Hypersensitivity Overview and Types
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Questions and Answers

Which of the following is NOT a characteristic of Type II hypersensitivities?

  • Lead to cell injury or death
  • Involve degranulation and histamine production (correct)
  • Involve antibody-dependent cellular cytotoxicity (ADCC)
  • Can be triggered by transfusion reactions
  • What is the primary role of surface antigens on red blood cells in relation to blood transfusions?

  • They determine the blood type and are responsible for activating the immune response during incompatible transfusions. (correct)
  • They trigger the release of histamine, leading to an allergic reaction in case of a mismatch.
  • They directly cause degranulation of mast cells, leading to inflammation and tissue damage.
  • They initiate clot formation in the blood vessels, preventing the recipient's blood from clotting properly.
  • Which of the following mechanisms is NOT involved in the destruction of cells in Type II hypersensitivities?

  • Antibody-dependent cellular cytotoxicity (ADCC)
  • Release of histamine by mast cells (correct)
  • Direct binding of antibodies to cell surface antigens
  • Activation of the complement system
  • What happens when an individual receives a transfusion of blood with incompatible antigens?

    <p>The recipient's immune system produces antibodies against the incompatible antigens, leading to a transfusion reaction. (A)</p> Signup and view all the answers

    What is the key difference between Type I and Type II hypersensitivities?

    <p>Type I involves IgE antibodies, while Type II involves IgG or IgM antibodies. (B)</p> Signup and view all the answers

    Why is it crucial to determine a patient's blood type before a blood transfusion?

    <p>To ensure the blood type of the donor matches the recipient's blood type, preventing immune reactions. (D)</p> Signup and view all the answers

    What is the mechanism that leads to hemolytic disease of the newborn?

    <p>A mother with Rh-negative blood produces antibodies against Rh-positive antigens present on the fetus's red blood cells, potentially leading to hemolysis. (A)</p> Signup and view all the answers

    Which of the following statements regarding transfusion reactions is NOT true?

    <p>They are always mild and resolve without medical intervention. (C)</p> Signup and view all the answers

    What is the primary reason why an Rh+ child's first pregnancy with an Rh- mother is typically uneventful?

    <p>The Rh+ child's blood cells do not enter the mother's system. (C)</p> Signup and view all the answers

    What is the main consequence of repeated Rh+ blood cell exposure to an Rh- mother's immune system?

    <p>Production of antibodies that can cross the placenta and attack fetal Rh+ blood cells. (D)</p> Signup and view all the answers

    What is the medical term for the condition affecting a baby due to Rh incompatibility?

    <p>Hemolytic disease of the newborn (A), Erythroblastosis fetalis (B)</p> Signup and view all the answers

    What is the primary role of the enlarged liver and spleen in a baby affected by Rh incompatibility?

    <p>Filtering and removing damaged red blood cells from the circulation. (A)</p> Signup and view all the answers

    What is the significance of the first Rh immune globulin shot administered to the Rh- mother during her pregnancy?

    <p>It neutralizes any Rh+ blood cells that may have entered the mother's system during the pregnancy. (A)</p> Signup and view all the answers

    In the context of Rh incompatibility, what is meant by 'sensitization'?

    <p>The mother's immune system becoming sensitive to Rh+ blood cells. (D)</p> Signup and view all the answers

    During which trimester of a pregnancy is the first Rh immune globulin shot typically given?

    <p>Third trimester (D)</p> Signup and view all the answers

    What is the main reason why doctors administer a series of two Rh immune globulin shots during a pregnancy?

    <p>To effectively neutralize any Rh+ blood cells that enter the mother's system. (B)</p> Signup and view all the answers

    What is the primary trigger for Immediate (Type I) Hypersensitivity reactions?

    <p>Foreign substances called allergens (B)</p> Signup and view all the answers

    Which type of hypersensitivity is associated with an immune response to antigens on cells?

