Hypersensitivity

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Questions and Answers

Define hypersensitivity

  • A normal immune reaction to an antigen
  • An increased immune reaction to an antigen that causes tissue damage (correct)
  • A genetic inability to react to antigens
  • An immune response limited to bacterial infections

How are hypersensitivities classified?

  • Based on antigen size
  • By the pathogen involved in the immune response
  • By the Gell and Coombs classification: Types I, II, III and IV (correct)
  • By the location of the immune response

What is atopy?

  • Excessive IgG production
  • Failure of B cells to produce antibodies
  • A normal reaction to an allergen
  • Excessive production of IgE caused by TH2 immunity (correct)

Which cytokine profile is responsible for the generation of atopy?

<p>IL-4 and IL-13 from TH2 cells (A)</p> Signup and view all the answers

Which T cells are activated to produce atopy?

<p>TH2 cells (D)</p> Signup and view all the answers

What is the phenotype of helper T cells involved in hypersensitivity type I?

<p>TH2 cells producing IL-4 and IL-13 (B)</p> Signup and view all the answers

Explain the events occurring in the sensitization phase of hypersensitivity I

<p>Antigens are presented by APCs to CD4+ T cells, leading to the TH2 differentiation and IgE production by B cells (C)</p> Signup and view all the answers

Which immunoglobulins is produced in large amounts in the sensitization phase of hypersensitivity?

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

Compare the levels of immunoglobulin E in serum and tissues

<p>IgE is low in serum but high in tissues bound to mast cells and basophils (D)</p> Signup and view all the answers

Where in tissues is IgE located?

<p>Bound to Fc receptors on mast cells and basophils (A)</p> Signup and view all the answers

What is the half-life of IgE on mast cells?

<p>Weeks to months (A)</p> Signup and view all the answers

Which Fc receptors are used for binding IgE to mast cells?

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

Besides IgE, which other isotype of immunoglobulins can mediate a hypersensitivity 1 reaction in dogs?

<p>IgG (specifically IgG4) (B)</p> Signup and view all the answers

How many IgE molecules should be cross linked for degranulation of mast cells to occur?

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

What molecules are released during degranulation of mast cells?

<p>Histamine, prostaglandins, leukotrines and cytokines (C)</p> Signup and view all the answers

How is IgE production regulated in hypersensitivity type 1?

<p>Through IL-4 and IL-13 production by TH2 cells and CD40 co-stimulation (B)</p> Signup and view all the answers

In which phase of hypersensitivity type I does the allergic reaction occur?

<p>Hypersensitivity reaction phase (upon re-encounter with the allergen) (D)</p> Signup and view all the answers

Apart from mast cells, which other cells can degranulation during a hypersensitivity type I reaction, thus contributing to the clinical presentation?

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

What role does histamine play in an allergic reaction?

<p>Acts as a vasodilator and increases vascular permeability, causing symptoms like itching and swelling (C)</p> Signup and view all the answers

Why are allergies sometimes managed with administration of antihistamines?

<p>To inhibit histamines effects on tissues, reducing symptoms like itching and swelling (A)</p> Signup and view all the answers

Why would you recommend a corticosteroid to manage some allergies?

<p>To suppress the immune response and reduce inflammation caused by hypersensitivity (C)</p> Signup and view all the answers

Do memory responses exist in hypersensitivity type I?

<p>Yes, memory B and T cells are involved, contributing to faster responses upon re-exposure (B)</p> Signup and view all the answers

What is anaphylaxis?

<p>A generalized, potentially life-threatening allergic reaction involving multiple systems (D)</p> Signup and view all the answers

What events can lead to anaphylaxis?

<p>Large does of antigens entering the body rapidly, often intravenously (D)</p> Signup and view all the answers

What is the anaphylactic shock organ in dogs?

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

Outline the symptoms of anaphylaxis in animals

<p>Difficulty breathing, collapse, vomiting, diarrhea and swelling of tissues</p> Signup and view all the answers

How can allergic reactions to own milk develop in cattle?

