Podcast
Questions and Answers
What is the primary mechanism behind a Type I hypersensitivity reaction?
What is the primary mechanism behind a Type I hypersensitivity reaction?
- Cytotoxic T-cell activation
- IgG mediated complement activation
- Immune complex deposition in tissues
- IgE mediated mast cell degranulation (correct)
Which type of hypersensitivity reaction is uniquely mediated by T-cells, rather than antibodies?
Which type of hypersensitivity reaction is uniquely mediated by T-cells, rather than antibodies?
- Type I
- Type III
- Type II
- Type IV (correct)
What is the role of TH2 cells in the context of an allergic reaction?
What is the role of TH2 cells in the context of an allergic reaction?
- Secreting interleukins, promoting IgE production, and mediating the humoral immune response (correct)
- Activating cytotoxic T-cells
- Suppressing the immune response
- Directly killing infected cells
What distinguishes an allergen from other antigens?
What distinguishes an allergen from other antigens?
Which of these best defines the term 'Atopy'?
Which of these best defines the term 'Atopy'?
In the case of a wasp sting reaction, what is the primary reason for the observed oedema?
In the case of a wasp sting reaction, what is the primary reason for the observed oedema?
What is the mechanism of action of Chlorpheniramine?
What is the mechanism of action of Chlorpheniramine?
What is the aim of the hypersensitisation immunotherapy?
What is the aim of the hypersensitisation immunotherapy?
Which cytokine is primarily responsible for the differentiation of naive T-helper cells into TH2 cells during an allergic reaction?
Which cytokine is primarily responsible for the differentiation of naive T-helper cells into TH2 cells during an allergic reaction?
What is the primary role of IL-5 in the context of an allergic response?
What is the primary role of IL-5 in the context of an allergic response?
Which of the following best describes the function of the FcεR1 receptor?
Which of the following best describes the function of the FcεR1 receptor?
During degranulation, which preformed mediator activates the complement system?
During degranulation, which preformed mediator activates the complement system?
Which newly synthesized mediator is most potent at causing smooth muscle contraction of the airways in an allergic reaction?
Which newly synthesized mediator is most potent at causing smooth muscle contraction of the airways in an allergic reaction?
What direct effect does histamine have on blood vessels during an allergic response?
What direct effect does histamine have on blood vessels during an allergic response?
Which of these occurs first in an immediate hypersensitivity reaction, after initial exposure to the allergen?
Which of these occurs first in an immediate hypersensitivity reaction, after initial exposure to the allergen?
Which of the following is NOT a function of histamine during an allergic reaction?
Which of the following is NOT a function of histamine during an allergic reaction?
What is the primary mechanism by which leukotrienes and cytokines contribute to the late-phase allergic response?
What is the primary mechanism by which leukotrienes and cytokines contribute to the late-phase allergic response?
Which of the following best describes the action of H1 antihistamines in reducing hypotension and oedema?
Which of the following best describes the action of H1 antihistamines in reducing hypotension and oedema?
A patient with rhinitis and urticaria is prescribed a second-generation antihistamine. Which of the following drugs would be most appropriate?
A patient with rhinitis and urticaria is prescribed a second-generation antihistamine. Which of the following drugs would be most appropriate?
What is the primary pharmacological effect of H2 antihistamines?
What is the primary pharmacological effect of H2 antihistamines?
Which of the following explains why first-generation H1 antihistamines are more likely to cause sedation?
Which of the following explains why first-generation H1 antihistamines are more likely to cause sedation?
A patient experiencing motion sickness is seeking medication. Which of the following would be the most appropriate first-generation H1 antihistamine?
A patient experiencing motion sickness is seeking medication. Which of the following would be the most appropriate first-generation H1 antihistamine?
How do H1 antihistamines alleviate the sensation of pruritus (itching)?
How do H1 antihistamines alleviate the sensation of pruritus (itching)?
What aspect of glucocorticoids makes them useful in treating inflammation?
What aspect of glucocorticoids makes them useful in treating inflammation?
What is the primary function of negative selection in T cell development within the thymus?
