Hypersensitivity Types I & II

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Questions and Answers

In Type I hypersensitivity reactions, which class of antibody binds to basophils and mast cells, leading to degranulation upon antigen exposure?

  • IgG
  • IgA
  • IgM
  • IgE (correct)

What is the typical time frame for the appearance of clinical signs in a Type II cytotoxic hypersensitivity reaction?

  • 4 to 10 days
  • 24 to 48 hours
  • 5 to 12 hours (correct)
  • 2 to 30 minutes

Which type of hypersensitivity reaction involves the formation of immune complexes that deposit in tissues, leading to inflammation and damage?

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

In a Type IV hypersensitivity reaction, which cells are activated by antigens, leading to the destruction of antigenic cells?

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

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

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

Which type of hypersensitivity reaction is primarily mediated by antibodies IgG or IgM binding to antigens on cell surfaces?

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

Which of the following reactions is characteristic of a Type III hypersensitivity response?

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

What is the typical time frame for the appearance of clinical signs in a Type IV "delayed" hypersensitivity reaction?

<p>24 to 48 hours (D)</p> Signup and view all the answers

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

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

Which mechanism primarily mediates the direct tissue damage seen in Type II hypersensitivity reactions?

<p>Antibody-dependent cell-mediated cytotoxicity (ADCC) (B)</p> Signup and view all the answers

Why are Type III hypersensitivity reactions considered a systemic process?

<p>They result from the widespread deposition of immune complexes in various tissues. (B)</p> Signup and view all the answers

How does prior exposure to an antigen influence the development of a hypersensitivity reaction?

<p>It primes the immune system, causing it to overreact upon subsequent exposure. (B)</p> Signup and view all the answers

In the context of allergic reactions, what is the relationship between "hypersensitivity" and "allergy?"

<p>They are essentially synonymous, with allergy being the more common term. (D)</p> Signup and view all the answers

What role do basophils and mast cells play in Type I hypersensitivity reactions?

<p>They release histamine and other mediators upon IgE cross-linking. (A)</p> Signup and view all the answers

Why do clinical signs in Type III hypersensitivity reactions take several hours to days to appear?

<p>It takes time for immune complexes to form, deposit, and cause inflammation. (B)</p> Signup and view all the answers

What is the role of Td (T-delayed hypersensitivity) cells in Type IV hypersensitivity reactions?

<p>To activate other immune cells, leading to inflammatory responses (C)</p> Signup and view all the answers

In the context of Type I hypersensitivity, what is the difference between a systemic and a localized anaphylactic reaction?

<p>Systemic reactions involve the entire body and can be life-threatening; localized reactions are confined to a specific area. (D)</p> Signup and view all the answers

How do antibodies IgG or IgM contribute to the cytotoxic effects observed in Type II hypersensitivity?

<p>By activating complement and facilitating ADCC (C)</p> Signup and view all the answers

In Type III hypersensitivity, why are the joints, skin, kidneys, lungs, and brain the most commonly affected sites?

<p>They are major filtration or circulatory sites, causing immune complex deposition. (B)</p> Signup and view all the answers

What underlying condition must be present for a hypersensitivity reaction to occur in an individual?

<p>The individual must have been previously sensitized to the antigen. (A)</p> Signup and view all the answers

How does the chronic exposure to an antigen affect the onset of clinical signs in Type III hypersensitivity?

<p>It shortens the time frame for the appearance of clinical signs. (B)</p> Signup and view all the answers

In which type of hypersensitivity reaction do antibodies bind to antigens circulating in the plasma?

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

What is the underlying mechanism of tissue injury in Type IV hypersensitivity reactions?

<p>T cell-mediated cytotoxicity and inflammation (C)</p> Signup and view all the answers

A patient experiences difficulty breathing, wheezing, and hives shortly after being exposed to an allergen. Which type of hypersensitivity reaction is most likely responsible for these symptoms?

<p>Type I (A)</p> Signup and view all the answers

A patient with a history of blood transfusions experiences a hemolytic reaction characterized by fever, chills, and back pain. Which type of hypersensitivity reaction is most likely the cause?

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

A patient presents with glomerulonephritis, characterized by inflammation of the kidney's filtering units. This condition is most likely associated with which type of hypersensitivity reaction?

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

A patient develops a skin rash with blisters and itching several days after coming into contact with poison ivy. Which type of hypersensitivity reaction is most likely responsible?

<p>Type IV (A)</p> Signup and view all the answers

In a Type I hypersensitivity reaction, what is the sequence of events that leads to the release of histamine and other mediators?

<p>Antigen exposure → IgE production → IgE binding to mast cells → antigen cross-linking → mast cell degranulation (B)</p> Signup and view all the answers

For a patient with a known allergy to latex, which type of hypersensitivity reaction would most likely be triggered by exposure to latex gloves?

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

In Type II hypersensitivity reactions, how does complement activation contribute to cellular destruction?

<p>Complement proteins bind to the antibody-antigen complex, forming a membrane attack complex (MAC) that lyses the cell. (A)</p> Signup and view all the answers

In the context of Type III hypersensitivity, what is the mechanism by which immune complex deposition leads to tissue damage?

<p>Deposited immune complexes activate complement, resulting in inflammation and tissue damage mediated by cytokines and recruited immune cells. (D)</p> Signup and view all the answers

What is the primary role of T cytotoxic cells in Type IV hypersensitivity reactions?

