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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
Number of pages
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Written in
2023/2024
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Diseases of the immune system

Immunodeficiency-no response to pathogens
Hypersensitivity-hyper response- inappropriate response to foreign antigens
Autoimmunity-inappropriate response to self

Lymphocytes develop from precursors- diversity achieved through somatic recombination

Somatic recombination: enzymes act on particular loci where variable parts of the antigen
receptors are encoded

Cut into gene segments and joined back together to produce a different combination of
gene segments

=final combination=gene that can be expressed

Primary immune deficiency: Severe combined immunodeficiency- loss of mutations of RAG
Recombinating activating gene
=unable to undergo somatic recombination
=lack of production of T and B cells

Central and peripheral tolerance

High diversity of lymphocytes= affinity for self

Occurs where lymphocytes develop-central- antigen receptors are tested for their reactivity
to self and this determines their fate
Develops in the periphery-peripheral tolerance-prevention of inappropriate responses to
self

Stem cells-common lymphoid progenitor
Thymocytes undergo proliferation in the thymus- large store

Double negative 1: double negative thymocyte
Double negative 2: start to rearrange B cell
Double negative 3: further B cell rearrangement bringing of an pre TCR alpha surrogate- if
this unsuccessful=death
Double negative 4: stop rearrangement and then proliferation

Double positive thymocyte- start rearrangement of the alpha chain

Positive selection:
MCHI- CD8
MCH II- CD4
NO=Apoptosis

Negative selection:
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