Immunology: Hypersensitivity Types
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Questions and Answers

Which type of hypersensitivity is characterized by IgE antibody production and occurs within minutes to hours of antigen exposure?

  • Type II hypersensitivity
  • Type III hypersensitivity
  • Type I hypersensitivity (correct)
  • Type IV hypersensitivity
  • What is the primary immune response mechanism involved in type II hypersensitivity?

  • Allergic reactions involving IgE
  • Cytotoxic reactions involving antibodies (correct)
  • Cell-mediated response
  • Immune-complex formation
  • Which of the following is NOT a characteristic of type IV hypersensitivity?

  • Cell-mediated immune response
  • Delayed response
  • Immediate reaction (correct)
  • Antibody-independent response
  • What occurs during the cross-linking of surface-bound IgE molecules?

    <p>Degranulation of mast cells or basophils</p> Signup and view all the answers

    What is the main consequence of prolonged or repeated exposure to antigens in hypersensitivity reactions?

    <p>Host tissue damage</p> Signup and view all the answers

    Which of the following classifications of hypersensitivity reactions primarily involves antigen-antibody reactions?

    <p>Type I, II, and III</p> Signup and view all the answers

    Which of the following mediators is released during type I hypersensitivity reactions?

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

    Which mechanism of immune response is associated with type III hypersensitivity?

    <p>Formation of immune complexes</p> Signup and view all the answers

    What is a primary characteristic of Type III hypersensitivity reactions?

    <p>Mediated by soluble immune complexes</p> Signup and view all the answers

    Which type of T cells primarily mediate Type IV hypersensitivity?

    <p>Cytotoxic T cells (CTLs)</p> Signup and view all the answers

    Which autoimmune condition is NOT mentioned as associated with antibody-mediated reactions?

    <p>Rheumatoid arthritis</p> Signup and view all the answers

    What causes damage in Type III hypersensitivity reactions?

    <p>Platelets and neutrophils</p> Signup and view all the answers

    What is a common diagnostic test for contact dermatitis?

    <p>Montoux test</p> Signup and view all the answers

    In Type IV hypersensitivity, what is the peak time for the tuberculin (Mantoux) reaction after antigen injection?

    <p>48 hours</p> Signup and view all the answers

    Which cytokine is NOT typically involved in delayed hypersensitivity?

    <p>IL-10</p> Signup and view all the answers

    In Type IV hypersensitivity, what is the main role of helper T (TH1) cells?

    <p>Secrete cytokines that amplify immune response</p> Signup and view all the answers

    Which statement correctly describes Type IV hypersensitivity?

    <p>It is a cell mediated or delayed type hypersensitivity.</p> Signup and view all the answers

    What is a relevant diagnostic test for Type III hypersensitivity?

    <p>Immunofluorescence microscopy of tissue biopsies</p> Signup and view all the answers

    What is the primary component found in delayed hypersensitivity lesions?

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

    Which type of immune complex is primarily involved in Type III hypersensitivity reactions?

    <p>IgG and IgM class immune complexes</p> Signup and view all the answers

    What does a total serum IgE test primarily indicate?

    <p>Allergic conditions</p> Signup and view all the answers

    What type of sensitizing events can trigger Type III hypersensitivity?

    <p>Non-organ specific autoimmunity</p> Signup and view all the answers

    Which type of hypersensitivity is involved in infections like tuberculosis and leprosy?

    <p>Type IV hypersensitivity</p> Signup and view all the answers

    Which method involves the measurement of specific IgE antibodies?

    <p>Radioallergosorbent test (RAST)</p> Signup and view all the answers

    What is required for antibody-dependent cell-mediated cytotoxicity (ADCC)?

    <p>Cooperation of leukocytes</p> Signup and view all the answers

    Which components are generated by complement when activated by IgM and IgG antibodies?

    <p>C3b and C4b</p> Signup and view all the answers

    What type of hypersensitivity reaction is exemplified by blood group antibodies?

    <p>Type II hypersensitivity</p> Signup and view all the answers

    Which mechanism leads to hemolytic anemia in the presence of anti-A or anti-B antibodies?

    <p>Complement activation causing lysis</p> Signup and view all the answers

    What do antibodies that bind to extracellular matrix proteins do?

    <p>Generate anaphylatoxins to recruit immune cells</p> Signup and view all the answers

    What is a possible outcome when antibodies bind to cell surface receptors?

    <p>Blocking of natural ligand interactions</p> Signup and view all the answers

    Which of the following best describes the action of IgG antibodies against erythrocytes?

    <p>They induce hemolysis through phagocytosis only.</p> Signup and view all the answers

    Which disease is characterized by a stimulatory effect on receptor signaling due to antibody binding?

    <p>Graves' disease</p> Signup and view all the answers

    What is the primary advantage of allergen-specific IgE testing over skin testing?

    <p>It poses fewer risks to children and anxious adults.</p> Signup and view all the answers

    What is considered the gold standard for testing contact dermatitis?

