Hypersensitivity Flashcards
what mediates type I reaction?
IgE
what mediates type II reaction?
IgG/IgM
what mediates type III reaction?
IgG/IgM
what mediates type IV reaction?
T cells
mechanism of type I reaction
occurs in seconds-minutes; antigen binds to two IgE antibodies on mast cells and basophils, releasing mediators that cause vasoconstriction, bronchoconstriction, etc.
mechanism of type II reaction
occurs in minutes-hours; IgG/IgM bind to the surface of a cell, causing immune system cells to attack it, and resulting in its death
mechanism of type III reaction
occurs in minutes-hours; antigen-antibody complexes deposit in various tissues and activate the complement system, causing inflammation
mechanism of type IV reaction
occurs in hours-days; TH1 cells release cytokines which activate cytotoxic T cells and macrophages, resulting in cell damage
examples of type I reaction
anaphylaxis: hay fever, asthma, food allergies, eczema, etc.
examples of type II reaction
blood transfusion reactions, autoimmune disorders, etc.
examples of type III reaction
drug-induced serum sickness, arthritis, etc.
examples of type IV reaction
contact dermatitis, graft rejections, etc.