TOLERANCE Deletion, anergy or ignorance?. Normal thyroidDiseased thyroid If the immune system fails...
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Transcript of TOLERANCE Deletion, anergy or ignorance?. Normal thyroidDiseased thyroid If the immune system fails...
![Page 1: TOLERANCE Deletion, anergy or ignorance?. Normal thyroidDiseased thyroid If the immune system fails to “delete” or anergise tissue reactive lymphocytes,](https://reader036.fdocuments.in/reader036/viewer/2022070410/56649eec5503460f94bfe6b3/html5/thumbnails/1.jpg)
TOLERANCE
Deletion, anergy or ignorance?
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Normal thyroid Diseased thyroid
If the immune system fails to “delete” or anergise tissue reactive lymphocytes, AUTOIMMUNITY occurs
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If the immune system fails to “ignore” harmless environmental antigens,
ALLERGY results
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TO COMBAT THE DIVERSITY OF PATHOGENIC
ANTIGENS THAT MIGHT BE ENCOUNTERED BY
THE HOST, THE IMMUNE SYSTEM MUST PRODUCE
POPULATIONS OF LYMPHOCYTES WITH
RECEPTORS OF EQUAL DIVERSITY
![Page 5: TOLERANCE Deletion, anergy or ignorance?. Normal thyroidDiseased thyroid If the immune system fails to “delete” or anergise tissue reactive lymphocytes,](https://reader036.fdocuments.in/reader036/viewer/2022070410/56649eec5503460f94bfe6b3/html5/thumbnails/5.jpg)
To achieve this, the antigen receptors of T lymphocytes and B lymphocytes are generated randomly.
This repertoire will inevitably contain lymphocytes specific for self antigen.
The body must therefore distinguish between self and non-self determinants to avoid autoimmunity,
and between dangerous and non-dangerous antigen to avoid allergy.
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HOW IS THIS ACHIEVED?
• “Central tolerance” edits lymphocytes BEFORE they enter the circulation as naïve cells
• “Peripheral tolerance” acts as a back up to eliminate potentially autoreactive lymphocytes AFTER they enter the circulation.
• Some cells are DELETED, some cells are ANERGISED.
• ANERGIC cells can be re-activated if a “DANGER” signal is encountered
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Central toleranceoccurs in the thymus where T cells are edited before they enter the circulation as naïve cells
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Clonal selection theory also applies to B lymphocytesthat are “edited” in the bone marrow and lymph nodes
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B cells need T cell “help” to make high affinity antibody
T CELLTOLERANCE IS ESSENTIAL TO CONTROL POTENTIAL B CELL AUTOREACTIVITY
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Dendritic cells control T cell immuno-reactivity and help decide the fate of the T cell
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Vital messages are exchanged at the immunological synapse
The QUALITY and QUANTITY of the signals exchangeddetermines whether the T cell is
ACTIVATED, ANERGISED OR DELETED
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Quantity of antigen is also important: lymphocytes specific for abundant self-antigen are deleted, low level self-antigen is “ignored”
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Dendritic cells have a sentinel function in the periphery:
They can induce immunity or anergy depending on signals exchanged and the microenvironment
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The “DANGER HYPOTHESIS”
Therefore antigens encountered in the absence of infection or injury are NOT dangerous and induce tolerance
Dendritic cells have receptors that recognise pathogens and inflammatory mediators released by other cells. These “danger signals help the DC activate T cells and stimulate protective immunity
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Tolerance or immunity can also be influenced by the tissue microenvironment
Immuno-suppressive mediators are secreted by the foetus and placenta (eg TGFand prevent “rejection”
Can we manipulate the immune system to avoid rejection of liver or kidney grafts?
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To combat the diversity of pathogenic antigens that
might be encountered by the host, the immune system
must produce populations of lymphocytes with receptors
of equal diversity
SUMMARY
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• To achieve this, the antigen receptors of T lymphocytes and B lymphocytes are generated randomly.
• This repertoire will inevitably contain lymphocytes specific for self antigen.
• The body must therefore distinguish between self and non-self determinants to avoid AUTOIMMUNITY,
• and between dangerous and non-dangerous antigen to avoid ALLERGY.
![Page 18: TOLERANCE Deletion, anergy or ignorance?. Normal thyroidDiseased thyroid If the immune system fails to “delete” or anergise tissue reactive lymphocytes,](https://reader036.fdocuments.in/reader036/viewer/2022070410/56649eec5503460f94bfe6b3/html5/thumbnails/18.jpg)
• “Central tolerance” edits lymphocytes BEFORE they enter the circulation as naïve cells
• “Peripheral tolerance” acts as a back up to eliminate potentially autoreactive lymphocytes AFTER they enter the circulation.
• Some cells are DELETED, some cells are ANERGISED.
• ANERGIC cells can be re-activated if a “DANGER” signal is encountered
![Page 19: TOLERANCE Deletion, anergy or ignorance?. Normal thyroidDiseased thyroid If the immune system fails to “delete” or anergise tissue reactive lymphocytes,](https://reader036.fdocuments.in/reader036/viewer/2022070410/56649eec5503460f94bfe6b3/html5/thumbnails/19.jpg)
Dendritic cells are vital in the process and decide whether tolerance or immunity to an antigen will occur
Can the immune response and dendritic cells be manipulated to re-induce tolerance in autoimmunity or
to prevent graft rejection?