    <p>Type II Hypersensitivity (D)</p> Signup and view all the answers

    Which of the following best defines hypersensitivity?

    <p>An exaggerated immune response to a foreign substance (D)</p> Signup and view all the answers

    What distinguishes Cytotoxic (Type II) Hypersensitivity from other types?

    <p>It targets specific antigens present on cells (B)</p> Signup and view all the answers

    What is the main mechanism behind Type I Hypersensitivity reactions?

    <p>Release of histamine from mast cells upon antigen exposure (C)</p> Signup and view all the answers

    Which type of hypersensitivity is linked to immune complexes that elicit an inflammatory response?

    <p>Type III Hypersensitivity (C)</p> Signup and view all the answers

    What does immunotherapy by desensitization aim to achieve?

    <p>Reduce the immune response to allergens (B)</p> Signup and view all the answers

    Which statement is true regarding Cell-mediated (Type IV) Hypersensitivity?

    <p>It involves T-cells recognizing specific antigens (D)</p> Signup and view all the answers

    What is the primary role of helper T cells in a normal allergic reaction?

    <p>To stimulate B cells (A)</p> Signup and view all the answers

    What type of antibodies are produced by plasma cells during a normal allergic reaction?

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

    Which of the following statements about desensitization is accurate?

    <p>It gradually reduces the sensitivity to allergens. (B)</p> Signup and view all the answers

    What occurs during a second exposure to an allergen in a normal allergic reaction?

    <p>Mast cells undergo degranulation. (C)</p> Signup and view all the answers

    In type II hypersensitivities, what type of antibodies are mainly produced?

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

    What is the effect of denatured allergens in the immune response?

    <p>They prevent B cells from maturing into plasma cells. (C)</p> Signup and view all the answers

    Which immune cell type binds to IgG in type II hypersensitivity?

    <p>Mast cells (D)</p> Signup and view all the answers

    What characterizes the symptoms alleviated by allergy treatments?

    <p>They relieve but do not cure the disorder. (B)</p> Signup and view all the answers

    What occurs in an Rh-negative mother carrying an Rh-positive fetus for the first time?

    <p>The fetus is unharmed. (A)</p> Signup and view all the answers

    What leads to hemolytic disease of the newborn with a subsequent Rh-positive pregnancy?

    <p>The mother producing a strong secondary immune response. (A)</p> Signup and view all the answers

    Which of the following describes the Rh factor in blood typing?

    <p>An antigen present on red blood cells. (C)</p> Signup and view all the answers

    What is erythroblastosis fetalis most commonly caused by?

    <p>Rh factor incompatibility. (B)</p> Signup and view all the answers

    In what way do anti-Rh antibodies affect the fetus?

    <p>They cause complement-mediated lysis of fetal cells. (C)</p> Signup and view all the answers

    How is sensitization defined in the context of Rh incompatibility?

    <p>An Rh-negative mother carries an Rh-positive fetus. (A)</p> Signup and view all the answers

    What is the role of specific antibodies in cytotoxic (Type II) hypersensitivity?

    <p>They react with cell surface antigens interpreted as foreign. (D)</p> Signup and view all the answers

    What damage occurs due to the inflammatory response in cytotoxic hypersensitivity?

    <p>Causes destruction of the cells to which antibodies are attached. (C)</p> Signup and view all the answers

    What is the primary role of B cells in the allergic response?

    <p>To produce antibodies against specific allergens (B)</p> Signup and view all the answers

    What do IgE antibodies bind to during an allergy response?

    <p>Mast cell receptors (C)</p> Signup and view all the answers

    What is a potential outcome of generalized anaphylaxis?

    <p>Shock due to low blood pressure (C)</p> Signup and view all the answers

    Which cytokine is primarily involved in driving the proliferation and differentiation of B cells into plasma cells?

    <p>IL-4 (B)</p> Signup and view all the answers

    What happens during the degranulation of mast cells and basophils?

