Study note

Mechanisms and selective expression of immunological tolerance

THE CONTEXT
The source describes proposed mechanisms of tolerance, differences between lymphocyte responses, and selective loss of an immune response.

Proposed mechanisms

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The mechanism of tolerance is not clear. Elimination of helper T cells, which prevents B cell activation, is described as a likely central mechanism.
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An afferent block interferes with antigen access to immunocompetent cells.
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An efferent block involves neutralisation or destruction of synthesised antibody.

Lymphocyte sensitivity and dose

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T lymphocytes are more susceptible to tolerance induction than B lymphocytes.
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In general, high antigen doses induce B cell tolerance, whereas repeated minute antigen doses induce T cell tolerance.

Split tolerance

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Tolerance to humoral and cellular immunity is usually induced simultaneously.
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Split tolerance occurs when unresponsiveness develops for one parameter of the immune response while another remains responsive.
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In guinea pigs, injecting tuberculoprotein before BCG immunisation can inhibit delayed hypersensitivity to tuberculin without affecting circulating antibody production.
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