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Immune recognition and injury of self tissues (autoimmunity) results from a loss of self tolerance. Definition
 
Causes of Autoimmunity
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Molecular Mechanisms of Autoimmunity
MOLECULAR MIMICRY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Molecular Mechanisms of Autoimmunity
Molecular Mechanisms of Autoimmunity
Cross-Reactivity Molecular Mechanisms of Autoimmunity
 
Molecular mimicry- model in IDDM Molecular Mechanisms of Autoimmunity
Molecular Mechanisms of Autoimmunity ,[object Object]
EPITOPE SPREADING   ,[object Object],[object Object],[object Object],[object Object],Molecular Mechanisms of Autoimmunity
Molecular Mechanisms of Autoimmunity ,[object Object],[object Object],[object Object]
Inappropriate MHC Expression ,[object Object],[object Object]
Molecular Mechanisms of Autoimmunity ,[object Object],[object Object],[object Object]
Immune dysregulation A defect in any arm of the immune system can trigger autoimmunity Complement T cells B cells
The Complement See-Saw ,[object Object],[object Object]
Complement Deficiencies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OTHER FACTORS FAVORING AUTOIMMUNITY ,[object Object],[object Object],[object Object],[object Object],[object Object]
Th1/Th2 immune response
Cytokine Dysregulation in Autoimmunity CD = Crohn’s Disease
Genes and Autoimmunity ,[object Object],[object Object]
AD ARE COMPLEX GENETIC TRAITS ,[object Object],[object Object],[object Object],[object Object],[object Object]
EXAMPLES OF GENE DEFECTS IN AUTOIMMUNITY ,[object Object],[object Object],[object Object],[object Object]
 
 
H LA testing in diseases
HLA  association with IDDM   in Bulgarian population
HLA  association with MS and JCA   in Bulgarian population
Вероятен молекулен модел за автоимунна болест    - верига    - верига 57-58 3-ти HVR: 70-74
Exceptions to the Rule – Simple Genetic Autoimmune Illnesses Failure of apoptotic death of self reactive T or B cells FAS, FASL ALPS (autoimmune lymphoproliferative syndrome ) Decreased generation of Tregs FOXP3 IPEX (Immunodysregulation, polyendocrinopathy, enteropathy, X-linked) Decreased expression of self-antigens in the thymus, resulting is a defect in negative selection AIRE APS-1 (Autoimmune polyglandular syndrome type 1) Mechanism Gene Disease
Environment in autoimmunity ,[object Object]
Drugs and Toxins ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sex-based Differences in Autoimmunity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sex-based Differences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sex-based Differences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Estrogens and Autoimmunity
Nature Immunology    2 , 777 - 780 (2001)  Sex differences in autoimmunity
Pathogenetic mechanisms of Autoimmune diseases
 
 
Autoimmune  diseases ,[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
 
Pathogenesis of   SLE
 
 
 
 
 
Pick an organ, any organ . . . ,[object Object],Pemphigus Multiple Sclerosis Sjogren’s Syndrome Rheumatic Fever Autoimmune Hepatitis Ulcerative Colitis Goodpasture’s Syndrome Diabetes Autoimmune Uveitis Autoimmune hemolytic Anemia Addison’s Disease Rheumatoid Arthritis Autoimmune Oophoritis
Autoimmunity Classification ,[object Object]
Examples of Organ Specific Lungs of a patient with Goodpasture’s Vitiligo Hashimoto’s disease (thyroiditis)
Examples of Systemic Autoimmunity SLE
Examples of Systemic Autoimmunity ,[object Object]
Putting it all together… ,[object Object],[object Object],[object Object],[object Object],[object Object]
I.  Current Therapies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
II. Experimental Therapeutic Approaches ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(Experimental Therapies continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THERAPY OF AUTOIMMUNE DISEASES :  I.   SELF-ANTIGEN SPECIFIC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THERAPY OF AUTOIMMUNE DISEASES:   II.   ANTIGEN NON-SPECIFIC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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