Podcast
Questions and Answers
Which cells are primarily involved in Antibody-Dependent Cellular Toxicity (ADCC)?
Which cells are primarily involved in Antibody-Dependent Cellular Toxicity (ADCC)?
What is a key mechanism by which Antibody-Dependent Cellular Toxicity operates?
What is a key mechanism by which Antibody-Dependent Cellular Toxicity operates?
What complication occurs when an Rh (-) mother carries an Rh (+) infant?
What complication occurs when an Rh (-) mother carries an Rh (+) infant?
In which condition does the mother develop IgG anti-Rh antibodies?
In which condition does the mother develop IgG anti-Rh antibodies?
Signup and view all the answers
Which of the following is a result of Antibody-Dependent Cellular Toxicity?
Which of the following is a result of Antibody-Dependent Cellular Toxicity?
Signup and view all the answers
What is a common clinical manifestation of Erythroblastosis Fetalis?
What is a common clinical manifestation of Erythroblastosis Fetalis?
Signup and view all the answers
Which disorder is characterized by the destruction of fetal red blood cells by maternal antibodies?
Which disorder is characterized by the destruction of fetal red blood cells by maternal antibodies?
Signup and view all the answers
Which of the following is NOT a condition associated with antibody-mediated cell destruction?
Which of the following is NOT a condition associated with antibody-mediated cell destruction?
Signup and view all the answers
What effect does the antibody have in conditions like Myasthenia Gravis?
What effect does the antibody have in conditions like Myasthenia Gravis?
Signup and view all the answers
What characterizes Grave’s disease?
What characterizes Grave’s disease?
Signup and view all the answers
What is an example of localized immune complex disease described in the content?
What is an example of localized immune complex disease described in the content?
Signup and view all the answers
What leads to the dermal inflammatory reaction associated with immune complex diseases?
What leads to the dermal inflammatory reaction associated with immune complex diseases?
Signup and view all the answers
What does Type III hypersensitivity primarily involve?
What does Type III hypersensitivity primarily involve?
Signup and view all the answers
How did the Arthus reaction come to be recognized?
How did the Arthus reaction come to be recognized?
Signup and view all the answers
What can happen with repeated injections of a foreign antigen in the context of immune complex diseases?
What can happen with repeated injections of a foreign antigen in the context of immune complex diseases?
Signup and view all the answers
What is the consequence of immune complexes not being removed promptly?
What is the consequence of immune complexes not being removed promptly?
Signup and view all the answers
What is a characteristic feature of immune complexes that leads to chronic inflammatory responses?
What is a characteristic feature of immune complexes that leads to chronic inflammatory responses?
Signup and view all the answers
What was a result of Nicholas Maurice Arthus's injections during his experiments?
What was a result of Nicholas Maurice Arthus's injections during his experiments?
Signup and view all the answers
What conditions should you expect 4-10 days after someone receives a foreign serum vaccine for diphtheria?
What conditions should you expect 4-10 days after someone receives a foreign serum vaccine for diphtheria?
Signup and view all the answers
How was serum sickness first recognized?
How was serum sickness first recognized?
Signup and view all the answers
What is the main factor that influences whether immune complex formation leads to tissue deposition and disease?
What is the main factor that influences whether immune complex formation leads to tissue deposition and disease?
Signup and view all the answers
What phase characterizes the immune complex formation in serum sickness?
What phase characterizes the immune complex formation in serum sickness?
Signup and view all the answers
Which of the following symptoms is associated with serum sickness?
Which of the following symptoms is associated with serum sickness?
Signup and view all the answers
What was the source of serum used in the early vaccinations for diphtheria that led to serum sickness?
What was the source of serum used in the early vaccinations for diphtheria that led to serum sickness?
Signup and view all the answers
What type of disease is serum sickness classified as?
What type of disease is serum sickness classified as?
Signup and view all the answers
Which symptom would least likely be associated with serum sickness?
Which symptom would least likely be associated with serum sickness?
Signup and view all the answers
What is the timeline for the presentation of symptoms after serum administration?