What is the primary function of negative selection in T cell development within the thymus?
Which of the following best describes the nature of autoantibodies?
Which of the following best describes the nature of autoantibodies?
Which of the following is NOT a commonly identified composition of autoantibodies?
Which of the following is NOT a commonly identified composition of autoantibodies?
What is the typical antibody isotype associated with autoantibodies in most diseases?
What is the typical antibody isotype associated with autoantibodies in most diseases?
Which of these is LEAST likely to result in an autoimmune issue?
Which of these is LEAST likely to result in an autoimmune issue?
In the context of autoimmunity, what does the concept of 'molecular mimicry' refer to?
In the context of autoimmunity, what does the concept of 'molecular mimicry' refer to?
How do 'cryptic antigens' contribute to autoimmunity?
How do 'cryptic antigens' contribute to autoimmunity?
What role do T regulatory cells play in preventing autoimmunity?
What role do T regulatory cells play in preventing autoimmunity?
What is the primary mechanism by which glucocorticoids exert their anti-inflammatory and immunosuppressive actions?
What is the primary mechanism by which glucocorticoids exert their anti-inflammatory and immunosuppressive actions?
Which of the following is a short-term effect of glucocorticoid administration?
Which of the following is a short-term effect of glucocorticoid administration?
What is a long-term effect of glucocorticoid use, caused by the binding of the glucocorticoids to cytoplasmic receptors?
What is a long-term effect of glucocorticoid use, caused by the binding of the glucocorticoids to cytoplasmic receptors?
Which of the following is a consequence of glucocorticoids' inhibition of phospholipase A2?
Which of the following is a consequence of glucocorticoids' inhibition of phospholipase A2?
Besides anti-inflammatory and immunosuppressive actions, which other effects are commonly associated with glucocorticoids?
Besides anti-inflammatory and immunosuppressive actions, which other effects are commonly associated with glucocorticoids?
What is the effect of glucocorticoids on cell apoptosis and fibroblast proliferation?
What is the effect of glucocorticoids on cell apoptosis and fibroblast proliferation?
In the context of steroid abuse, which effect can be associated with glucocorticoids?
In the context of steroid abuse, which effect can be associated with glucocorticoids?
What is the primary characteristic of superantigens?
What is the primary characteristic of superantigens?
Which of these drugs is an example of a locally administered glucocorticoid?
Which of these drugs is an example of a locally administered glucocorticoid?
What is meant by ‘bystander action’ in the context of autoimmune diseases?
What is meant by ‘bystander action’ in the context of autoimmune diseases?
Which of the following factors is NOT typically implicated in the development of autoimmune diseases?
Which of the following factors is NOT typically implicated in the development of autoimmune diseases?
Organ-specific autoimmune diseases like Graves’ disease are often easier to diagnose because:
Organ-specific autoimmune diseases like Graves’ disease are often easier to diagnose because:
What is a key characteristic of systemic autoimmune diseases?
What is a key characteristic of systemic autoimmune diseases?
Which symptom is LEAST likely to be associated with autoimmune disorders?
Which symptom is LEAST likely to be associated with autoimmune disorders?
Why can diagnosing autoimmune disorders be difficult?
Why can diagnosing autoimmune disorders be difficult?
What are the potential complications that can arise from systemic autoimmune diseases?
What are the potential complications that can arise from systemic autoimmune diseases?
Flashcards
Hypersensitivity
Hypersensitivity
An abnormal immune response that can cause harm to the body, occurring only in sensitized individuals who have been previously exposed to the allergen.
Allergen
Allergen
A substance that causes an allergic reaction, typically a small protein with protease activity.
Sensitization
Sensitization
The process by which the immune system becomes sensitized to an allergen. This involves initial exposure and development of antibodies.
