Table of Contents

Autoimmunity

Autoimmune inflammatory reactions encompass a group of immune responses where the body's immune system mistakenly targets its own tissues, resulting in inflammation and potential tissue damage. This phenomenon arises from a breakdown in the immune system's ability to differentiate between self and non-self antigens. The incidence in quite high cosidering recent studies. 1)

Causes

The underlying causes of autoimmune inflammatory reactions are complex. Genetic predispositions can make certain individuals more susceptible to autoimmune diseases. Additionally, environmental factors like infections, hormonal imbalances, and exposure to certain chemicals can trigger autoimmune responses. While autoimmune disorders have long been recognized, recent concerns have arisen regarding autoimmune reactions potentially linked to COVID-19 mRNA vaccines. 2) 3) 4) 5) 6) In general agents with immune-enhancing properties like infectious agents, silicone (breast implant), and aluminium salts (a common adjuvant), have been associated with immune-mediated diseases. Recently, conditions like siliconosis, Gulf War Syndrome, Macrophagic Myofasciitis Syndrome, and post-vaccination phenomena have been linked to prior exposure to these factors. 7) 8) 9) 10) In the case of HPV vaccine, several studies say that there is little correlation, 11) but other studies demonstrate that there is relevant correlation, if data is analyzed properly and without bias. 12) 13) A problem in several studies is that as control group are considered subjects that did take an other type of vaccine, instead of a real placebo. 14) In several cases there was strong time correlation, so there are ongoing lawsuits. 15) 16)

Mechanism

Loss of Immunological Tolerance

Autoimmune responses arise when the immune system falters in identifying self-antigens as benign. Normally, the body maintains a state of immunological tolerance, where the immune system refrains from reacting against its own cells and tissues. However, in autoimmune disorders, this balance is disrupted, leading to the generation of autoantibodies and the activation of autoreactive T-cells.

Inflammatory Response

Upon identifying self-antigens as foreign entities, the immune system initiates an inflammatory cascade. This entails the release of pro-inflammatory cytokines, chemokines, and the recruitment of immune cells to the affected tissues. The ensuing inflammation can result in tissue damage and impaired functionality.

Target Organs and Systems

Autoimmune disorders have the potential to affect a wide array of organs and systems within the body. Commonly impacted tissues encompass joints (as seen in rheumatoid arthritis), the central nervous system (as in multiple sclerosis), the skin (as in psoriasis), and the thyroid gland (as observed in Hashimoto's thyroiditis).

Common Autoimmune Inflammatory Conditions

Organ-specific diseases

Conditions where the immune system targets specific organs, potentially leading to organ dysfunction and related symptoms.

Addison's Disease is a rare condition where adrenal glands don't produce enough hormones, causing fatigue, weight loss, and low blood pressure.

Coeliac Disease is an immune reaction to gluten, damaging the small intestine lining and leading to digestive discomfort and malnutrition.

Graves' Disease is an autoimmune disorder causing an overactive thyroid gland, leading to symptoms like rapid heartbeat, weight loss, and anxiety.

Hashimoto's Thyroiditis is an autoimmune disorder where the immune system attacks the thyroid, causing an underactive thyroid gland and symptoms like fatigue and weight gain.

Inflammatory Bowel Disease (IBD) encompasses disorders like Crohn's disease and ulcerative colitis, characterized by prolonged inflammation of the digestive tract. Symptoms may encompass abdominal discomfort, irregular bowel movements, and unintended weight loss.

Multiple Sclerosis is a central nervous system condition that involves the immune system's attack on the protective myelin sheath encircling nerve fibers, resulting in compromised nerve function. This can lead to an array of neurological symptoms.

Myasthenia Gravis is a neuromuscular disorder causing muscle weakness and fatigue, often worsened with activity and improved with rest.

Pernicious Anaemia is a condition where the body can't absorb enough vitamin B12, leading to fatigue, weakness, and nerve problems.

Primary Biliary Cholangitis is a chronic liver disease where the bile ducts are damaged, potentially leading to liver scarring and related symptoms.

Psoriasis is a chronic skin condition characterized by patches of red, itchy, and scaly skin, often appearing on the elbows, knees, and scalp.

Type 1 Diabetes is a lifelong condition where the body doesn't produce insulin, necessitating regular insulin injections to regulate blood sugar.

Uveitis is inflammation of the uvea, the pigmented layer of the eye between the inner retina and the outer fibrous layer composed of the sclera and cornea.

Vitiligo is a skin condition causing loss of skin color in patches, often due to a lack of pigment-producing cells. It's not harmful but can be socially distressing.

Connective tissue diseases

Ankylosing spondylitis is a chronic inflammatory condition primarily affecting the spine, causing pain and stiffness.

Polymyalgia rheumatica is an inflammatory disorder characterized by muscle pain, stiffness, and discomfort, often in the shoulders and hips.

Rheumatoid Arthritis is a condition marked by persistent joint inflammation, resulting in discomfort, limited mobility, and joint deformities. It predominantly affects the hands, wrists, and feet.

Sjögren's syndrome is an autoimmune disorder causing dryness of the eyes and mouth, along with potential systemic complications.

Systemic Lupus Erythematosus (SLE) is a systemic autoimmune ailment with potential effects on various organs, including the skin, joints, kidneys, heart, and nervous system. It is distinguished by a broad spectrum of clinical presentations.

Systemic Sclerosis is a rare autoimmune disease causing thickening of skin and connective tissues, potentially affecting internal organs.

Vasculitis is a group of rare disorders characterized by inflammation of blood vessels, affecting arteries, veins, and capillaries. It stems from an overactive immune system mistakenly attacking the body's own vessels. Symptoms vary widely and may include fatigue, fever, joint pain, and organ-specific issues.

Risk factors

Genetics: Family history of autoimmune diseases is a significant risk factor.

Gender: Many autoimmune diseases, such as lupus and rheumatoid arthritis, are more common in females.

Hormonal Factors: Hormonal changes, particularly in women, can influence autoimmune disease development.

Infections: Certain infections may trigger autoimmune responses in susceptible individuals.

Environmental Exposures: Exposure to certain chemicals, pollutants, or UV radiation may increase the risk of autoimmune diseases.

Smoking: Smoking is associated with an increased risk of various autoimmune diseases.

Chronic Stress: Prolonged or chronic stress may contribute to autoimmune disease development.

Diet and Gut Health: Poor diet and imbalanced gut microbiota may contribute to autoimmune diseases.

Medications and Exposures: Certain medications and occupational exposures may increase susceptibility to autoimmune diseases. For example mRNA vaccines also increase the risk of autoimmune diseases.

Prevention

Preventing autoimmune diseases involves adopting a healthy lifestyle and avoiding known risk factors. While there's no guaranteed way to prevent these conditions, several practices may help reduce the risk:

Maintaining a Balanced Diet a diet rich in fruits, vegetables, whole grains, and lean proteins can support a healthy immune system. Some nutrients and vitamins can be helpful to mantain a normal functioning immune system, for example curcumin, vitamin B, vitamin C, vitamin D, vitamin E… 17) 18) 19) 20)

Regular Exercise: Regular physical activity supports overall health and may help regulate the immune system. 21)

Stress Management: Chronic stress may contribute to autoimmune diseases. Practicing relaxation techniques like meditation or yoga can be beneficial. 22) 23) 24)

Please note that while these practices are generally beneficial for health, there is no surefire way to completely prevent autoimmune diseases, as genetic and environmental factors also play a significant role in their development. Always consult with a healthcare professional for personalized advice and recommendations.