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NCERT Exemplar · Q11

Q.Which of the following are the reason(s) for Rheumatoid arthritis? Choose the correct option.
i. The ability to differentiate pathogens or foreign molecules from self cells increases.
ii. Body attacks self cells
iii. More antibodies are produced in the body
iv. The ability to differentiate pathogens or foreign molecules from self cells is lost

(a) i and ii
(b) ii and iv
(c) iii and iv
(d) i and iii
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Rheumatoid arthritis is an autoimmune disease where the immune system mistakenly attacks the body's own cells, particularly in the joints, because it loses the ability to distinguish them from foreign invaders.

Our immune system is a remarkable defence mechanism, designed to protect us from a vast array of pathogens like bacteria, viruses, and other foreign substances. A cornerstone of this protection is its ability to accurately differentiate between "self" cells – those belonging to our own body – and "non-self" cells or foreign molecules. This critical recognition allows the immune system to target and eliminate threats without harming our own tissues.

However, sometimes this intricate system goes awry. In certain conditions, the immune system loses its ability to distinguish between self and non-self. When this happens, it mistakenly identifies the body's own cells as foreign invaders and mounts an immune response against them. Such conditions are known as autoimmune diseases.

Important

Autoimmune diseases occur when the immune system fails to recognise "self" cells and instead attacks them.

Rheumatoid arthritis is a classic example of an autoimmune disease. In this condition, the immune system specifically targets the lining of the joints, leading to inflammation, pain, swelling, and eventually joint damage. The underlying problem is a fundamental breakdown in immune tolerance.

Let's examine the given options in light of this understanding:

  • i. The ability to differentiate pathogens or foreign molecules from self cells increases. This statement is incorrect. If this ability increased, the immune system would be even better at avoiding self-attack, which is the opposite of what happens in autoimmune diseases.
  • ii. Body attacks self cells. This is a defining characteristic of all autoimmune diseases, including rheumatoid arthritis. The immune system, having lost its self-recognition, directs its attack towards the body's own tissues. …

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