Immune system: 4 types of reactions Flashcards

1
Q

Four mechanisms of hypersensitivity

A

Type 1-4

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2
Q

Type 1 Hypersensitivity

A

IgE Mediated Reaction, anaphylactoid sensitivity, allergies

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3
Q

What happens during a type 1 reaction?

First exposure

A
  • Exposure to allergen
  • Large amount of IgE antibody
  • IgE antibodies attach to mast cells
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4
Q

What happens during a type 1 reaction?

Next exposure

A
  • Release of chemical mediators from mast cell (ex: histamine)
  • Allergic reaction
  • Systemic effects, inflammatory
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5
Q

Symptoms of type 1 reaction

A

Laryngeal edema
Hypotension
Gastrointestinal cramps and malabsorption
Rhinitis (inflammation of mucus membrane inside nose)
Itching
Dysrhythmias

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6
Q

Type II reaction

A

Tissue-specific Hypersensitivity

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7
Q

Tissue-specific hypersensitivity

A

Immune system recognized self antigens as foreign and attacks them
(specific to one type of cell or tissue)

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8
Q

What are the ways that a cell could be destroyed during a type II reaction?

A
  • Complement (protein) destroys cell after antibody bound to a target cell attaches a compliment
  • Phagocytosis occurs when the macrophage recognizes and binds the antibody
  • Cytotoxic (NK or neutrophils) cells release toxic substances that destroy the cell
  • Causes malfunction of cell by blockage f receptors
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9
Q

Type III Reaction

A

Immune complex mediated reactions

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10
Q

Immune complex mediated reactions

A

-Immune complexes are formed in circulation and then bind to vessel walls of extravascular tissue

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11
Q

In immune complex mediated reactions, do antigens and antibodies bind cell surfaces?

A

No they bind to each other

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12
Q

Are type III reaction organ specific?

A

No!

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13
Q

What do the immune complexes do?

A

Trigger complement system and attract neutrophils

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14
Q

What are the consequences of immune complexes and attraction of neutrophils?

A
  • Unable to digest

- Lysosomal enzymes are released during the process causing tissue damage

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15
Q

Examples of type III reactions

A

Serum sickness

Raynaud phenomenon

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16
Q

Type IV reaction

A

Cell mediated tissue reactions

17
Q

Cell mediated tissue reactions

A

No antibody involvement!

T lymphocytes directly attack cellular targets

18
Q

Tc

A

Lysosomal enzymes

19
Q

Th

A

Recruit macrophages

20
Q

What is tissue damage caused by in type IV reactions?

A

The release of toxic contents from macrophages and Tc cells