rheumatoid Flashcards
what do interleukin 1-6 do?
HOT TBONE stEAK IL-1 - fever IL-2 - T cells IL-3 = bone marrow IL-4 IgE IL-5 - IgA IL-6 - AKute phase proteins
how many hypersensitivty reactions are there?
4
what is type 1 hypersensitivity
immediate allergic
IgE driven –> mast cells –> histamine –> recruitment of inflammatory cells
effect: vasodilation, oedema, SM contraction, mucus productoin, inflammation
Example: anaphylaxis, asthma
what is type 2 hypersensitivity?
cytotoxic antibody
mediators: IgM, IgG –> classic complement
effect: phagocytosis, cell lysis, inflammation
examples: grave disease, goodpasture, haemolytic anaemia, myosina gravis, rheumatic fever, DM
type 3 hypersensitivity
immune complex mediated
medatiors: Ag:Ab complex –> complement activation –> leukocyte recruitment –> release of enzymes and other toxic molecules
neutrophils
effect: inflammation, necrotising vasculitis
example: SLE, some forms of glomerulonephritis, RA, reactive arthritis
type 4 hypersensitivity
cell mediated - delayed hypersensitivty
mediators: activated T cells –> release of cytokines –> inflammation and macrophage activation, T cell mediated cytotoxity
effect: perivascular cellular infiltrates, oedema, cell destruction, granuloma formation
example: TB, IBD, MS, mantoux, contact dermatitis