What is the timeline for the presentation of symptoms after serum administration?
Signup and view all the answers
What is NOT typically observed in individuals suffering from serum sickness?
What is NOT typically observed in individuals suffering from serum sickness?
Signup and view all the answers
What type of lymphocytes are primarily involved in recognizing protein antigens in multiple sclerosis?
What type of lymphocytes are primarily involved in recognizing protein antigens in multiple sclerosis?
Signup and view all the answers
Which antigen is specifically associated with myelin basic protein in the context of multiple sclerosis?
Which antigen is specifically associated with myelin basic protein in the context of multiple sclerosis?
Signup and view all the answers
Which mechanism is used by cytotoxic lymphocytes for directional delivery of cytotoxic components?
Which mechanism is used by cytotoxic lymphocytes for directional delivery of cytotoxic components?
Signup and view all the answers
What is the result of Fas-Fas ligand interaction in the context of T-cell activity?
What is the result of Fas-Fas ligand interaction in the context of T-cell activity?
Signup and view all the answers
Which inflammatory condition is linked with the presence of CD4+ T-cells?
Which inflammatory condition is linked with the presence of CD4+ T-cells?
Signup and view all the answers
What substances do neutrophils release in response to immune complexes?
What substances do neutrophils release in response to immune complexes?
Signup and view all the answers
What happens at the site of immune complex deposition during inflammation?
What happens at the site of immune complex deposition during inflammation?
Signup and view all the answers
Which clinical feature is NOT typically associated with systemic lupus erythematosus (SLE)?
Which clinical feature is NOT typically associated with systemic lupus erythematosus (SLE)?
Signup and view all the answers
In autoimmune conditions like SLE, antibodies are primarily formed against which of the following?
In autoimmune conditions like SLE, antibodies are primarily formed against which of the following?
Signup and view all the answers
Where do antigen-antibody complexes predominantly deposit in cases of SLE?
Where do antigen-antibody complexes predominantly deposit in cases of SLE?
Signup and view all the answers
What is one of the clinical symptoms indicating kidney involvement in SLE?
What is one of the clinical symptoms indicating kidney involvement in SLE?
Signup and view all the answers
During which phase of the immune response do clinical symptoms like fever and rashes manifest?
During which phase of the immune response do clinical symptoms like fever and rashes manifest?
Signup and view all the answers
What type of inflammation is primarily associated with the deposition of immune complexes?
What type of inflammation is primarily associated with the deposition of immune complexes?
Signup and view all the answers
Which condition is specifically mentioned as an example linked with immune complex deposition?
Which condition is specifically mentioned as an example linked with immune complex deposition?
Signup and view all the answers
Which symptom is specifically related to systemic lupus erythematosus rather than general inflammation?
Which symptom is specifically related to systemic lupus erythematosus rather than general inflammation?
Signup and view all the answers
What is the role of leukotrienes in the respiratory system?
What is the role of leukotrienes in the respiratory system?
Signup and view all the answers
Which of the following outcomes is directly related to the action of prostaglandin D2?
Which of the following outcomes is directly related to the action of prostaglandin D2?
Signup and view all the answers
What condition can result from increased vascular permeability during inflammatory responses?
What condition can result from increased vascular permeability during inflammatory responses?
Signup and view all the answers
What does class switching in B cells refer to?
What does class switching in B cells refer to?
Signup and view all the answers
What is one consequence of increased fluid leakage into the interstitium due to vasodilation?
What is one consequence of increased fluid leakage into the interstitium due to vasodilation?
Signup and view all the answers
Which of the following is NOT a typical action associated with leukotrienes in hypersensitivity reactions?
Which of the following is NOT a typical action associated with leukotrienes in hypersensitivity reactions?
Signup and view all the answers
What physiological effect results from the contraction of bronchial smooth muscles?
What physiological effect results from the contraction of bronchial smooth muscles?
Signup and view all the answers
What primary symptom may arise from the interaction of prostaglandin D2 in the context of respiratory reactions?
What primary symptom may arise from the interaction of prostaglandin D2 in the context of respiratory reactions?
