Autoimmunity: When the Body Attacks Itself (Rheumatoid Arthritis, Myasthenia Gravis)

Biology · Human Health and Diseases · NEET

Autoimmunity means the body's own immune system attacks its own "self" cells by mistake, treating them as foreign. This happens due to genetic and other unknown reasons. The two NCERT examples you must remember are rheumatoid arthritis (joints) and myasthenia gravis (neuromuscular junction). Memory hook: "AUTO = self". The immune system forgets the difference between self and non-self, so it turns its weapons on its own body.
Autoimmunity: Immune System Attacks Self-CellsImmuneCellSelfCellAttacks by mistake(self seen as foreign)NCERT ExamplesRheumatoidArthritisMyastheniaGravisLost self / non-self recognition
In autoimmunity the immune cell loses self/non-self recognition and attacks the body's own self-cells. NCERT examples: rheumatoid arthritis (joints) and myasthenia gravis (neuromuscular junction).

Your doubts, answered

What is an autoimmune disease in simple words?

An autoimmune disease is when the body's own defence (immune) system stops telling the difference between its own cells and foreign cells. It wrongly sees its own self-cells as enemies and attacks them. This causes damage to the body. NCERT says this happens due to genetic and other unknown reasons.

Which are the two autoimmune diseases in NCERT?

NCERT names two examples you must know for NEET. First, rheumatoid arthritis, which affects the joints and is very common. Second, myasthenia gravis, which affects the neuromuscular junction and causes fatigue, weakening and paralysis of skeletal muscle. Learn both because NEET asks either one.

Is rheumatoid arthritis an autoimmune disease?

Yes. Rheumatoid arthritis is the classic autoimmune disease named directly in NCERT. Do not confuse it with ordinary arthritis (osteoarthritis), which is joint wear-and-tear, or with gout, which is a metabolic uric-acid disorder. Only rheumatoid arthritis is autoimmune.

What is the difference between autoimmunity and allergy?

In allergy, the immune system over-reacts to an outside (foreign) antigen like pollen or dust, releasing histamine. In autoimmunity, the immune system attacks the body's OWN self-cells. Allergy is aimed outward at foreign things; autoimmunity is aimed inward at self.

Why does the body attack its own cells?

Normally the immune system can tell 'self' from 'non-self'. In autoimmunity this ability is lost. NCERT states it happens due to genetic and other unknown reasons, so the exact cause is not fully understood. When self-recognition fails, the body damages its own tissues.

Is myasthenia gravis autoimmune or genetic?

Myasthenia gravis is AUTOIMMUNE, not genetic. This is a common NEET trap. It is a chronic autoimmune disorder that affects the neuromuscular junction, leading to fatigue, weakening and paralysis of skeletal muscle. Muscular dystrophy is the genetic muscle disorder, not myasthenia gravis.

⚠️ The NEET trap
Myasthenia gravis is a genetic disorder because it weakens muscles like muscular dystrophy.
Myasthenia gravis is an AUTOIMMUNE disorder of the neuromuscular junction. Muscular dystrophy is the genetic one.
🧠 Muscle weakness has TWO causes: myasthenia gravis = autoimmune (self-attack), muscular dystrophy = genetic (inherited). NEET swaps these two to trick you.

Real NEET questions

2016

In higher vertebrates, the immune system can distinguish self-cells and non-self. If this property is lost due to genetic abnormality and it attacks self-cells, then it leads to:

A · Allergic response
B · Graft rejection
C · Auto-immune disease
D · Active immunity
Solution: NCERT states that when, due to genetic and other unknown reasons, the body attacks its own self-cells, it results in damage called auto-immune disease (example: rheumatoid arthritis). Allergy is a reaction to foreign antigens, graft rejection is against transplanted tissue, and active immunity is normal protection, so none of these fit self-attack.
2018

Which of the following is not an autoimmune disease?

A · Alzheimer's disease
B · Rheumatoid arthritis
C · Psoriasis
D · Vitiligo
Solution: Autoimmune diseases occur when the immune system attacks self-cells. Rheumatoid arthritis is NCERT's named example; psoriasis and vitiligo are also immune-mediated. Alzheimer's disease is a neurodegenerative disorder caused by loss of neurons, not by self-attack, so it is NOT autoimmune.
2022

Statement I: Autoimmune disorder is a condition where the body defense mechanism recognizes its own cells as foreign bodies. Statement II: Rheumatoid arthritis is a condition where the body does not attack self cells. Choose the most appropriate answer:

A · Both Statement I and Statement II are correct
B · Both Statement I and Statement II are incorrect
C · Statement I is correct but Statement II is incorrect
D · Statement I is incorrect but Statement II is correct
Solution: Statement I is correct: in autoimmunity the body's defence mechanism treats its own self-cells as foreign. Statement II is incorrect: rheumatoid arthritis IS an autoimmune disease in which the body DOES attack self-cells. So only Statement I is right.

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Frequently asked

What causes autoimmune diseases according to NCERT?

NCERT says autoimmune diseases happen due to genetic and other unknown reasons. The body loses its ability to tell self-cells from foreign cells, so it attacks and damages its own tissues.

Give two examples of autoimmune diseases for NEET.

Rheumatoid arthritis (affects joints) and myasthenia gravis (affects the neuromuscular junction). These are the two examples directly linked to NCERT. Systemic Lupus Erythematosus (SLE) has also appeared in a 2024 NEET question.

Is gout an autoimmune disease?

No. Gout is a metabolic disorder caused by uric-acid crystal deposition, not by the immune system attacking self-cells. NEET often lists gout as a wrong option beside true autoimmune diseases.

What does myasthenia gravis affect?

It affects the neuromuscular junction. This leads to fatigue, weakening and paralysis of skeletal muscle. Remember: junction between nerve and muscle, so muscle control is lost.

How is autoimmunity different from graft rejection?

Autoimmunity is the immune system attacking its OWN self-cells. Graft rejection is the immune system attacking a TRANSPLANTED foreign tissue using the cell-mediated (T-lymphocyte) response. One is self, the other is foreign.