MindMap Gallery Oral Immunology 3
About Oral Biology Chapter 4 Oral Immunology Section 56. Including oral candidiasis, allergic stomatitis, recurrent aphtha, etc.
Edited at 2023-11-27 11:50:25This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
Oral mucosal diseases and immunity
Herpetic stomatitis (herpes simplex)
HSV structural characteristics
It is caused by infection with herpes simplex virus type I. HSV is a DNA virus. Type I mainly causes oral and maxillofacial infections, causing the host to produce a series of immune responses.
Immunopathology of HSV infection
Cytotoxicity
Delayed-type hypersensitivity reactions occur, and T cells produce a variety of lymphokines.
Humoral immunity
Antibodies directly neutralize the virus
Antibodies bind to viruses and form immune complexes, which are engulfed and degraded by phagocytes or activate the complement system.
Antibodies bind to virus-infected cells, lyse target cells, and mediate antibody-dependent cytotoxicity.
cellular immunity
Macrophages have both intrinsic antiviral activity and extrinsic antiviral tolerance, which are regulated by interferon and tumor necrosis factor.
Sensitized lymphocytes such as Tc cells can directly kill virus-infected cells, and Th cells can release lymphokines and exert direct and indirect cytotoxic effects, causing damage to virus-infected cells.
HSV incubation period and recurrence
Oral candidiasis
phagocyte
Neutrophils, monocytes, macrophages, NK cells and dendritic cells
T cells
The incidence of candidiasis is significantly increased in patients with T-cell immunodeficiency, and Candida infection activates cellular immunity.
Cytokines
IL-12 plays an important role
local immune system
allergic stomatitis
contact stomatitis
Manifested as type IV hypersensitivity reaction.
drug-induced stomatitis
It manifests as type I hypersensitivity reaction and may also be type IV.
Lichen planus
The presence of IFN-gamma within the epithelium promotes the formation of antigen complexes.
recurrent aphthous ulcers
It is closely related to immune regulation disorders, especially imbalance of T cell subsets.
Behcet's disease
Autoantibodies and immune complexes are involved in the pathogenesis of the disease, and T cell conduction is defective.
chronic discoid lupus erythematosus
There are immunoglobulin and complement deposition zones on the epithelial basement membrane of the lesion area. The infiltrating inflammatory cells are mainly T cells. Serum intermediary and C3 levels increase. During the active stage of the lesion, circulating autoantibodies and antinuclear antibodies can be detected. .
Pathogenesis
autoantigen formation
Immune active cells lose the ability to distinguish "self from non-self"
produce autoantibodies
Autoantibodies bind to self-antigens
Pemphigus vulgaris and bullous pemphigoid
Desmogleins 1 and 3 of epithelial cells may be autoantigens, while the specific antibodies IgG1 and 4 against 1 and 3 are autoantibodies.
Sjogren's syndrome
Caused by activation of Epstein-Barr virus and cytomegalovirus present in the salivary glands.
The lymphocytes infiltrating in the early-stage lesions are composed of B cells and plasma cells, while T-cells in late-stage lesions appear in the center of the lesions in small glands.
Acquired immunodeficiency syndrome (AIDS)
Causes of AIDS
Infected with human immunodeficiency virus type 1 (HIV-1), the patient's CD4 T cells decrease sharply to the point where they are completely absent.
Oral diseases related to AIDS
fungal infection
Candida albicans, angular cheilitis
Bacterial infections
Necrotizing gingivitis, chronic periodontitis, etc. caused by Fusobacterium
Viral infection
Herpetic stomatitis, herpes zoster
Kaposi's sarcoma, non-Hodgkin's lymphoma
Host immune response to HIV virus
Humoral immunity
There is an increase in immunoglobulins and the inability to produce specific antibodies against a specific antigen.
cellular immunity
Cellular immunity was impaired, but complement levels and phagocyte function were not affected.
Features of AIDS immunological examination
CD4 T cells decreased significantly! The ratio of Th to Ts significantly decreased or even reversed
Abnormal B cell activation, the Ig level in the patient's serum was significantly increased
Macrophages and NK cells function abnormally, their activity decreases, and their chemotactic ability and bactericidal effect decrease.
Oral cancer and immunity
tumor antigen
Tumor Specific Antigen (TSA)
TSA is only expressed in tumor cells and does not exist in normal cells of the same tissue. Can be recognized by the host's immune system and stimulate the body's immune system to attack and eliminate tumor cells
Tumor associated antigen (TAA)
It also exists in tumor cells and normal cells of the same tissue or cells of other tissues, but the content is different. It is relatively abundant in corresponding tumor tissues, and its content is related to tumor development.
Anti-tumor immune effector mechanism
Anti-tumor effects of cellular immunity
Cytotoxic T cells
Plays a major role in CTL recognition of MHC class I molecules
natural killer cells
NK cells play a role in the early stages of tumors. Their killing activity is not restricted by MHC molecules and has broad-spectrum anti-tumor activity.
lymphokine-activated killer cells
LAK is a non-specific tumor killer cell
tumor infiltrating lymphocytes
Lymph node cells in the drainage area of oral and maxillofacial tumors
The ability of DNL cells to kill allogeneic and same type of tumor cells is significantly stronger than that of traditional LAK cells.
Monocytes and macrophages
Antitumor effects of humoral immunity
produce antibodies
Kill tumor cells with the participation of complement
NK cells and macrophages bind to anti-tumor antibodies through their surface Fc receptors and kill tumor cells with the help of antibody-dependent cell-mediated cytotoxicity.
Monoclonal antibodies are one of the current methods used in tumor immunotherapy
Epidermal growth factor receptor-mediated signal transduction pathway
Tumor immune escape mechanism
Immunosuppressive
Regulatory T cells in the body are a group of T cell subsets with immunosuppressive effects.
Immune tolerance
The evasion of immune surveillance by malignant tumor cells may be due to the lack of one or several components, leading to tumor immune tolerance.