Podcast
Questions and Answers
Which of the following is a key characteristic of an ideal immune response?
Which of the following is a key characteristic of an ideal immune response?
- Is directed against all immunogens, regardless of their potential harm.
- Leads to chronic inflammation
- Is completely effective at eradicating harmful immunogens, without causing host tissue damage. (correct)
- Causes extensive host tissue damage.
Which of the following best illustrates a fundamental principle of immunology relevant to immunopathology?
Which of the following best illustrates a fundamental principle of immunology relevant to immunopathology?
- Specificity in the immune system means any antigen will trigger any immune cell.
- Immunological memory only occurs in adaptive immunity.
- The ability to discriminate between self and foreign antigens is crucial in preventing autoimmunity. (correct)
- The immune system always targets foreign substances with 100% accuracy.
Which of the following mechanisms is most directly associated with central tolerance?
Which of the following mechanisms is most directly associated with central tolerance?
- Development of regulatory T cells in the periphery.
- Immunogen-induced apoptosis of double-positive T cells. (correct)
- Immunogen-induced anergy in the absence of costimulation.
- Suppression of autoimmune cell function by immunosuppressive cytokines released by Treg cells.
What is a key distinction between central and peripheral tolerance?
What is a key distinction between central and peripheral tolerance?
What is the primary role of regulatory T cells (Tregs) in maintaining immunological tolerance?
What is the primary role of regulatory T cells (Tregs) in maintaining immunological tolerance?
Which of the following is a recognized mechanism by which autoimmunity can develop?
Which of the following is a recognized mechanism by which autoimmunity can develop?
Why is the pharmacological treatment of autoimmunity often challenging?
Why is the pharmacological treatment of autoimmunity often challenging?
Which of the following characteristics is commonly associated with autoimmune diseases?
Which of the following characteristics is commonly associated with autoimmune diseases?
Which of the following immune mechanisms is associated with autoimmune diseases, according to the Coombs and Gell classification?
Which of the following immune mechanisms is associated with autoimmune diseases, according to the Coombs and Gell classification?
What is a key role of Th17 cells in the context of autoimmunity?
What is a key role of Th17 cells in the context of autoimmunity?
Which of the following best defines 'alloantigen'?
Which of the following best defines 'alloantigen'?
Which of the following alloantigen systems is clinically most significant regarding pregnancy complications?
Which of the following alloantigen systems is clinically most significant regarding pregnancy complications?
What is the primary purpose of administering Rho(D) immune globulin (RhoGAM) to Rh-negative pregnant women?
What is the primary purpose of administering Rho(D) immune globulin (RhoGAM) to Rh-negative pregnant women?
Which of the following is a major clinical concern associated with blood transfusions?
Which of the following is a major clinical concern associated with blood transfusions?
Which of the following best describes hyperacute rejection?
Which of the following best describes hyperacute rejection?
Which of the following accurately describes the mechanism of acute organ rejection?
Which of the following accurately describes the mechanism of acute organ rejection?
What is a key characteristic of chronic organ rejection?
What is a key characteristic of chronic organ rejection?
How does graft-versus-host disease (GVHD) differ from typical organ rejection?
How does graft-versus-host disease (GVHD) differ from typical organ rejection?
Cyclosporine A is used as an immunosuppressant to prevent rejection. What is its primary mechanism of action?
Cyclosporine A is used as an immunosuppressant to prevent rejection. What is its primary mechanism of action?
What is the mechanism of action of corticosteroids?
What is the mechanism of action of corticosteroids?
What is the definition of allergy?
What is the definition of allergy?
Which of the following accurately describes the difference between a 'side effect' and an 'allergy' in the context of drug reactions?
Which of the following accurately describes the difference between a 'side effect' and an 'allergy' in the context of drug reactions?
According to the Coombs and Gell classification, which type of hypersensitivity reaction is mediated by IgE antibodies and involves mast cell activation?
According to the Coombs and Gell classification, which type of hypersensitivity reaction is mediated by IgE antibodies and involves mast cell activation?
Which of the following is a key characteristic specific to Type I hypersensitivity reactions?
Which of the following is a key characteristic specific to Type I hypersensitivity reactions?
Which type of hypersensitivity reaction involves antibody-dependent cell-mediated cytotoxicity (ADCC)?
Which type of hypersensitivity reaction involves antibody-dependent cell-mediated cytotoxicity (ADCC)?
Which of the following mechanisms is associated with Type III hypersensitivity reactions?
Which of the following mechanisms is associated with Type III hypersensitivity reactions?
Which of the following best describes the effector cells involved in Type IV hypersensitivity reactions?
Which of the following best describes the effector cells involved in Type IV hypersensitivity reactions?
What is a key distinction between Type II and Type III hypersensitivity reactions?
What is a key distinction between Type II and Type III hypersensitivity reactions?
Type IV hypersensitivity is also known as delayed-type hypersensitivity. What contributes to the 'delayed' nature of this reaction?
Type IV hypersensitivity is also known as delayed-type hypersensitivity. What contributes to the 'delayed' nature of this reaction?
Which of the following is a distinguishing characteristic of Type IV hypersensitivity reactions compared to Types I, II, and III?
Which of the following is a distinguishing characteristic of Type IV hypersensitivity reactions compared to Types I, II, and III?
In the context of allergy, what is meant by 'sensitization'?
In the context of allergy, what is meant by 'sensitization'?
Which of the follow is an inhaled allergin?
Which of the follow is an inhaled allergin?
Which of the following cells is activated in Type II hypersensitivity and leads to phagocytosis of RBC?
Which of the following cells is activated in Type II hypersensitivity and leads to phagocytosis of RBC?
A patient has a nickel allergy following recent ear piercing. Which cells are mainly responsible for a Type IV hypersensitivity reaction?
A patient has a nickel allergy following recent ear piercing. Which cells are mainly responsible for a Type IV hypersensitivity reaction?
Following exposure to a pathogen, an actual immune response, as opposed to an ideal immune response, may cause damage as a result of:
Following exposure to a pathogen, an actual immune response, as opposed to an ideal immune response, may cause damage as a result of:
What is the underlying significance of immunological tolerance?
What is the underlying significance of immunological tolerance?
Which characteristic distinguishes central tolerance from other forms of immunological tolerance?
Which characteristic distinguishes central tolerance from other forms of immunological tolerance?
A researcher is investigating potential therapeutic targets for autoimmune diseases. Which of the following mechanisms of central tolerance is most likely to provide a specific target to prevent autoreactive T-cells from developing?
A researcher is investigating potential therapeutic targets for autoimmune diseases. Which of the following mechanisms of central tolerance is most likely to provide a specific target to prevent autoreactive T-cells from developing?
A scientist is studying peripheral tolerance mechanisms in the context of autoimmune disease. Which of the following is an example of peripheral tolerance?
A scientist is studying peripheral tolerance mechanisms in the context of autoimmune disease. Which of the following is an example of peripheral tolerance?
In which scenario would the establishment of immunological tolerance be a clinical goal?
In which scenario would the establishment of immunological tolerance be a clinical goal?
A pharmaceutical company is developing a new drug to promote tolerance in mature, immunogen-reactive cells. Which cellular process should this drug primarily aim to enhance?
A pharmaceutical company is developing a new drug to promote tolerance in mature, immunogen-reactive cells. Which cellular process should this drug primarily aim to enhance?
What is the primary role of M cells in the induction of oral tolerance in the gut?
What is the primary role of M cells in the induction of oral tolerance in the gut?
Which of the following best describes how high doses of intravenous aqueous proteins can induce tolerance?
Which of the following best describes how high doses of intravenous aqueous proteins can induce tolerance?
Which process is most directly associated with the induction of tolerance in the gut-associated lymphoid tissue (GALT)?
Which process is most directly associated with the induction of tolerance in the gut-associated lymphoid tissue (GALT)?
In cancer immunology, what role does the immune system play in preventing neoplastic growth?
In cancer immunology, what role does the immune system play in preventing neoplastic growth?
Which of the following is the most accurate statement about autoimmunity?
Which of the following is the most accurate statement about autoimmunity?
Which of the following scenarios is most likely to result in a breakdown of peripheral tolerance and subsequent autoimmunity?
Which of the following scenarios is most likely to result in a breakdown of peripheral tolerance and subsequent autoimmunity?
How does molecular mimicry contribute to the development of autoimmune diseases?
How does molecular mimicry contribute to the development of autoimmune diseases?
What role do Th17 cells play in autoimmunity, as opposed to that of Th1 cells?
What role do Th17 cells play in autoimmunity, as opposed to that of Th1 cells?
Which of the following factors is least likely to be implicated in contributing to the development of autoimmune diseases?
Which of the following factors is least likely to be implicated in contributing to the development of autoimmune diseases?
Which therapeutic principle is most effective for managing autoimmune diseases?
Which therapeutic principle is most effective for managing autoimmune diseases?
A patient with systemic lupus erythematosus (SLE) is found to have glomerulonephritis and vasculitis. According to the Coombs and Gell classification, which type of immune mechanism is most likely contributing to these conditions?
A patient with systemic lupus erythematosus (SLE) is found to have glomerulonephritis and vasculitis. According to the Coombs and Gell classification, which type of immune mechanism is most likely contributing to these conditions?
Which component of the adaptive immune response is most likely involved in autoimmune disorders?
Which component of the adaptive immune response is most likely involved in autoimmune disorders?
An individual receiving a blood transfusion experiences a severe reaction due to incompatibility with the donor's blood type. This scenario represents an example of:
An individual receiving a blood transfusion experiences a severe reaction due to incompatibility with the donor's blood type. This scenario represents an example of:
Why are alloantigens clinically significant in the context of pregnancy?
