Immunology 3: Hypersensitivity Flashcards
What is a hypersensitivity reaction?
Excessive immune responses to an antigen that cause damage
What is a hypersensitivity reaction?
Excessive immune responses to an antigen that cause damage
What is a hypersensitivity reaction?
Excessive immune responses to an antigen that cause damage
What is a hypersensitivity reaction?
Excessive immune responses to an antigen that cause damage
What is a hypersensitivity reaction?
Excessive immune responses to an antigen that cause damage
What is a hypersensitivity reaction?
Excessive immune responses to an antigen that cause damage
What is a hypersensitivity reaction?
Excessive immune responses to an antigen that cause damage
What is a hypersensitivity reaction?
Excessive immune responses to an antigen that cause damage
What is a hypersensitivity reaction?
Excessive immune responses to an antigen that cause damage
Name the types of antigens involved in hypersensitivity reactions
- Infectious agents
- Environmental substances
- Self antigens
Which common virus can cause hypersensitivity reactions?
Influenza
Describe how dust can stimulate a hypersensitivity reaction
- Dust is able to enter the lower extremities of the respiratory tract which has lots of adaptive immune cells
- Dust can mimic parasites and can stimulate an antibody response
- If the dominant antibody is IgE it can trigger immediate hypersensitivity (allergy symptoms such as asthma or rhinitis)
- If the dust stimulates IgG antibodies, it may trigger a different kind of hypersensitivity e.g. farmer’s lung
Explain how hypersensitivity to environmental substances can cause skin reactions
- Smaller molecules sometimes diffuse into the skin and may act as haptens
- Haptens are small molecular irritants that bind to proteins and eleicit an immune response
Give two examples of hypersensitivity skin reactions to environmental substances
- Contact dermatitis caused by nickel
- Drugs can elicit hypersensitivity reactions mediated by IgE, IgG or T cells
Describe the features of type 1 hypersensitivity
- Mediated through the degranulation of mast cell and eosinophils
- The effects are felt within minutes of exposure
- Immediate hypersensitivity and allergy
- Releases mediators of inflammation
What is atopy?
- Immediate hypersensitivity reaction to environmental antigens
- Develops history with atopy traits
- Family history with atopy
Give examples of atopy
- Anaphylaxis
- Angioedema
- Urticaria
- Rhinitis
- Asthma
- Dermatitis and eczema
How is IgE produced in type 1 hypersensitivity?
B cells produce it when co-stimulated with IL-4 (secreted by Th2 cells)
What role do degranulating cells have in hypersensitivity?
- Release of mediators that cause allergic symptoms
- Mast cells are resident in many tissues
- Eosinophils migrate to the tissues where the reaction is
- Basophils stay in the circulation
- Mast cells initiate allergic symptoms after the allergen and IgE interact
- Mast cells have receptors for IgE and FceRI (high affinity IgE receptor
What are the symptoms of allergy?
- Anaphylaxis
- Asthma
- Rhinitis
- Urticaria
- Angioedema
- Atopic eczema
Describe how genetics cause allergies
- Fillagrin is expressed by keratinocytes and involved in maintaining epithelial barriers, moisturising surfaces and controlling pH
- Polymorphisms in the gene encoding is established as a cause of allergy
- Exposure to environmental factors adds the risk of developing allergies
Describe the process of anaphylaxis
- Mast cells produce prostaglandins and leukotrienes through the cyclooxygenase and lipoxygenase pathways
- This results in vasodilation and increased vascular permeability
- Vascular tone falls - resulting in a severe drop in blood pressure
- In the skin, mast cells release histamine increasing the swelling and fluid shift
Name the types of antigens involved in hypersensitivity reactions
- Infectious agents
- Environmental substances
- Self antigens
Which common virus can cause hypersensitivity reactions?
