Inflammatory and Allergic Response Flashcards
What is Type I Hypersensitivity?
IgE-mediated hypersensitivity
degranulation of mast cells and eosinophils
Cells and Mediators in Acute and Chronic Inflammation (8)
histamine leukotrienes prostaglandins TNF-a IL-1 bradykinin nitric oxide tryptase
Type IV Hypersensitivity
cell-mediated
TH1cells release cytokines, direct cellular damage
activate macrophages
Blood biomarkers of inflammation
c-reactive protein
fibrinogen
Arachidonic acid –> ?
Clinical importance?
cyclooxygenase, prostaglandin
NSAIDs inhibit cyclooxygenase
Phospholipids –> ?
Clinical importance?
phospholipase A2, arachidonic acid
Glucocorticoids inhibit phospholipase A2
What leads to a fever?
prostaglandin E2 production
3 Major Components of Acute Inflammation
vasodilation of small vessels
increased vascular permeability of the microvasculature
emigration of leukocytes
Type III Hypersensitivity
immune-complex mediated
deposited in tissue
massive neutrophil infiltration
Type II Hypersensitivity
IgG-Mediated Cytotoxic
interaction of IgG with antigen on cell surface
Ig reacts with macrophages/complement
Outcome of H2 receptor activity
gastric secretion stimulation
cardiac stimulation
Outcome of H1 receptor activity
contraction of most smooth muscle
vasodilation
increased vascular permeability
Which cells release histamine
Mast cells
basophils
What kind of reaction is Anaphylaxis
type I, IgE mediated hypersensitivity
Examples of Type III Hypersensitivity
localized Arthus reaction necrotizing vasculitis glomerulnephritis rheumatoid arthritis systemic lupus erythematosus