Why are alloantigens clinically significant in the context of pregnancy?
Which of the following alloantigen systems is the most clinically significant regarding pregnancy?
Which of the following alloantigen systems is the most clinically significant regarding pregnancy?
Based on clinical significance, which of these blood groups can be easily treated if known for incompatibility?
Based on clinical significance, which of these blood groups can be easily treated if known for incompatibility?
What is the cause of the greatest problems with alloimmunity in pregnancy?
What is the cause of the greatest problems with alloimmunity in pregnancy?
Apart from pregnancy-related complications, what is another key area where alloimmunity is clinically significant?
Apart from pregnancy-related complications, what is another key area where alloimmunity is clinically significant?
A patient undergoing chemotherapy requires regular blood transfusions. What immunological issue is most likely to arise in this patient?
A patient undergoing chemotherapy requires regular blood transfusions. What immunological issue is most likely to arise in this patient?
Which blood group system is most often implicated in transfusion reactions?
Which blood group system is most often implicated in transfusion reactions?
In organ transplantation, what is the primary target of alloimmune responses that leads to graft rejection?
In organ transplantation, what is the primary target of alloimmune responses that leads to graft rejection?
Which component is more clinically relevant regarding transplantation?
Which component is more clinically relevant regarding transplantation?
What type of organ is a kidney in regards to transplantation?
What type of organ is a kidney in regards to transplantation?
Which of the following best describes the alloantigens driving acute rejection?
Which of the following best describes the alloantigens driving acute rejection?
Which statement accurately compares acute transplant rejection with chronic transplant rejection?
Which statement accurately compares acute transplant rejection with chronic transplant rejection?
What is the fundamental element necessary for the establishment of allograft tolerance?
What is the fundamental element necessary for the establishment of allograft tolerance?
Which of the following best describes the mechanism of action of Cyclosporine A?
Which of the following best describes the mechanism of action of Cyclosporine A?
A patient with rheumatoid arthritis is prescribed corticosteroids. How do these drugs work to alleviate the patient's symptoms?
A patient with rheumatoid arthritis is prescribed corticosteroids. How do these drugs work to alleviate the patient's symptoms?
Which of the following is a common side effect associated with corticosteroid use?
Which of the following is a common side effect associated with corticosteroid use?
What is the most accurate definition of allergy?
What is the most accurate definition of allergy?
How does an idiosyncratic drug reaction differ from an allergic reaction?
How does an idiosyncratic drug reaction differ from an allergic reaction?
Based on the objective, which of the following would be the most effective approach for a student to understand the scope of an allergic or hypersensitivity condition?
Based on the objective, which of the following would be the most effective approach for a student to understand the scope of an allergic or hypersensitivity condition?
A researcher aims to study IgE-mediated allergic reactions. Which characteristic is essential for the activation of mast cells in this type of allergy?
A researcher aims to study IgE-mediated allergic reactions. Which characteristic is essential for the activation of mast cells in this type of allergy?
What would happen if insufficient antibodies are present or the dose is too high for activation of the cells that may experience IGE-Mediated Allergy?
What would happen if insufficient antibodies are present or the dose is too high for activation of the cells that may experience IGE-Mediated Allergy?
In a Type II hypersensitivity reaction, what is the role of IgG or IgM antibodies?
In a Type II hypersensitivity reaction, what is the role of IgG or IgM antibodies?
What is the end point of a Type II hypersensitivity reaction?
What is the end point of a Type II hypersensitivity reaction?
Where is mainly impacted in a Type II hypersensitivity reaction?
Where is mainly impacted in a Type II hypersensitivity reaction?
What primarily mediates Type III hypersensitivity reactions?
What primarily mediates Type III hypersensitivity reactions?
What is a prototype lesion of a Type III hypersensitivity reaction?
What is a prototype lesion of a Type III hypersensitivity reaction?
In Type IV hypersensitivity reactions, what type of cells is used for the immune effector?
In Type IV hypersensitivity reactions, what type of cells is used for the immune effector?
What best describes Type IV hypersensitivity?
What best describes Type IV hypersensitivity?
What is the underlying mechanism by which termination of the immune response prevents immunopathology?
What is the underlying mechanism by which termination of the immune response prevents immunopathology?
In the context of the 'ideal' immune response, which outcome is most representative?
In the context of the 'ideal' immune response, which outcome is most representative?
Which classification parameter is best represented by the determination of whether an immunologically-mediated disease targets self-antigens?
Which classification parameter is best represented by the determination of whether an immunologically-mediated disease targets self-antigens?
If an individual is experiencing a drug-induced autoimmune reaction, which characteristic is most likely?
If an individual is experiencing a drug-induced autoimmune reaction, which characteristic is most likely?
How do abnormalities in lymphocyte interactions contribute to the development of autoimmune diseases?
How do abnormalities in lymphocyte interactions contribute to the development of autoimmune diseases?
How does central tolerance primarily prevent autoimmunity?
How does central tolerance primarily prevent autoimmunity?
What is the primary mechanism by which oral tolerance is induced in the gut?
What is the primary mechanism by which oral tolerance is induced in the gut?
Alloimmunity arises when the immune system responds to alloantigens. Which of the following is a key feature of alloantigens?
Alloimmunity arises when the immune system responds to alloantigens. Which of the following is a key feature of alloantigens?
Why are multiply transfused patients at a higher risk for alloimmune reactions?
Why are multiply transfused patients at a higher risk for alloimmune reactions?
In organ transplantation, what immunological process is the primary cause of acute rejection?
In organ transplantation, what immunological process is the primary cause of acute rejection?
How does Cyclosporine A prevent organ rejection?
How does Cyclosporine A prevent organ rejection?
What is a key difference between a typical immune response and an allergic reaction?
What is a key difference between a typical immune response and an allergic reaction?
How does antibody excess inhibit activation of cells in Type I hypersensitivity?
How does antibody excess inhibit activation of cells in Type I hypersensitivity?
What is the role of anaphylatoxins in Type III hypersensitivity reactions?
What is the role of anaphylatoxins in Type III hypersensitivity reactions?
How is delayed-type hypersensitivity used as a test in medicine?
How is delayed-type hypersensitivity used as a test in medicine?
Which immunological deficiency primarily stems from a lack of knowledge regarding the physiological function of the immune system?
Which immunological deficiency primarily stems from a lack of knowledge regarding the physiological function of the immune system?
When the immune system fails to prevent neoplastic growth, what is the most likely underlying condition?
When the immune system fails to prevent neoplastic growth, what is the most likely underlying condition?
Which immunological principle is most relevant when considering how the immune system distinguishes between pathogens and the body's own cells?
Which immunological principle is most relevant when considering how the immune system distinguishes between pathogens and the body's own cells?
Why is the termination of an immune response a crucial aspect of immunological homeostasis?
Why is the termination of an immune response a crucial aspect of immunological homeostasis?
In the context of central tolerance, what cellular event is most critical for preventing autoimmunity?
In the context of central tolerance, what cellular event is most critical for preventing autoimmunity?
Which of the following is a characteristic of tolerance acquired in fetal life?
Which of the following is a characteristic of tolerance acquired in fetal life?
What is the primary reason for targeting the establishment of immunological tolerance as a clinical goal?
What is the primary reason for targeting the establishment of immunological tolerance as a clinical goal?
A patient has developed immune-mediated anergy due to lack of co-stimulation. In which organ might an immunologist evaluate this?
A patient has developed immune-mediated anergy due to lack of co-stimulation. In which organ might an immunologist evaluate this?
What is the consequence of M cells transporting antigens to gut dendritic cells?
What is the consequence of M cells transporting antigens to gut dendritic cells?
While autoimmunity is generally harmful, when might an immune response to self-antigens be considered beneficial?
While autoimmunity is generally harmful, when might an immune response to self-antigens be considered beneficial?
How does molecular mimicry lead to autoimmune disease?
How does molecular mimicry lead to autoimmune disease?
Which of the following is a reason that therapeutic principles for autoimmune disease, like minimizing immunogen exposure, may not be effective?
Which of the following is a reason that therapeutic principles for autoimmune disease, like minimizing immunogen exposure, may not be effective?
What is the most comprehensive way to characterize an immunologically-mediated disease?
What is the most comprehensive way to characterize an immunologically-mediated disease?
Which component is the major contributor to kidney transplant rejection:
Which component is the major contributor to kidney transplant rejection:
Alloimmunity is most clinically significant in which situation?
Alloimmunity is most clinically significant in which situation?
Transfusion reactions are more often caused by which three of the following:
Transfusion reactions are more often caused by which three of the following:
A patient requires regular blood transfusions during cancer chemotherapy. What is the most likely immunological issue that will arise?
A patient requires regular blood transfusions during cancer chemotherapy. What is the most likely immunological issue that will arise?
What is the general process that occurs during kidney transplant rejection?
What is the general process that occurs during kidney transplant rejection?
What is a hallmark of chronic allograft rejection?
What is a hallmark of chronic allograft rejection?
How does Cyclosporine A work to prevent organ rejection?
How does Cyclosporine A work to prevent organ rejection?
What adverse reaction may occur when drugs are derived from human origin?
What adverse reaction may occur when drugs are derived from human origin?
If IgE is stimulated too much, a patient experiences an allergic response. Which cell is impacted?
If IgE is stimulated too much, a patient experiences an allergic response. Which cell is impacted?
What is meant by the term "sensitization"?
What is meant by the term "sensitization"?
In an allergic response, a shock tissue would mainly affect what part of our body
In an allergic response, a shock tissue would mainly affect what part of our body
Which Immune Effector commonly promotes inflammatory response by Macs?
Which Immune Effector commonly promotes inflammatory response by Macs?
