell numbers; depending on the severity of secondary infections there may be atrophy or hyperplasia (B)</p> Signup and view all the answers

Which cells are primarily targeted by Feline immunodeficiency virus (FIV)?

<p>CD4+ T cells, B cells and macrophages, leading to immunosuppression (D)</p> Signup and view all the answers

How does FIV contribute to the development of secondary infections?

<p>By activating CD4+/CD25+ regulatory T cells, and increasing IL-10 production, leading to immunosuppression (B)</p> Signup and view all the answers

Flashcards

Immunodeficiency

Failure of the immune system's humoral or cell-mediated response, often due to intrinsic or extrinsic defects

Secondary immunodeficiency

Immunodeficiency caused by external factors, like stress or malnutrition

Primary immunodeficiency

Immunodeficiency from genetic defects in immune cell development.

Primary vs. Secondary

Primary is genetic, secondary is external.

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Secondary immunodeficiency example

Recurrent infections in a stressed, malnourished animal.

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Primary immunodeficiency stem cell stage

Immune cell development issues can begin with stem cells or the creation of neutrophils and macrophages.

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Other primary immunodeficiency stages

In addition to stem cells, there are issues at lymphoid/myeloid lineage differentiation, and T/B cell development.

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Suspected primary immunodeficiency

Chronic or repeated infections (especially in young animals or littermates) can signal a primary immunodeficiency issue.

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Immunodeficiency Diagnosis Goal

To pinpoint the specific part of the immune system that's not working properly.

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Immune System Components

These are the parts of the immune system that we test to figure out what's wrong, like cell-mediated immunity and humoral immunity.

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Cell-Mediated & Humoral Immunity

Two main types of immune responses. Cell-mediated relies on T cells attacking directly, while humoral uses B cells to produce antibodies.

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Full Panel of Tests

Using a full panel means checking all the important components of the immune system to get a complete picture.

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Immunological Defect Localization

The process of pinpointing the exact location of the immune system problem, which could be a component or a specific cell type.

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Chediak-Higashi Syndrome

A rare genetic disorder caused by a mutation affecting lysosomal trafficking, leading to abnormally large lysosomes. This causes defects in various cell types, including neutrophils, monocytes, NK cells, and melanocytes.

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Lysosomal Trafficking Defect

In Chediak-Higashi Syndrome, the mutation disrupts the movement of lysosomes within cells, leading to their abnormal accumulation and fusion.

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CHS Clinical Manifestations

Chediak-Higashi Syndrome presents with a variety of symptoms, including albinism (melanocyte defects), increased susceptibility to infections (neutrophil/monocyte/NK cell defects), and bleeding problems (endothelial defects).

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Neutrophil/Monocyte/NK Cell Defects

In Chediak-Higashi Syndrome, these cells have impaired function due to the lysosomal trafficking defect, leading to increased risk of infections and tumors.

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Endothelial Defects

Chediak-Higashi Syndrome can also cause problems with blood vessels, leading to easy bruising and bleeding.

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CLAD Mutation

A single genetic change in the CD18 gene, specifically the beta chain, causing a faulty protein to be made. This affects how CD18 and the immune system works.

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CD18 Structure Disruption

The CLAD mutation messes up the CD18 protein's structure, specifically its disulfide bonds. This makes the CD18 protein unable to function as it should.

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CD11b Expression

The CD11b protein, which normally sits on the cell surface, is not expressed when CD18 is faulty. CD11b needs the CD18 beta chain to function properly.

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CLAD's Impact on Immune Cells

The faulty CD18 protein affects immune cells' ability to adhere and migrate to infection sites. This makes the immune system less effective at fighting infections.

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What does CLAD stand for?

CLAD stands for Canine Leukocyte Adhesion Deficiency. This is a genetic disorder that affects the immune system in dogs.

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Canine Cyclic Neutropenia

An autosomal recessive disease caused by a mutation in the AP3β1 gene, leading to cyclic neutropenia due to impaired maturation of myeloid progenitor cells in the bone marrow.

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AP3β1 gene

The gene responsible for normal trafficking of granular proteins (like elastase) to cytoplasmic granules during hematopoiesis. A mutation in this gene causes Canine Cyclic Neutropenia.

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Myeloid Progenitor Cells

Immature cells in the bone marrow that are destined to become neutrophils and other myeloid cells. Their maturation is disrupted in Canine Cyclic Neutropenia.

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Neutropenia

A condition characterized by an abnormally low number of neutrophils in the blood, leading to increased susceptibility to infections.

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Recurrent Infections

A common consequence of Canine Cyclic Neutropenia due to the compromised immune response, especially in young animals.

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SCID in horses

A genetic disorder in horses caused by a mutation in the gene for DNA-PKcs, resulting in a loss of 967 amino acids and impaired immune function.

