Immunology – classification of eye lens antigens Lens antigens of the eye, which are normally hidden from immune recognition under physiological conditions, are best described as:
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ACross-reacting antigens
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BSequestrated antigens
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CNeoantigens
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DNone of these
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ESelf-antigens with molecular mimicry
Answer
Correct Answer: Sequestrated antigens
Explanation
Introduction / Context:Certain body sites (eye, brain, testis) are immunologically privileged, meaning their antigens are isolated from the immune system under normal conditions. Eye lens proteins provide a classical example.
Given Data / Assumptions:
- Lens proteins are not normally exposed to immune surveillance.
- Exposure may occur after trauma or surgery.
- Immune response against these antigens may lead to autoimmunity.
Concept / Approach:Sequestrated antigens are hidden (sequestered) in anatomical locations without lymphatic drainage or exposure. When released, they can be recognized as “foreign” by the immune system despite being self-antigens, provoking autoimmunity. This is distinct from cross-reacting antigens (shared epitopes with microbes) and neoantigens (new epitopes created by mutation or chemical alteration).
Step-by-Step Solution:Step 1: Define sequestrated antigens as self-antigens normally hidden from immune system.Step 2: Identify lens proteins as such an example.Step 3: Select “Sequestrated antigens” as correct.
Verification / Alternative check:Clinical examples include sympathetic ophthalmia, an autoimmune condition triggered by lens antigen exposure following ocular injury.
Why Other Options Are Wrong:
- Cross-reacting antigens: involve mimicry with microbial epitopes, not sequestration.
- Neoantigens: result from mutations or modifications, not anatomical sequestration.
- None: incorrect because sequestration is a well-established category.
- Self-antigens with molecular mimicry: different mechanism, not sequestration.
Common Pitfalls:Confusing sequestrated with cross-reactive antigens; only sequestrated antigens are physically hidden from immune surveillance.
Final Answer:Sequestrated antigens.