    <p>Increased blood vessel dilation and fluid loss (D)</p> Signup and view all the answers

    Which of the following substances can trigger an allergic response mediated by IgE?

    <p>Environmental antigens like dust and molds (B)</p> Signup and view all the answers

    What physiological effect do histamines have on blood vessels?

    <p>Dilate blood vessels (A)</p> Signup and view all the answers

    What characterizes the sensitization process in allergies?

    <p>The binding of allergens to IgE antibodies on mast cells (A)</p> Signup and view all the answers

    During an allergic reaction, what do armed TH cells release to promote B cell activity?

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

    What is cross-linking of IgE antibodies indicative of in an allergic response?

    <p>Degranulation of mast cells (B)</p> Signup and view all the answers

    Flashcards

    Hypersensitivity

    An exaggerated or inappropriate immune response to an allergen.

    Type I Hypersensitivity

    Immediate allergic reaction caused by previous exposure to allergens.

    Anaphylaxis

    Severe, life-threatening allergic reaction from allergens.

    Type II Hypersensitivity

    Cytotoxic reaction caused by antibodies against own cells.

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    Type III Hypersensitivity

    Reaction elicited by immune complexes in blood or tissues.

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    Type IV Hypersensitivity

    Delayed hypersensitivity mediated by T-cells, not antibodies.

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    Desensitization

    Immunotherapy process to reduce sensitivity to allergens.

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    Cells involved in hypersensitivity

    Includes T-cells, B-cells, and various antibodies.

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    B cells

    Lymphocytes that produce antibodies in response to allergens.

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    Plasma cells

    Differentiated B cells that secrete antibodies, specifically IgE.

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    IgE antibodies

    A type of antibody produced by plasma cells to combat allergens.

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    Mast cells

    Cells that release histamines during an allergic reaction.

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    Cytokines

    Signaling proteins that aid in cell communication and immune responses.

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    Degranulation

    The process where mast cells release stored chemicals like histamine.

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    Histamines

    Chemicals released by mast cells causing inflammation and allergic symptoms.

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    Generalized anaphylaxis

    A severe allergic reaction affecting the entire body, can cause shock.

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    Shock

    A life-threatening condition with insufficient blood flow to vital organs.

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    Allergen

    A substance that triggers an allergic reaction in sensitive individuals.

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    Allergy Treatment

    Methods to reduce allergy symptoms but not cure the disorder.

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    Normal Allergic Reaction

    Natural exposure to allergens activates the immune response via helper T cells.

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    Role of IgE

    Immunoglobulin E helps in allergic reactions by binding to allergens.

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    Denatured Allergen

    Modified allergen that prevents IgE production by B cells.

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    Cytotoxicity

    The process where cells are killed due to antibody binding and complement activation.

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    Complement System

    A group of proteins that enhance the ability of antibodies to kill pathogens or infected cells.

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    ADCC (Antibody-Dependent Cellular Cytotoxicity)

    A mechanism where immune cells kill target cells that are coated with antibodies.

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    Transfusion Reaction

    An immune response when incompatible blood types are mixed, causing blood cell destruction.

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    ABO Blood Group System

    Classification of human blood based on the presence of A and B antigens on red cells.

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    Hemolytic Disease of Newborn

    A condition where maternal antibodies attack fetal red blood cells due to Rh incompatibility.

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    Surface Antigens

    Molecules on cell surfaces that trigger immune responses when recognized by antibodies.

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    Blood Typing

    Determining blood type based on antigens present.

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    Rh Factor

    An antigen present on red blood cells.

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    Hemolytic Disease of the Newborn

    Condition caused by Rh incompatibility.

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    Primary Immune Response

    Initial response to a foreign antigen with antibodies.

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    Complement-Mediated Lysis

    Cell destruction facilitated by the complement system.

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    Rh Incompatibility

    A condition where an Rh- mother creates antibodies against Rh+ fetal blood cells.