What mechanism causes the damage in Type I, II, III, and IV hypersensitivity reactions?
What mechanism causes the damage in Type I, II, III, and IV hypersensitivity reactions?
Which of the following hypersensitivity reactions involves macrophages?
Which of the following hypersensitivity reactions involves macrophages?
What are the products that mast cells produce?
What are the products that mast cells produce?
A newly identified disease shows increased fluid secretion as the main symptom in the gastrointestinal tract. What kind of "response" is this?
A newly identified disease shows increased fluid secretion as the main symptom in the gastrointestinal tract. What kind of "response" is this?
What is the role of Leukotrienes C4, D4, and E4?
What is the role of Leukotrienes C4, D4, and E4?
How does ADCC activate immune response?
How does ADCC activate immune response?
What type of cell leads to tissue rejection?
What type of cell leads to tissue rejection?
One of the objectives is to "Identify which Coombs and Gell class does not involve inflammation and why." Which of the following would that be?
One of the objectives is to "Identify which Coombs and Gell class does not involve inflammation and why." Which of the following would that be?
A Type III Complex mainly has issues where?
A Type III Complex mainly has issues where?
When autoantibodies form because Rheumatic fever begins with strep throat, and cross-react with cardiac muscle antigen, what kind of antibody-mediated disease is created?
When autoantibodies form because Rheumatic fever begins with strep throat, and cross-react with cardiac muscle antigen, what kind of antibody-mediated disease is created?
Which of the following cytokines produced by macrophages, promotes T2-cell response?
Which of the following cytokines produced by macrophages, promotes T2-cell response?
Which of the following immune-related events is NOT classified as immunopathology?
Which of the following immune-related events is NOT classified as immunopathology?
In pregnancy, the greatest alloimmunity problems are caused by what?
In pregnancy, the greatest alloimmunity problems are caused by what?
The thymus expresses proteins to induce a better response to what?
The thymus expresses proteins to induce a better response to what?
Which scenario demonstrates the principle that the same immunological mechanisms apply to both normal immunity and immunopathology?
Which scenario demonstrates the principle that the same immunological mechanisms apply to both normal immunity and immunopathology?
A patient experiences a reaction to a therapeutic drug, leading to symptoms of inflammation and tissue damage. How would this be classified?
A patient experiences a reaction to a therapeutic drug, leading to symptoms of inflammation and tissue damage. How would this be classified?
In an individual with a genetic predisposition, which event is most likely to initiate autoimmunity?
In an individual with a genetic predisposition, which event is most likely to initiate autoimmunity?
Which of the following is most likely to occur due a breakdown of immunological tolerance?
Which of the following is most likely to occur due a breakdown of immunological tolerance?
A researcher is investigating potential therapeutic targets for autoimmune diseases. Which of the following approaches would be most consistent with re-establishing central tolerance?
A researcher is investigating potential therapeutic targets for autoimmune diseases. Which of the following approaches would be most consistent with re-establishing central tolerance?
In a study examining mechanisms of peripheral tolerance, which outcome would indicate successful induction of anergy in autoreactive T cells?
In a study examining mechanisms of peripheral tolerance, which outcome would indicate successful induction of anergy in autoreactive T cells?
High doses of intravenous aqueous proteins can sometimes induce tolerance. What is the primary mechanism behind this?
High doses of intravenous aqueous proteins can sometimes induce tolerance. What is the primary mechanism behind this?
How do M cells contribute to the induction of oral tolerance to antigens in the gut?
How do M cells contribute to the induction of oral tolerance to antigens in the gut?
Which of the following scenarios best illustrates how molecular mimicry can lead to autoimmunity?
Which of the following scenarios best illustrates how molecular mimicry can lead to autoimmunity?
A patient with an autoimmune condition exhibits elevated levels of Th17 cells. What is the primary role of Th17 cells in the context of this autoimmune response?
A patient with an autoimmune condition exhibits elevated levels of Th17 cells. What is the primary role of Th17 cells in the context of this autoimmune response?
Which therapeutic approach aligns with minimizing immunogen exposure in an autoimmune disease?
Which therapeutic approach aligns with minimizing immunogen exposure in an autoimmune disease?
According to the Coombs and Gell classification, which type of hypersensitivity reaction is primarily mediated by T cells and results in delayed inflammation?
According to the Coombs and Gell classification, which type of hypersensitivity reaction is primarily mediated by T cells and results in delayed inflammation?
A patient develops hemolytic anemia due to antibodies targeting their own red blood cells. According to the Coombs and Gell classification, this would be classified as which type of hypersensitivity reaction?
A patient develops hemolytic anemia due to antibodies targeting their own red blood cells. According to the Coombs and Gell classification, this would be classified as which type of hypersensitivity reaction?
What is the underlying principle of therapies that aim to induce immunological tolerance in the context of allergic diseases?
What is the underlying principle of therapies that aim to induce immunological tolerance in the context of allergic diseases?
How do alloantigens principally differ from self-antigens?
How do alloantigens principally differ from self-antigens?
Why are multiply transfused patients at higher risk of experiencing alloimmune reactions?
Why are multiply transfused patients at higher risk of experiencing alloimmune reactions?
Which immunological scenario primarily characterizes acute organ rejection?
Which immunological scenario primarily characterizes acute organ rejection?
A transplant patient is treated with Cyclosporine A to prevent graft rejection. What aspect of the immune response is targeted by this drug?
A transplant patient is treated with Cyclosporine A to prevent graft rejection. What aspect of the immune response is targeted by this drug?
Which of the following best explains why blood transfusions can lead to alloimmune reactions?
Which of the following best explains why blood transfusions can lead to alloimmune reactions?
How does the presence of pre-existing antibodies against donor antigens lead to hyperacute rejection in organ transplantation?
How does the presence of pre-existing antibodies against donor antigens lead to hyperacute rejection in organ transplantation?
In the context of allergic reactions and hypersensitivity, what does 'sensitization' refer to?
In the context of allergic reactions and hypersensitivity, what does 'sensitization' refer to?
A patient presents with allergic rhinitis, characterized by sneezing, runny nose, and nasal congestion, after exposure to pollen. Which type of hypersensitivity reaction is primarily responsible for these symptoms?
A patient presents with allergic rhinitis, characterized by sneezing, runny nose, and nasal congestion, after exposure to pollen. Which type of hypersensitivity reaction is primarily responsible for these symptoms?
What is the primary effector cell involved in Type I hypersensitivity reactions?
What is the primary effector cell involved in Type I hypersensitivity reactions?
How can antibody excess sometimes inhibit the activation of cells in Type I hypersensitivity reactions?
How can antibody excess sometimes inhibit the activation of cells in Type I hypersensitivity reactions?
In a Type II hypersensitivity reaction, what is the primary mechanism by which tissue damage occurs?
In a Type II hypersensitivity reaction, what is the primary mechanism by which tissue damage occurs?
A patient develops a drug-induced Type II hypersensitivity reaction that causes thrombocytopenia (low platelet count). Where is the primary site of cell destruction likely to occur?
A patient develops a drug-induced Type II hypersensitivity reaction that causes thrombocytopenia (low platelet count). Where is the primary site of cell destruction likely to occur?
A patient with serum sickness develops vasculitis and glomerulonephritis due to the deposition of immune complexes in blood vessel walls and kidney glomeruli. This condition is an example of which type of hypersensitivity reaction?
A patient with serum sickness develops vasculitis and glomerulonephritis due to the deposition of immune complexes in blood vessel walls and kidney glomeruli. This condition is an example of which type of hypersensitivity reaction?
What is the role of anaphylatoxins, such as C3a and C5a, in Type III hypersensitivity reactions?
What is the role of anaphylatoxins, such as C3a and C5a, in Type III hypersensitivity reactions?
How is delayed-type hypersensitivity (DTH) used as a diagnostic test in medicine?
How is delayed-type hypersensitivity (DTH) used as a diagnostic test in medicine?
Type IV hypersensitivity reactions typically involve which type of immune cell as the primary effector?
Type IV hypersensitivity reactions typically involve which type of immune cell as the primary effector?
Which of the following best describes a key difference between Type I and Type IV hypersensitivity reactions?
Which of the following best describes a key difference between Type I and Type IV hypersensitivity reactions?
If during a Type IV Hypersensitivity response, the incorrect amount of T-cells are used, what immune pathology may be triggered?
If during a Type IV Hypersensitivity response, the incorrect amount of T-cells are used, what immune pathology may be triggered?
A researcher finds that mast cells produce tryptase, chymase, cathepsin G, and carboxypeptidase. What can be inferred from this research?
A researcher finds that mast cells produce tryptase, chymase, cathepsin G, and carboxypeptidase. What can be inferred from this research?
In a parasitic attack, mast cells may have a Typical Th2 response. What can be typically expected?
In a parasitic attack, mast cells may have a Typical Th2 response. What can be typically expected?
Leukotrienes $C_4$, $D_4$, and $E_4$ play a role in a Type I hypersensitivity reaction. What is that role?
Leukotrienes $C_4$, $D_4$, and $E_4$ play a role in a Type I hypersensitivity reaction. What is that role?
A researcher develops a technique to promote ADCC. What cells does it activate to lead to immune response?
A researcher develops a technique to promote ADCC. What cells does it activate to lead to immune response?
Memory T cells lead to what
Memory T cells lead to what
According to what you know about inflammation, which immune response does not involve inflammation and why not?
According to what you know about inflammation, which immune response does not involve inflammation and why not?
In a Type III Complex that has immune issues, where is it mainly impacted?
In a Type III Complex that has immune issues, where is it mainly impacted?
What cytokines are the most impactful for TH2 cell response?
What cytokines are the most impactful for TH2 cell response?