Signup and view all the answers
What is the primary pathological effect of immune complex deposition in tissues?
What is the primary pathological effect of immune complex deposition in tissues?
Signup and view all the answers
In the context of serum sickness, what is the typical timeline for symptom onset after exposure to foreign serum?
In the context of serum sickness, what is the typical timeline for symptom onset after exposure to foreign serum?
Signup and view all the answers
Which of the following conditions is classified as a type of immune complex disease?
Which of the following conditions is classified as a type of immune complex disease?
Signup and view all the answers
What is primarily responsible for the inflammatory lesions seen in glomerulonephritis related to immune complex deposition?
What is primarily responsible for the inflammatory lesions seen in glomerulonephritis related to immune complex deposition?
Signup and view all the answers
Which of the following is NOT a common site for the deposition of immune complexes?
Which of the following is NOT a common site for the deposition of immune complexes?
Signup and view all the answers
What directs the production of IgE antibodies in Type I hypersensitivity reactions?
What directs the production of IgE antibodies in Type I hypersensitivity reactions?
Signup and view all the answers
Which process describes the coating of cells with antibodies to enhance phagocytosis?
Which process describes the coating of cells with antibodies to enhance phagocytosis?
Signup and view all the answers
What serves as potent opsonins generated during the classical pathway of complement activation?
What serves as potent opsonins generated during the classical pathway of complement activation?
Signup and view all the answers
Which clinical feature is NOT typically seen in Type I hypersensitivity reactions?
Which clinical feature is NOT typically seen in Type I hypersensitivity reactions?
Signup and view all the answers
What is the primary action of mast cell mediators during Type I hypersensitivity?
What is the primary action of mast cell mediators during Type I hypersensitivity?
Signup and view all the answers
What is the role of inflammatory cells in Type I hypersensitivity reactions?
What is the role of inflammatory cells in Type I hypersensitivity reactions?
Signup and view all the answers
What occurs during the late phase of Type I hypersensitivity reactions?
What occurs during the late phase of Type I hypersensitivity reactions?
Signup and view all the answers
How do phagocytes recognize opsonized cells?
How do phagocytes recognize opsonized cells?
Signup and view all the answers
What is a consequence of the release of mast cell mediators in Type I hypersensitivity?
What is a consequence of the release of mast cell mediators in Type I hypersensitivity?
Signup and view all the answers
What main type of antibody becomes elevated during Type I hypersensitive reactions?
What main type of antibody becomes elevated during Type I hypersensitive reactions?
Signup and view all the answers
What key feature distinguishes Antibody-Dependent Cellular Toxicity (ADCC) from phagocytosis?
What key feature distinguishes Antibody-Dependent Cellular Toxicity (ADCC) from phagocytosis?
Signup and view all the answers
Which disorder is characterized by Rh incompatibility between a mother and her fetus?
Which disorder is characterized by Rh incompatibility between a mother and her fetus?
Signup and view all the answers
What is the primary antibody involved in the hemolytic disease seen in Erythroblastosis Fetalis?
What is the primary antibody involved in the hemolytic disease seen in Erythroblastosis Fetalis?
Signup and view all the answers
What is a common clinical condition resulting from antibody-mediated cell destruction?
What is a common clinical condition resulting from antibody-mediated cell destruction?
Signup and view all the answers
What occurs to an Rh (+) fetus while in an Rh (-) mother's womb?
What occurs to an Rh (+) fetus while in an Rh (-) mother's womb?
Signup and view all the answers
Which cell type is least involved in the processes associated with Antibody-Dependent Cellular Toxicity?
Which cell type is least involved in the processes associated with Antibody-Dependent Cellular Toxicity?
Signup and view all the answers
What is the primary clinical manifestation of Goodpasture syndrome?
What is the primary clinical manifestation of Goodpasture syndrome?
Signup and view all the answers
How does Myasthenia Gravis affect cell function?
How does Myasthenia Gravis affect cell function?
Signup and view all the answers
What type of hypersensitivity reaction is primarily involved in Autoimmune Hemolytic Anemia?