Type I Hypersensitivity
Type I Hypersensitivity
Signup and view all the flashcards
TH2 Cells
TH2 Cells
Signup and view all the flashcards
Atopy
Atopy
Signup and view all the flashcards
Periorbital Oedema
Periorbital Oedema
Signup and view all the flashcards
Lip Oedema
Lip Oedema
Signup and view all the flashcards
Late Phase Allergic Reaction
Late Phase Allergic Reaction
Signup and view all the flashcards
Antihistamines
Antihistamines
Signup and view all the flashcards
H1 Antihistamines
H1 Antihistamines
Signup and view all the flashcards
Generations of H1 Antihistamines
Generations of H1 Antihistamines
Signup and view all the flashcards
H2 Antihistamines
H2 Antihistamines
Signup and view all the flashcards
Glucocorticoids
Glucocorticoids
Signup and view all the flashcards
Effects of Glucocorticoids
Effects of Glucocorticoids
Signup and view all the flashcards
Adverse Effects of Glucocorticoids
Adverse Effects of Glucocorticoids
Signup and view all the flashcards
What are antigen-presenting cells (APCs)?
What are antigen-presenting cells (APCs)?
Signup and view all the flashcards
What is a TH2 cell?
What is a TH2 cell?
Signup and view all the flashcards
What is IgE?
What is IgE?
Signup and view all the flashcards
What are mast cells?
What are mast cells?
Signup and view all the flashcards
What is degranulation?
What is degranulation?
Signup and view all the flashcards
What is histamine?
What is histamine?
Signup and view all the flashcards
What are leukotrienes?
What are leukotrienes?
Signup and view all the flashcards
What is Prostaglandin D2 (PDG2)?
What is Prostaglandin D2 (PDG2)?
Signup and view all the flashcards
How do glucocorticoids work?
How do glucocorticoids work?
Signup and view all the flashcards
What are the main uses of glucocorticoids?
What are the main uses of glucocorticoids?
Signup and view all the flashcards
Where are local glucocorticoids used?
Where are local glucocorticoids used?
Signup and view all the flashcards
How are glucocorticoids administered?
How are glucocorticoids administered?
Signup and view all the flashcards
How do glucocorticoids affect vasodilation?
How do glucocorticoids affect vasodilation?
Signup and view all the flashcards
How do glucocorticoids affect leukocyte migration?
How do glucocorticoids affect leukocyte migration?
Signup and view all the flashcards
How do glucocorticoids affect certain immune cells?
How do glucocorticoids affect certain immune cells?
Signup and view all the flashcards
How do glucocorticoids affect arachidonic acid derivatives?
How do glucocorticoids affect arachidonic acid derivatives?
Signup and view all the flashcards
Negative Selection
Negative Selection
Signup and view all the flashcards
Autoantibodies
Autoantibodies
Signup and view all the flashcards
Molecular Mimicry
Molecular Mimicry
Signup and view all the flashcards
Cryptic Antigens
Cryptic Antigens
Signup and view all the flashcards
Genetic Predisposition to Autoimmunity
Genetic Predisposition to Autoimmunity
Signup and view all the flashcards
Immune Memory
Immune Memory
Signup and view all the flashcards
Self-tolerance
Self-tolerance
Signup and view all the flashcards
What are super-antigens?
What are super-antigens?
Signup and view all the flashcards
What is bystander action?
What is bystander action?
Signup and view all the flashcards
What is epitope spreading?
What is epitope spreading?
Signup and view all the flashcards
What are autoimmune diseases?
What are autoimmune diseases?
Signup and view all the flashcards
What are the causes of autoimmune diseases?
What are the causes of autoimmune diseases?
Signup and view all the flashcards
What are the symptoms of autoimmune diseases?
What are the symptoms of autoimmune diseases?
Signup and view all the flashcards
What are the challenges of diagnosing autoimmune diseases?
What are the challenges of diagnosing autoimmune diseases?
Signup and view all the flashcards
What are organ-specific autoimmune diseases?
What are organ-specific autoimmune diseases?
Signup and view all the flashcards
Study Notes
Abena Naylor Case Study
- A 31-year-old female experienced periorbital and lip edema after a wasp sting.
- Her blood pressure and heart rate were elevated.
- After receiving intramuscular (IM) drugs, her blood pressure returned to normal, but the edema persisted.
- She was concerned that this episode might lead to rheumatoid arthritis.
Terms and Definitions
- Periorbital: Edema around the eyes.
