L26 - 10.2 allergies Flashcards

1
Q

what is hypersensitivity

A

immune reactions that is derminetal to the host

- exagratted

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2
Q

how many types of hypersensitivity reactions are there

A

4

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3
Q

what is the first type of hypersensitivitt reaction

A

IgE antibodies produced

  • immediate reaction
  • results in mast cell degranulation and activated eosinophils
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4
Q

what is the 2nd type of hypersensitivity

A

IgG ABs produced

  • binds to self AGs
  • Autoimmune response
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5
Q

what is the 3rd type of hypersensitivity

A

damage done by complex between AG and IgG

- so response is caused by both AG and AB

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6
Q

what is the 4th type of hypersensitivity

A

immune response by T cells

- leading to delayed hypersensitivity

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7
Q

how long is 4type reaction

A

more than 4 hours
a day or 2 after AG exposure
-not life threatening

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8
Q

for the reaction to be type 4, what does it need to be even if the irritant is taken away

A

the body still produces a repsonse to it

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9
Q

other reactions to something

A

irritant response, food intolerance, side effects

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10
Q

how is type 1 allergy developed

A
exposure to AG
- body sensitizes 
IgE AB production 
- re exposure to allergen 
-allergic response produced
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11
Q

what cytokines are required to switch to IgE

A

T helper 2
IL4
IL13

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12
Q

how does the mast cell get activated

A

IgE binds to the allergen
then the complex binds to the receptor on the mast cell
- FceR1 receptors

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13
Q

what does mast cell produce when they get activated

A

releases substances that cause allergic cymtpoms

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14
Q

mediators from the mast cell

A

histamine
serotonin
prostaglandins
cytokines

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15
Q

effects of the mast cell mediators

A
vasodilation, 
vascular permeability 
heart rate 
cardiac contraction 
bronchoconstriction
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16
Q

what is anaphylaxis

A

allergic response where BP falls and the airways constricted

17
Q

treatment for anaphylaxis

A

adrenaline

steroids and antihistamines

18
Q

kinds of allergy effector cells

A

mast cells
-basophils
eosinophils
- all express FceRs

19
Q

how are eosiniphils atrattaced to tissues

A

chemokines

20
Q

how to test for IgE allergy

A

pricking the skin with allergens

21
Q

effects of allergy

A

concentration, scoialisation, diet, sleeping, anxiety

22
Q

causes of allergies

A
genes - polymorphisms
environment - ezposure in early life
-hygiene
infections 
smoking
23
Q

how does IgE responses come about

A

evolution due to parasites since they are too big to be engulfed by phagocytes