    <p>Patch testing</p> Signup and view all the answers

    Which statement best describes the oral food challenge?

    <p>It must be conducted in a controlled medical environment.</p> Signup and view all the answers

    What does MELISA test for?

    <p>Type IV hypersensitivity to metals and chemicals.</p> Signup and view all the answers

    What could cause false negatives in patch testing?

    <p>Inadequate contact with the skin.</p> Signup and view all the answers

    Which of the following substances is not typically associated with allergic reactions?

    <p>Household cleaners</p> Signup and view all the answers

    During an oral food challenge, how is the allergen administered?

    <p>In multiple doses that gradually increase.</p> Signup and view all the answers

    What percentage of the population is particularly affected by nickel allergies?

    <p>20%</p> Signup and view all the answers

    Which of the following is NOT a sign or symptom of penicillin allergy?

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

    What triggers penicillin allergy in the immune system?

    <p>First exposure to the drug</p> Signup and view all the answers

    What are the two mechanisms through which drug allergies can occur?

    <p>IgE mediated and non-IgE mediated</p> Signup and view all the answers

    Which type of insect reaction involves symptoms beyond the immediate area of the bite?

    <p>Systemic reaction</p> Signup and view all the answers

    What is a common sign of a large local reaction to an insect sting?

    <p>Swelling greater than 5 cm</p> Signup and view all the answers

    Which substance is NOT mentioned as a potential cause of contact dermatitis?

    <p>Bee venom</p> Signup and view all the answers

    What type of cells mediate reactions to substances like formaldehyde in contact dermatitis?

    <p>TH1 cells</p> Signup and view all the answers

    Which of the following insect bites typically causes itching rather than pain?

    <p>Mosquito bites</p> Signup and view all the answers

    Study Notes

    Hypersensitivity Reactions

    • Hypersensitivity refers to undesirable reactions produced by the normal immune system, including allergies and autoimmune conditions.
    • These reactions are often over-reactions, potentially causing damage, discomfort, or even death.
    • Hypersensitivity reactions require a pre-sensitized immune state in the host.

    Teaching Objectives

    • Understand the classification of hypersensitivity reactions
    • Identify diseases associated with hypersensitivity reactions
    • Understand the mechanisms of damage in hypersensitivity reactions
    • Learn methods for diagnosing conditions related to hypersensitivity

    Types of Hypersensitivity

    • Hypersensitivity reactions are originally categorized into immediate and delayed responses.
    • Four specific types of hypersensitivity have been identified: Type I, Type II, Type III, and Type IV.

    Type I Hypersensitivity

    • Also known as immediate hypersensitivity.
    • Occurs within minutes to hours after exposure.
    • Involves IgE antibodies reacting with mast cells and basophils.
    • Triggers lead to release of inflammatory mediators like histamine.
    • Examples include allergic rhinitis, asthma, and anaphylaxis.
    • Diagnosis: History taking to identify the allergen, Skin tests (intradermal injection of allergens), Measuring total serum IgE levels, and Specific IgE levels to various allergens (RAST)

    Type II Hypersensitivity

    • Also called cytotoxic hypersensitivity.
    • Primarily mediated by antibodies (IgM or IgG) that target cells for destruction.
    • Can affect multiple organs and tissues.
    • Examples include some autoimmune diseases (e.g., drug-induced hemolytic anemia, granulocytopenia, thrombocytopenia).
    • Antibodies interact with cell surface antigens, triggering complement activation, phagocytosis, or NK cell activity.
    • Laboratory tests include detection of circulating antibodies targeting tissues, and presence of antibody and complement in the lesion.

    Type III Hypersensitivity

    • Also known as immune complex-mediated hypersensitivity.
    • Involves immune complexes (antigen-antibody complexes), which deposit in tissues.
    • Activation of complement and inflammatory responses lead to tissue damage.
    • Examples include systemic lupus erythematosus, serum sickness, and some types of glomerulonephritis.
    • Diagnosis typically includes visualizing complex deposits in tissues using immunofluorescence microscopy, and measuring immune complex levels in serum.

    Type IV Hypersensitivity

    • Also known as cell-mediated or delayed hypersensitivity.
    • Involves T cells and macrophages, not antibodies.
    • Reaction time is typically minutes to days.
    • Examples include contact dermatitis (e.g. poison ivy), some autoimmune diseases, and transplant rejection.
    • Cell-mediated destruction or activation of macrophages by cytokines results in tissue damage.
    • Diagnosis includes skin tests(e.g., Mantoux test), observation of delayed cutaneous reaction.

    Clinical Conditions

    • Include transfusion reactions, Rh incompatibility, various autoimmune diseases, and graft rejection.

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    Description

    Test your knowledge on the different types of hypersensitivity reactions in immunology. This quiz covers key characteristics, immune response mechanisms, and associated conditions for types I through IV. Ideal for students and professionals looking to refresh their understanding of hypersensitivity.

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