Eosinophils and Basophils
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Questions and Answers

In the context of parasitic helminth infections, which of the following mechanisms BEST describes how eosinophil granules contribute to the expulsion or elimination of the parasite?

  • Eosinophil granules induce rapid apoptosis of helminth cells via caspase activation, leading to parasite disintegration.
  • Eosinophil granules stimulate the release of endogenous neurotransmitters from helminths, causing paralysis and expulsion.
  • Eosinophil granules release cytotoxic mediators that disrupt the helminth's outer cell wall, facilitating its detachment and subsequent clearance. (correct)
  • Eosinophil granules catalyze the formation of insoluble immune complexes on the helminth surface, preventing nutrient uptake and causing starvation.

Consider a scenario where a patient presents with elevated levels of both eosinophils and neutrophils. What are the possible etiologies?

  • Genetic predisposition to myeloproliferative neoplasms with secondary IgE-mediated hypersensitivity.
  • Chronic exposure to environmental toxins (e.g., asbestosis) complicated by opportunistic fungal infection.
  • Concurrent parasitic infestation and bacterial superinfection. (correct)
  • Acute viral infection coupled with latent autoimmune disorder reactivation.

Given the distinct roles of mast cells and basophils in type I hypersensitivity reactions, which intracellular signaling pathway is MOST likely activated downstream of IgE receptor crosslinking in both cell types?

  • MAPK pathway, resulting in degranulation and synthesis of lipid mediators such as leukotrienes and prostaglandins. (correct)
  • NF-κB pathway, inducing expression of adhesion molecules and chemokines for immune cell recruitment.
  • PI3K-Akt-mTOR pathway, promoting cell survival and long-term cytokine production.
  • JAK-STAT pathway, leading to transcriptional upregulation of pro-inflammatory cytokines.

If a patient undergoing treatment for a chronic helminth infection develops anaphylaxis shortly after the administration of an anti-helminthic drug, which mechanism is MOST likely responsible for the immediate hypersensitivity reaction?

<p>Drug-induced formation of neoantigens that crosslink pre-existing IgE antibodies on mast cells and basophils. (D)</p> Signup and view all the answers

A researcher is investigating the migration patterns of eosinophils during an allergic inflammatory response in lung tissue. Which chemokine receptor interaction is MOST likely to mediate the recruitment of eosinophils from the bloodstream into the inflamed lung parenchyma?

<p>CCR3 binding to CCL11 (eotaxin-1), driving chemotaxis of eosinophils towards the site of allergic inflammation. (B)</p> Signup and view all the answers

A patient with a history of severe anaphylaxis following bee stings is prescribed an epinephrine auto-injector. Beyond its bronchodilatory effects, what is the MOST critical mechanism by which epinephrine counteracts anaphylaxis?

<p>Agonism of α-adrenergic receptors, causing vasoconstriction and reducing systemic absorption of the allergen. (C)</p> Signup and view all the answers

Considering the heterogeneity of mast cell populations in different tissues, which of the following BEST explains the observed variations in their responses to IgE-mediated activation and subsequent mediator release?

<p>Mast cell responses are modulated by tissue-specific microenvironmental cues, including cytokine milieu and interactions with other immune cells and structural cells. (D)</p> Signup and view all the answers

During the sensitization phase of type I hypersensitivity, which cellular interaction is essential for the class switching of B cells to produce IgE antibodies specific to the allergen?

<p>B cell presentation of processed allergen peptides to follicular helper T (Tfh) cells, promoting IgE class switching via CD40L-CD40 interaction and cytokine secretion. (C)</p> Signup and view all the answers

In the context of developing novel therapeutics for allergic rhinitis, which strategy would be MOST effective in preventing the late-phase inflammatory response that follows mast cell degranulation?

<p>Using corticosteroids to suppress the synthesis and release of pro-inflammatory cytokines and chemokines from various immune cells. (A)</p> Signup and view all the answers

Following a bee sting, a patient experiences localized swelling and redness. Which of the following mediators released by mast cells is MOST directly responsible for the increased vascular permeability observed in this immediate hypersensitivity reaction?