Influenza
Describe how dust can stimulate a hypersensitivity reaction
- Dust is able to enter the lower extremities of the respiratory tract which has lots of adaptive immune cells
- Dust can mimic parasites and can stimulate an antibody response
- If the dominant antibody is IgE it can trigger immediate hypersensitivity (allergy symptoms such as asthma or rhinitis)
- If the dust stimulates IgG antibodies, it may trigger a different kind of hypersensitivity e.g. farmer’s lung
Explain how hypersensitivity to environmental substances can cause skin reactions
- Smaller molecules sometimes diffuse into the skin and may act as haptens
- Haptens are small molecular irritants that bind to proteins and eleicit an immune response
Give two examples of hypersensitivity skin reactions to environmental substances
- Contact dermatitis caused by nickel
- Drugs can elicit hypersensitivity reactions mediated by IgE, IgG or T cells
Describe the features of type 1 hypersensitivity
- Mediated through the degranulation of mast cell and eosinophils
- The effects are felt within minutes of exposure
- Immediate hypersensitivity and allergy
- Releases mediators of inflammation
What is atopy?
- Immediate hypersensitivity reaction to environmental antigens
- Develops history with atopy traits
- Family history with atopy
Give examples of atopy
- Anaphylaxis
- Angioedema
- Urticaria
- Rhinitis
- Asthma
- Dermatitis and eczema
How is IgE produced in type 1 hypersensitivity?
B cells produce it when co-stimulated with IL-4 (secreted by Th2 cells)
What role do degranulating cells have in hypersensitivity?
- Release of mediators that cause allergic symptoms
- Mast cells are resident in many tissues
- Eosinophils migrate to the tissues where the reaction is
- Basophils stay in the circulation
- Mast cells initiate allergic symptoms after the allergen and IgE interact
- Mast cells have receptors for IgE and FceRI (high affinity IgE receptor
What are the symptoms of allergy?
- Anaphylaxis
- Asthma
- Rhinitis
- Urticaria
- Angioedema
- Atopic eczema
Describe how genetics cause allergies
- Fillagrin is expressed by keratinocytes and involved in maintaining epithelial barriers, moisturising surfaces and controlling pH
- Polymorphisms in the gene encoding is established as a cause of allergy
- Exposure to environmental factors adds the risk of developing allergies
Describe the process of anaphylaxis
- Mast cells produce prostaglandins and leukotrienes through the cyclooxygenase and lipoxygenase pathways
- This results in vasodilation and increased vascular permeability
- Vascular tone falls - resulting in a severe drop in blood pressure
- In the skin, mast cells release histamine increasing the swelling and fluid shift
Name the types of antigens involved in hypersensitivity reactions
- Infectious agents
- Environmental substances
- Self antigens
Which common virus can cause hypersensitivity reactions?
Influenza
Describe how dust can stimulate a hypersensitivity reaction
- Dust is able to enter the lower extremities of the respiratory tract which has lots of adaptive immune cells
- Dust can mimic parasites and can stimulate an antibody response
- If the dominant antibody is IgE it can trigger immediate hypersensitivity (allergy symptoms such as asthma or rhinitis)
- If the dust stimulates IgG antibodies, it may trigger a different kind of hypersensitivity e.g. farmer’s lung
Explain how hypersensitivity to environmental substances can cause skin reactions
- Smaller molecules sometimes diffuse into the skin and may act as haptens
- Haptens are small molecular irritants that bind to proteins and eleicit an immune response
Give two examples of hypersensitivity skin reactions to environmental substances
- Contact dermatitis caused by nickel
- Drugs can elicit hypersensitivity reactions mediated by IgE, IgG or T cells
Describe the features of type 1 hypersensitivity
- Mediated through the degranulation of mast cell and eosinophils
- The effects are felt within minutes of exposure
- Immediate hypersensitivity and allergy
- Releases mediators of inflammation
What is atopy?
- Immediate hypersensitivity reaction to environmental antigens
- Develops history with atopy traits
- Family history with atopy
Give examples of atopy
- Anaphylaxis
- Angioedema
- Urticaria
- Rhinitis
- Asthma
- Dermatitis and eczema
How is IgE produced in type 1 hypersensitivity?
B cells produce it when co-stimulated with IL-4 (secreted by Th2 cells)
What role do degranulating cells have in hypersensitivity?