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DNA-PKcs mutation in SCID

The mutation in SCID in horses specifically removes 5 nucleotides in the coding region of DNA-PKcs, leading to the loss of 967 amino acids in the protein.

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Immune system consequences of SCID

The mutation in SCID disrupts the recombination of TCR and BCR variable regions, preventing lymphocytes from recognizing antigens. This results in a low production of T and B lymphocytes.

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SCID in circulation

Horses with SCID exhibit very low numbers of T and B lymphocytes in circulation, making them susceptible to infections.

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Why is SCID a problem?

The lack of functional T and B lymphocytes in SCID leads to a compromised immune system. This makes horses susceptible to a wide range of infections and diseases.

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SCID in Horses: Immune System

Horses with SCID have a severely impaired immune system due to the lack of functional T and B lymphocytes. This makes them vulnerable to various infections.

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SCID in Horses: Diagnosis

SCID in horses is diagnosed by identifying three key factors: low circulating lymphocytes, absence of IgM before suckling, and histologically typical signs like hypoplasia of lymphoid organs.

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SCID in Horses: Consequences

Horses with SCID are at high risk of developing various infections and diseases due to their compromised immune system. This can lead to serious health complications and even death.

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SCID in Horses: Importance

The diagnosis of SCID in horses is important due to their value as animals. Understanding the condition helps in managing their health and making informed breeding decisions.

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SCID in Dogs

A genetic disorder in Jack Russell terriers caused by a defect in the gene coding for DNA-PKsc, leading to a lack of immune function.

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SCID Symptoms in Dogs

SCID in dogs results in lymphopenia, agammaglobulinemia, and the absence of a thymus and lymphoid tissue.

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SCID Inheritance

SCID in dogs is inherited in an autosomal recessive manner, meaning both parents must carry the defective gene for their offspring to be affected.

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SCID Impact on Immune Cells

SCID in dogs disrupts the development of immune cells, leading to a lack of T and B lymphocytes.

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X-SCID Molecular Basis

Mutations in the gene encoding the γ chain of the IL-2 receptor (IL-2R) cause X-SCID. This γ chain is crucial for various cytokine receptors.

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X-SCID Effect on Immune Cells

In X-SCID, lymphocytes lack reactivity to IL-2 and other cytokines, resulting in a lack of mature T lymphocytes.

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X-SCID in Bassets vs. Corgis

Basset Hounds have a 4-nucleotide deletion causing a premature STOP codon, while Corgis have a cytosine insertion creating a STOP codon, both leading to non-functional proteins.

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Selective IgA Deficiency

The most common type of selective immunoglobulin deficiency, where the body lacks the ability to produce IgA antibodies.

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Selective IgG Subclass Deficiency

A type of selective immunodeficiency where specific subclasses of IgG antibodies are missing, leading to increased susceptibility to infections.

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Cause of Selective Immunoglobulin Deficiency

A block in the differentiation of B cells into IgA or IgG antibody-producing plasma cells, often due to genetic mutations in the constant region genes.

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Immunoglobulin Deficiency in Dogs: Cavalier King Charles Spaniels

These dogs are commonly affected by selective IgG deficiency, meaning they lack certain IgG antibodies.

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Immunoglobulin Deficiency in Dogs: Dobermanns

Dobermanns are known for their selective IgM deficiency, leading to a compromised immune response.

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CVID in Humans

In humans, CVID can be genetic, specifically caused by a defect in the ICOS molecule. This molecule helps with proper lymphocyte stimulation.

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What causes problems in CVID?

CVID involves a problem with B cell function. It's often linked to a lack of proper stimulation from helper T cells, leading to insufficient antibody production.

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What's the difference between CVID in humans and horses?

CVID in horses is generally caused by a lack of proper helper T cell stimulation, while in humans, it's often caused by genetic defects in the ICOS molecule, which plays a crucial role in lymphocyte activation.

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Lymphopenia

A decrease in the number of lymphocytes in the blood, which are crucial for immune responses.

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Hypogammaglobulinemia

Low levels of immunoglobulins (antibodies) in the blood, which are essential for fighting infections.

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Virus-Induced Immunosuppression

A situation where a viral infection weakens the immune system and makes the body more vulnerable to other infections.

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How does virus infection damage the immune system?

Viruses can directly damage lymphatic organs, like lymph nodes and bone marrow, which are key sites for immune cell development and function.

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What happens to lymphocyte reactivity during virus infection?

In addition to reducing lymphocyte numbers, viral infections can also decrease the ability of lymphocytes to respond effectively to stimulation by antigens or mitogens.

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How do viruses damage the immune system?

Viruses can directly damage primary or secondary lymphatic organs, like lymph nodes and bone marrow, which are important sites for immune cell development and function. This can lead to decreased lymphocyte numbers and reactivity, weakening the immune response.

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