How does an actual immune response differ from an ideal immune response regarding tissue damage?
How does an actual immune response differ from an ideal immune response regarding tissue damage?
Following a bee sting, an individual experiences a systemic allergic reaction, leading to difficulty in breathing and a drop in blood pressure. Categorically, this would fall under which classification of immunologically-mediated disease?
Following a bee sting, an individual experiences a systemic allergic reaction, leading to difficulty in breathing and a drop in blood pressure. Categorically, this would fall under which classification of immunologically-mediated disease?
Which of the following best describes the role of 'Specificity' in the context of immunopathology?
Which of the following best describes the role of 'Specificity' in the context of immunopathology?
How does 'molecular mimicry' potentially trigger autoimmune diseases?
How does 'molecular mimicry' potentially trigger autoimmune diseases?
A patient requires a blood transfusion, but experiences a severe reaction due to mismatched blood type antigens. Which type of immunologically-mediated disease is this?
A patient requires a blood transfusion, but experiences a severe reaction due to mismatched blood type antigens. Which type of immunologically-mediated disease is this?
What is the primary mechanism by which Cyclosporine A prevents organ rejection in transplant patients?
What is the primary mechanism by which Cyclosporine A prevents organ rejection in transplant patients?
Why might therapeutic strategies that focus on minimizing immunogen exposure not be effective in autoimmune diseases?
Why might therapeutic strategies that focus on minimizing immunogen exposure not be effective in autoimmune diseases?
What is the role of M cells in the context of oral tolerance?
What is the role of M cells in the context of oral tolerance?
How corticosteroids reduce inflammation?
How corticosteroids reduce inflammation?
After accidental exposure in a lab, a researcher develops contact dermatitis and tests positive for tuberculin hypersensitivity. Which immune cells are primarily responsible for the condition?
After accidental exposure in a lab, a researcher develops contact dermatitis and tests positive for tuberculin hypersensitivity. Which immune cells are primarily responsible for the condition?
The underlying reason for allergic reactions involve what?
The underlying reason for allergic reactions involve what?
In a Type I hypersensitivity reaction, cross-linking of IgE antibodies on mast cells by an allergen leads directly to:
In a Type I hypersensitivity reaction, cross-linking of IgE antibodies on mast cells by an allergen leads directly to:
Systemic lupus erythematosus (SLE) is characterized by the widespread deposition of immune complexes in various tissues. Which type of hypersensitivity reaction is primarily involved in causing tissue damage in SLE?
Systemic lupus erythematosus (SLE) is characterized by the widespread deposition of immune complexes in various tissues. Which type of hypersensitivity reaction is primarily involved in causing tissue damage in SLE?
What is the primary difference of the function of CD4+ Helper T cells and of CD8+ cytotoxic T cells in Type IV hypersensitivity reactions?
What is the primary difference of the function of CD4+ Helper T cells and of CD8+ cytotoxic T cells in Type IV hypersensitivity reactions?
Which of the following best explains why multiply transfused patients are at higher risk for alloimmune reactions?
Which of the following best explains why multiply transfused patients are at higher risk for alloimmune reactions?
Which of the following is least aligned with the concept of an ideal immune response?
Which of the following is least aligned with the concept of an ideal immune response?
What immunological principle is most relevant when considering the capability of the immune system to respond to a vast variety of antigens?
What immunological principle is most relevant when considering the capability of the immune system to respond to a vast variety of antigens?
Which of the following most accurately describes the relationship between normal immunity and immunopathology?
Which of the following most accurately describes the relationship between normal immunity and immunopathology?
A patient is experiencing a drug-induced autoimmune reaction. Which of the following characteristics is most likely?
A patient is experiencing a drug-induced autoimmune reaction. Which of the following characteristics is most likely?
What is the primary mechanism by which high doses of intravenous aqueous proteins can induce tolerance?
What is the primary mechanism by which high doses of intravenous aqueous proteins can induce tolerance?
What is the primary event that occurs during central tolerance to prevent autoimmunity?
What is the primary event that occurs during central tolerance to prevent autoimmunity?
Why are sex hormones considered multi factorial contributors to autoimmune disease?
Why are sex hormones considered multi factorial contributors to autoimmune disease?
Which parameter is not necessarily useful in classifying an immunologically-mediated disease?
Which parameter is not necessarily useful in classifying an immunologically-mediated disease?
Which of the following is a potential outcome of abnormalities in lymphocyte interactions?
Which of the following is a potential outcome of abnormalities in lymphocyte interactions?
What is the underlying reason that a therapeutic principle for autoimmune disease, like minimizing immunogen exposure, may not be effective?
What is the underlying reason that a therapeutic principle for autoimmune disease, like minimizing immunogen exposure, may not be effective?
Which of the following alloantigen systems is most often implicated in transfusion reactions, leading to the most severe outcomes?
Which of the following alloantigen systems is most often implicated in transfusion reactions, leading to the most severe outcomes?
What makes multiparous women have the greatest problems with alloimmunity?
What makes multiparous women have the greatest problems with alloimmunity?
What is true when the ABO or minor blood groups are incompatible in pregnant women?
What is true when the ABO or minor blood groups are incompatible in pregnant women?
In the context of organ transplantation, the HLA complex is most associated with what?
In the context of organ transplantation, the HLA complex is most associated with what?
A kidney is an allograft in an organ transplant. What does 'allograft' specify?
A kidney is an allograft in an organ transplant. What does 'allograft' specify?
What type of differences causes hyperacute transplant rejection?
What type of differences causes hyperacute transplant rejection?
When considering differences between acute and chronic transplant rejection, which is more antibody mediated?
When considering differences between acute and chronic transplant rejection, which is more antibody mediated?
Why is it necessary to provide chronic immunosuppressive therapy after an organ transplant?
Why is it necessary to provide chronic immunosuppressive therapy after an organ transplant?
Apart from preventing transplant rejection, glucocorticoids are used to treat cytokine storms. How does it achieve this?
Apart from preventing transplant rejection, glucocorticoids are used to treat cytokine storms. How does it achieve this?
What will happen if there is an excess of a certain antibody of required specificity in a Type I reaction?
What will happen if there is an excess of a certain antibody of required specificity in a Type I reaction?
Based on the location of allergic reactions, what will be mainly affected by shock tissue?
Based on the location of allergic reactions, what will be mainly affected by shock tissue?
During products of mast cell degranulation, a physiological effect is the promotion of Th2 cell responses. Which product does this?
During products of mast cell degranulation, a physiological effect is the promotion of Th2 cell responses. Which product does this?
If mast cells have been activated and degranulation of an individual is observed, and testing the same individual reveals that they have increased fluid secretion, what location should be examined first?
If mast cells have been activated and degranulation of an individual is observed, and testing the same individual reveals that they have increased fluid secretion, what location should be examined first?
What occurs as a result of the release of Leukotrienes $C_4$, $D_4$, and $E_4$ from eosinophils?
What occurs as a result of the release of Leukotrienes $C_4$, $D_4$, and $E_4$ from eosinophils?
How can ADCC lead to an immune response?
How can ADCC lead to an immune response?
What is always the end point to an Immune Effector in Cytotoxic (Type II) Allergy?
What is always the end point to an Immune Effector in Cytotoxic (Type II) Allergy?
Type III reactions impact a specific part of our body which is characterized by lots of small vessels. Which is most aligned with this information?
Type III reactions impact a specific part of our body which is characterized by lots of small vessels. Which is most aligned with this information?
A patient with a suspected Type IV hypersensitivity reaction to poison ivy would likely show what in the skin?
A patient with a suspected Type IV hypersensitivity reaction to poison ivy would likely show what in the skin?
What is used as a test for immunocompetence or suppression?
What is used as a test for immunocompetence or suppression?
Inflammation occurs in Type I, Type III, and Type IV mechanisms of damage. What happens in Type II?
Inflammation occurs in Type I, Type III, and Type IV mechanisms of damage. What happens in Type II?
In the context of immunology, what distinguishes autoimmunity from a normal immune response?
In the context of immunology, what distinguishes autoimmunity from a normal immune response?
Which of the therapeutic agents for allergic diseases is associated with an increased development of insulin resistance?
Which of the therapeutic agents for allergic diseases is associated with an increased development of insulin resistance?
In chronic transplant rejection, what type of rejection is likely going on?
In chronic transplant rejection, what type of rejection is likely going on?
When are there most drugs of human origin manufactured?
When are there most drugs of human origin manufactured?
Why is knowledge of the physiological function of the immune system essential when considering immunological deficiency disorders?
Why is knowledge of the physiological function of the immune system essential when considering immunological deficiency disorders?
How does the specificity of the immune system relate to immunopathology?
How does the specificity of the immune system relate to immunopathology?
What is the primary distinction between an 'ideal' immune response and an 'actual' immune response?
What is the primary distinction between an 'ideal' immune response and an 'actual' immune response?
Which classification parameter is most appropriate when categorizing an immunologically-mediated disease that targets the body's own tissues?
Which classification parameter is most appropriate when categorizing an immunologically-mediated disease that targets the body's own tissues?
What is the significance of failure to terminate the immune response in the context of immunopathology?
What is the significance of failure to terminate the immune response in the context of immunopathology?
What is a key mechanism by which central tolerance prevents autoimmunity?
What is a key mechanism by which central tolerance prevents autoimmunity?
Which of the following is a characteristic of tolerance that is acquired, not inherited?
Which of the following is a characteristic of tolerance that is acquired, not inherited?
Why is the establishment of immunological tolerance often a clinical goal?
Why is the establishment of immunological tolerance often a clinical goal?
In peripheral tolerance, what is the consequence of immunogen exposure in the absence of co-stimulation?
In peripheral tolerance, what is the consequence of immunogen exposure in the absence of co-stimulation?
