This occurs through a breakdown in the self-tolerance maintaining role of APCs. As stated above, the presences of increased levels of autoreactive B and T cells in circulation is common in healthy individuals, however, in states of chronic inflammation it is believed that the increased access to autoreactive T-cells to APC's can initiate an autoimmune response where self-tolerance in then lost and the immune response is then initiated against the self-antigen.
3a) In the normal immune system, describe the role of cytokines. Cytokines are small proteins secreted by cells which have specific effects on how cells communicate and interact with each other. Cytokines help regulate both the innate ad adaptive immune responses as well as inflammation through their effects on neighboring cells (McCance & Huether, 2014). Furthermore, cytokines are either anti-inflammatory or proinflammatory depending on whether the induce or inhibit the inflammatory response they are involved in (McCance & Huether, 2014). The interleukins, interferons, and tumor necrosis factor are cytokines.
3b) Describe characteristics of cytokines in an autoimmune