- Release of mediators that cause allergic symptoms
- Mast cells are resident in many tissues
- Eosinophils migrate to the tissues where the reaction is
- Basophils stay in the circulation
- Mast cells initiate allergic symptoms after the allergen and IgE interact
- Mast cells have receptors for IgE and FceRI (high affinity IgE receptor
What are the symptoms of allergy?
- Anaphylaxis
- Asthma
- Rhinitis
- Urticaria
- Angioedema
- Atopic eczema
Describe how genetics cause allergies
- Fillagrin is expressed by keratinocytes and involved in maintaining epithelial barriers, moisturising surfaces and controlling pH
- Polymorphisms in the gene encoding is established as a cause of allergy
- Exposure to environmental factors adds the risk of developing allergies
Describe the process of anaphylaxis
- Mast cells produce prostaglandins and leukotrienes through the cyclooxygenase and lipoxygenase pathways
- This results in vasodilation and increased vascular permeability
- Vascular tone falls - resulting in a severe drop in blood pressure
- In the skin, mast cells release histamine increasing the swelling and fluid shift
Name the types of antigens involved in hypersensitivity reactions
- Infectious agents
- Environmental substances
- Self antigens
Which common virus can cause hypersensitivity reactions?
Influenza
Describe how dust can stimulate a hypersensitivity reaction
- Dust is able to enter the lower extremities of the respiratory tract which has lots of adaptive immune cells
- Dust can mimic parasites and can stimulate an antibody response
- If the dominant antibody is IgE it can trigger immediate hypersensitivity (allergy symptoms such as asthma or rhinitis)
- If the dust stimulates IgG antibodies, it may trigger a different kind of hypersensitivity e.g. farmer’s lung
Explain how hypersensitivity to environmental substances can cause skin reactions
- Smaller molecules sometimes diffuse into the skin and may act as haptens
- Haptens are small molecular irritants that bind to proteins and eleicit an immune response
Give two examples of hypersensitivity skin reactions to environmental substances
- Contact dermatitis caused by nickel
- Drugs can elicit hypersensitivity reactions mediated by IgE, IgG or T cells
Describe the features of type 1 hypersensitivity
- Mediated through the degranulation of mast cell and eosinophils
- The effects are felt within minutes of exposure
- Immediate hypersensitivity and allergy
- Releases mediators of inflammation
What is atopy?
- Immediate hypersensitivity reaction to environmental antigens
- Develops history with atopy traits
- Family history with atopy
Give examples of atopy
- Anaphylaxis
- Angioedema
- Urticaria
- Rhinitis
- Asthma
- Dermatitis and eczema
How is IgE produced in type 1 hypersensitivity?
B cells produce it when co-stimulated with IL-4 (secreted by Th2 cells)
What role do degranulating cells have in hypersensitivity?
- Release of mediators that cause allergic symptoms
- Mast cells are resident in many tissues
- Eosinophils migrate to the tissues where the reaction is
- Basophils stay in the circulation
- Mast cells initiate allergic symptoms after the allergen and IgE interact
- Mast cells have receptors for IgE and FceRI (high affinity IgE receptor
What are the symptoms of allergy?
- Anaphylaxis
- Asthma
- Rhinitis
- Urticaria
- Angioedema
- Atopic eczema
Describe how genetics cause allergies
- Fillagrin is expressed by keratinocytes and involved in maintaining epithelial barriers, moisturising surfaces and controlling pH
- Polymorphisms in the gene encoding is established as a cause of allergy
- Exposure to environmental factors adds the risk of developing allergies
Describe the process of anaphylaxis
- Mast cells produce prostaglandins and leukotrienes through the cyclooxygenase and lipoxygenase pathways
- This results in vasodilation and increased vascular permeability
- Vascular tone falls - resulting in a severe drop in blood pressure
- In the skin, mast cells release histamine increasing the swelling and fluid shift
Name the types of antigens involved in hypersensitivity reactions
- Infectious agents
- Environmental substances
- Self antigens
Which common virus can cause hypersensitivity reactions?