What type of hypersensitivity reaction is primarily involved in Autoimmune Hemolytic Anemia?
Signup and view all the answers
Which of the following correctly describes the effect of antibodies in Grave’s disease?
Which of the following correctly describes the effect of antibodies in Grave’s disease?
Signup and view all the answers
In which condition does maternal IgG antibody crossing the placenta result in fetal complications?
In which condition does maternal IgG antibody crossing the placenta result in fetal complications?
Signup and view all the answers
What is a sequela of direct cell lysis by antibodies in conditions like AIHA?
What is a sequela of direct cell lysis by antibodies in conditions like AIHA?
Signup and view all the answers
What types of antibodies are primarily involved in Type II hypersensitivity reactions?
What types of antibodies are primarily involved in Type II hypersensitivity reactions?
Signup and view all the answers
What is characterized by the presence of antibodies against non-collagenous proteins in the basement membrane?
What is characterized by the presence of antibodies against non-collagenous proteins in the basement membrane?
Signup and view all the answers
What factor is critical for the effective operation of natural killer cells in ADCC?
What factor is critical for the effective operation of natural killer cells in ADCC?
Signup and view all the answers
Which organ systems are affected in Goodpasture syndrome as indicated by its mnemonic?
Which organ systems are affected in Goodpasture syndrome as indicated by its mnemonic?
Signup and view all the answers
In the context of autoimmune disorders, what is a common outcome of antigen-antibody interactions?
In the context of autoimmune disorders, what is a common outcome of antigen-antibody interactions?
Signup and view all the answers
What type of immune response is primarily associated with Type III hypersensitivity?
What type of immune response is primarily associated with Type III hypersensitivity?
Signup and view all the answers
Which condition involves both glomerulonephritis and pulmonary issues due to antibody-mediated mechanisms?
Which condition involves both glomerulonephritis and pulmonary issues due to antibody-mediated mechanisms?
Signup and view all the answers
What type of antibodies are primarily implicated in the pathophysiology of both Grave’s disease and Myasthenia Gravis?
What type of antibodies are primarily implicated in the pathophysiology of both Grave’s disease and Myasthenia Gravis?
Signup and view all the answers
Which type of hypersensitivity reaction is primarily IgE mediated?
Which type of hypersensitivity reaction is primarily IgE mediated?
Signup and view all the answers
What is a common mechanism involving Type II hypersensitivity reactions?
What is a common mechanism involving Type II hypersensitivity reactions?
Signup and view all the answers
Which of the following conditions is an example of Type IV hypersensitivity?
Which of the following conditions is an example of Type IV hypersensitivity?
Signup and view all the answers
What type of antibody is primarily involved in Type III hypersensitivity?
What type of antibody is primarily involved in Type III hypersensitivity?
Signup and view all the answers
Which immune cells are primarily involved in the cytotoxic process of Type IV hypersensitivity?
Which immune cells are primarily involved in the cytotoxic process of Type IV hypersensitivity?
Signup and view all the answers
What mechanism is commonly associated with the inflammatory response in Type II hypersensitivity?
What mechanism is commonly associated with the inflammatory response in Type II hypersensitivity?
Signup and view all the answers
In the context of hypersensitivity reactions, what does 'atopy' refer to?
In the context of hypersensitivity reactions, what does 'atopy' refer to?
Signup and view all the answers
What role does IgE play in allergic responses?
What role does IgE play in allergic responses?
Signup and view all the answers
Which condition exemplifies a Type II hypersensitivity reaction characterized by the destruction of red blood cells?
Which condition exemplifies a Type II hypersensitivity reaction characterized by the destruction of red blood cells?
Signup and view all the answers
Which of the following is primarily involved in the inflammation associated with immune complex diseases?
Which of the following is primarily involved in the inflammation associated with immune complex diseases?
Signup and view all the answers
Which mechanism is primarily involved in Goodpasture syndrome?
Which mechanism is primarily involved in Goodpasture syndrome?
Signup and view all the answers
Which disease is characterized by antibody-mediated stimulation of the TSH receptor?
Which disease is characterized by antibody-mediated stimulation of the TSH receptor?
