Lecture 10 Flashcards
What are hypersensitivity reactions
Abnormal or undesirable state of immune reactivity which has deleterious effects on the host = immunopathology
What are the 4 classifications of hypersensitivity
- Type I or Immediate hypersensitivity
- Type II or antibody-mediated cytotoxic hypersensitivity
- Type II or immune complex hypersensitivity
- Type IV or delayed-type hypersensitivity (DHT)
Describe the 2 phases of immediate hypersensitivity (type I)
Phase 1
- Individual first sensitised to allergen
- Allergen-specific B cells mage IgE
- IgE binds to mast cells
Phase 2
- Upon subsequent exposure to allergen mast cells degranulate
-Rapid release of inflammatory molecules from mast cels
- Synthesis of other mediators
Where are Ag encountered that induce hypersensitivity type I
Mucosal sufaces
What is Atopy
Genetic predisposition to type I hypersensitivity
What do atopic individuals have predisposition to overreact to
Th2 immunity, high levels of IL-4, IgE
What are the main players in hypersensitivity
Th2 cells, IL-4, IgE, mast cells and eosinophils
Eosinophils in type I hypersensitivity
Large presence of eosinophils, attracted to mast cell degranulation products, presence of eosinophils at site is regarded as hall mark of type I
What happens to eosinophils in type I hypersensitivity
Degranulate to release own mediators
How are eosinophils activated
Mast cells and Th2 cells produce IL-5 and eotaxins which mobilise eosinophils from the bone marrow, eosinophils release complex array of molecules that contribute to acute inflammation, eosinophils exacerbate inflammation caused by mast cells
What are the clinical signs of hypersensitivity type I.
Hay fever, rash, itchy skin, asthma ect
What does Type I hypersensitivity result from
Excessive release of inflammatory mediators from mast cells, eosinophils and basophils
Clinical sings of atopy in dogs and cats (5)
- Pruritus or itching
- Licking of paws
- Over grooming
- Erythema (redness) and alopecia
- Thickening and increased pigmentation
When does anaphylaxis occur
When a section becomes systemic
How to diagnose type I hypersensitivity (5)
- Clinical history, age, breed, environment
- Allergin exkursion
- Comercial serum ELSIA
Intradermal skin testing