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Autoimmune Disorders

JoVE Core
Anatomy and Physiology
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JoVE Core Anatomy and Physiology
Autoimmune Disorders

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01:29 min

September 12, 2024

Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.

Concept and Mechanism of Autoimmune Diseases

The immune system is designed to protect the body from harmful agents like bacteria, viruses, and toxins. It does this by recognizing and destroying these foreign substances. However, in autoimmune diseases, the immune system mistakenly identifies normal, healthy cells as foreign and attacks them.

This flawed recognition happens due to a process called 'autoimmunity.' Under normal conditions, the immune system can distinguish self-cells from non-self-cells. However, in autoimmunity, this fails, and the immune system perceives self-cells as a threat.

The attack on self-tissues leads to inflammation and damage, causing various symptoms depending on the affected area. For instance, if the autoimmune disease targets the joints, it can lead to joint pain, stiffness, and swelling.

Causes of Autoimmune Diseases

The exact cause of autoimmune diseases isn't fully known. However, several theories suggest that they result from a combination of genetic, environmental, and hormonal factors.

Genetic Factors: Certain autoimmune diseases have been linked to specific genes. For example, multiple sclerosis and rheumatoid arthritis are more common in individuals who carry certain HLA (human leukocyte antigen) genes.

Environmental Factors: Exposure to certain environmental factors, including infections, toxins, and dietary components, can trigger an autoimmune response in genetically susceptible individuals. For instance, celiac disease, an autoimmune disorder, is triggered by the consumption of gluten in genetically predisposed individuals.

Hormonal Factors: Some autoimmune diseases are more common in women, suggesting the role of hormonal factors. For example, systemic lupus erythematosus (SLE) is more prevalent in women, especially during their reproductive years.

Examples of Autoimmune Diseases

There are over 80 known autoimmune diseases. Here are a few examples:

  • • Rheumatoid Arthritis: The immune system attacks the joints, causing inflammation, pain, and swelling.
  • • Type 1 Diabetes: The immune system attacks insulin-producing cells in the pancreas.
  • • Multiple Sclerosis: The immune system targets the protective covering of nerve fibers in the central nervous system.
  • • Systemic Lupus Erythematosus (SLE): This affects multiple organs and systems in the body.
  • • Celiac Disease: Triggered by the consumption of gluten, the immune system attacks the lining of the small intestine.

Treatment of Autoimmune Diseases

Although there is no cure for autoimmune diseases, treatments can help manage symptoms and control the autoimmune process. Treatments include:

  • • Medications: These are used to reduce inflammation and suppress the immune response. Examples include corticosteroids and immunosuppressive drugs.
  • • Physical Therapy: This can help improve mobility and strength, especially in diseases like rheumatoid arthritis.
  • • Dietary Changes: For diseases like celiac disease, dietary changes (like a gluten-free diet) can control symptoms.
  • • Lifestyle Changes: Regular exercise, stress management techniques, and adequate sleep can help improve overall health and well-being.

In conclusion, autoimmune diseases are complex disorders where the body's immune system mistakenly attacks its own cells. While we don't fully understand the causes, a combination of genetic, environmental, and hormonal factors appears to play a role. Despite the lack of a cure, various treatments can help manage symptoms and improve the quality of life for individuals with autoimmune diseases.