Autoimmunity and Transplantation

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Questions

Question 1

What is the approximate prevalence of psoriasis in the population, as indicated in Figure 15.1?

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Question 2

What is the primary function of the AIRE (autoimmune regulator) gene within the thymus?

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Question 3

Which autoimmune disease is characterized by autoantibodies against desmogleins, leading to severe blistering of the skin and mucous membranes?

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Question 4

In the context of transplantation immunology, what is the correct term for a graft between genetically non-identical individuals of the same species?

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Question 5

What is the typical timeframe for a first-set acute rejection of a skin graft that is mismatched at the Major Histocompatibility Complex (MHC)?

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Question 6

The transfer of which of the following from a patient with myasthenia gravis is capable of transmitting disease symptoms to a recipient animal?

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Question 7

Which of the following best describes the mechanism of hyperacute graft rejection?

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Question 8

In the autoimmune disease Type 1 diabetes, what is the primary target of the destructive immune response?

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Question 9

Autoimmune lymphoproliferative syndrome (ALPS), a systemic autoimmune condition, is a monogenic disease caused by mutations in the gene that encodes which molecule?

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Question 10

What is a key feature of the placental trophoblast that helps prevent maternal immune rejection of the fetus?

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Question 11

How is the autoimmune disease Hashimoto's thyroiditis primarily classified?

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Question 12

What is the mechanism by which a newborn infant can temporarily exhibit symptoms of Graves' disease if the mother has the condition?

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Question 13

In the pathogenesis of systemic lupus erythematosus (SLE), what is a primary role of B cells besides secreting pathogenic autoantibodies?

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Question 14

What is the primary mechanism of muscle weakness in myasthenia gravis?

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Question 15

The autoantibodies in Goodpasture's syndrome target which specific molecule, leading to inflammatory injury?

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Question 16

According to the table in Figure 15.37, what is the approximate relative risk of developing ankylosing spondylitis for individuals carrying the HLA-B27 allele?

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Question 17

Based on the data in Figure 15.37, what is the approximate female-to-male sex ratio for Systemic lupus erythematosus (SLE)?

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Question 18

Defects in which of these genes are the primary cause of Autoimmune Polyendocrinopathy-Candidiasis-Ectodermal Dystrophy (APECED)?

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Question 19

Which HLA class II allele is noted for providing dominant protection against the development of type 1 diabetes?

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Question 20

What is the phenomenon called when the immune response, initially targeting a single epitope of an autoantigen, expands over time to recognize other epitopes on the same or different autoantigens?

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Question 21

Which of the following describes the 'direct pathway' of allorecognition in graft rejection?

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Question 22

Graft-versus-host disease (GVHD) is a major complication primarily associated with which type of transplantation?

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Question 23

What is the role of the enzyme indoleamine 2,3-dioxygenase (IDO) at the maternal-fetal interface?

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Question 24

The development of rheumatoid arthritis is strongly associated with the post-translational modification of which amino acid into citrulline?

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Question 25

Which genetic locus is most consistently associated with susceptibility to a wide range of autoimmune diseases, including type 1 diabetes, rheumatoid arthritis, and multiple sclerosis?

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Question 26

In the context of autoimmunity, what are peptides derived from polymorphic cellular proteins that differ between a transplant donor and recipient called?

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Question 27

What is the primary role of regulatory T cells (Treg cells) in preventing autoimmunity?

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Question 28

What is a key characteristic of 'immunologically privileged' sites like the brain and the anterior chamber of the eye?

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Question 29

What is the primary pathogenic mechanism in rheumatoid arthritis (RA)?

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Question 30

How can an infection potentially trigger or exacerbate an autoimmune disease?

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Question 31

In multiple sclerosis, autoreactive T cells primarily target antigens associated with which of the following?

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Question 32

What is the phenomenon where a foreign antigen from a pathogen shares structural similarity with a self-antigen, potentially leading to an autoimmune response?

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Question 33

According to Figure 15.37, which autoimmune disease shows the greatest gender bias towards females, with a ratio of approximately 5 to 13 females for every male?

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Question 34

The susceptibility to Type 1 Diabetes is most closely associated with polymorphisms at which position of the HLA-DQ-beta chain?

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Question 35

Mutations in the NOD2 gene, which impair innate immune responses to gut microbiota, are strongly associated with an increased risk for which disease?

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Question 36

What is the term for the accelerated rejection of a second skin graft from the same donor, which typically occurs within 6-8 days?

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Question 37

What is the primary cause of chronic allograft vasculopathy, a major reason for late failure of transplanted organs?

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Question 38

Which of the following is NOT considered an immunologically privileged site?

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Question 39

What is the 'graft-versus-leukemia' effect in the context of hematopoietic stem cell transplantation?

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Question 40

What is the purpose of the mixed lymphocyte reaction (MLR)?

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Question 41

Which of the following is NOT a mechanism contributing to peripheral tolerance?

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Question 42

In systemic lupus erythematosus (SLE), defective clearance of apoptotic cells can lead to the activation of B cells that are specific for what type of autoantigen?

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Question 43

What is the consequence of a genetic deficiency in the C1q component of the complement system?

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Question 44

According to Figure 15.36, a knockout of the CTLA-4 gene in mice leads to what primary outcome?

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Question 45

Which drug is known to induce autoantibodies similar to those found in SLE, although they are rarely pathogenic?

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Question 46

What is the 'indirect pathway' of allorecognition?

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Question 47

What is the primary role of the non-classical MHC molecule HLA-G, expressed on the placental trophoblast?

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Question 48

According to Figure 15.1, what is the prevalence of multiple sclerosis?

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Question 49

Based on the summary table in Figure 15.15, what is the primary pathogenic role of T cells in myasthenia gravis?

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Question 50

What is the key difference between Crohn's disease and classic autoimmune diseases like SLE or rheumatoid arthritis, as described in the chapter?

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