Hypersensitivity Overview and Types
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Questions and Answers

What type of cells primarily process and present allergens during the sensitization phase of Type I hypersensitivity?

  • Macrophages
  • Dendritic cells (DC2) (correct)
  • B cells
  • T cells
  • Which cytokine is primarily involved in promoting the class switch to IgE in B cells during Type I hypersensitivity?

  • TNF-alpha
  • IL-5
  • IL-2
  • IL-4 (correct)
  • What is the outcome of the sensitization phase in a Type I hypersensitivity reaction?

  • Development of autoimmune disease
  • Inflammation at the site of allergen exposure
  • Animal is sensitized with no clinical signs (correct)
  • Immediate allergic reaction
  • Which type of T cells are preferentially elicited during the sensitization phase of Type I hypersensitivity?

    <p>Th2 T cells</p> Signup and view all the answers

    What role do IgE antibodies play in Type I hypersensitivity after an allergen is encountered?

    <p>They bind to Fc epsilon receptors on basophils and mast cells.</p> Signup and view all the answers

    What triggers the degranulation of mast cells in Hypersensitivity I?

    <p>Re-exposure to an antigen</p> Signup and view all the answers

    What is the primary characteristic of hypersensitivity reactions?

    <p>They are undesirable reactions produced by a normal immune response.</p> Signup and view all the answers

    Which of the following is NOT a vasoactive molecule contained in mast cell granules?

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

    In the context of an allergic response, what is the role of chemotactic molecules?

    <p>To attract immune cells to the site of inflammation</p> Signup and view all the answers

    Which factors can lead to the development of hypersensitivity responses?

    <p>Environmental antigens, microbes, and autoantigens.</p> Signup and view all the answers

    What is meant by sensitization in the context of hypersensitivity?

    <p>The body's preparation for a second exposure to an antigen.</p> Signup and view all the answers

    What is a potential systemic effect of mast cell degranulation in an allergic response?

    <p>Anaphylactic shock</p> Signup and view all the answers

    During the effector phase of Hypersensitivity I, which type of antibodies are primarily involved?

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

    What are allergens defined as in the context of hypersensitivity?

    <p>Substances that are harmless but provoke hypersensitivity.</p> Signup and view all the answers

    What can be inferred about the six-year-old cat's reaction after vaccination?

    <p>It experienced an immediate allergic reaction despite prior vaccinations.</p> Signup and view all the answers

    What initiates the 'immediate hypersensitivity' response?

    <p>Crosslinking of IgE on mast cells</p> Signup and view all the answers

    Which type of cell plays a critical role in the effector phase of Hypersensitivity I?

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

    Why might a hypersensitivity reaction not occur after the first exposure to an antigen?

    <p>The immune system may need previous sensitization before reacting.</p> Signup and view all the answers

    Which of the following is a characteristic of anaphylaxis?

    <p>Massive release of mast cell mediators</p> Signup and view all the answers

    Which of the following best describes atopy?

    <p>The genetic predisposition to develop allergic diseases.</p> Signup and view all the answers

    Which phase primarily involves the effector response in type I hypersensitivity?

    <p>Immediate immune response phase.</p> Signup and view all the answers

    What role do amines like histamine play in the body during a hypersensitivity reaction?

    <p>They induce smooth muscle contraction.</p> Signup and view all the answers

    What is the consequence of bronchial smooth muscle contraction during a hypersensitivity reaction?

    <p>Constriction of the bronchi leading to suffocation.</p> Signup and view all the answers

    Which cells are primarily involved in the hypersensitivity response in the skin?

    <p>Mast cells and keratinocytes.</p> Signup and view all the answers

    What is a result of mast cell degranulation during a hypersensitivity reaction?

    <p>Release of histamine and inflammatory mediators.</p> Signup and view all the answers

    Which of the following can trigger Type I hypersensitivity reactions?

    <p>Environmental allergens like pollen.</p> Signup and view all the answers

    What initiates the sensitization phase in Type II hypersensitivity related to drug-induced anemia?