What is a key feature of autoimmune diseases that complicates therapeutic intervention?
What is a key feature of autoimmune diseases that complicates therapeutic intervention?
In autoimmune diseases, what is the role of Th17 cells, and how does it differ from the role of Th1 cells?
In autoimmune diseases, what is the role of Th17 cells, and how does it differ from the role of Th1 cells?
Why is minimizing immunogen exposure not always an effective therapeutic principle for autoimmune disease?
Why is minimizing immunogen exposure not always an effective therapeutic principle for autoimmune disease?
What is the fundamental concept behind 'alloimmunity'?
What is the fundamental concept behind 'alloimmunity'?
What component is most clinically relevant for kidney transplant rejection?
What component is most clinically relevant for kidney transplant rejection?
In organ transplantation, HLA is the main concern. It is more clinically relevant due to which qualities?
In organ transplantation, HLA is the main concern. It is more clinically relevant due to which qualities?
What occurs within the process of kidney transplant rejection?
What occurs within the process of kidney transplant rejection?
What is a common problem that arises when drugs are derived from humans?
What is a common problem that arises when drugs are derived from humans?
Which drugs are often derived from humans, and lead to allergic reactions?
Which drugs are often derived from humans, and lead to allergic reactions?
Cross-linking IgE leads to activation of cells, but what happens if that can not be promoted correctly?
Cross-linking IgE leads to activation of cells, but what happens if that can not be promoted correctly?
If a child gets a peanut allergy, a Mast Cell will cause which kind of reaction?
If a child gets a peanut allergy, a Mast Cell will cause which kind of reaction?
Patient A has mast cell degranulation and now is experiencing more fluid in their gastrotestinal tract. What kind of response is this most likely?
Patient A has mast cell degranulation and now is experiencing more fluid in their gastrotestinal tract. What kind of response is this most likely?
Leukotrienes C4, D4, and E4 all play a role in Type I Hypersensitivity. What specifically do they do?
Leukotrienes C4, D4, and E4 all play a role in Type I Hypersensitivity. What specifically do they do?
How does ADCC promote an immune response?
How does ADCC promote an immune response?
In regard to the objectives of this course, if there is more emphasis on inflammation for each I, II, and IV hypersensitivity, which one does not have inflammation?
In regard to the objectives of this course, if there is more emphasis on inflammation for each I, II, and IV hypersensitivity, which one does not have inflammation?
What does B-Cell bind to for Activation?
What does B-Cell bind to for Activation?
During the process of hyperacute organ rejection, that takes place over a few days, why is there hemorrhage?
During the process of hyperacute organ rejection, that takes place over a few days, why is there hemorrhage?
What is the step-by-step process needed to have a well sustained chronic rejection from alloimmunity?
What is the step-by-step process needed to have a well sustained chronic rejection from alloimmunity?
Cyclosporine A, an immunosuppressant drug, works because it promotes what?
Cyclosporine A, an immunosuppressant drug, works because it promotes what?
When using Corticosteroids, what result occurs at a molecular level?
When using Corticosteroids, what result occurs at a molecular level?
With reference to side effects, glucocorticoid therapy resistance is often described as:
With reference to side effects, glucocorticoid therapy resistance is often described as:
What is a product of Eosinophils?
What is a product of Eosinophils?
Based on the information provided, what process helps increase the production?
Based on the information provided, what process helps increase the production?
Considering a TH2 cell response, what will likely bind in this process?
Considering a TH2 cell response, what will likely bind in this process?
What role does termination of the Immune Response have?
What role does termination of the Immune Response have?
Describe the primary relationship between autoimmunity and autoimmune disease.
Describe the primary relationship between autoimmunity and autoimmune disease.
What is most likely associated to Alloimmunity?
What is most likely associated to Alloimmunity?
In an actual immune response, what is the most likely source of damage?
In an actual immune response, what is the most likely source of damage?
Which of the following is a classification parameter for immunologically-mediated diseases based on the source of the antigen?
Which of the following is a classification parameter for immunologically-mediated diseases based on the source of the antigen?
How does the concept of immunological tolerance relate to autoimmunity?
How does the concept of immunological tolerance relate to autoimmunity?
Central tolerance involves immunogen-induced apoptosis of double-positive T cells and IgM-expressing B cells to mediate to tolerance of self-antigens. Where does central tolerance take place?
Central tolerance involves immunogen-induced apoptosis of double-positive T cells and IgM-expressing B cells to mediate to tolerance of self-antigens. Where does central tolerance take place?
Induction of anergy in mature immunogen-reactive cells is a critical mechanism for maintaining tolerance. What cell type is critical to this particular mechanisms?
Induction of anergy in mature immunogen-reactive cells is a critical mechanism for maintaining tolerance. What cell type is critical to this particular mechanisms?
What is the role of M cells in the gut?
What is the role of M cells in the gut?
Autoimmune diseases often present a challenge therapeutically because:
Autoimmune diseases often present a challenge therapeutically because:
What role do Th17 cells play, as opposed to Th1 cells?
What role do Th17 cells play, as opposed to Th1 cells?
Which of the following alloantigen systems is NOT clinically significant?
Which of the following alloantigen systems is NOT clinically significant?
Why do multiparous women have the greatest problems with pregnancy?
Why do multiparous women have the greatest problems with pregnancy?
Tolerance has not yet been established in allograft. Because of that, what is needed?
Tolerance has not yet been established in allograft. Because of that, what is needed?
With acute organ rejection, T cells "see" Classes I and II as foreign. What immune molecules are the T cells reacting to?
With acute organ rejection, T cells "see" Classes I and II as foreign. What immune molecules are the T cells reacting to?
Allergic reactions to substances of human origin relate mostly to what?
Allergic reactions to substances of human origin relate mostly to what?
How are enzymes created by Products of Mast Cell Degranulation supposed to help?
How are enzymes created by Products of Mast Cell Degranulation supposed to help?
In Type II, anemia, neutropenia, may occur in the shock tissues. What also happens?
In Type II, anemia, neutropenia, may occur in the shock tissues. What also happens?
In the context of immunological abnormalities, what distinguishes immunological deficiency disorders?
In the context of immunological abnormalities, what distinguishes immunological deficiency disorders?
How does the immune system's function relate to the prevention of neoplastic growth?
How does the immune system's function relate to the prevention of neoplastic growth?
What critical role does the immune system play in distinguishing between self and foreign substances?
What critical role does the immune system play in distinguishing between self and foreign substances?
How does specificity manifest as a fundamental principle of immunology?
How does specificity manifest as a fundamental principle of immunology?
What does 'diversity' or 'heterogeneity' refer to in the context of fundamental immunology principles?
What does 'diversity' or 'heterogeneity' refer to in the context of fundamental immunology principles?
How is the discrimination between self and foreign crucial in immunology?
How is the discrimination between self and foreign crucial in immunology?
What characteristics do immunologic memory contribute to the immune system?
What characteristics do immunologic memory contribute to the immune system?
What is the significance of 'termination of the response' in immunology?
What is the significance of 'termination of the response' in immunology?
In an ideal immune response, what is the primary target of the immune system?
In an ideal immune response, what is the primary target of the immune system?
What is the expected outcome of an ideal immune response regarding the causative immunogen?
What is the expected outcome of an ideal immune response regarding the causative immunogen?
Which of the following characteristics defines an ideal immune response in how tissue damage is mitigated?
Which of the following characteristics defines an ideal immune response in how tissue damage is mitigated?
What is the process of damage that can occur as a result of an actual immune response?
What is the process of damage that can occur as a result of an actual immune response?
In what scenario does an inflammatory and/or immune response contribute to damage during an actual immune response?
In what scenario does an inflammatory and/or immune response contribute to damage during an actual immune response?
What is characteristic of autoimmunity as a source of damage during an actual immune response?
What is characteristic of autoimmunity as a source of damage during an actual immune response?
How do iatrogenic factors contribute to tissue damage as a result of an actual immune response?
How do iatrogenic factors contribute to tissue damage as a result of an actual immune response?
What is the significance of distinguishing between protective immunity and immunologically-mediated disease?
What is the significance of distinguishing between protective immunity and immunologically-mediated disease?
Regarding classification of immunologically mediated disease, what best describes the source of the antigen?
Regarding classification of immunologically mediated disease, what best describes the source of the antigen?
Regarding classification of immunologically mediated disease, which option describes the mechanism?
Regarding classification of immunologically mediated disease, which option describes the mechanism?
When classifying an immunologically-mediated disease clinically, what is considered?
When classifying an immunologically-mediated disease clinically, what is considered?
In the context of immunology, what does tolerance essentially entail?
In the context of immunology, what does tolerance essentially entail?
How does the concept of immunological tolerance relate to the function of the immune system?
How does the concept of immunological tolerance relate to the function of the immune system?
Which statement correctly characterizes the genetic basis of immunological tolerance?
Which statement correctly characterizes the genetic basis of immunological tolerance?
When is immunological tolerance most readily established?
When is immunological tolerance most readily established?
What maintenance factor does immunological tolerance require to be sustained?
What maintenance factor does immunological tolerance require to be sustained?
In what therapeutic context might the 'establishment of tolerance' be a goal?
In what therapeutic context might the 'establishment of tolerance' be a goal?
What is a function of Immunogen-induced apoptosis of double-positive T cells?
What is a function of Immunogen-induced apoptosis of double-positive T cells?
What is meant by immunogen-induced anergy in absence of costimulation?
What is meant by immunogen-induced anergy in absence of costimulation?
What type of cells may be found to induce tolerance in mature immunogen reactive cells?
What type of cells may be found to induce tolerance in mature immunogen reactive cells?
