Asthma inflammation and allergy Flashcards

1
Q

What are allergens?

A

Antigens that elicit an allergic response

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2
Q

What is anaphylaxis?

A

Acute severe allergic reaction resulting in respiratory collapse

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3
Q

What are the inflammatory extrinsic features of allergy and asthma?

A

Atopic
Young onset
Hyperresponsive

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4
Q

What are the inflammatory intrinsic features of allergy and asthma?

A

Non-atopic
Middle aged +
Hyperresponsive
More severe airflow limitation

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5
Q

What is the development of allergy driven by?

A

T helper lymphocyte subset (Th2 cells) and their products (Th2 cytokines)

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6
Q

What cytokines do Th1 produce?

A

Interferon-y

IL-12

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7
Q

What cytokines do Th2 produce?

A

IL-4 and IL-13
IL-5
IL-9

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8
Q

What factors favour the Th1 phenotype?

A

Presence of older siblings
Early exposure to day care
TB, measles or hep A infection
Rural environment

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9
Q

What factors favour Th2 phenotype?

A
Widespread use of antibiotics
Western lifestyle
Urban environment
Diet
Sensitisation to house dust mites and cockroaches
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10
Q

Th1 cytokines stimulate or express Th2 production?

A

suppress

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11
Q

Which cytokines switch B lymphocytes to make IgE antibody?

A

IL-4 and IL-13

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12
Q

IgE fixes onto what on the surface of tissue mast cells?

A

FceR

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13
Q

Which immunoglobulin is relatively rare in plasma?

A

IgE

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14
Q

What does E stand for in IgE?

A

Erythematous

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15
Q

What causes degranulation of mast cells?

A

Cross linking of FceR1-bound IgE on the mast cell surface

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16
Q

What are the mast cell products?

A

Histamine
TNF & other cytokines
Proteases
Heparins

17
Q

Which mast cells have low histamine?

A

Lung

18
Q

Which mast cells have high histamine?

A

Skin

19
Q

Name 3 membrane derived lipid mediators of inflammation

A

Leukotrienes
Prostanoids
PAF

20
Q

What role do LTC4 and LTD4 have in asthma?

A

Potent constriction of airway smooth muscle

Increase vascular permeability

21
Q

What role do LTB4 have in asthma?

A

No direct bronchoconstriction

Chemotactic for leukocytes

22
Q

What role does PGE2 have in asthma?

A

Relaxes airway smooth muscle
May decrease leukocyte activation
Sensitises irritant receptors

23
Q

What role does PGD2 have in asthma?

A

Chemotactic

Bronchoconstrictor

24
Q

What are the actions of IL-13 (and IL-4)?

A

Increase eosinophil adhesion and migration.
Increase mucus secretion.
Tissue remodelling.
Increase airway smooth muscle cotractility