Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 21 - Section 21.6 - Immune System Disorders - Before You Go On - Page 841: 26

Answer

Antibodies attacking self-antigens, leading to an immune response against one's own body, is a characteristic feature of autoimmune diseases. There are several reasons why antibodies may start attacking self-antigens to which they did not previously respond: 1. **Molecular Mimicry:** In some cases, pathogens (such as bacteria or viruses) can share structural similarities with certain self-antigens. When the immune system responds to the pathogen, it might also generate antibodies that cross-react with similar self-antigens, leading to an autoimmune response. 2. **Loss of Tolerance:** The immune system has mechanisms to tolerate self-antigens and avoid attacking them. When these tolerance mechanisms break down, self-reactive antibodies can emerge. This loss of self-tolerance can be due to genetic factors, environmental triggers, or dysregulation of immune checkpoints. 3. **Epitope Spreading:** Initially, an autoimmune response might target one specific epitope (a small portion of an antigen). However, over time, the immune response can broaden to include other epitopes on the same or related self-antigens. This phenomenon is known as epitope spreading and can contribute to the progression of autoimmune diseases. 4. **Altered Antigen Presentation:** Immune cells called antigen-presenting cells (APCs) play a crucial role in educating T cells about which antigens are "self" and which are foreign. If there are abnormalities in antigen presentation, T cells might not receive the correct signals to distinguish self from non-self. 5. **Genetic Predisposition:** Certain genetic factors can increase an individual's susceptibility to autoimmune diseases. Specific gene variants can influence immune system regulation, self-tolerance mechanisms, and the likelihood of developing autoantibodies. 6. **Environmental Triggers:** Environmental factors, such as infections, trauma, hormonal changes, and exposure to certain chemicals, can trigger an autoimmune response in genetically predisposed individuals. These triggers can disrupt immune regulation and contribute to the production of self-reactive antibodies. Self-reactive antibodies that target self-antigens are commonly referred to as "autoantibodies." These autoantibodies are a hallmark of autoimmune diseases and can contribute to tissue damage and inflammation. Examples of autoimmune diseases with associated autoantibodies include: - **Rheumatoid Arthritis:** Autoantibodies like rheumatoid factor and anti-cyclic citrullinated peptide (anti-CCP) antibodies target joints and contribute to joint inflammation. - **Systemic Lupus Erythematosus (SLE):** Autoantibodies against various components of cells and tissues can lead to a wide range of symptoms affecting multiple organs. - **Type 1 Diabetes:** Autoantibodies against insulin-producing cells in the pancreas contribute to the destruction of these cells and the development of diabetes. - **Hashimoto's Thyroiditis:** Autoantibodies target the thyroid gland, leading to inflammation and disruption of thyroid function. - **Multiple Sclerosis:** Autoantibodies target the myelin sheath around nerve fibers, contributing to nerve damage and neurological symptoms. These are just a few examples, and autoimmune diseases can affect various organs and tissues with different autoantibodies involved.

Work Step by Step

Antibodies attacking self-antigens, leading to an immune response against one's own body, is a characteristic feature of autoimmune diseases. There are several reasons why antibodies may start attacking self-antigens to which they did not previously respond: 1. **Molecular Mimicry:** In some cases, pathogens (such as bacteria or viruses) can share structural similarities with certain self-antigens. When the immune system responds to the pathogen, it might also generate antibodies that cross-react with similar self-antigens, leading to an autoimmune response. 2. **Loss of Tolerance:** The immune system has mechanisms to tolerate self-antigens and avoid attacking them. When these tolerance mechanisms break down, self-reactive antibodies can emerge. This loss of self-tolerance can be due to genetic factors, environmental triggers, or dysregulation of immune checkpoints. 3. **Epitope Spreading:** Initially, an autoimmune response might target one specific epitope (a small portion of an antigen). However, over time, the immune response can broaden to include other epitopes on the same or related self-antigens. This phenomenon is known as epitope spreading and can contribute to the progression of autoimmune diseases. 4. **Altered Antigen Presentation:** Immune cells called antigen-presenting cells (APCs) play a crucial role in educating T cells about which antigens are "self" and which are foreign. If there are abnormalities in antigen presentation, T cells might not receive the correct signals to distinguish self from non-self. 5. **Genetic Predisposition:** Certain genetic factors can increase an individual's susceptibility to autoimmune diseases. Specific gene variants can influence immune system regulation, self-tolerance mechanisms, and the likelihood of developing autoantibodies. 6. **Environmental Triggers:** Environmental factors, such as infections, trauma, hormonal changes, and exposure to certain chemicals, can trigger an autoimmune response in genetically predisposed individuals. These triggers can disrupt immune regulation and contribute to the production of self-reactive antibodies. Self-reactive antibodies that target self-antigens are commonly referred to as "autoantibodies." These autoantibodies are a hallmark of autoimmune diseases and can contribute to tissue damage and inflammation. Examples of autoimmune diseases with associated autoantibodies include: - **Rheumatoid Arthritis:** Autoantibodies like rheumatoid factor and anti-cyclic citrullinated peptide (anti-CCP) antibodies target joints and contribute to joint inflammation. - **Systemic Lupus Erythematosus (SLE):** Autoantibodies against various components of cells and tissues can lead to a wide range of symptoms affecting multiple organs. - **Type 1 Diabetes:** Autoantibodies against insulin-producing cells in the pancreas contribute to the destruction of these cells and the development of diabetes. - **Hashimoto's Thyroiditis:** Autoantibodies target the thyroid gland, leading to inflammation and disruption of thyroid function. - **Multiple Sclerosis:** Autoantibodies target the myelin sheath around nerve fibers, contributing to nerve damage and neurological symptoms. These are just a few examples, and autoimmune diseases can affect various organs and tissues with different autoantibodies involved.
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