Lec 7-2 - Allergy / Hypersensitivity Flashcards
process that occurs in subjects previously exposed to an antigen and who developed an immune response to that antigen
sensitization
type 1 hypersensitivity is blank mediated
igE
type 2 is blank mediated
ab mediated cytotoxicity, NK, complement… cell bound
type 3 is blank mediated
immune complex mediated (soluble)
type 4 is blank
cell mediated… no immunoglobulin
harmless antigens that can stimulate an igE response
allergens
upon first exposure to allergen, large amounts of blank are produced
igE
high affinity receptors for igE that bind ig# without the ig being bound to an antigen
FceRI
these bind free circulating igE via the FceRI
mast cells and basophils
this phase of allergic reaction is characterized by antigen binding and FceRI crosslinking
activation
upon activation, mast cells and basophils immediately go through blank
degranulation
contents of cellular granules are released into the surrounding environment
degranulation
in this phase, preformed mediators stored in cell granules are released
early phase
early phase response is responsible for the majority of severe clinical manifestations of blank
type 1 hypersensitivity
synthesis and secretion of cytokines and chemokines occurs in this phase
late phase
long lasting asthma that causes problems even in the absence of the original allergen
chronic asthma
systemic anaphylaxis can cause a loss of blank and blank collapse
blood pressure, cardiovascular
bee stings, peanuts, seafood, penicillin can all cause blank
systemic anaphylaxis
hay fever, atopic dermatitis, asthma can cause blank
localized anaphylaxis
many allergens cause igE production because they will be small and may have similar enzymes to blank which are what igE was made to respond to
parasites
two skin tests for allergies
prick test, intradermal test
allergic individuals have a higher level of blank igE and are more prone to blank cell stimulation
circulating, Th2
small amounts of allergen are given to switch response from igE to IgG
hyposensitization
transfusion reactions, hemolytic anemias, and antibodies are directed to tissue or cell surface antigens type of hypersensitivity
type 2
type 2 hypersensitivity is directed by these antibodies
igG, igM
in rhesus prophylaxis, anti rhD antibodies are given to the blank mother after delivering the blank baby
rh - , rh+
complement is triggered by igG and igM in this
type 3 hypersensitivity
type of sensitivity with cd4 and cd8 t cells involved
type 4 hypersensitivity
examples of type 4
contact dermatitis, tuberculin reactions