Hypersensitivity Flashcards
Normal but exaggerated or uncontrolled immune response to an antigen that can produce inflammation, cell destruction, or tissue injury
Hypersensitivity
An exaggerated response to harmless antigen that results an injury to the tissue, disease, or even death
Hypersensitivity
Two British immunologists that devised a classification system for such reactions based on four categories
P.G.H. Gell and R.R.A. Coombs
Immunologic reaction dependent on the host response to a subsequent exposure of antigen
Immunization/ Sensitization
Refers to immediate hypersensitivity mediated by IgE
Allergy/ Atopy
Reaction: Anaphylactic/ Immediate
Antibody: IgE
Complement: None
Cytokines: Yes
Cells Involved: Mast cells, Basophil
Type I
Reaction: Cytotoxic/ Ab cytotoxic mediated
Antibody: IgG
Complement: Yes
Cytokines: None
Cells Involved: Effector cell: Macrophage, Neutrophil
Type II
Reaction: Immune Complex/ Complex mediated
Antibody: Ag-Ab Complex (IgG, IgM)
Complement: Yes
Cytokines: Yes
Cells Involved: Macrophage
Type III
Reaction: T-cell Dependent/ Delayed/ Hypersensitivity
Antibody: None
Complement: None
Cytokines: T cell cytokine
Cells Involved: Antigen-Specific T cell
Type IV
Its immune mechanism is to release mediators from mast cells and basophils
Examples:
Anaphylaxis, Hay Fever, Food allergies, Asthma
Type I
Immune mechanism is cytolysis due to antibody and complement (tissue specific)
Examples:
Transfusion Reactions, Autoimmune Hemolytic Anemia, HDN, Grave’s Disease, Goodpasture’s syndrome, Antibacterial Antibodies, Viral Disease Prevention, HTR, ITP, HTR
Type II
Immune mechanism is deposits of antigen-antibody complexes (systemic)
Examples:
Serum sickness Arthus Reaction, Lupus Erythematosus, Glomerulonephritis, Vasculitis (Polyarteritis nodosa, Rheumatoid Arthritis)
Type III
Its immune mechanism is the release of cytokines
Examples:
Contact dermatitis, Tuberculin Test, Hypersensitivity Pneumonitis
Type IV
Immune complex deposition
Type III
Antibody Mediated and Immediate Reaction
Type I
- Cell bound antibody reacts with antigen to release physiologically active substances
- Has the short time lag, usually seconds - mins., between exposure to antigen and the onset of clinical symptoms
- Key reactant or immediate sensitivity reaction is IgE
Type I Hypersensitivity
Antibody Dependent; Complement or Cell Mediated
Type II