Adverse immune reactions Flashcards
What are the 4 types of adverse immune reaction (THAT)?
Tolerance
Hypersensitivity
Autoimmunity
Transplantation
What is tolerance? Why is an essential part of the bodies immunity?
Unresponsiveness to a particular antigen
Prevent immune reactivity to own tissues
Where can tolerance to self antigens take place?
Thymus and bone marrow?
What does the spleen do to prevent tolerance?
T-cells with high affinity for self-antigens deleted - however not all deleted, so some are auto reactive T cells
What does the bone marrow do to prevent tolerance?
Self reactive B cells removed
However not all removed - some go into circulation
What can induce autoimmunity?
Viruses
Immunoregulation deficiencies
Exposure of hidden antigens
What is autoimmunity?
Immune response against the organisms own healthy cells
Give 2 examples of autoimmune disease in dogs
Rheumatoid arthritis - immune complexes deposit in joints
Systemic lupus erythrematosus
Give examples of organ specific autoimmune diseases
Myasthenia gravis (dog) Autoimmune haemolytic anaemia (dog) Anti-sperm antibodies
What is myasthenia graves?
Autoantibodies produced against acetylcholine receptor
Causes muscle wastage in dogs
What are the 4 types of hypersensitivity?
Type I - atopy (production of IgE to antigen)
Type II - antibodies bind to antigen on host cell
Type III - immune complexes form and deposit on tissues
Type IV - T cell mediated
Type I hypersensitivity includes specific allergic conditions. Give examples
Urticaria (skin rash)
Food allergy, milk allergy
Parasite allergy etc
How do allergens cause a type I hypersensitivity reaction?
Bind to IgE on mast cells
Cause production of histamine
How do type II hypersensitivities cause tissue damage?
Frustrated phagocytes
Complement activation
Give an example of a type II hypersensitivity in dogs
Canine autoimmune haemolytic anaemia (AIHA)