<p>By absorption of milk proteins like alpha-casein into the blood stream due to inadequate milking (C)</p> Signup and view all the answers

A dog owner claims their pet Fido developed an allergic reaction after drinking decaf coffee for a week. Do you agree? Why or why not?

<p>No, allergic reactions typically require prior sensitization, and the symptoms might be due to food intolerance or another cause (B)</p> Signup and view all the answers

What is the difference between a food allergy and food intolerance?

<p>Food allergies are immunological reactions, while food intolerance results from toxic effects of food metabolites (A)</p> Signup and view all the answers

Describe a diagnostic test you could perform to determine the allergen causing the allergy

<p>Conduct intradermal skin testing with diluted allergen solutions (A)</p> Signup and view all the answers

If an animal is being treated for skin allergies with immune suppressants and anti-vascular permeability medicines, what precautions would you take to ensure that your allergy skin test works well?

<p>Discontinue immune suppressants and anti-vascular permeability medicines before testing (D)</p> Signup and view all the answers

If you were considering serology for allergy diagnosis, which immunoglobulin would you target?

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

What’s the best medicine that can completely cure an allergy?

<p>Avoidance of the allergen (D)</p> Signup and view all the answers

What’s the principle behind the desensitization approach to managing allergies ?

<p>Gradually increasing allergen exposure to reduce IgE levels and increase IgG production (B)</p> Signup and view all the answers

What’s the mechanism of hypersensitivity type II?

<p>IgG and IgM antibodies bind to antigens on cell surfaces, leading to cell destruction via complement, ADCC, or phagocytosis (C)</p> Signup and view all the answers

Which immunoglobulins play an important role in Type II hypersensitivity?

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

Describe three ways tissue destruction can occur during type II hypersensitivity

<p>Complement activation, ADCC by NK cells, and phagocytosis by macrophages</p> Signup and view all the answers

How does the hemolytic disease of the newborn (HDN) develop in horses?

<p>When maternal antibodies against fetal RBCs are transferred to the foal through colostrum (A)</p> Signup and view all the answers

What conditions must be met for HDN to occur in a newborn foal?

<p>The fetus must inherit antigens not present in the mother, the mother must be sensitized to these antigens and the foal must ingest colostrum containing anti-RBC antibodies (B)</p> Signup and view all the answers

A horse is treated with trimethoprim for a respiratory infection. Four weeks later, it develops a bleeding condition with anemia. Diagnostic tests reveal high levels of antibodies against platelets and RBC. What this the likely cause and mechanism?

<p>Drug-induced type II hypersensitivity, where the drug modifies RBC and platelet surfaces, triggering antibody-mediated destruction (B)</p> Signup and view all the answers

Do you know any infections that can lead to a hypersensitivity type II reaction?

<p>Streptococcus spp, infectious anemia virus, Aleutian disease virus, Rickettsia, Trypanosomes</p> Signup and view all the answers

In dogs and horses, how does rheumatic heart disease develop after infection with streptococcus spp?

<p>Through cross-reactivity where antibodies against Streptococcus spp antigens attack heart tissue antigens, leading to chronic inflammation and damage (C)</p> Signup and view all the answers

When too many antigen-antibody (Ag/Ab) complexes accumulate in the body, what inflammatory condition results?

<p>Type III hypersensitivity, leading to tissue damage from immune complex deposition (B)</p> Signup and view all the answers

Give examples of diseases associated with hypersensitivity type III

<p>Immune complex glomerulonephritis, Rheumatoid arthritis, serum sickness, subacute bacterial endocarditis, symptoms of malaria, systemic lupus erythematosus and Arthus reaction</p> Signup and view all the answers

Which immunoglobulins are responsible for hypersensitivity type III?

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

Depending on the lactation of Ag/Ab complex deposition, what two types of hypersensitivity type III can be differentiated?

