hypersensitivity & autoimmunity Flashcards

1
Q

Which immunoglobulin(s) are involved in Type I hypersensitivity?

A

IgE

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2
Q

Which immunoglobulin(s) are involved in Type II hypersensitivity?

A

IgM or IgG

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3
Q

What are the main cytokine products released from Th1 cells in Type IV hypersensitivity?

A

IL-2 and gamma-interferon

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4
Q

What causes the clinical conditions seen in Type III hypersensitivity?

A

Abnormal deposition of formed antigen / antibody complexes

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5
Q

What is serum sickness?

A

Systemic illness where immune complexes are deposited throughout many tissues

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6
Q

What is arthus reaction?

A

A localised disorder where immune complexes form locally in tissues

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7
Q

True or false: Type IV hypersensitivity reactions usually occur in response to toxic environmental substances that the body’s immune system is struggling to destroy.

A

False - Type IV reactions occur in response to contact with inert substances that usually produce no great adverse effect

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8
Q

True or false: Type III hypersensitivity reactions are caused by formation of antigen/antibody immune complexes.

A

False - Type III reactions are caused by abnormal deposition of immune complexes in tissues. Immune complex formation is a normal physiological process.

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9
Q

Which immunoglobulin(s) are produced in the case of an allergic reaction?

A

IgE (Type I hypersensitivity)

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10
Q

What’s the difference in the mechanism of tissue damage in a Type II reaction between external antigens and self antigens?

A

The mechanisms of tissue damage are identical

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11
Q

Which class of hypersensitivity reaction causes ADCC?

A

Type II reactions cause ADCC (antibody dependent cellular cytotoxicity)

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12
Q

True or false: Synthesis of IgE on its own is not enough to produce a clinical allergy.

A

True

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13
Q

What is the term for when the presence of IgE is not associated with any related symptoms?

A

Atopy

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14
Q

Which class(es) of hypersensitivity reaction can be caused by exogenous antigens or those from self?

A

Type II and III

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15
Q

What are the two types of tolerance?

A

Peripheral and central

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16
Q

What does HLA stand for?

A

Human Leukocyte Antigen

17
Q

What is tolerance?

A

The process whereby the immune system avoids producing damaging reactions against self antigens.

18
Q

True or false: Immune recognition of ‘self’ is not always damaging.

A

True

19
Q

Name some factors contributing to autoimmunity

A

Genetic factors
Immune regulatory factors
Hormonal factors
Environmental factors