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

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

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

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

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

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

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

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

    <p>2-4 days</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</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.</p> Signup and view all the answers

    What is the main effect of the mutation in the SCID gene in horses?

    <p>It leads to the loss of a significant portion of the DNA-PKcs protein.</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.</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.</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.</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.</p> Signup and view all the answers

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