IgE-Mediated Degranulation Process

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Questions and Answers

What initiates IgE-mediated degranulation?

  • Antigen cross-linkage (correct)
  • Mast cell contraction
  • Phosphatase rearrangement
  • IgE binding to the Fc receptor

What is necessary for the movement of granules to the plasma membrane during degranulation?

  • Contraction of microfilaments
  • Cooperation among protein and lipid kinases
  • Increase in Ca2+
  • A+C (correct)

Which drug is used to block the Ca++ influx as a treatment for allergies?

  • Cromolyn sodium
  • Phosphatase inhibitor
  • Disodium cromoglycate (correct)
  • Cytoskeleton rearranger

What is the initial event that triggers IgE-mediated degranulation?

<p>Cross-linkage of allergen-bound IgE with the Fc receptor on mast cells or basophils (B)</p> Signup and view all the answers

What is the role of Ca++ influx in mast cell degranulation?

<p>Promoting the assembly of microtubules and contraction of microfilaments (C)</p> Signup and view all the answers

What is the result of IgE cross-linkage?

<p>Mast cell degranulation (B)</p> Signup and view all the answers

Which intracellular signaling process is involved in initiating mast cell degranulation?

<p>A+C (D)</p> Signup and view all the answers

Which process is rearranged during mast cell degranulation?

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

What are the most significant primary mediators of Type I hypersensitivity?

<p>Histamine, proteases, eosinophil chemotactic factor, heparin (C)</p> Signup and view all the answers

Which agents are produced before degranulation and stored in the granules?

<p>Proteases and histamine (A)</p> Signup and view all the answers

When do the primary mediators of Type I hypersensitivity occur?

<p>2-3 minutes to 6 hours (D)</p> Signup and view all the answers

What type of agents are synthesized after target-cell activation or released during the degranulation process?

<p>All of the above (D)</p> Signup and view all the answers

What is the timing difference between the formation of leukotrienes and prostaglandins compared to histamine?

<p>Leukotrienes and prostaglandins form after mast cell degranulation, while histamine forms before degranulation (C)</p> Signup and view all the answers

Which biological effects of leukotrienes and prostaglandins are more pronounced and longer lasting than those of histamine?

<p>Bronchoconstriction, vascular permeability, mucus production (A)</p> Signup and view all the answers

Which cytokines are secreted by human mast cells to alter the local microenvironment and recruit inflammatory cells?

<p>IL-4, IL-5, IL-6, TNF-α (C)</p> Signup and view all the answers

How does systemic anaphylaxis typically start?

<p>With sudden skin redness and intense itching and hives (A)</p> Signup and view all the answers

What is the usual initiation point of systemic anaphylaxis?

<p>Direct entry of allergen into the bloodstream (D)</p> Signup and view all the answers

Which of the following symptoms is associated with anaphylactic shock?

<p>A+B (D)</p> Signup and view all the answers

What can cause the patient to die of suffocation in systemic anaphylaxis?

<p>Contraction of smooth muscles due to allergen inhalation (C)</p> Signup and view all the answers

What is the common name for Allergic Rhinitis?

<p>Hay fever (A)</p> Signup and view all the answers

Where does the reaction develop in allergic asthma (extrinsic asthma)?

<p>Lower respiratory tract (B)</p> Signup and view all the answers

What is the characteristic symptom of Allergic Rhinitis (hay fever)?

<p>Watery exudation of conjunctivae (B)</p> Signup and view all the answers

Immunotherapy involves Desensitization: subcutaneous injections of allergens to cause a shift to IgG production instead of IgE.

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

How can antibody-bound cells be destroyed in Type II hypersensitivity reactions?

<p>By activating the complement system and creating pores in the cell membrane (A)</p> Signup and view all the answers

What is the mechanism of cell destruction in antibody-dependent cell-mediated cytotoxicity (ADCC)?

<p>Cytotoxic cells bind to the Fc region of antibodies and promote killing of the cells (D)</p> Signup and view all the answers

What role does opsonization play in Type II hypersensitivity reactions?

<p>Enabling phagocytic cells to bind and phagocytose the antibody-coated cell (A)</p> Signup and view all the answers

RBCs have different antigen ,but the most important are A and B antigens(used for blood grouping ABO).

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

Antibodies to the A, B, and O antigens, called isohemagglutinins, are usually of the IgM class

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

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