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Immune tolerance prevents autoimmunity through:

  • A Producing antibodies that are specifically directed against the body's own self proteins, a process that actually drives autoimmune disease rather than preventing it
  • B Central tolerance (clonal deletion of self-reactive T/B cells in thymus/bone marrow) and peripheral tolerance (anergy, Treg suppression)
  • C Relying mainly on antibody production with little other contributing mechanism, with little role for clonal deletion in the thymus or bone marrow
  • D Relying mainly on the formation of long-lived immunological memory cells, despite memory cells having no role in preventing self-reactivity

Correct answer: B. Central tolerance (clonal deletion of self-reactive T/B cells in thymus/bone marrow) and peripheral tolerance (anergy, Treg suppression)

Explanation: Central tolerance: self-reactive T cells deleted in thymus (negative selection), B cells in bone marrow. Peripheral tolerance: surviving self-reactive cells become anergic or are suppressed by regulatory T cells.

Concept context

Innate and adaptive immunity, B cells, T cells, antibodies, vaccines, and immune disorders. Critical for NEET.

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