Signup and view all the answers
What type of hypersensitivity is primarily involved in the tuberculin (PPD) reaction?
What type of hypersensitivity is primarily involved in the tuberculin (PPD) reaction?
Signup and view all the answers
What is a clinical manifestation associated with systemic lupus erythematosus (SLE)?
What is a clinical manifestation associated with systemic lupus erythematosus (SLE)?
Signup and view all the answers
Which target antigen is involved in myasthenia gravis?
Which target antigen is involved in myasthenia gravis?
Signup and view all the answers
Which disease is characterized by cytokine-mediated inflammation and chronic arthritis?
Which disease is characterized by cytokine-mediated inflammation and chronic arthritis?
Signup and view all the answers
In which condition is opsonization and phagocytosis of platelets a primary mechanism?
In which condition is opsonization and phagocytosis of platelets a primary mechanism?
Signup and view all the answers
What is the primary mechanism through which cytotoxic T lymphocytes (CTLs) cause injury in Type I Diabetes Mellitus?
What is the primary mechanism through which cytotoxic T lymphocytes (CTLs) cause injury in Type I Diabetes Mellitus?
Signup and view all the answers
In which condition does demyelination occur due to the attack of pathogenic T cells?
In which condition does demyelination occur due to the attack of pathogenic T cells?
Signup and view all the answers
Which type of hypersensitivity is systemic lupus erythematosus classified as?
Which type of hypersensitivity is systemic lupus erythematosus classified as?
Signup and view all the answers
What type of antigens are involved in the Arthus reaction?
What type of antigens are involved in the Arthus reaction?
Signup and view all the answers
Which of the following is a disease related to Type IV hypersensitivity that involves obstruction and chronic inflammation in the intestines?
Which of the following is a disease related to Type IV hypersensitivity that involves obstruction and chronic inflammation in the intestines?
Signup and view all the answers
What is primarily targeted in autoimmune hemolytic anemia?
What is primarily targeted in autoimmune hemolytic anemia?
Signup and view all the answers
What type of immune cells are primarily involved in the granulomatous reaction?
What type of immune cells are primarily involved in the granulomatous reaction?
Signup and view all the answers
Which disease involves nephritis due to streptococcal antigens?
Which disease involves nephritis due to streptococcal antigens?
Signup and view all the answers
What clinical manifestation is associated with the inflammatory response due to myelin basic protein in multiple sclerosis?
What clinical manifestation is associated with the inflammatory response due to myelin basic protein in multiple sclerosis?
Signup and view all the answers
Which of the following statements accurately describes the specificity of pathogenic T cells in Rheumatoid Arthritis?
Which of the following statements accurately describes the specificity of pathogenic T cells in Rheumatoid Arthritis?
Signup and view all the answers
What effect do antibodies have in myasthenia gravis?
What effect do antibodies have in myasthenia gravis?
Signup and view all the answers
Which outcome results from the T-cell mediated destruction of pancreatic beta cells in Type I Diabetes Mellitus?
Which outcome results from the T-cell mediated destruction of pancreatic beta cells in Type I Diabetes Mellitus?
Signup and view all the answers
What is a common feature shared by the mechanisms of Type IV hypersensitivity reactions?
What is a common feature shared by the mechanisms of Type IV hypersensitivity reactions?
Signup and view all the answers
Study Notes
Antibody-Dependent Cellular Toxicity (ADCC)
- IgG antibodies coat target cells, enabling destruction by natural killer cells and macrophages.
- Cell lysis can occur independently of phagocytosis.
Clinical Examples of Antibody-Mediated Destruction
- Erythroblastosis Fetalis: Occurs when an Rh-negative mother carries an Rh-positive infant, leading to maternal IgG anti-Rh antibodies crossing the placenta and destroying fetal red blood cells.
- Hemolytic Transfusion Reactions: Result from incompatible blood transfusions causing antibody-mediated destruction of red blood cells.
- Autoimmune Hemolytic Anemia (AIHA): Antibodies target and destroy the body's own red blood cells.
