Podcast
Questions and Answers
What is the primary role of CD4+ T-helper cells in the context of delayed hypersensitivity reactions?
What is the primary role of CD4+ T-helper cells in the context of delayed hypersensitivity reactions?
- Activating B cells to produce antibodies
- Enhancing the immediate hypersensitivity response
- Releasing inflammatory mediators to activate macrophages (correct)
- Mediating apoptosis in infected cells
What characterizes the tuberculin reaction observed in the Mantoux test?
What characterizes the tuberculin reaction observed in the Mantoux test?
- It occurs immediately after antigen exposure
- It involves activation of CD8+ T cells
- It is a type of autoimmune reaction against self-antigens
- It generates a detectable reaction within 24 to 48 hours (correct)
Which cytokine is primarily associated with the activation of macrophages in granuloma formation?
Which cytokine is primarily associated with the activation of macrophages in granuloma formation?
- IFN-γ (correct)
- IL-22
- TNF-α
- IL-6
Which statement about CD8+ T cells is correct?
Which statement about CD8+ T cells is correct?
Which reaction is NOT classified as a delayed hypersensitivity reaction?
Which reaction is NOT classified as a delayed hypersensitivity reaction?
What is the role of Th17 cells in the immune response?
What is the role of Th17 cells in the immune response?
Which of the following conditions is associated with the destruction of pancreatic islet cells?
Which of the following conditions is associated with the destruction of pancreatic islet cells?
Which agent is specifically known to trigger allergic contact dermatitis?
Which agent is specifically known to trigger allergic contact dermatitis?
What type of hypersensitivity reaction is characterized by the formation of granulomas?
What type of hypersensitivity reaction is characterized by the formation of granulomas?
What typical response involves activation of macrophages and the production of IFN-γ in the context of intracellular pathogens?
What typical response involves activation of macrophages and the production of IFN-γ in the context of intracellular pathogens?
What is the key difference between Type III and Type IV hypersensitivity reactions?
What is the key difference between Type III and Type IV hypersensitivity reactions?
Which immune response is characterized by the deposition of immune complexes in tissues?
Which immune response is characterized by the deposition of immune complexes in tissues?
What is the typical timeframe for the onset of reactions in Type IV hypersensitivity?
What is the typical timeframe for the onset of reactions in Type IV hypersensitivity?
Which clinical condition is an example of a localized immune complex-mediated disease?
Which clinical condition is an example of a localized immune complex-mediated disease?
What type of immune response involves T lymphocytes, macrophages, and cytokines?
What type of immune response involves T lymphocytes, macrophages, and cytokines?
What is the main antibody type involved in systemic immune complex-mediated diseases?
What is the main antibody type involved in systemic immune complex-mediated diseases?
Which of the following is NOT a characteristic of Type IV hypersensitivity?
Which of the following is NOT a characteristic of Type IV hypersensitivity?
What leads to the tissue injury seen in Type III hypersensitivity?
What leads to the tissue injury seen in Type III hypersensitivity?
Which immune response mechanism may be involved in vaccine reactions or graft rejections?
Which immune response mechanism may be involved in vaccine reactions or graft rejections?
What is a major clinical manifestation of serum sickness?
What is a major clinical manifestation of serum sickness?
Flashcards
Type III Hypersensitivity
Type III Hypersensitivity
An immune response involving antibodies (IgG and IgM) binding to soluble antigens forming immune complexes. These complexes deposit in blood vessels, triggering complement activation and inflammation, leading to tissue damage.
Serum Sickness
Serum Sickness
A systemic, self-limited disease occurring after injection of foreign serum, characterized by fever, joint pain, vasculitis, and kidney inflammation.
Arthus Reaction
Arthus Reaction
A localized immune reaction in the skin caused by an antigen injection in a sensitized individual. It involves inflammation and tissue death.
Type IV Hypersensitivity
Type IV Hypersensitivity
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Cell-mediated cytotoxicity
Cell-mediated cytotoxicity
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Granuloma
Granuloma
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Graft Rejection
Graft Rejection
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Immune-mediated cell destruction
Immune-mediated cell destruction
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Delayed Hypersensitivity
Delayed Hypersensitivity
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Dendritic Cells
Dendritic Cells
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Cell-Mediated Cytotoxic Reaction
Cell-Mediated Cytotoxic Reaction
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Tuberculin Reaction (Mantoux Test)
Tuberculin Reaction (Mantoux Test)
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Delayed Hypersensitivity to Fungi
Delayed Hypersensitivity to Fungi
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Allergic Contact Dermatitis
Allergic Contact Dermatitis
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Type 1 Diabetes
Type 1 Diabetes
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Graft-versus-Host Disease
Graft-versus-Host Disease
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Cytotoxic Reaction Against Virus-Infected or Malignant Cells
Cytotoxic Reaction Against Virus-Infected or Malignant Cells
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Chronic Transplant Rejection
Chronic Transplant Rejection
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Study Notes
Types of Immune Response
- Hypersensitivity reactions, types III and IV, are discussed.
- Students will be able to distinguish the pathogenesis of these reactions and apply them to clinical conditions.
- This includes autoimmune disease, granuloma, virus-infected cells and tumor cells, and graft rejection.
Type III Hypersensitivity
- Mediated by IgG and IgM antibodies against soluble antigens, exogenous or endogenous.
- Reaction time is 3-8 hours after antigen exposure.
- Reaction can be localized or systemic.
- Antigen binds to antibody, forming immune complexes.
- Circulating complexes deposit in postcapillary venules.
- Complement fixation leads to leukocyte recruitment.
- Inflammatory reaction, necrotizing vasculitis, and tissue injury occur.
- Clinical example: Systemic immune complex-mediated disease (e.g., serum sickness), which follows foreign serum injection and causes symptoms like fever and vasculitis.
- Clinical example: Localized immune complex-mediated diseases (e.g., Arthus reaction), a localized immune reaction in the skin after antigen injection in sensitized individuals.
Type IV Hypersensitivity
- Also known as cell-mediated or delayed-type hypersensitivity.
- T lymphocyte-mediated destruction of cells.
- Reaction time is 24-48 hours after contact with an antigen.
- CD4+ T-helper cells, and the release of inflammatory mediators (e.g., IFN-γ) cause problems.
- Clinical example: Tuberculin reaction (Mantoux test): Mycobacterial antigen injection elicits a detectable skin reaction within 24-48 hours.
- Clinical example: Granuloma formation: against non-degradable antigens like mycobacteria in tuberculosis.
- Clinical example: Reaction to fungal infections by Th17 cells
- Clinical example: Allergic contact dermatitis, due to reaction against poison ivy).
CD8+ Cell-mediated Cytotoxic Reaction
- Mediated by CD8+ T cells.
- Activated cytotoxic cells induce apoptosis in antigen-bearing cells.
- Examples: Cytotoxic reactions against virus-infected and malignant cells
- Type-1 diabetes: Pancreatic islet cell destruction and resulting insulin deficiency.
- Examples: Graft-versus-host disease, and chronic transplant rejection.
- Examples: Drug reactions, tattoo, black henna, nickel and bracelet allergies.
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