Hypersensitivity Flashcards

1
Q

what type is this?
IgE
soluble antigen
mast cell activation

A

type 1- allergy and asthma

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2
Q

what type is this?
IgG
cell surface receptor or matrix
activates complement

A

type 2 drugs and chronic urticaria

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3
Q

what type is this?
IgG
soluble antigen
activates complement

A

type 3 - arthus reaction

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4
Q
Th1 and 2 cells or cytotoxic t cell
soluble antigens or cell antigens
macrophage and eosinophil activation
cytotoxicity
dermatitis, chronic asthma, allergic rhinitis
A

Type 4

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5
Q

what does IgE trigger

A

mast cell degranulation

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6
Q

what is IgE produced by

A

plasma B cells in lymph nodes or locally

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7
Q

what does a CD4 t helper 1 cell cause

A

macrophage activation

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8
Q

what does CD4 TH2 cause

A

B cell acitvation

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9
Q

what does a CD8 cytotoxic t cell cause

A

cell lysis

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10
Q

name some allergens

A
pollen 
animals 
mold spores
dust mite faeces
insect venom 
vaccines
drugs
medicine
food
plants
synthetic chemicals 
metals
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11
Q

what is degranulation

A

is a cellular process that releases antimicrobial cytotoxic molecules from secretory vesicles called granules found inside some cells.

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12
Q

what can result from an allergen entering the blood stream

A

hives (urticaria)

anaphylaxis and cv collapse

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13
Q

name some inflammatory mediators

A

lipids
toxic mediators
cytokines
enzymes

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14
Q

what cell favours IgE response

A

Th2 T cells

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15
Q

what cell is stimulated in allergy and asthma

A

mast cell usually found at mucosal surfaces

soluble antigen

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16
Q

what type would you find non soluble antigens

A

type 2

cytoxic

17
Q

what cells are stimulated in type 3

A

phagocytes

immune complex disease

18
Q

what cells are stimulated in type 4

A

macrophages and eosinophils

delayed type hypersensitivity

19
Q

what do prostaglandins do

A

increase vascular permeability
increase platelet aggregation
activates neutrophils

20
Q

what do chemokines do

A

attract macrophages and neutrophils

21
Q

what other cells are also involved In allergy

A

basophils and eosinophils

can cause tissue damage

22
Q

what type involves IgG

A

2 and 3

23
Q

what antibodies are involved in type 3 (immune complex)

A

IgG and IgM

24
Q

where might immune complexes be deposited in type

A
kidneys
blood vessels
synovial membranes
skin
 systemic
25
Q

what are the features of type 4

A
complement is not involved 
entirely cell mediated 
delayed hypersensitivity (DTH)
involves macrophages
granulomas eg tubercles seen in tuberculosis