- Autoimmune Thrombocytopenic Purpura (AITP): Antibodies cause destruction of platelets.
Transfusion Reactions
- Jaundice in newborns is a sign of erythroblastosis fetalis linked to Rh incompatibility.
Type II Hypersensitivity
- Involves antibody-mediated reactions:
- Graves’ Disease: Excessive stimulation of the thyroid gland via antibodies against TSH receptors.
Type III Hypersensitivity: Immune Complex Diseases
-
Localized Immune Complex Disease:
- Arthus Reaction: Localized inflammation due to immune complexes from repeated exposure to foreign antigens, first described by Nicholas Maurice Arthus in 1903.
-
Serum Sickness:
- Prototype of systemic immune complex disease arising from foreign serum administration, first identified in 1906.
- Symptoms manifest 4-10 days post-exposure and include arthritis, skin rashes, fever, and lymphadenopathy.
Phases of Immune Complex Diseases
- Phase 1: Formation of immune complexes and their deposition in blood vessels lead to inflammation.
- Phase 2: Neutrophil activation results in the release of damaging substances at tissue sites.
- Phase 3: Tissue injury and clinical symptoms arise, including fever, rashes, joint pain, and proteinuria.
Examples of Systemic Immune Complex Diseases
- Systemic Lupus Erythematosus (SLE): Autoantibodies against double-stranded DNA and nuclear antigens lead to complex deposition in kidneys, skin, and joints.
Cytotoxic Lymphocyte Recognition of Antigens
- Cytotoxic T-Cells utilize pathways for antigen recognition involving perforins and granzymes, leading to cell death in infected or dysfunctional cells.
- Examples include multiple sclerosis and insulin-dependent diabetes, where myelin or pancreatic antigens are targeted by effector T-cells.
Hypersensitivity Reactions Overview
- Hypersensitivity reactions are classified into four types: Type I (IgE-mediated), Type II (antibody-mediated), Type III (immune complex-mediated), and Type IV (cell-mediated).
- Type I reactions involve allergen exposure leading to rapid immune response and can range from localized allergies to systemic anaphylaxis.
Key Mediators in Type I Hypersensitivity
-
Leukotrienes C4 and D4:
- Cause bronchial smooth muscle contraction and intense bronchospasm, resulting in difficulty breathing.
-
Prostaglandin D2:
- Induces vasodilation and increased mucus secretion, contributing to respiratory distress.
Pathophysiology of Type I Hypersensitivity
- Process initiated by induction of Th2 cells leading to B cell class switching for IgE production.
- Accumulation of eosinophils and mast cells results in inflammation, contributing to symptoms.
Antibody-Dependent Cellular Toxicity (ADCC)
- ADCC involves destruction of antibody-coated cells by effector cells, independent of phagocytosis.
- Primary effector cells include natural killer cells and macrophages.
Clinical Examples of Antibody-Mediated Conditions
- Hemolytic Transfusion Reactions: Immune response to mismatched blood transfusion.
- Autoimmune Hemolytic Anemia (AIHA): Destruction of red blood cells due to antibodies.
- Erythroblastosis Fetalis: IgG anti-Rh antibodies from an Rh(-) mother attack Rh(+) fetal blood cells, leading to anemia.
- Autoimmune Thrombocytopenic Purpura (AITP): Destruction of platelets due to antibodies.
Goodpasture Syndrome
- Characterized by diffuse pulmonary hemorrhages and rapidly progressive glomerulonephritis due to antibodies against basement membrane proteins.
- Presents with hemoptysis (coughing blood) and hematuria (blood in urine).
Autoimmunity: Grave’s Disease vs. Myasthenia Gravis
- Grave’s Disease: Antigen-antibody interaction leads to overstimulation of cell function and hyperactivity of thyroid function.
- Myasthenia Gravis: Antibodies inhibit neurotransmitter interaction, leading to muscle weakness.
Type II and Type III Hypersensitivity
- Type II hypersensitivity is mediated primarily by IgG and IgM, involving direct cell destruction.
- Type III hypersensitivity involves deposition of immune complexes in tissues, causing inflammation and tissue damage.
