Lymphatic Immune System Quizlet Related

Review Lymphatic Immune System Quizlet related questions and content

Which of the following statements is incorrect about celiac disease?

  • A. There is a strong genetic association: more than 90% of celiac patients express the HLA allele DO2 or DO8
  • B. It is technically an allergy but has some features of autoimmunity
  • C. The disease is mainly caused by an abnormal innate response to gluten while adaptive cells are not involved
  • D. The disease is entirely driven by gluten exposure. The gut lesions observed in these patients disappeared upon removal of gluten from the diet
Correct Answer: C

Rationale: The correct answer is C because celiac disease primarily involves an abnormal adaptive immune response to gluten, not an innate response. Here's the rationale: 1) Celiac disease is characterized by a T-cell mediated response to gluten peptides in genetically susceptible individuals. 2) The adaptive immune system, particularly T cells, plays a crucial role in the pathogenesis by recognizing gluten peptides presented by HLA-DQ2 or HLA-DQ8 molecules. 3) This adaptive immune response leads to inflammation and damage to the intestinal mucosa. 4) In contrast, the innate immune system may also be activated, but it is not the primary driver of the disease.

Summary:
A: Correct - There is a strong genetic association with HLA alleles.
B: Incorrect - Celiac disease is primarily driven by an adaptive immune response, not just features of autoimmunity.
D: Incorrect - While gluten exposure triggers the immune response, the disease is not solely driven by gluten intake.