What is the function of M cells in the gut induction of tolerance?
What is the function of M cells in the gut induction of tolerance?
Which of the following does not support Central Tolerance?
Which of the following does not support Central Tolerance?
Autoimmunity is not autoimmune disease? What does it mean?
Autoimmunity is not autoimmune disease? What does it mean?
Which of the following is a possible mechanism of autoimmune disease?
Which of the following is a possible mechanism of autoimmune disease?
Which statement is most accurate regarding general characteristics of autoimmune disease?
Which statement is most accurate regarding general characteristics of autoimmune disease?
What is a characteristic of multiple immune mechanisms in play? (Coombs and Gell classifications)
What is a characteristic of multiple immune mechanisms in play? (Coombs and Gell classifications)
Regarding autoimmune disease, what aspects of the adaptive immune response can it involve?
Regarding autoimmune disease, what aspects of the adaptive immune response can it involve?
What was discovered about Th17-cell and IFNy-mice regarding autoimmunity?
What was discovered about Th17-cell and IFNy-mice regarding autoimmunity?
Which of the following systems contain alloantigens?
Which of the following systems contain alloantigens?
Alloimmunity mainly occurs in clinical significance in what circumstances?
Alloimmunity mainly occurs in clinical significance in what circumstances?
In what situation is RhoGAM a standard treatment?
In what situation is RhoGAM a standard treatment?
What type of blood is more common to experience transfusion reactions?
What type of blood is more common to experience transfusion reactions?
Allograft rejection and Graft vs Host Disease both pertain to what?
Allograft rejection and Graft vs Host Disease both pertain to what?
Which is not a tissue that requires a perfect HLA complex match?
Which is not a tissue that requires a perfect HLA complex match?
Graft vs host disease is due to what mechanism?
Graft vs host disease is due to what mechanism?
How can one evaluate the general scope of allergy?
How can one evaluate the general scope of allergy?
There may be a change of allergenicity for all drugs derived from human origin. What is the main reason for this?
There may be a change of allergenicity for all drugs derived from human origin. What is the main reason for this?
Which of the following best describes how immunological deficiency disorders are typically defined?
Which of the following best describes how immunological deficiency disorders are typically defined?
In the context of immunology, what does 'tolerance' primarily refer to?
In the context of immunology, what does 'tolerance' primarily refer to?
Why is continued presence of an immunogen necessary for the maintenance of tolerance?
Why is continued presence of an immunogen necessary for the maintenance of tolerance?
Which cellular event is most critical for preventing autoimmunity during central tolerance?
Which cellular event is most critical for preventing autoimmunity during central tolerance?
Peripheral tolerance relies on immunogen-induced anergy. What is the absence of that leads to this?
Peripheral tolerance relies on immunogen-induced anergy. What is the absence of that leads to this?
How do regulatory T cells (Tregs) suppress autoimmune cell function?
How do regulatory T cells (Tregs) suppress autoimmune cell function?
What is the role of M cells in the context of tolerance induction within the gut?
What is the role of M cells in the context of tolerance induction within the gut?
How can high doses of intravenous aqueous proteins be used to induce tolerance?
How can high doses of intravenous aqueous proteins be used to induce tolerance?
Autoimmunity is NOT autoimmune disease. What would best describe the difference between these two?
Autoimmunity is NOT autoimmune disease. What would best describe the difference between these two?
A failure to delete an autoreactive clone by the thymus or bone marrow can lead to autoimmunity. Why?
A failure to delete an autoreactive clone by the thymus or bone marrow can lead to autoimmunity. Why?
In the context of autoimmunity, what role have Th17 cells been more recently found to play?
In the context of autoimmunity, what role have Th17 cells been more recently found to play?
Why is it difficult to create therapeutic principles for autoimmune diseases?
Why is it difficult to create therapeutic principles for autoimmune diseases?
According to Coombs and Gell Classifications, an autoimmune disease can involve any aspect of the adaptive immune response. Which of the two following responses would those be?
According to Coombs and Gell Classifications, an autoimmune disease can involve any aspect of the adaptive immune response. Which of the two following responses would those be?
What does the term 'alloantigen' refer to in the context of immunology?
What does the term 'alloantigen' refer to in the context of immunology?
What is the clinical significance of alloimmunity?
What is the clinical significance of alloimmunity?
What are the major alloantigen systems?
What are the major alloantigen systems?
Why are multiparous women known to have the greatest problems with alloimmunity
Why are multiparous women known to have the greatest problems with alloimmunity
Which of the following is NOT an indication for using blood and blood derivatives?
Which of the following is NOT an indication for using blood and blood derivatives?
What primarily mediates Acute Organ Rejection?
What primarily mediates Acute Organ Rejection?
For Cyclosporine A, what pathway is inhibited in order to cause immunosuppression
For Cyclosporine A, what pathway is inhibited in order to cause immunosuppression
Which is NOT a side effect of immunosuppressant Corticosteroids?
Which is NOT a side effect of immunosuppressant Corticosteroids?
In the context of allergy, what best describes 'sensitization'?
In the context of allergy, what best describes 'sensitization'?
According to the overview, what is an allergy?
According to the overview, what is an allergy?
How does an adverse effect Side Effect differ from Direct Toxicity?
How does an adverse effect Side Effect differ from Direct Toxicity?
In a Type I hypersensitivity reaction, which class of antibody primarily mediates the allergic response?
In a Type I hypersensitivity reaction, which class of antibody primarily mediates the allergic response?
Estimated to be 270,000 which cells cross linking with Anti-IgE antibody in a Type I hypersensitivity reaction?:
Estimated to be 270,000 which cells cross linking with Anti-IgE antibody in a Type I hypersensitivity reaction?:
What products are typically produced from mast cell degranulation?
What products are typically produced from mast cell degranulation?
A patient with a suspected parasitic infection is showing increased fluid secretion, and increased peristalsis. This indicates what kind of parasitic event and response?
A patient with a suspected parasitic infection is showing increased fluid secretion, and increased peristalsis. This indicates what kind of parasitic event and response?
A 30 year old is experiencing the effects of Leukotrienes C4, D4, and E4. Which is a symptom commonly expressed from these?
A 30 year old is experiencing the effects of Leukotrienes C4, D4, and E4. Which is a symptom commonly expressed from these?
In Antibody-Dependent Cell-Mediated Cytotoxicity (ADCC), which of the following immune cells is activated to induce cell lysis?
In Antibody-Dependent Cell-Mediated Cytotoxicity (ADCC), which of the following immune cells is activated to induce cell lysis?
Type II cytotoxic shocks mainly impact what tissues?
Type II cytotoxic shocks mainly impact what tissues?
Which describes the product of an Immune Effector in a Type III hypersensitivity?
Which describes the product of an Immune Effector in a Type III hypersensitivity?
What is a prototype lesion of Type III Hypersensitivity?
What is a prototype lesion of Type III Hypersensitivity?
Which cells are immune effectors in a Type IV hypersensitivity reaction?
Which cells are immune effectors in a Type IV hypersensitivity reaction?
How do CD8+ T cells lead to the shock effect in Type IV Hypersensitivity
How do CD8+ T cells lead to the shock effect in Type IV Hypersensitivity
Remember: the mechanism of damage for I, III, and IV involves:
Remember: the mechanism of damage for I, III, and IV involves:
Which hypersensitivity reaction type does NOT involve inflammation?
Which hypersensitivity reaction type does NOT involve inflammation?
An individual with a genetic predisposition experiences an infection that triggers an autoimmune response. Which mechanism is most likely to have initiated this autoimmunity?
An individual with a genetic predisposition experiences an infection that triggers an autoimmune response. Which mechanism is most likely to have initiated this autoimmunity?
A researcher discovers a novel protein that, when administered intravenously at high doses, induces immunological tolerance to a specific antigen. What cellular process is most likely mediating this tolerance?
A researcher discovers a novel protein that, when administered intravenously at high doses, induces immunological tolerance to a specific antigen. What cellular process is most likely mediating this tolerance?
In the context of oral tolerance, how do M cells contribute to immune homeostasis in the gut?
In the context of oral tolerance, how do M cells contribute to immune homeostasis in the gut?
Which scenario best exemplifies how abnormalities in lymphocyte interactions can result in the development of autoimmune diseases?
Which scenario best exemplifies how abnormalities in lymphocyte interactions can result in the development of autoimmune diseases?
According to the classification of immunologically-mediated diseases, what is the most important parameter to consider when determining if a disease is autoimmune in nature?
According to the classification of immunologically-mediated diseases, what is the most important parameter to consider when determining if a disease is autoimmune in nature?
A patient receiving a blood transfusion experiences a severe allergic reaction with systemic vasodilation and edema. Which alloantigen class is the most probable root of the problem in this case?
A patient receiving a blood transfusion experiences a severe allergic reaction with systemic vasodilation and edema. Which alloantigen class is the most probable root of the problem in this case?
A physician is determining the best treatment approach for an autoimmune disease, but minimizing immunogen exposure doesn't result in change. What is the most likely reason for this therapeutic failure?
A physician is determining the best treatment approach for an autoimmune disease, but minimizing immunogen exposure doesn't result in change. What is the most likely reason for this therapeutic failure?
Which of the following best describes a key difference between acute and chronic organ rejection?
Which of the following best describes a key difference between acute and chronic organ rejection?
A transplant patient is treated with cyclosporine A to prevent organ rejection. What is the primary molecular mechanism by which cyclosporine A exerts its immunosuppressive effects?
A transplant patient is treated with cyclosporine A to prevent organ rejection. What is the primary molecular mechanism by which cyclosporine A exerts its immunosuppressive effects?
How do corticosteroids work to reduce inflammation in conditions such as rheumatoid arthritis?
