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Summary

Summary YR 2 CONTENT

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Summary of 3 pages for the course Foundations Of Biomedical, Behavioural And Social Sciences For Medicine 2020/21 at UoS (YR 2 CONTENT)

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  • February 19, 2024
  • 3
  • 2023/2024
  • Summary
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manalmalik4
Diseases of the immune system 2
Autoimmunity= pathological state where there has been a breach in tolerance to self and
the immune system attacks one’s own tissue

Response to self =normal damaging effector response=not normal

Chronic autoimmune disease=positive feedback loop

Inflammation- presentation of self peptides-inability to clear self antigen-damage-
broadening of the immune response-presentation of more self peptide=more cells recruited

Development of autoimmunity:
Genetic: MHC,AIRE,FOXP3
Environmental: smoking,chemicals,gas,UV,infection

Occurrence runs in families
Susceptibility can be increased by specific genes which:
Disrupt tolerance, apoptosis
Promote inflammation,cell activation

Monogenic-one predominant genetic risk
Complex-multiple risks- interaction between genetic and environmental

MHC genes
Polygenic- Locus of a gene contains a set of several different MHC I and II so an individual
expresses several MHC I and II with different peptide binding specificities

Polymorphic-different alleles for each gene
These affect the TCR and antigen/MCH complex binding and antigen and MHC


Expression of a type of HLA can be contributing factor to autoimmunity

Why are females more susceptible to
autoimmunity:
Stronger humeral response
Higher levels of antibodies
Oestrogen can enhance B cell responses
High levels inhibit inflammation

Testosterone- negatively regulates BAFF gene-
survival factor for B cells in the spleen



Overcoming peripheral tolerance: adjuvant
effect-injection of tissue extracts with microbial products (danger signals)

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