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Immune cells attacking tissue

THE CELLULAR BATTLEFIELD

What Happens in Your Body During Autoimmune Disease

The Immune System: Guardian Gone Rogue

Your immune system is a sophisticated defense network of cells, proteins, and organs working in harmony to protect you. But in autoimmune disease, this guardian becomes confused and launches attacks against your own healthy tissue.

10 trillion

Immune cells in your body

80+

Known autoimmune diseases

24/7

Constant immune surveillance

Normal vs Autoimmune Response

Click to Explore

Compare normal and autoimmune responses

Click the cell to trigger immune response

T-cell activation

T-Cell Activation: The Commander's Signal

Recognition

T-cells scan for foreign antigens presented by other cells

Activation

Upon recognition, T-cells become activated and multiply rapidly

Attack

Activated T-cells release cytotoxic molecules to destroy targets

1

Antigen Presentation

Dendritic cells display antigens on MHC complexes

2

T-Cell Binding

T-cell receptors bind to MHC-antigen complex

3

Costimulation

Additional signals confirm activation

4

Clonal Expansion

Activated T-cells divide and multiply

T-Cell Population Over Time

Cytokine storm

The Cytokine Storm: Molecular Chaos

Cytokines are molecular messengers that coordinate immune responses. In autoimmune disease, excessive cytokine release creates a self-perpetuating cycle of inflammation—a molecular storm.

Cytokine cascade

Cytokine Cascade

Explore the inflammatory chain reaction

Initial Trigger

Immune cells detect "threat" and release first wave of cytokines

Amplification

Cytokines trigger more immune cells to release additional cytokines

Tissue Damage

Excessive inflammation damages healthy tissue and organs

Cytokine Levels During Flare

Autoantibodies

Autoantibodies: Friendly Fire

The Misguided Missiles

Normally, B-cells produce antibodies that target foreign invaders. In autoimmune disease, they create autoantibodies—Y-shaped proteins that attach to and mark your own cells for destruction.

Anti-Nuclear Antibodies (ANA)

Target cell nuclei in lupus and scleroderma

Rheumatoid Factor (RF)

Attack joint tissue in rheumatoid arthritis

Anti-Thyroid Antibodies

Target thyroid gland in Hashimoto's disease

Autoantibodies attacking

Autoantibody Structure

See how they bind to self-antigens

B-cell producing antibodies

B-Cell Factory

Watch antibody production

DNA mutations

Genetic Susceptibility: Written in Your Code

Autoimmune diseases have strong genetic components. Specific gene variants in your DNA increase susceptibility, though environmental triggers are often needed to activate disease.

DNA with mutations

Genetic Mutations

Explore susceptibility genes

Key Genetic Regions

HLA Complex

Human Leukocyte Antigen genes control immune recognition. Certain HLA variants dramatically increase autoimmune risk.

40% of genetic risk

PTPN22 Gene

Regulates T-cell activation. Mutations lead to overactive immune responses.

25% of genetic risk

Other Variants

Hundreds of other genes contribute smaller individual effects that add up.

35% of genetic risk

Genetic vs Environmental Factors

Blood vessel inflammation

The Inflammation Cascade: Heat of Battle

Inflamed blood vessel

Vascular Damage

See inflammation in blood vessels

Macrophage engulfing

Phagocytosis

Watch macrophages in action

Complement cascade

Complement System

Explore the protein cascade

The Five Cardinal Signs

Heat

Calor

Redness

Rubor

Swelling

Tumor

Pain

Dolor

Loss

Functio Laesa

Inflammatory Markers Over Time

Dendritic cell

Antigen Presentation: The Immune Synapse

Dendritic cell presenting antigen

The Immune Synapse

Witness antigen presentation

The Communication Interface

Dendritic cells act as the immune system's sentinels. They capture potential threats, process them, and present fragments on their surface using MHC molecules. This interface is where T-cells "read" what's happening in the body.

🔬

Antigen Capture

Dendritic cells constantly sample their environment

⚙️

Antigen Processing

Proteins are broken down into small peptides

📺

MHC Display

Peptides are loaded onto MHC molecules and displayed

🤝

T-Cell Recognition

T-cells scan and bind to MHC-peptide complexes

What Goes Wrong in Autoimmunity?

❌ Molecular Mimicry

Foreign antigens resemble self-antigens, confusing the immune system into attacking both.

❌ Loss of Tolerance

Mechanisms that normally prevent self-recognition fail, allowing autoreactive cells to survive.

Receptor binding

Signal Transduction: The Molecular Cascade

When receptors on cell surfaces bind to signaling molecules, they trigger cascading chains of chemical reactions inside the cell—like dominos falling. These pathways activate genes, produce proteins, and change cell behavior.

Molecular receptor binding

Lock and Key

See receptor-ligand binding

Signal Amplification

The Signal Cascade

Ligand Binding

Signaling molecule (cytokine, hormone) binds to receptor protein on cell surface

Receptor Activation

Receptor changes shape, activating proteins inside the cell membrane

Pathway Cascade

Chain reaction of protein activations spreads the signal throughout the cell

Gene Expression

Signal reaches nucleus, activating genes that produce inflammatory proteins

The Microscopic War: Understanding the Battle

Autoimmune disease is a complex molecular and cellular phenomenon where the body's protective mechanisms turn inward. Every moment, trillions of immune cells navigate your tissues, making split-second decisions about friend or foe. When this system malfunctions, the consequences ripple through every level of biological organization.

Molecular

Proteins and DNA level

Cellular

Individual cell actions

Tissue

Organ damage and repair

Systemic

Whole body effects

This journey through the microscopic battlefield reveals the incredible complexity of your immune system— and why understanding autoimmunity requires looking at life's smallest scales.