- Chlorpheniramine: A histamine reverse agonist (H1).
- Hydrocortisone: A glucocorticoid nuclear receptor agonist.
- Epipen: An auto-injector containing adrenaline.
- Hypersensitisation: Allergen immunotherapy aimed at diminishing the body's immune response to an allergen.
Hyper-sensitivity
- An abnormal immune response causing potential harm to the body.
- It occurs only in sensitized individuals.
- Categorized into four types:
- Type I: Immediate allergic reactions (e.g., food, asthma, anaphylaxis).
- Type II: Cytotoxic reactions involving antibodies targeting specific tissues (e.g., autoimmune hemolytic anemia).
- Type III: Immune complex-mediated reactions causing tissue damage.
- Type IV: Delayed reactions mediated by T-cells (e.g., delayed hypersensitivity).
- Causes include infections and environmental/self-antigens.
Allergen in Wasp Bite
- Allergen: Substance triggering an immune response.
- Often small proteins (containing protease).
- Usually mediates TH2 immune response.
- TH2 cells: A sub-type of T-cells involved in immune responses to extracellular parasites and bacterial infections.
- TH2 response characterized by eosinophils, basophils, and mast cell degranulation (release of inflammatory chemicals).
Sensitization
- The body's initial exposure and response to an allergen.
- Antigens bind to receptors on antigen-presenting cells (APCs).
- Antigens are presented to T-helper cells (TH cells), activating a TH2 response.
- TH2 cells release cytokines, including IL4, IL5, and IL13.
- IL4, promotes further TH2 cell activation.
- IL5, recruits eosinophils.
- IL13 promotes IgE production and epithelial cell stimulation.
- IgE is produced and binds to mast cells/basophils, preparing for re-exposure.
Re-exposure - Immediate Reaction
- Within 5-30 minutes of re-exposure.
- Allergen cross-links IgE on mast cells/basophils.
- Degranulation releases preformed mediators (e.g., histamine) and newly synthesized mediators (e.g., cytokines, leukotrienes).
- Symptoms include smooth muscle contraction, vasodilation, increased vascular permeability, and itch (pruritus).
Re-exposure - Late Reaction
- 2-24 hours after re-exposure.
- Involves leukocytes (especially eosinophils)
- Release of substances causing tissue damage.
Allergic Reactions Treatments
- Antihistamines (H1/H2):
- H1: First and second generations, primarily used as anti-allergy drugs (e.g., chlorpheniramine, and fexofenadine).
- H2: Treat gastric reflux by reducing acid production (e.g., ranitidine, cimetidine).
- Glucocorticoids:
- Anti-inflammatory and immunosuppressive effects.
- Immediate and long-term effects to reduce inflammation.
Anaphylactic Reaction
- Assess: Airway, breathing, circulation, disability, exposure.
- Diagnosis: Look for acute onset, skin changes, and exposure to allergen.
- Call for help: Lie patient flat, raise legs if breathing is impaired.
- When skills and equipment are available: Establish airway, high-flow oxygen, IV fluid challenge, monitor pulse oximetry, ECG, blood pressure.
- Treatment: Adrenaline, chlorphenamine, hydrocortisone
Self-Antigens
- Immune system develops mechanisms to avoid reacting against the body's own components.
- T-cells (thymocytes) mature in the thymus.
- Those with receptors for self-antigens are deactivated to prevent autoimmune responses.
Autoantibodies
- Antibodies that react with self-antigens.
- Can cause damage to healthy cells.
- Mechanisms include molecular mimicry, protein changes, cryptic antigens, super-antigens.
Autoimmune Diseases
- Disorders where the immune system attacks the body's own tissues or cells.
- Can be organ-specific (affecting a single organ, such as the thyroid) or systemic (affecting multiple organs).
- Signs/symptoms: often non-specific (e.g., fatigue, fever, rashes).
- Difficult to identify the cause.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz explores the principles of Type I hypersensitivity reactions, the role of various immune cells, and mechanisms involved in allergic responses. Test your understanding of allergens, cytokines, and treatment options related to atopic reactions.