How do corticosteroids work to reduce inflammation in conditions such as rheumatoid arthritis?
In a Type I hypersensitivity reaction, cross-linking of IgE antibodies on mast cells by an allergen directly leads to:
In a Type I hypersensitivity reaction, cross-linking of IgE antibodies on mast cells by an allergen directly leads to:
A patient presents with allergic contact dermatitis after wearing jewelry containing nickel. Which cells are mainly responsible for this Type IV hypersensitivity reaction?
A patient presents with allergic contact dermatitis after wearing jewelry containing nickel. Which cells are mainly responsible for this Type IV hypersensitivity reaction?
What characteristic is exclusive in Type II hypersensitivity reactions?
What characteristic is exclusive in Type II hypersensitivity reactions?
Which immune response commonly promotes inflammatory response by macrophages?
Which immune response commonly promotes inflammatory response by macrophages?
What inflammatory mediator is impacted in a typical Th2 cell response?
What inflammatory mediator is impacted in a typical Th2 cell response?
Flashcards
Immunologically-mediated Disease
Immunologically-mediated Disease
Also known as immunopathology, involves immunological abnormalities.
Immunological Deficiency Disorders
Immunological Deficiency Disorders
Disorders where a part of the immune system is missing or not functioning correctly.
Autoimmune Disease
Autoimmune Disease
A disease where the body's immune system attacks its own cells or tissues.
Alloimmune Disease
Alloimmune Disease
Signup and view all the flashcards
Allergic Disease
Allergic Disease
Signup and view all the flashcards
Specificity
Specificity
Signup and view all the flashcards
Diversity-Heterogeneity
Diversity-Heterogeneity
Signup and view all the flashcards
Discrimination of self and foreign
Discrimination of self and foreign
Signup and view all the flashcards
Immunologic Memory
Immunologic Memory
Signup and view all the flashcards
Termination of the response
Termination of the response
Signup and view all the flashcards
Autoimmunity
Autoimmunity
Signup and view all the flashcards
Central Tolerance
Central Tolerance
Signup and view all the flashcards
Peripheral Tolerance
Peripheral Tolerance
Signup and view all the flashcards
Mechanisms of Tolerance
Mechanisms of Tolerance
Signup and view all the flashcards
Central Tolerance in T Cells
Central Tolerance in T Cells
Signup and view all the flashcards
Central Tolerance in B Cells
Central Tolerance in B Cells
Signup and view all the flashcards
Peripheral Tolerance Induction
Peripheral Tolerance Induction
Signup and view all the flashcards
Treg Cells
Treg Cells
Signup and view all the flashcards
HLA
HLA
Signup and view all the flashcards
Alloimmunity
Alloimmunity
Signup and view all the flashcards
Alloantigens
Alloantigens
Signup and view all the flashcards
Important Alloantigen Systems
Important Alloantigen Systems
Signup and view all the flashcards
Pregnancy: Alloimmunity
Pregnancy: Alloimmunity
Signup and view all the flashcards
Transfusion Reactions
Transfusion Reactions
Signup and view all the flashcards
Transplantation
Transplantation
Signup and view all the flashcards
Hyperacute
Hyperacute
Signup and view all the flashcards
Acute
Acute
Signup and view all the flashcards
Chronic Rejection
Chronic Rejection
Signup and view all the flashcards
Cyclosporine A
Cyclosporine A
Signup and view all the flashcards
Transplant rejection
Transplant rejection
Signup and view all the flashcards
Cytokines as a therapeutic target
Cytokines as a therapeutic target
Signup and view all the flashcards
Allergy definition
Allergy definition
Signup and view all the flashcards
Adverse Drug Review
Adverse Drug Review
Signup and view all the flashcards
IgE
IgE
Signup and view all the flashcards
Antibody-dependent cytotoxicity
Antibody-dependent cytotoxicity
Signup and view all the flashcards
Immune complex.
Immune complex.
Signup and view all the flashcards
TB skin test
TB skin test
Signup and view all the flashcards
IgE mediated
IgE mediated
Signup and view all the flashcards
Cytotoxic
Cytotoxic
Signup and view all the flashcards
Immune Complex
Immune Complex
Signup and view all the flashcards
Cell-mediated
Cell-mediated
Signup and view all the flashcards
Allergy
Allergy
Signup and view all the flashcards
Immunological Tolerance
Immunological Tolerance
Signup and view all the flashcards
Immunological Specificity
Immunological Specificity
Signup and view all the flashcards
Etiologic agent
Etiologic agent
Signup and view all the flashcards
Clinically Tolerant
Clinically Tolerant
Signup and view all the flashcards
Gut Process
Gut Process
Signup and view all the flashcards
Normal Alloimmunity
Normal Alloimmunity
Signup and view all the flashcards
Acute transplant
Acute transplant
Signup and view all the flashcards
Steroid location
Steroid location
Signup and view all the flashcards
Mast activation
Mast activation
Signup and view all the flashcards
Hypersensitivity Type I
Hypersensitivity Type I
Signup and view all the flashcards
Tolerance
Tolerance
Signup and view all the flashcards
Iatrogenic
Iatrogenic
Signup and view all the flashcards
Immunologically-mediated Disease Classification
Immunologically-mediated Disease Classification
Signup and view all the flashcards
Acute rejection
Acute rejection
Signup and view all the flashcards
Alloantigen Systems
Alloantigen Systems
Signup and view all the flashcards
Loss of Tolerance
Loss of Tolerance
Signup and view all the flashcards
Oral Tolerance
Oral Tolerance
Signup and view all the flashcards
Pregnancy:Alloimmunity Risk
Pregnancy:Alloimmunity Risk
Signup and view all the flashcards
Transplantation Success
Transplantation Success
Signup and view all the flashcards
Cytokines Adverse effects
Cytokines Adverse effects
Signup and view all the flashcards
Hypersensitivity
Hypersensitivity
Signup and view all the flashcards
Tissues mainly affected
Tissues mainly affected
Signup and view all the flashcards
Tissue affect in Tb test
Tissue affect in Tb test
Signup and view all the flashcards
Immunopathology
Immunopathology
Signup and view all the flashcards
Alloantigen recognition
Alloantigen recognition
Signup and view all the flashcards
Study Notes
Immunologically-Mediated Disease (Immunopathology)
- Objectives include describing immunological abnormalities.
- Summarizing basic immunological principles related to immunopathology.
- Comparing an ideal vs. an actual immune response.
- Listing the parameters for classifying immunologically-mediated disease
Immunological Abnormalities
- Immunological Deficiency Disorders, as discussed in Chapter 13, can be defined through knowledge of physiological function.
- Cancer, as detailed in Chapter 17, involves the immune system's role in preventing neoplastic growth; the host is often immunocompromised.
- Immunologically-mediated Disease distinguishes between self and non-self.
- Autoimmune Disease, expanded upon in Chapter 16, involves the immune system attacking the body's own tissues.
- Alloimmune Disease, discussed in Chapter 15, the immune system reacts against antigens from a genetically different individual of the same species.
- Allergic Disease, covered in Chapters 14, involves hypersensitivity reactions to otherwise harmless substances.
Fundamental Principles of Immunology
- Immunology shares specificity with immunopathology.
- Diversity or heterogeneity is shared across immunology and immunopathology
- Both involve discrimination of self from foreign elements.
- Both fields recognize immunologic memory.
- Both exhibit termination of the immune response
Comparison of Ideal vs Actual Immune Response
- An ideal immune response would be directed against harmful immunogens only.
- The ideal immune response would be completely effective, eradicating all harmful immunogens
- An ideal immune response offers complete protection without host tissue damage
- Actual immune responses can result in damage from the etiologic agent before immunity develops or due to deficiency
- Inflammatory or immune responses against the etiologic agent can cause damage.
- Autoimmunity, the immune response against self-antigens, can be detrimental.
- Iatrogenic responses, which are adverse reactions to therapy, can lead to damage
- Protective immunity and immunologically-mediated disease are often intertwined.
- A normal immune response can be similar to abnormal ones.
Immunologically-Mediated Disease Classification
- Classification by the antigen source includes autoimmune, alloimmune, and allergy.
- Classification by Mechanism, uses Coombs & Gell (1963) Types I-IV
- IgE-mediated
- Cytotoxic
- Immune Complex
- Cell Mediated
- Clinical classification involves a mixture of the above and considers organ systems.
Autoimmunity Objectives
- Objectives include summarizing tolerance.
- Identification of basic concepts of how tolerance is acquired from infancy to adulthood.
- Describe the two primary mechanisms of tolerance, central and peripheral
- A primary reason pharmacological treatment of autoimmunity is difficult should be described
- It should be identified what roles antibodies can play in autoimmunity
- Identify which T helper cell types(s) inhibit autoimmunity
Mechanisms of Tolerance
- Tolerance, as it relates to immunology, means preventing self-rejection.
- The immune system does not recognize self cells or products as foreign invaders
Mechanisms of Tolerance
- Tolerance is an acquired, active process, not inherited.
- Tolerance is most readily developed during fetal life.
- Tolerance requires the continued presence of the immunogen.
- Tolerance can be induced in adult animals under certain conditions.
- Establishing tolerance is a clinical goal in allergy therapy and establishment of allografts.
Mechanisms of Tolerance: Central
- Central tolerance involves immunogen-induced apoptosis of double-positive T cells.
- Central tolerance also includes immunogen-induced apoptosis of IgM-expressing B cells.
Mechanisms of Tolerance: Peripheral
- Peripheral Tolerance involves immunogen-induced anergy in the absence of co-stimulation.
Induction of Tolerance in Mature Immunogen Reactive Cells
- Specific suppressive cells exist for inducing tolerance.
