Hypersensitivity and Allergy Flashcards
What is the pathologic immune mechanism of type I hypersensitivity reactions?
IgE antibody, Th2 cells
What are the mechanisms of tissue injury in type I hypersensitivity reactions?
Mast cells, eosinophils, and their mediators
What is the pathologic immune mechanism of type II hypersensitivity reactions?
IgM, IgG antibodies against cell surface or extracellular matrix antigens
What are the mechanisms of tissue injury in type II hypersensitivity reactions?
Opsonization and phagocytosis of cells
Complement- and Fc receptor-mediated recruitment and activation of leukocytes
Abnormalities in cellular functions, such as hormone receptor signaling or neurotransmitter blockade
What is the pathologic immune mechanism of type III hypersensitivity reactions?
Immune complexes of circulating antigens and IgM or IgG antibodies
What are the mechanisms of tissue injury in type III hypersensitivity reactions?
Deposition in blood vessel walls and tissues
Complement- and Fc receptor-mediated recruitment and activation of leukocytes
What are the pathologic immune mechanism of type IV hypersensitivity reactions?
- CD4+ T cells (Th1 and Th17 cells)
- CD8+ CTLs
What are the mechanisms of tissue injury in type IV hypersensitivity reactions?
- Cytokine-meditated inflammation and macrophage activation
- Direct target cell killing, cytokine-mediated inflammation
What is the mechanism of type VIa hypersensitivity reactions?
Th1 cells, resulting in macrophage activation
(a = 1st letter of alphabet, Th1)
What is the mechanism of type IVb hypersensitivity reactions?
Th2 cells, resulting in eosinophil and mast cell activation
(b = 2nd letter of alphabet, Th2)
What are some examples of type IVa hypersensitivity reactions?
Maculopapular drug eruption, fixed drug eruption, poison ivy
What is an example of a type IVb hypersensitivity reaction?
DRESS
What is the mechanism of type IVc hypersensitivity reactions?
CTLs, granzymes, perforin
(c = cytotoxic)
What is an example of a type IVc hypersensitivity reaction?
SJS/TEN
What is the mechanism of type IVd hypersensitivity reactions?
Th17 cells, resulting in neutrophil activation