Influenza
Describe how dust can stimulate a hypersensitivity reaction
- Dust is able to enter the lower extremities of the respiratory tract which has lots of adaptive immune cells
- Dust can mimic parasites and can stimulate an antibody response
- If the dominant antibody is IgE it can trigger immediate hypersensitivity (allergy symptoms such as asthma or rhinitis)
- If the dust stimulates IgG antibodies, it may trigger a different kind of hypersensitivity e.g. farmer’s lung
Explain how hypersensitivity to environmental substances can cause skin reactions
- Smaller molecules sometimes diffuse into the skin and may act as haptens
- Haptens are small molecular irritants that bind to proteins and eleicit an immune response
Give two examples of hypersensitivity skin reactions to environmental substances
- Contact dermatitis caused by nickel
- Drugs can elicit hypersensitivity reactions mediated by IgE, IgG or T cells
Describe the features of type 1 hypersensitivity
- Mediated through the degranulation of mast cell and eosinophils
- The effects are felt within minutes of exposure
- Immediate hypersensitivity and allergy
- Releases mediators of inflammation
What is atopy?
- Immediate hypersensitivity reaction to environmental antigens
- Develops history with atopy traits
- Family history with atopy
Give examples of atopy
- Anaphylaxis
- Angioedema
- Urticaria
- Rhinitis
- Asthma
- Dermatitis and eczema
How is IgE produced in type 1 hypersensitivity?
B cells produce it when co-stimulated with IL-4 (secreted by Th2 cells)
What role do degranulating cells have in hypersensitivity?
- Release of mediators that cause allergic symptoms
- Mast cells are resident in many tissues
- Eosinophils migrate to the tissues where the reaction is
- Basophils stay in the circulation
- Mast cells initiate allergic symptoms after the allergen and IgE interact
- Mast cells have receptors for IgE and FceRI (high affinity IgE receptor
What are the symptoms of allergy?
- Anaphylaxis
- Asthma
- Rhinitis
- Urticaria
- Angioedema
- Atopic eczema
Describe how genetics cause allergies
- Fillagrin is expressed by keratinocytes and involved in maintaining epithelial barriers, moisturising surfaces and controlling pH
- Polymorphisms in the gene encoding is established as a cause of allergy
- Exposure to environmental factors adds the risk of developing allergies
Describe the process of anaphylaxis
- Mast cells produce prostaglandins and leukotrienes through the cyclooxygenase and lipoxygenase pathways
- This results in vasodilation and increased vascular permeability
- Vascular tone falls - resulting in a severe drop in blood pressure
- In the skin, mast cells release histamine increasing the swelling and fluid shift
Name the types of antigens involved in hypersensitivity reactions
- Infectious agents
- Environmental substances
- Self antigens
Which common virus can cause hypersensitivity reactions?
Influenza
Describe how dust can stimulate a hypersensitivity reaction
- Dust is able to enter the lower extremities of the respiratory tract which has lots of adaptive immune cells
- Dust can mimic parasites and can stimulate an antibody response
- If the dominant antibody is IgE it can trigger immediate hypersensitivity (allergy symptoms such as asthma or rhinitis)
- If the dust stimulates IgG antibodies, it may trigger a different kind of hypersensitivity e.g. farmer’s lung
Explain how hypersensitivity to environmental substances can cause skin reactions
- Smaller molecules sometimes diffuse into the skin and may act as haptens
- Haptens are small molecular irritants that bind to proteins and eleicit an immune response
Give two examples of hypersensitivity skin reactions to environmental substances
- Contact dermatitis caused by nickel
- Drugs can elicit hypersensitivity reactions mediated by IgE, IgG or T cells
Describe the features of type 1 hypersensitivity
- Mediated through the degranulation of mast cell and eosinophils
- The effects are felt within minutes of exposure
- Immediate hypersensitivity and allergy
- Releases mediators of inflammation
What is atopy?
- Immediate hypersensitivity reaction to environmental antigens
- Develops history with atopy traits
- Family history with atopy