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Immunity lecture

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Question
Answer
Symptoms of SLE?   Protean: kidney, brain, heart, skin, joints  
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Triggers of SLE?   EBV, retrovirus  
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What are the autoimmune complexes of SLE?   anti-Ro,-La,-Sm,-RNP,-histone,-dsDNA,  
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Pathology of SLE?   Immune comlex mediated inflammation and tissue damage  
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What are the complications of SLE?   Premature atherosclerosis, infection  
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What are the symptoms of RA?   symmetrical pain, swelling, deformities of joints, morning stiffness, nodules  
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What are the triggers of RA?   EBV, smoking  
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What are the complications of RA?   Premature atherosclerosis, vasculititis  
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What is the trigger of systemic autoimmune disease?   Antigen (DNA, Ro, La, SM, RNP, Phospholipid) + Adjuvant = Immune response (innate) -> Adaptive immune response  
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What are the determinants of SLE?   Genes, Environment, Chance  
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How do they hypothesize that SLE is triggered?   Virus -> alpha IFN -> Production of Ro + Innate immune response (increase MHC production on cells) -> Anti-Ro Autoantibodies (Immune complex)  
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What do the endogenous and exogenous ligands do in SLE?   They activate TLR and increase IFN alpha production.  
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What impact of IFN alpha on dendritic cell maturation and class switiching have on disease SLE?   Autoimmunity  
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What impact does IFN gamma and chemokines as well as the destruction of endothelial progenitors have on the disease (SLE)?   inflammation and tissue damage  
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What are some general approaches to therapy of SLE?   Block CD28, CD40 on T cells; Cytokines; TLR, B cell targeting, complement system  
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Which 2 cytokines are heavy in RA?   TNF alpha and IL1  
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What are some things that you didn't know about TNF in RA?   Induces proinflam production, Promotes synoviocyte activation, maintiains inflammatory state in synovial membrane, induces osteoclast differentiation  
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What is the major costimulation in the adaptive immune system in RA?   CD40/CD40L; B7/CD28;  
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