Types of Immune Response - Hypersensitivities

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Questions and Answers

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?

  • 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?

  • IFN-γ (correct)
  • IL-22
  • TNF-α
  • IL-6

Which statement about CD8+ T cells is correct?

<p>They are responsible for stimulating apoptosis in virus-infected cells. (A)</p> Signup and view all the answers

Which reaction is NOT classified as a delayed hypersensitivity reaction?

<p>Cytotoxic response to a viral infection (A)</p> Signup and view all the answers

What is the role of Th17 cells in the immune response?

<p>They promote inflammatory reactions and recruit neutrophils. (C)</p> Signup and view all the answers

Which of the following conditions is associated with the destruction of pancreatic islet cells?

<p>Type-1 diabetes (D)</p> Signup and view all the answers

Which agent is specifically known to trigger allergic contact dermatitis?

<p>Poison ivy (C)</p> Signup and view all the answers

What type of hypersensitivity reaction is characterized by the formation of granulomas?

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

What typical response involves activation of macrophages and the production of IFN-γ in the context of intracellular pathogens?

<p>Delayed-type hypersensitivity (A)</p> Signup and view all the answers

What is the key difference between Type III and Type IV hypersensitivity reactions?

<p>Type III is antibody-mediated whereas Type IV is cell-mediated. (B)</p> Signup and view all the answers

Which immune response is characterized by the deposition of immune complexes in tissues?

<p>Type III hypersensitivity reaction. (D)</p> Signup and view all the answers

What is the typical timeframe for the onset of reactions in Type IV hypersensitivity?

<p>Onset 24-72 hours post-exposure. (A)</p> Signup and view all the answers

Which clinical condition is an example of a localized immune complex-mediated disease?

<p>Arthus reaction. (C)</p> Signup and view all the answers

What type of immune response involves T lymphocytes, macrophages, and cytokines?

<p>Type IV hypersensitivity. (D)</p> Signup and view all the answers

What is the main antibody type involved in systemic immune complex-mediated diseases?

<p>IgG. (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Type IV hypersensitivity?

<p>It involves antibody production. (D)</p> Signup and view all the answers

What leads to the tissue injury seen in Type III hypersensitivity?

<p>Immune complex deposition and subsequent inflammation. (C)</p> Signup and view all the answers

Which immune response mechanism may be involved in vaccine reactions or graft rejections?

<p>Type IV hypersensitivity. (B)</p> Signup and view all the answers

What is a major clinical manifestation of serum sickness?

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

Flashcards

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

A systemic, self-limited disease occurring after injection of foreign serum, characterized by fever, joint pain, vasculitis, and kidney inflammation.

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

A delayed immune response mediated by T lymphocytes, macrophages, and cytokines. It occurs 24 hours or more after contact with an antigen.

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Cell-mediated cytotoxicity

A type of Type IV hypersensitivity reaction where T lymphocytes directly destroy cells infected with a virus or tumor cells.

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Granuloma

A localized collection of immune cells, primarily macrophages, forming a lump of tissue. It is a common feature of Type IV hypersensitivity.

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Graft Rejection

A complex process in which the immune system recognizes and attacks a transplanted organ, often resulting in organ rejection.

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Immune-mediated cell destruction

The destruction of cells by the immune system, usually involving T lymphocytes and macrophages.

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Delayed Hypersensitivity

A response involving the activation of T lymphocytes, macrophages, and the release of cytokines, contributing to immune-mediated inflammation and tissue damage.

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Dendritic Cells

Specialized cells that present antigens to T lymphocytes, initiating an immune response.

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Cell-Mediated Cytotoxic Reaction

A type of immune response where CD8+ cytotoxic T cells recognize and kill antigen-presenting cells, such as virus-infected cells or cancer cells.

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Tuberculin Reaction (Mantoux Test)

A diagnostic skin test for tuberculosis infection, where a purified mycobacterial antigen is injected into the skin. A positive reaction (redness and swelling) indicates prior exposure to Mycobacterium tuberculosis.

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Delayed Hypersensitivity to Fungi

A type of delayed hypersensitivity reaction that occurs when the immune system reacts to fungal infections. This is triggered by activated Th17 cells releasing cytokines like IL-17 and IL-22, which recruit neutrophils and monocytes.

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Allergic Contact Dermatitis

A delayed hypersensitivity reaction triggered by contact with specific allergens like poison ivy. This reaction involves the immune system targeting and attacking these allergens, causing a delayed skin rash or irritation.

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Type 1 Diabetes

An autoimmune disease where the immune system mistakenly attacks pancreatic beta cells, leading to reduced insulin production and eventually type 1 diabetes.

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Graft-versus-Host Disease

A complication that can occur after organ transplantation, where the donor's immune cells attack the recipient's tissues. This often results in tissue damage and organ rejection.

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Cytotoxic Reaction Against Virus-Infected or Malignant Cells

A type of immune response that involves the destruction of virus-infected cells or cancer cells by CD8+ cytotoxic T cells. This helps eliminate the infected or cancerous cells and prevents disease progression.

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Chronic Transplant Rejection

A long-term process where the transplanted organ is gradually rejected by the recipient's immune system, leading to loss of organ function and eventual failure. It involves a complex interplay of factors, including the immune system, the transplanted tissue, and how the recipient's body reacts to foreign cells.

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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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