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    Anti-Rh Antibodies

    Antibodies produced by an Rh- mother when exposed to Rh+ blood.

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    Memory Cells in Pregnancy

    Cells that remain in the body and trigger an immune response in later pregnancies.

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    Fetal Blood Exposure

    Occurs during childbirth when some fetal blood enters the mother's circulation.

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    Hemolytic Disease of the Newborn (HDN)

    Condition resulting from Rh incompatibility leading to destruction of fetal red blood cells.

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    Rh Immune-Globulin Shots

    Injections given to Rh- mothers to prevent antibody formation against Rh+ blood.

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    Effects on Liver and Spleen

    Enlargement of these organs due to efforts in removing damaged red blood cells.

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    First Shot Timing

    The initial Rh immune-globulin shot is given around the 28th week of pregnancy.

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    Study Notes

    Hypersensitivity Overview

    • Hypersensitivity is an exaggerated or inappropriate immune response to a foreign substance.
    • Four types of hypersensitivity exist: Type I (immediate), Type II (cytotoxic), Type III (immune complex), and Type IV (cell-mediated).

    Type I Hypersensitivity (Anaphylaxis)

    • IgE causes immediate (Type I) hypersensitivities.
    • Characterized by an immediate reaction in a sensitized individual, typically within minutes of exposure.
    • Genetic predisposition increases risk (20-30%).
    • Classified as local or generalized anaphylaxis.
    • Anaphylaxis is the term for IgE-mediated allergic reactions.

    Localized Anaphylaxis

    • Common allergic reactions: hives (urticaria), hay fever, asthma.
    • Hives (urticaria): Itchy skin rash characterized by welts (wheals) surrounded by redness.
    • Hay fever: Allergic reaction to inhaled antigens, causing runny nose, itchy eyes, sneezing.
    • Asthma: Respiratory allergy leading to airway constriction, mucus secretion, and shortness of breath.

    Generalized Anaphylaxis

    • Rare and potentially life-threatening.
    • Characterized by body-wide inflammation and potential shock.
    • Widespread release of mediators, causing significant blood vessel dilation and fluid leakage, leading to a rapid decrease in blood pressure, potentially leading to organ damage or failure.
    • Common triggers: insect stings, peanuts, penicillin.

    Treatment and Prevention

    • Avoidance of known allergens is crucial.
    • Desensitization (hyposensitization) is a treatment method that gradually introduces increasing concentrations of allergen to modify the immune response.
    • Various medications can manage symptoms (e.g. antihistamines).

    Type II Hypersensitivity (Cytotoxic)

    • Antibodies react with cell surface antigens, damaging the cell through complement activation or antibody-dependent cellular cytotoxicity (ADCC).
    • Examples include transfusion reactions and hemolytic disease of the newborn.
    • Transfusion reactions: Occur when blood groups are incompatible, leading to lysis of red blood cells and a range of symptoms.
    • Hemolytic disease of the newborn: Develops when the mother's antibodies attack the fetus's red blood cells due to Rh incompatibility. Rh-negative mothers can develop antibodies against Rh-positive fetal blood cells, causing hemolysis in subsequent pregnancies.

    Type III Hypersensitivity (Immune Complex)

    • Antibodies bind to soluble antigens, forming immune complexes that deposit in tissues.
    • This triggers inflammation and tissue damage.
    • Examples include serum sickness, farmer's lung, etc.

    Type IV Hypersensitivity (Cell-Mediated)

    • Delayed-type hypersensitivity, involving T cells.
    • Characterized by a delayed response (24-72 hours post-exposure).
    • Examples like allergic contact dermatitis, tuberculin skin test.

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    Description

    Explore the different types of hypersensitivity, focusing on Type I hypersensitivity or anaphylaxis. This quiz covers the mechanisms, genetic predispositions, and common allergic reactions like hives, hay fever, and asthma. Test your understanding of immune responses and their implications.

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