<p>Localized (antibody excess) and generalized (antigen excess) (A)</p> Signup and view all the answers

What type of lesions would you expect to see in the skin with local reaction of a hypersensitivity type III?

<p>Redness, edema, bleeding, and thrombosis at the injection site (B)</p> Signup and view all the answers

What is the phenomenon : Arthus reaction?

<p>A localized, painful, swollen area that occurs under the skin after an injection</p> Signup and view all the answers

What can be the cause of “blue eye” in dogs?

<p>Deposition of immune complexes in the cornea following infections with canine adenovirus type 1 or vaccination with live adenovirus vaccine (B)</p> Signup and view all the answers

What is serum sickness ?

<p>A type III hypersensitivity resulting from antibodies against serum proteins introduced intravenously (B)</p> Signup and view all the answers

What important disease is associated with serum sickness?

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

What type of hypersensitivity is purpura hemorrhagica?

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

Is it possible for dietary hypersensitivity type III to develop? How does it develop?

<p>Yes, it develops when food proteins are absorbed into the bloodstream and form immune complexes, causing tissue damage (D)</p> Signup and view all the answers

What’s the hallmark of Type IV hypersensitivity?

<p>T-cell mediated delayed inflammation, typically occurring in 48-72 hours after antigen exposures (C)</p> Signup and view all the answers

What is delayed type hypersensitivity (DTH)?

<p>A hypersensitivity reaction mediated by T cells and macrophages occurring 24-72 hours after exposure (A)</p> Signup and view all the answers

How long does it take for hypersensitivity type IV to develop?

<p>24-72 hours (C)</p> Signup and view all the answers

What is tuberculin used for in animal and human diagnostics?

<p>As a skin test to diagnose tuberculosis via a type IV hypersensitivity reaction (B)</p> Signup and view all the answers

Contact hypersensitivity is important in dogs. Mention the possible causes of this condition

<p>Chemicals such as formaldehyde, dyes, flea collars, and shampoos acting as haptens (B)</p> Signup and view all the answers

Flashcards

Hypersensitivity

An exaggerated immune response to an antigen, causing tissue damage.

Gell and Coombs classification

A way to categorize hypersensitivity reactions into types I, II, III, and IV.

Atopy

A tendency to develop allergic reactions, driven by an excessive production of IgE.

TH2 cells

A type of helper T cell that produces cytokines like IL-4 and IL-13, causing atopy.

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Type I hypersensitivity

An immediate hypersensitivity reaction mediated by IgE antibodies.

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Sensitization phase

First phase of Type I hypersensitivity where IgE is produced.

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IgE

An immunoglobulin primarily involved in Type I hypersensitivity, binding to mast cells.

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FcεRI

Fc receptor on mast cells and basophils, crucial for binding IgE.

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Mast cell degranulation

Release of histamine, prostaglandins, leukotrienes, and cytokines by mast cells.

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Anaphylaxis

A severe, life-threatening systemic allergic reaction.

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Histamine

A molecule released during degranulation, causing vasodilation and increased permeability.

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Antihistamines

Medications that block histamine's effects, reducing allergic symptoms.

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Type II hypersensitivity

Cytotoxic reaction where antibodies target cells for destruction.

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Hemolytic disease of the newborn (HDN)

Fetal destruction caused by maternal antibodies to fetal antigens.

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Type III hypersensitivity

Immune complex-mediated reaction, causing inflammation from Ag-Ab complex deposition.

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Serum sickness

Type III hypersensitivity caused by antibodies against injected serum proteins.

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Arthus reaction

Localized, severe inflammatory reaction at the site of injection.

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Food allergy

Immunological reactions to food components.

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Food intolerance

Non-immunological adverse effects to food components.

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Skin testing

Diagnostic test to identify allergens.

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Serology

Testing for the presence of antibodies in blood.

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Desensitization

Allergy treatment by gradually increasing allergen exposure to reduce allergic responses.

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Memory response

Faster immune response upon re-exposure to an allergen.

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