<p>To directly kill cells displaying the target antigen (D)</p> Signup and view all the answers

A delayed-type hypersensitivity reaction involves the interaction of antigens with which cells, which leads to the release of cytokines (such as interferon-gamma) to initiate inflammation around the antigens in the tissue?

<p>CD4+ T cells (C)</p> Signup and view all the answers

In Type III hypersensitivity reactions, immune complexes are most likely deposited in tissues because:

<p>Immune complexes become trapped in the small blood vessels of organs. (A)</p> Signup and view all the answers

In Type II hypersensitivity reactions, the IgM or IgG antibodies attach to surface antigens on cells, leading to all of the following EXCEPT:

<p>Upregulation of IL-4 production (A)</p> Signup and view all the answers

Localized swelling, hives, asthma and hay fever are all examples of what type of reaction?

<p>Localized - Type I (C)</p> Signup and view all the answers

In Type III hypersensitivity reactions, what immunological event triggers the damaging inflammation observed in affected tissues?

<p>The deposition of antigen-antibody complexes in the endothelium. (C)</p> Signup and view all the answers

Why do Type II hypersensitivity reactions lead to the destruction of antigenic cells?

<p>IgG or IgM antibodies bind to antigens on the cell surface, activating complement or ADCC. (D)</p> Signup and view all the answers

How does the mechanism of Type IV hypersensitivity differ from Type I hypersensitivity?

<p>Type IV is mediated by T cells, whereas Type I is mediated by IgE antibodies. (A)</p> Signup and view all the answers

If a patient who is chronically exposed to an antigen experiences a Type III hypersensitivity reaction, how might the timeline of clinical sign presentation differ compared to a first-time exposure?

<p>The onset of clinical signs may be shortened to a few hours. (B)</p> Signup and view all the answers

What is the primary mechanism by which anaphylactic shock, a systemic Type I hypersensitivity reaction, endangers a patient's life so rapidly?

<p>Massive histamine release causing vasodilation, bronchoconstriction, and increased vascular permeability. (D)</p> Signup and view all the answers

Flashcards

Hypersensitivity

An antigenic response beyond what is considered normal; essentially synonymous with allergy.

Allergic Responses

Immune responses that occur in individuals who have been previously exposed to an antigen.

Type I Hypersensitivity

Clinical signs appear within 2 to 30 minutes. Involves antigens combining with IgE antibodies on basophils/mast cells, leading to histamine release.

Systemic Anaphylaxis

A severe, potentially life-threatening type I hypersensitivity reaction that is systemic.

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Localized Anaphylaxis

A type I hypersensitivity reaction that is limited to a specific area of the body (e.g., asthma, hay fever, urticaria).

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Type II Hypersensitivity

Clinical signs appear in 5 to 12 hours. Antibodies (IgG or IgM) bind to antigens on cell surfaces, leading to cell destruction. Includes transfusion reactions and drug reactions.

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Type III Hypersensitivity

Clinical signs appear in 4 to 10 days (can be shortened with chronic antigen exposure). Antigen-antibody complexes deposit in tissues, causing inflammation.

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Type IV Hypersensitivity

Clinical signs appear in 24 to 48 hours. T cells activate and destroy cells presenting the antigen. Examples include contact dermatitis and TB tests.

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Contact Dermatitis

Inflammation of the skin caused by direct contact with an allergen or irritant.

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Study Notes

  • Hypersensitivity is an antigenic response beyond what is considered normal
  • Allergy is essentially synonymous with hypersensitivity
  • Allergic responses occur in individuals sensitized by previous exposure to an antigen
  • When a previously sensitized individual is exposed to the same antigen again, the immune system reacts detrimentally
  • There are four primary types of hypersensitivities: Type I, Type II, Type III, and Type IV

Type I - Anaphylactic Quick Response

  • Clinical signs appear in two to 30 minutes
  • Certain antigens combine with previously formed antibodies (IgE) on the surface of basophils/mast cells
  • Degranulation of basophils/mast cells leads to a massive release of histamine and other mediators
  • Anaphylaxis can be systemic, causing anaphylactic shock
  • Anaphylaxis can be localized, causing asthma, hay fever, urticaria, swelling, and hives

Type II - Cytotoxic

  • Clinical signs may appear in 5 to 12 hours and are variable depending on the organ affected
  • Antibodies (IgG or IgM) bind to antigens on the cell surface
  • Under the influence of complement, antigenic cells are destroyed
  • Examples include transfusion reactions, Rh reactions, drug reactions, and immune-mediated hemolytic anemia

Type III - Immune Complex

  • Clinical signs appear in 4 to 10 days
  • Chronic exposure to the antigen can shorten the time to a few hours
  • Antigens circulating in plasma and antibodies (usually IgG) form complexes
  • Complexes deposit in the endothelium and result in damaging inflammation
  • Most commonly affected sites include joints, skin, kidneys, lungs, and the brain
  • Glomerulonephritis and rheumatoid arthritis are examples

Type IV – Cell-Mediated (Delayed Hypersensitivity)

  • Clinical signs appear in 24 to 48 hours
  • Antigens activate TD (T-delayed hypersensitivity) cells
  • TD cells influence TC (T-cytotoxic) cells to destroy the antigenic cell
  • Contact dermatitis can occur with poison ivy, jewelry, cosmetics, latex, and dogs/plastic bowls
  • TB tests and transplant rejections are examples of Type IV hypersensitivity

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