Type 4 hypersensitivity Flashcards
Type 4 hypersensitivity pathologic immune mechanism
activation of CD4+ and CD8+ t cells
Type 4 hypersensitivity mechanism of tissue injury
macrophage activation and CTY lysis of cells
type 4 hypersensitivity
delayed-type reaction - cell-mediated immune response initiated by T-cells
induration
cutaneous or subcutaneous hardening that is caused by the cellular infiltrate - key manifestation of type 4 hypersensitivity
sensitization stage (type 4)
subcutaneous antigen is processed by APC (langerhans cells) -> Th cell recognized HLA peptide on APC and differentiates into Th1
Elicitation stage
subsequent antigen > Th1 activates > cytokines released > macrophage activation > accumulation of macrophages > tissue damage
skin test for cell-mediated immunity
test measures the ability of CD4 Th1 cells to conduct DTH reactions