Scientific References & Bibliography

This immersive experience is based on current scientific understanding of autoimmune disease mechanisms. Below are key references and resources used in creating this educational content.

AI-Assisted Content: This educational content was created with the assistance of Large Language Model (LLM) artificial intelligence, drawing from a broad knowledge base of immunology and medical science. The scientific concepts presented reflect general consensus in the field, though readers should consult primary sources and medical professionals for specific research citations and clinical guidance.

Reference Note: The resources listed below are suggested educational materials on autoimmune disease topics covered in this presentation. They are not sources directly consulted during content creation, but rather recommended reading for those seeking peer-reviewed scientific literature and authoritative medical information on these subjects.

T-Cell Activation & Immune Response

5. Smith-Garvin, J. E., Koretzky, G. A., & Jordan, M. S. (2009). "T cell activation." Annual Review of Immunology, 27, 591-619. https://doi.org/10.1146/annurev.immunol.021908.132706

Detailed mechanisms of T-cell receptor signaling and activation pathways.

6. Germain, R. N. (2002). "T-cell development and the CD4-CD8 lineage decision." Nature Reviews Immunology, 2(5), 309-322. https://doi.org/10.1038/nri798

T-cell development, selection, and differentiation in the thymus.

Cytokines & Inflammatory Response

7. Turner, M. D., Nedjai, B., Hurst, T., & Pennington, D. J. (2014). "Cytokines and chemokines: At the crossroads of cell signalling and inflammatory disease." Biochimica et Biophysica Acta, 1843(11), 2563-2582. https://doi.org/10.1016/j.bbamcr.2014.05.014

Comprehensive overview of cytokine signaling in health and disease.

8. Tisoncik, J. R., et al. (2012). "Into the eye of the cytokine storm." Microbiology and Molecular Biology Reviews, 76(1), 16-32. https://doi.org/10.1128/MMBR.05015-11

Mechanisms of cytokine storm and excessive inflammatory responses.

Autoantibodies & B-Cell Function

9. Suurmond, J., & Diamond, B. (2015). "Autoantibodies in systemic autoimmune diseases: specificity and pathogenicity." Journal of Clinical Investigation, 125(6), 2194-2202. https://doi.org/10.1172/JCI78084

Role of autoantibodies in tissue damage and disease pathogenesis.

10. Kurosaki, T., Kometani, K., & Ise, W. (2015). "Memory B cells." Nature Reviews Immunology, 15(3), 149-159. https://doi.org/10.1038/nri3802

B-cell development, antibody production, and memory formation.

Genetic Factors & Susceptibility

11. Goodnow, C. C. (2007). "Multistep pathogenesis of autoimmune disease." Cell, 130(1), 25-35. https://doi.org/10.1016/j.cell.2007.06.033

Genetic basis of autoimmunity and loss of immune tolerance.

12. Plenge, R. M., et al. (2007). "TRAF1-C5 as a risk locus for rheumatoid arthritis." Science, 316(5832), 1760-1762. https://doi.org/10.1126/science.1142667

Identification of genetic variants associated with autoimmune disease risk.

13. Gregersen, P. K., & Olsson, L. M. (2009). "Recent advances in the genetics of autoimmune disease." Annual Review of Immunology, 27, 363-391. https://doi.org/10.1146/annurev.immunol.021908.132653

Genome-wide association studies and HLA complex in autoimmunity.

Antigen Presentation & MHC

14. Blum, J. S., Wearsch, P. A., & Cresswell, P. (2013). "Pathways of antigen processing." Annual Review of Immunology, 31, 443-473. https://doi.org/10.1146/annurev-immunol-032712-095910

Mechanisms of antigen processing and presentation via MHC molecules.

15. Banchereau, J., & Steinman, R. M. (1998). "Dendritic cells and the control of immunity." Nature, 392(6673), 245-252. https://doi.org/10.1038/32588

Role of dendritic cells in immune activation and tolerance.

Signal Transduction

16. Cantrell, D. (2015). "Signaling in lymphocyte activation." Cold Spring Harbor Perspectives in Biology, 7(6), a018788. https://doi.org/10.1101/cshperspect.a018788

Intracellular signaling cascades in immune cell activation.

Online Educational Resources

17. National Institute of Allergy and Infectious Diseases (NIAID). "Autoimmune Diseases Research." https://www.niaid.nih.gov/diseases-conditions/autoimmune-diseases

Comprehensive information on autoimmune disease research and mechanisms.

18. American Autoimmune Related Diseases Association (AARDA). "Autoimmune Disease Information." https://www.aarda.org

Patient-focused information on autoimmune diseases and research.

19. National Center for Biotechnology Information (NCBI). "Immunology Database and Resources." https://www.ncbi.nlm.nih.gov/books/NBK27158/

Free online textbook "Immunobiology" by Janeway et al.

Visual Content Attribution

Scientific Visualizations: All scientific images and illustrations displayed on this page were generated using fal-ai/nano-banana artificial intelligence model specifically for educational purposes. These visualizations are artistic interpretations based on current scientific understanding of cellular and molecular biology.

Note: AI-generated images are stylized representations meant to aid in understanding complex biological concepts. For actual microscopy images and clinical photography, please refer to peer-reviewed scientific journals and medical databases.

Educational Disclaimer

This website is designed for educational purposes only and is not intended to provide medical advice, diagnosis, or treatment. The information presented is based on current scientific literature as of 2025 and represents a general overview of autoimmune disease mechanisms.

Always consult with qualified healthcare professionals for medical advice regarding autoimmune conditions, symptoms, diagnosis, and treatment options. Individual experiences with autoimmune diseases vary significantly.

Last Updated: January 2025 | Based on Current Scientific Consensus