Clinical Implications of Immune Complex Deposition
- Common diseases associated include serum sickness, systemic lupus erythematosus (SLE), post-streptococcal glomerulonephritis, and farmer's lung.
- Deposited complexes activate the complement system, recruiting macrophages and neutrophils, leading to further tissue injury.
Type IV Hypersensitivity
- Characterized by delayed response mediated by T cells rather than antibodies, contributing to conditions like contact dermatitis and graft rejection.
Types of Hypersensitivity Reactions
- Type I: Immediate hypersensitivity, commonly known as allergy, mediated by IgE.
- Type II: Antibody-mediated hypersensitivity, involves IgG and IgM antibodies.
- Type III: Immune-complex mediated hypersensitivity; involves antigen-antibody complexes leading to disease effects.
- Type IV: T-cell mediated hypersensitivity, characterized by delayed-type responses.
Mediators and Mechanisms
- Type I hypersensitivity results in immediate release of vasoactive amines from mast cells upon IgE production.
- Type II hypersensitivity employs IgG and IgM to target specific cells, leading to opsonization, phagocytosis, complement activation, and inflammation.
- Type III involves the formation of antigen-antibody complexes that can lead to tissue deposition and inflammation.
- Type IV relies on T cells (CD4+ and CD8+) for cytokine-mediated inflammation and cytotoxicity.
Examples of Hypersensitivity Reactions
- Type I manifestations: Allergies, bronchial asthma, allergic rhinitis, anaphylaxis.
- Type II includes autoimmune hemolytic anemia, autoimmune thrombocytopenic purpura, hemolytic transfusion reactions, and conditions like Goodpasture syndrome and Graves disease.
- Type III examples: Systemic lupus erythematosus (SLE), poststreptococcal glomerulonephritis, acute glomerulonephritis, Arthus reaction, serum sickness.
- Type IV reactions include tuberculosis, responses to viral infections, transplant rejection, and autoimmune conditions like rheumatoid arthritis and multiple sclerosis.
Disease Mechanisms and Target Antigens in Type II Hypersensitivity
- Autoimmune hemolytic anemia targets RBC membrane proteins; leads to opsonization and phagocytosis.
- Autoimmune thrombocytopenic purpura targets platelet membrane proteins; similarly results in opsonization.
- Goodpasture syndrome involves antibodies against basement membrane proteins, leading to inflammation.
- Myasthenia gravis targets acetylcholine receptors, inhibiting function and receptor regulation.
- Graves disease involves TSH receptor stimulation by antibodies, causing hyperthyroidism.
Immune-Complex Mediated Diseases (Type III)
- Systemic lupus erythematosus (SLE) targets DNA and nucleoproteins, manifesting as nephritis and vasculitis.
- Poststreptococcal glomerulonephritis arises from streptococcal antigens causing kidney inflammation.
- Acute glomerulonephritis includes responses to bacterial and tumor antigens.
- Arthus reaction results from exposure to foreign proteins, causing cutaneous vasculitis.
- Serum sickness arises from various proteins leading to systemic manifestations like arthritis and nephritis.
T-Cell Mediated Conditions (Type IV)
- Tuberculin reaction: delayed hypersensitivity to tuberculin purified protein derivative (PPD).
- Granulomatous reactions result from chronic inflammatory responses.
- Transplant rejection is mediated by specific T cells recognizing foreign antigens.
- Rheumatoid arthritis involves cytokine-mediated destruction of articular cartilage by pathogenic T cells targeting collagen.
- Multiple sclerosis features demyelination within the CNS from T-cell-mediated inflammation targeting myelin proteins.
- Type I diabetes mellitus results from CD8+ T cell-mediated destruction of insulin-producing pancreatic beta cells, leading to chronic inflammation and diabetes progression.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz covers topics related to antibody-dependent cellular toxicity (ADCC) and clinical examples of antibody-mediated destruction. Key conditions such as erythroblastosis fetalis, hemolytic transfusion reactions, and autoimmune disorders are discussed. Test your understanding of these critical immunological concepts!