<p>Histamine, a vasoactive amine that binds to endothelial cell receptors, causing vasodilation and increased permeability. (B)</p> Signup and view all the answers

Flashcards

Granulocytes

Leukocytes that contain cytoplasmic granules. Examples: eosinophils, basophils, and neutrophils.

Eosinophils

Immune cells identified by bilobular nuclei. They secrete cytokines and granules, which creates a deterrent to move the helmet away by damaging the exterior cell wall of the parasitic invader.

Mast Cells

Releases histamine and other pharmacologically active agents that play an important role as inflammatory mediators in allergic reactions and anaphylactic hypersensitivity

Basophils

A blood circulating granulocyte, differentiates into a mast cell upon meeting the blood and entering the tissue, and are non-phagocytic. Contains histamine and other pharmacologically active agents.

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Mast cells and basophils

Immune cells full of granules that contain pro-inflammatory molecules. When exposed to an antigen, they release these molecules.

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First exposure

Dendritic cells pick up the foreign particle and presents it to a nearby lymphocyte, called a T cell. If the T cell is activated, it starts to produce cytokines, which stimulate B cells, another group of lymphocytes, which produce IgE antibodies.

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Second exposure

Two-step allergic response where the mast cells and basophils which already have IgE antibodies on their surface, bind to the antigen and release their proinflammatory molecules.

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Anaphylaxis

A severe, potentially life-threatening allergic reaction affecting multiple organ systems caused by molecules leaking into the bloodstream.

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Study Notes

  • Leukocytes, or white blood cells, originate from the myeloid lineage.
  • Granulocytes are leukocytes characterized by cytoplasmic granules.
  • Focus is on Eosinophils, and Basophils and the effects of their acidic cytoplasmic granules on innate immunity and hypersensitivity.

Eosinophils

  • Eosinophils are identifiable by their bilobular nuclei.
  • Granules stain with Eosin.
  • Eosinophils typically make up around 5% of blood leukocytes.
  • Numbers increase during parasitic helminth infections.
  • Eosinophils are migrating, phagocytic cells that move from the blood into tissue.
  • Phagocytic role is less significant than that of neutrophils.
  • Secrete cytokines to recruit other immune cells and promote complement activation during inflammation.
  • Eosinophil granules are secreted into the microenvironment to deter parasitic worms by damaging their cell walls.

Basophils & Mast Cells

  • Basophils, like monocytes, are circulating granulocytes.
  • Unlike monocytes, basophils are non-phagocytic.
  • Upon entering tissue, basophils differentiate into mast cells.
  • Mast cells are non-phagocytic cells with bilobe morphology.
  • Mast cells reside in skin, connective tissue, and mucosal epithelial tissue of respiratory and digestive tracts.
  • Mast cells contain histamine and other pharmacologically active agents.
  • Play a key role as inflammatory mediators in allergic reactions and anaphylactic hypersensitivity.

Type 1 Hypersensitivity (Immediate Hypersensitivity) & Anaphylaxis

  • Anaphylaxis, similar to any allergic response, occurs in two phases: initial exposure (sensitization) and subsequent exposure.
  • First exposure involves a dendritic cell picking up a venom molecule and presenting it to a T cell.
  • Activated T cell produces cytokines.
  • Cytokines stimulate B cells to produce IgE antibodies.
  • IgE antibodies are released into the bloodstream.
  • IgE antibodies bind to the surface of mast cells and basophils which contain proinflammatory molecules.
  • Second exposure occurs when mast cells and basophils, already coated with IgE antibodies, bind to the antigen and release proinflammatory molecules.
  • A simple allergic reaction will cause local damage.
  • In anaphylaxis, these molecules enter the bloodstream and affect multiple organ systems.

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Description

An overview of Eosinophils and Basophils, their role in innate immunity, and hypersensitivity. Focus on cytoplasmic granules' effects, parasitic helminth infections, and secretion of cytokines to recruit other immune cells and promote complement activation during inflammation.

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