Exam 2-hypersensativity Flashcards
hypersensativity
exaggerated immune response damages host tissue
sensatized
mount normal response
when does hypersensative rxn happen
SUBSEQUENT EXPOSURES; Not on first exposure, must be 2nd, 3rd..
Type 1
IgE-anaphylaxi/degranulation-allergies; FAST (30 sec)
Type II
Antibody mediated
HOST CELL
Type III
IgG-immune complex mediated
SOLUBLE-Serum, Anthus, Percicius
Type IV
Delayed cell mediated; not antibodies-
CTL and macrophages
SLOW –> Tb and poison ivy
Mast cells vs basophil
Mast cell = stationary
Basophils=circulate in blood
binds IgG
Fc receptor on granulocytes such as histamine/basophils
Atopic individuals
form lots of IgE- Th2 -Th2 cells especially active in switching to IgE production
Also high affinity between Fc and IgE
crosslinking is caused by
binding of IgE
crosslinking of Fc receptors causes
inhibtion of adenylate cyclase –> reduces cAMP –> degranulation
Second Exposure
Antibody binds Fc receptors –> crosslinking –>inhibits adenylate cyclase –> reduction in cAMP –> degranulation
maintains inflammation
prostaglandins and leukotrienes
histamine causes
vasodilation, smooth muscle contraction, proteases increase mucous secretion
TNF Alpha
recruits more WBC to inflamed area
BP and oxygen during allergic rxn
decreases b/c vasodilation increases permeability; oxygen decreases b/c irregular heartbeat
control systemic analphlaxis with
epinephrine
timeline for type 2
8 hours
c3a and c5a
increase inflammation by attracting neutrophils and macrophages to target cell-also anaphylaxotoxins
+RH
have the antigen
-RH
do not have the antigen
antibodies in o blood
A and B so only give 0
Anti A/B activates ____ and destroys ___
complement; RBC
hemolysis
transfusion –> agglutination and complement binding –> antibody and complement system activate mac causing lysis of cells
Minus blood can recieve
all negative NOT positive; b/c + has antigen
Positive blood
can recieve positive and negative b/c it has the Rh antigen so it will not react to it and Rh- does not have it so it does not matter if you recieve it
Drug induced thrombocytopenic
haptens too small