Week 2 - Hypersensitivity Disorders Overview

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Questions and Answers

Which type of hypersensitivity reaction is primarily mediated by sensitized mast cells?

  • Type I (correct)
  • Type III
  • Type II
  • Type IV

Type II hypersensitivity reactions always result in the lysis of target cells.

True (A)

What is the primary antibody involved in Type III hypersensitivity reactions?

IgG

The release of chemicals like histamine, kinin, and prostaglandins is characteristic of Type ______ hypersensitivity reactions.

<p>I</p> Signup and view all the answers

Match the type of hypersensitivity reaction with its corresponding mechanism of tissue injury:

<p>Type I = Mast cell degranulation Type II = Cell lysis Type III = Deposition of antigen-antibody complexes</p> Signup and view all the answers

Which of the following is an example of a Type I hypersensitivity reaction?

<p>Asthma (C)</p> Signup and view all the answers

Type III hypersensitivity reactions occur immediately after exposure to an antigen.

<p>False (B)</p> Signup and view all the answers

What is the main mechanism of tissue injury in Type II hypersensitivity reactions?

<p>Cell lysis</p> Signup and view all the answers

In type II hypersensitivity, cell lysis can be mediated by (IgM or IgG) activated complement fragments or by ______ cells.

<p>phagocytic</p> Signup and view all the answers

Which of the following conditions is associated with Type III hypersensitivity?

<p>Farmer's lung (A)</p> Signup and view all the answers

Flashcards

Type I Hypersensitivity

An immediate allergic reaction mediated by sensitized mast cells and IgE.

IgE Antibodies

Immunoglobulin E; antibodies that bind to allergens and trigger mast cell degranulation.

Mast Cell Degranulation

Release of chemicals like histamine from mast cells leading to allergy symptoms.

Type II Hypersensitivity

Cytotoxic reaction where antibodies target cell surface antigens causing cell lysis.

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Complement Activation

Process where antibodies activate complement proteins leading to cell damage.

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Type III Hypersensitivity

Immune complex reaction where antigen-antibody complexes damage tissues.

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Antigen-Antibody Complexes

Mixtures of antigens and antibodies that can trigger inflammation when deposited in tissues.

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Chronic Infections

Long-lasting infections that lead to persistent antigen-antibody complex production.

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Examples of Type I

Includes drug reactions, rhinitis, asthma, bee stings, etc.

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Examples of Type III

Includes glomerulonephritis, SLE, farmer’s lung, vasculitis.

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Study Notes

Hypersensitivity Disorders

  • Hypersensitivity reactions are immune responses that cause tissue damage. These reactions can be of various types, differing in immune cell involvement and mechanisms.
  • Type I hypersensitivity (anaphylactic) involves a rapid response, mediated by IgE antibodies and mast cells.
  • Mast cells release histamine, kinins, prostaglandins, leukotrienes, leading to vasodilation, increased permeability, urticaria, bronchoconstriction. This response can occur within 15-30 minutes.
  • Examples include drug reactions, rhinitis, atopic eczema, bee sting reactions, and asthma.

Type II Hypersensitivity

  • Type II hypersensitivity (cytotoxic) involves antibodies (IgM or IgG) binding to antigens on cell surfaces.
  • This can lead to cell lysis through complement activation or phagocytosis.
  • This reaction happens within 15-30 minutes.
  • Examples include transfusion reactions, erythroblastosis fetalis, myasthenia gravis, and hyperacute graft rejection.

Type III Hypersensitivity

  • Type III hypersensitivity (immune complex) involves antigen-antibody complexes deposited in tissues.
  • This activates the complement cascade and attracts phagocytic cells, causing inflammation and tissue damage.
  • This reaction occurs within 6 hours.
  • Examples include glomerulonephritis, systemic lupus erythematosus (SLE), farmer's lung, and vasculitis.

Type IV Hypersensitivity

  • Type IV hypersensitivity (delayed-type) is T cell-mediated, not antibody-mediated.
  • Sensitized T cells react with altered or foreign cells, causing inflammation in the dermal regions.
  • This reaction occurs within 24-48 hours.
  • Examples include contact dermatitis, tuberculin reactions, transplant rejection, graft-versus-host disease, Guillain-Barré syndrome, and multiple sclerosis.

Hypersensitivity Reactions Conclusion

  • Type I: IgE-mediated; quick onset after exposure.
  • Type II: IgG/IgM mediated; Cytotoxic.
  • Type III: Immune complex deposition; various inflammatory reactions.
  • Type IV: Delayed or cell-mediated; T cells mediate the inflammatory reaction.

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