Type 1 Hypersensitivity Flashcards

1
Q

Which immune cell mainly mediates type 1 hypersensitivity?

A

Type 1 is mast cell derived

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2
Q

Which antibody mediates type 2 hypersensitivity?

A

IgG or IgM

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3
Q

Which antibody mediates type 3 hypersensitivity?

A

IgG or IgM

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4
Q

What’s the difference between type 2 and type 3 hyper sensitivity?

A

Type 2 IgG or IgM antibodies produced against cell or tissue antigens and trigger complement. Type 3 IgG or IgM antibodies against soluble antigens in the blood which form immune complexes, triggering complement

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5
Q

Which antibody mediated type 4 hypersensitivity?

A

T cell mediated

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6
Q

Where are IgG and IgM antibodies deposited in type 3 hypersensitivity?

A

Vascular basement membrane

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7
Q

What are allergens?

A

Antigens that initiate immediate hypersensitivity are called allergens

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8
Q

Which cells stimulate IgE?

A

Activation of Th2 and follicular T-helper cells stimulate IgE

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9
Q

What is the wheel caused from in the wheel and flare response?

A

Wheel is caused by extravasation of serum and fluid from capillaries-direct effect of histamine

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10
Q

What are the primary binding sites for FceR1 and FceR2 on IgE

A

C3

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11
Q

Why is IgE conc in serum of normal individuals very low?

A

Serum IgE has a much shorter half life than other isotypes

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12
Q

Which cytokine is dependant on IgE gene expression?

A

IL-4

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13
Q

Where are follicular helper T cells primarily located and which cytokine do they mainly produce?

A

Secondary lymphoid organs, IL-4

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14
Q

Which cytokines do Th2 cells produce and their function?

A

IL-4, IL-13 (both inducing tissue responses to allergens), IL-5 (promotes eosinophil inflammation)

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15
Q

Where are basophils located?

A

Not in normal tissue - present in bone marrow

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16
Q

Where are mast cells located?

A

Not present in circulation - connective tissue

17
Q

Which cells are increased in the bronchi in the lungs of patients with asthma?

A

Mast cells, Th2 cells, eosinophils, and products of eosinophils. There is also increased mucus production, SMC contraction, reduction in airway-leukotrienes

18
Q

Where is the eosinophil granule major basic protein (MBP) found in asthmatics

A

BAL

19
Q

Name some treatments for type 1 hypersensitivity?

A

Antihistamines, corticosteroids (both of these are the first line of treatment. Inhibiting mast cell degranulation, antagonizing effects of mast cell mediators, reducing inflammation, immunotherapy, monoclonal anti-IgE therapy

20
Q

Give examples of second generation H1 receptor antagonists?

A

Loratadine, fexofenadine