Hypersensitivity responses Flashcards
What are all hypersensitivity reactions involved in?
Adaptive immune response
What is type 1 hypersensitivity mediated by?
IgE
What is type 2 hypersensitivity mediated by?
IgG
What is a type III hypersensitivity reaction?
Type III hypersensitivity is an immune complex-mediated reaction in which an antigen-antibody complex lodges in tissue, activating complement and attracting phagocytes that cause tissue damage.
What is a type IV hypersensitivity reaction?
T cell mediated reaction.
What is the process of the adaptive immune response from APC to B cell activation.
APC presents antigen to T cell
Activation of T cell, production of cytokines.
T cell help
- Th1/Th2/Th17 (see perio)
Cytotoxicity CD8 T cells
B cell activation - antibody production
What is the initiating event for an IgE response?
Soluble antigen
Triggers IgE response, IgE binds to cell surface of mast cells.
Re-exposure to same antigen, interaction with IgE on mast cells
Degranulation
How is IgE bound to mast cells?
FceR1
What are some mediators of type 1 allergy?
IL-4, IL-13 -Th2 response
IL-3, IL5 - eosinophil synthesis
TNF a
Lipid mediators - leukotrienes
What is a specific marker of mast cell degranulation?
Mast cell tryptase
What is mast cell tryptase useful for?
Investigation of anaphylaxis
What is result of high IV allergen dose?
systemic anaphylaxis
What is outcome of SC low dose allergen?
local wheal & flare - due to histamine
What is type 1 response due to inhalation of allergen?
Bronchospasm - asthma
What is type 1 response to ingestion of allergen?
diarrhoea and vomiting