Types of Immune Response
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Questions and Answers

What is the role of antibodies in Type III hypersensitivity reactions?

  • They form immune complexes with soluble antigens. (correct)
  • They mediate reactions through Ig E against soluble antigens.
  • They actively destroy infected cells.
  • They enhance the production of cytokines.

Which feature distinguishes Type IV hypersensitivity from the other types?

  • It results in systemic inflammatory reactions.
  • It occurs immediately after exposure to the antigen.
  • It involves T lymphocytes and is delayed in response. (correct)
  • It is mediated by antibodies.

What is a clinical example of a systemic immune complex-mediated disease?

  • Granuloma formation
  • Contact dermatitis
  • Anaphylaxis
  • Serum sickness (correct)

What is the primary mechanism that leads to tissue injury in Type III hypersensitivity reactions?

<p>Leukocyte recruitment due to immune complex deposition. (A)</p> Signup and view all the answers

What is a characteristic of the Arthus reaction?

<p>It is a localized immune reaction in sensitized individuals. (D)</p> Signup and view all the answers

How long does it typically take for Type IV hypersensitivity reactions to occur after antigen exposure?

<p>24 hours after exposure, peaking at 2-3 days. (A)</p> Signup and view all the answers

What is primarily involved in the pathogenesis of Type IV hypersensitivity reactions?

<p>T lymphocytes and antigen-presenting cells like macrophages. (C)</p> Signup and view all the answers

Which condition is typically associated with localized immune complex-mediated disease?

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

Which aspect is incorrectly associated with Type III hypersensitivity?

<p>Responses occur instantaneously. (A)</p> Signup and view all the answers

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

<p>Immediate allergic response. (B)</p> Signup and view all the answers

What is the mechanism by which CD4+ T-helper cells contribute to granuloma formation?

<p>Production of inflammatory cytokines such as IFN-γ (D)</p> Signup and view all the answers

Which type of hypersensitivity reaction is characterized by a delayed response and is mediated by CD4+ T-helper cells?

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

What role do CD8+ T cells play in the immune response?

<p>They mediate apoptosis of antigen-bearing cells. (D)</p> Signup and view all the answers

Which cytokines are secreted by activated Th17 cells during an inflammatory reaction?

<p>IL-17 and IL-22 (C)</p> Signup and view all the answers

Which condition is an example of a cytotoxic reaction mediated by CD8+ T cells?

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

What is commonly used to diagnose an immune response to tuberculosis?

<p>Mantoux test (D)</p> Signup and view all the answers

What is the primary purpose of inflammatory cytokines like IFN-γ and IL-3 in granuloma formation?

<p>To stimulate macrophage transformation (C)</p> Signup and view all the answers

Allergic contact dermatitis is typically triggered by what type of antigen?

<p>Chemical haptens (C)</p> Signup and view all the answers

What is a key feature of the cytotoxic response in graft-versus-host disease?

<p>Donor T cells attacking the recipient's tissue (D)</p> Signup and view all the answers

Which of the following is NOT associated with delayed-type hypersensitivity?

<p>Quick reaction to allergens (A)</p> Signup and view all the answers

Flashcards

Type III Hypersensitivity

A type of hypersensitivity reaction where the immune system targets soluble antigens (foreign or self), creating immune complexes. These complexes deposit in blood vessels, triggering inflammation and tissue damage.

Type IV Hypersensitivity

A type of hypersensitivity reaction mediated by T lymphocytes, typically occurring 24 hours or more after exposure to an antigen.

Immune Complex Formation

In Type III hypersensitivity, immune complexes are formed when an antigen binds to an antibody, typically IgG or IgM. These complexes then deposit in small blood vessels, triggering inflammation.

Leukocyte Recruitment

The process of inflammatory cells (like neutrophils) being attracted to the site of immune complex deposition during Type III hypersensitivity.

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Systemic Immune Complex-mediated Disease

A disease that results from the deposition of immune complexes in various organs and tissues, often affecting the kidneys and joints. A common example is serum sickness, which occurs after exposure to foreign serum, like horse antitetanus serum.

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Arthus Reaction

A localized, immune reaction-induced vasculitis that occurs in the skin after injection of an antigen in a previously sensitized individual.

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Cell-mediated Destruction

The process of immune system cells (like white blood cells) and other cells working together to destroy cells identified as foreign or abnormal, like virus-infected cells or tumor cells.

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Antigen Presentation in Type IV

The role of antigen-presenting cells (APCs) in presenting antigens to T lymphocytes, triggering the immune response in Type IV hypersensitivity.