- Regulatory T cells (Treg) are a distinct helper subset known to be antigen-specific.
- Tregs primarily produce immunosuppressive cytokines to inhibit autoimmune cell function.
- M2 macrophages and Nkreg cells also contribute to tolerance.
- TGFb and IL-10 contribute to the induction
Induction of Tolerance Clinically
- Oral tolerance to proteins involves regulatory T cells and CD103+ dendritic cells in the gut.
- High-dose tolerance can be induced with aqueous proteins administered systemically.
- Low-dose tolerance can be achieved with repeated, low doses administered systemically.
Induction of Tolerance: Gut
- M cells process antigens in the gut.
- Gut dendritic cells take up processed antigens.
- Antigen-loaded dendritic cells travel to mesenteric lymph nodes.
- Dendritic cells make IL-10, which prompts Treg development to induce tolerance.
Mechanisms of Immunological Self-Tolerance
- Negative selection of B cells occurs in the bone marrow.
- The thymus expresses tissue-specific proteins.
- Negative selection of T cells occurs in the thymus.
- Lymphatic exclusion isolates the brain, eye, and testis.
- Anergy can be induced in autoreactive B and T cells.
- Treg cell suppression of autoimmune responses is active.
Autoimmunity Overview
- Autoimmunity is an immune response to self-antigens, indicating a loss of tolerance.
- Autoimmunity does not equal autoimmune disease.
- Some level of autoimmunity occurs in everyone without disease.
- Anti-idiotypic antibodies are common in low levels.
- A major function for autoimmunity helps to destroy abnormal cells.
- Autoimmunity can be the cause or effect of disease and the source of inflammation and tissue damage.
Possible Mechanisms of Autoimmune Disease
- A loss of tolerance due to the failure to delete an autoreactive clone by the thymus or bone marrow.
- Breakdown of peripheral tolerance, such as checkpoint failure or Treg deficiency.
- Antigen-nonspecific lymphocyte activation, like superantigens, can trigger autoimmune disease.
- Molecular mimicry involving infectious immunogens cross-reacting with self-antigens.
- Abnormalities in lymphocyte interactions.
- Including imbalances in TH1, TH2, TH17, and Treg cells.
General Characteristics of Autoimmune Disease
- Autoimmune diseases are often idiopathic, except when drug-induced.
- Drug-induced is sometimes reversible but often slowly; viral infection is suspected
- Multi-factorial causes include sex, genetics, epigenetics, age, infection, immune system, and environment.
- Most HLA-associated diseases are autoimmune.
- Autoimmune diseases involve multiple immune mechanisms such as the Coombs and Gell classifications (1, 2, 3, 4).
- An inability to avoid immunogens with an unknown cause results in suboptimal therapy and poor prognosis.
- Autoimmunity can involve humoral and cell-mediated aspects of the adaptive immune response.
Th17 Cells and Autoimmunity
- An increased incidence of certain autoimmune diseases was found in IFNy deficient mice.
- Th17 cells are key in these responses, not Th1 cells as previously thought.
Alloimmunity
- Three main alloantigen systems are ABO, Rh, and HLA.
- Clinical significance manifests in 4 circumstances.
- The use of blood and blood derivatives has indications and hazards.
Alloimmunity Objectives
- Describe the term alloantigen.
- Describe two clinically relevant sources of alloantigens.
- Describe the most common pathologies associated with blood transfusions.
- List the three types of organ rejection.
- Describe the basic immune mechanism of hyper acute organ rejection.
- Describe the basic immune mechanism of acute organ rejection.
- Describe the basic immune mechanism of chronic organ rejection.
- Contrast graft vs host disease with organ rejection.
- Summarize in basic terms the mechanism of glucocorticoids.
- Summarize in basic terms the mechanism of CsA.
- List the two most common alloantigens associated with maternal/fetal disease.
- State the treatment for Rh factor associated maternal/fetal alloimmunity.
Alloimmunity Definitions
- Alloimmunity is a normal immune response to a foreign antigen.
- Foreign antigen comes from the same species and is known as alloantigen.
Alloantigens Definitions
- Alloantigens result from polymorphic gene systems.
- Synonyms: isoantigens and isoimmunity.
Alloantigen Systems of Clinical Significance
- ABO Blood Groups
- Many possess immunity to blood groups naturally.
- Rh Blood Types
- HLA Complex (MHC Complex)
- Minor Blood Group Systems (20+)
Clinical Significance of Alloimmunity: Pregnancy
- Pregnancy can lead to alloimmune disease of the newborn.
- The Rh system is a more significant risk than ABO and minor blood groups.
- Multiparous women face the greatest risks, though these are less common today.
- Alloimmune reactions can be easily treated if known incompatibility in pregnancy.
Clinical Significance of Alloimmunity: Pregnancy Treatment
- Rho(D) Immune Globulin Human is used for prophylaxis (RhoGAM).
Clinical Significance of Alloimmunity: Transfusion of Blood and Blood Derivatives
- Transfusion reactions can occur due to ABO, Rh, minor blood groups, and HLA incompatibilities
- Transfusions are needed due to chemotherapy, dialysis, surgery, etc.
- Epoetin and oprelvekin have reduced the need for transfusions.
- Multiply transfused patients have the biggest problems.
Blood and Blood Derivatives
- Products include whole blood, cells, and proteins.
- Indications include Replacement Therapy, Passive Immunization, Immunosuppression, Diagnostic Products.
- Hazards include Transfusion Reactions such as hemolytic and febrile reactions, and Infectious Disease.
Transplantation
- Transplantation is Allograft Rejection and Graft vs Host Disease
- Reactions can come from HLA Complex (Class I > Class II) ABO
- The kidney, Cornea, Liver, Heart, Lung, and Pancreas, commonly transplanted.
- Skin and Bone Marrow transplantion use Ideally autologous tissues
- Tolerance is hard to be established in allografts requiring long term immunosuppressive therapy like CSA, glucocorticoids.
Types of Organ Rejection
- Hyperacute rejection is initiated by pre-existing antibodies
- Acute rejection is T Cell mediated and the result of HLA differences
- Chronic rejection is caused by antibody-mediated interactions or decreased perfusion
Cyclosporine A
- An important immunosuppressant.
- Lacks secondary toxicities, ie. myelotoxicity
- It inhibits TCR signaling pathway leading to IL-2 expression (calcineurin).
- Inhibits T cell proliferation
- Does not kill T cells
- For signal transduction
- Zap70
- PLCγ
- PIP2, DAG, and IP3
- Ca++
Clinical Uses of Corticosteroids
- Systemic uses: rheumatoid arthritis, IBS, SLE, sarcoidosis, post-transplantation, CNS edema, Toxic shock which includes Cytokine storm
- Local uses: dermatitis, ophthalmological, asthma
Side Effects of Corticosteroids
- GC therapy resistance resulting in a disease that becomes "refractory"
- Impaired wound healing.
- Skin atrophy
- Muscle atrophy
- VAT accumulation ("cortisol belly")
- Infections
- HPTA insufficiency
- Cataracts
- Peptic ulcers
- Metabolic disorders
- Insulin resistance
- Hyperglycemia
- And more
Allergy Overview
- Allergy definition: Immunologically-mediated tissue damage
- An Environmental Antigen is an Allergen
- Sensitization is immunization in the context of allergy
- Hypersensitivity and Sensitivity synonyms has some confusing uses
- Symptoms are independent of allergen characteristics
- Allergy is a major group of diseases to environmental substances
- Allergy is a major group of adverse drug reactions
Allergy Objectives
- Objectives are to:
- Contrast in very basic terms allergy versus the normal immune response.
- Identify at least one allergen associated with each route of exposure.
- Describe and contrast the terms associated with adverse drug reactions including: Side Effect, Direct Toxicity, Idiosyncrasy, and Allergy.
- List the four Coombs and Gell classifications of hypersensitivity.
- Recognize the Types I-IV of the Coombs and Gell classifications with regard to Pathology, Cells involved, Immunological mediators involved, and Time course.
- Identify which Coombs and Gell class does not involve inflammation and why.Suggest basic therapy for each allergic response.
Adverse Drug Reactions: Side Effect
- Expected
- Pharmacological
- Usual dose and most patients
Adverse Drug Reactions: Direct Toxicity
- Expected
- Pharmacological
- Over dose, and most patients
Adverse Drug Reactions: Idiosyncrasy
- Unexpected
- Pharmacological
- Usual dose and few patients
Adverse Drug Reactions: Allergy (Hypersensitivity)
- Unexpected
- Immunological
- Usual dose
- Few patients
Mechanisms of Allergy
- Type I: IgE Mediated
- Allergen
- IgE Ab
- mast cell
- Histamine
- Leukotrienes etc
- Inflammation
- Type III: Immune Complex
-
- IgG Complement
- Anaphylatoxins
- Chemotactic Factors etc
- Inflammation
-
- Type IV: Cell Mediated
- T Cell
- Lymphokines
- Inflammation
Mechanisms of Allergy
- Cytotoxic
- Target Cell
- IgG or IgM
- Macrophage
- NK Cell, etc
- ADCC
- Cell death
Hypersensitivity Reactions
- Type 1 involves mast cells
- Type 2 involves B cells
- Type 3 involves B cells, infused mouse antibody
- Type IV involves T cells and DC cells
Type I: IgE-Mediated Allergy
- Synonyms: Immediate or Anaphylactic Hypersensitivity
- Immune Effectors: IgE
- Estimated to be 270,000 Fce receptors/(mast)cell
- Passively transferred IgE bound to mast cells for up to 6 weeks
- Activation of cell requires cross-linking IgE (polyvalent Ag) is required
- Activation may be prevented by, insufficient antibody
- Or antibody excess
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.