Type 2 hypersensitivity Flashcards
Type 2 hypersensitivity
ANTIBODY-MEDIATED CYTOTOXIC REACTIONS. allergic reactions involving tissue or cellular antigens and antibodies of IgM or IgG. INSOLUBLE ANTIGEN
type 2 hypersensitivity mechanism
IgG or IgM or C3b
type 2 hypersensitivity tissue injury
complement activation, phagocytosis, abnormal receptor function
ABO system
alloantigens and naturally occurring antibodies
isohemaglutinins
IgM antibodies - Anti-A or Anti-B
Rh system
no naturally occuring antibodies to Rh antigens, several related antigens with D or Rh-o
Rh+ genotype
presence of “D”
Rh- genotype
absence of “D” only “d”
HDN
hemolytic disease of the new born - Rh incompatibility with child (Rh+) and mother (Rh-. mixing of circulation induce IgG anti-Rh antibodies in mother
prevention of RDN
desensitization of Rh factor by administration of RhoGam
transfusion reaction
contaminated blood
Major hemolytic incompatibility
RBC transfusion - different ABO blood typing - leads to anaphylaxis
Minor hemolytic incompatibility
donor serum or plasma contains antibodies angainst the cells
Delayed hemolytic reaction
antibodies to donor cells form after transfusion
anti-HLA transfusion reaction
antibody to white blood cells