    <p>Hapten chemically bonding to cell surface proteins</p> Signup and view all the answers

    Which process is primarily responsible for the destruction of red blood cells in Type II hypersensitivity?

    <p>Complement-dependent lysis</p> Signup and view all the answers

    In the context of hemolytic anemia of the newborn, how do maternal antibodies affect fetal red blood cells?

    <p>They bind to fetal RBCs causing destruction</p> Signup and view all the answers

    What is a requirement for the mother to develop lethal antibody levels against fetal red blood cells in hemolytic disease?

    <p>Multiple pregnancies with previous sensitization</p> Signup and view all the answers

    What is the role of IgG antibodies in Type II hypersensitivity during the effector phase?

    <p>To activate complement and phagocytosis</p> Signup and view all the answers

    What is the main role of NK cells during the sensitization phase of viral infection?

    <p>Releasing perforin and granzyme to lyse infected cells</p> Signup and view all the answers

    Which process is NOT part of the effector phase in response to infected cells?

    <p>Directly activating helper T cells</p> Signup and view all the answers

    What is the significance of prior exposure in hypersensitivity reactions?

    <p>It sensitizes the immune system without clinical signs initially.</p> Signup and view all the answers

    What type of antigens do the antibodies in hypersensitivity II primarily target?

    <p>Self antigens or haptens attached to self proteins</p> Signup and view all the answers

    What is one of the mechanisms that the normal host defense utilizes against viral infections?

    <p>Antibodies directed toward viral proteins on infected cells</p> Signup and view all the answers

    Study Notes

    Hypersensitivity Overview

    • Hypersensitivity is an undesirable reaction produced by a normal immune response, such as allergies and autoimmunity.
    • Hypersensitivity typically involves antigens that are not normally associated with harm, such as environmental antigens like food, pollen, fleas, or drugs.

    Hypersensitivity Types

    • There are four main types of hypersensitivity reactions: Type I, Type II, Type III, and Type IV.
    • These types are categorized by the immune components involved and the effector phase or the time course.

    Type I Hypersensitivity

    • Sensitization Phase: Initial exposure to an allergen doesn't cause immediate signs.
      • Antigen is processed and presented, resulting in the production of IgE antibodies.
      • IgE antibodies bind to mast cells and basophils, marking them for a subsequent response.
    • Effector Phase: Subsequent exposure to the allergen leads to rapid degranulation of mast cells and basophils.
      • Release of histamine, leukotrienes, and other mediators.
      • Causes inflammation and immediate hypersensitivity reaction.
    • Clinical Correlate: Examples include allergic rhinitis, asthma, and systemic anaphylaxis, in which there can be a sudden shock response from the massive release of mediators, such as with reaction to vaccines.
    • Location: Can occur in various locations, including the airways, gut, and skin.

    Type II Hypersensitivity

    • Mechanism: Antibodies (IgG or IgM) bind to antigens on cell surfaces, causing cell damage or dysfunction through complement activation, phagocytosis, or antibody dependent cell-mediated cytotoxicity.
    • Examples: This includes blood transfusion reactions, hemolytic disease of the newborn, some autoimmune diseases, and some drug reactions.
    • Immune Components: Important components include antibodies and the complement system.
    • Drug-Induced Anemia: Exogenous chemical modifications of cell surface proteins, resulting in antibody production that targets these modified cells. This causes cell lysis and subsequent anemia.

    Hypersensitivity Summary

    • Type I typically involves IgE and mast cells.
    • Type II typically involves IgG or IgM targeting and damaging cells or altered proteins.
    • Each type involves specific immune mechanisms, and results in a variety of clinical responses.
    • Immunotherapies can reduce immune responses associated with hypersensitivity.

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    Description

    Explore the different types of hypersensitivity reactions, from allergies to autoimmunity. This quiz will help you understand the mechanisms behind Type I, Type II, Type III, and Type IV hypersensitivity reactions, including the roles of IgE antibodies and mast cells. Test your knowledge on immune responses and their effects.

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