Immune Disorders Flashcards
What is a hypersensitivity reaction?
A reaction due to an exaggerated or inappropriate adaptive immune response to an antigen/immunogen causing tissue damage
How many hypersensitivity reactions are there?
4
What are the 4 types of hypersensitivity reactions?
Immediate (type I) Cytotoxic (type II) Complex mediated (type III) Delayed (type IV)
What is immediate hypersensitivity?
An immediate reaction after contact with an immunogen (allergen)
What is anaphylaxis?
A generalised type I reaction, leading to vasodilation and constriction of bronchial smooth muscle that can result in death
Which antibody mediates type I hypersensitivity?
Ig E
What is an allergen and give examples?
An immunogen that causes an allergy
EG. pollen, animal dander and drugs like penicillin
What are the type of mast cell granules?
Histamine
Eosinophil chemotactic factor
Neutrophil chemotactic factor
What is type II hypersensitivity?
Antibodies are directed against antigens on the surface of specific cells or tissues
What antibodies mediate type II hypersensitivity
Ig M
Ig G
What are the consequences of an antibody binding to an antigen?
Complement activation
What does compliment activation lead to?
Cell lysis
Deposition of complement components (opsonisation)
Macrophage and neutrophil activation
What are some examples of type II hypersensitivity?
Blood transfusion
Hyperacute graft rejection
Haemolytic disease of newborns
Goodpasture’s syndrome
What is haemolytic disease of the newborn?
Rhesus incompatibility
What are the effects of rhesus incompatibility
Spontaneous abortion
Born with mild jaundice or HDN
What is type III hypersensitivity?
Antibodies are directed against soluble antigens in serum
Can also be directed against widely distributed antigen
Deposited antigen-antibody complexes then lead to damage in affect organs