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Graft Rejection

The rejection of transplanted organs or tissues, mainly due to the immune system recognizing the donor tissue as foreign and initiating a Type IV hypersensitivity reaction.

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Delayed Type Hypersensitivity

In Type IV hypersensitivity, the immune response is delayed, often taking 24 hours or more after exposure to the antigen. This delayed response is why Type IV is often referred to as 'delayed-type hypersensitivity'.

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Delayed Hypersensitivity

A type of immune response characterized by the activation of CD4+ T helper cells, specifically Th1 and Th17 cells, which release inflammatory mediators like interferon-gamma (IFN-γ). This leads to macrophage activation and the formation of granulomas, structures that contain and try to eliminate the foreign agent.

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Tuberculin Reaction (Mantoux Test)

A type of delayed hypersensitivity reaction where a purified mycobacterial antigen is injected into the skin of a previously immunized individual. The resulting inflammatory reaction is detectable within 24-48 hours.

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Granuloma

A collection of immune cells, mainly macrophages, that form a protective barrier around a foreign antigen or pathogen. It is a hallmark of delayed hypersensitivity reactions.

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Fungal Delayed Hypersensitivity

A type of delayed hypersensitivity reaction specifically against fungal infections. Activated Th17 cells release IL-17 and IL-22, attracting neutrophils and monocytes to the site of infection.

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Allergic Contact Dermatitis

A delayed hypersensitivity reaction where the immune system reacts to allergens, like poison ivy or other substances like nickel. This is a classic example of a contact dermatitis.

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Cell-Mediated Cytotoxic Reaction

A type of immune response mediated by CD8+ cytotoxic T cells. These cells directly kill infected cells and tumor cells by inducing apoptosis.

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Cytotoxic Reaction Against Virus-Infected Cells

A cytotoxic reaction against virus-infected cells. The immune system destroys infected cells to prevent further spread of the virus.

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Type-1 Diabetes

A disease caused by the destruction of pancreatic islet cells by cytotoxic T cells, leading to insulin deficiency. This is an autoimmune condition.

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Graft-versus-Host Disease

A condition that occurs when transplanted cells attack the recipient's tissues. This can happen when the donor cells have a different immune system from the recipient.

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Chronic Transplant Rejection

The gradual rejection of a transplanted organ by the recipient's immune system. It is a common complication of organ transplantation.

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Study Notes

Types of Immune Response

  • Hypersensitivity reactions are categorized into types III and IV.
  • Type III reactions are immune complex-mediated, triggered by antibodies (IgG and IgM) reacting with soluble antigens (exogenous or endogenous).
  • Reactions happen 3-8 hours after antigen exposure, potentially localized or systemic.
  • Immune complexes form and deposit in postcapillary venules, leading to complement activation and recruitment of leukocytes.
  • Inflammatory reactions, necrotizing vasculitis, and tissue damage result.
  • Systemic examples include serum sickness (following passive immunization with foreign serum).
  • Localized examples include Arthus reactions (local skin tissue necrosis after antigen injection).

Type IV Hypersensitivity

  • Also known as cell-mediated or delayed hypersensitivity (delayed reaction).
  • T lymphocytes, dendritic cells, macrophages, and cytokines mediate cell destruction of target cells.
  • This occurs 24-72 hours after antigen exposure.

CD4+ Cytokine-Mediated Inflammation (Delayed Hypersensitivity)

  • Persistent non-degradable intracellular antigens activate CD4+ T-helper cells (Th1 or Th17).
  • These cells release inflammatory mediators (e.g., IFN-γ).
  • Macrophages transform into epithelioid cells; granuloma formation results (e.g., Tuberculosis, fungal infections).

Examples of Type IV Hypersensitivity Reactions

  • Tuberculin reaction (Mantoux test): A delayed-type hypersensitivity skin test for prior exposure to tuberculosis.
  • Granuloma formation: Response to intracellular pathogens (e.g., mycobacteria).
  • Reaction against fungal infection: Activated Th17 cells respond, secreting cytokines like IL-17 and IL-22.
  • Allergic Contact Dermatitis: Reaction to environmental antigens (e.g., poison ivy).

CD8+ Cell-Mediated Cytotoxic Reaction

  • Cytotoxic T lymphocytes (CD8+ T cells) kill target cells by inducing apoptosis (programmed cell death).
  • Examples include:
    • Killing virus-infected cells
    • Killing malignant cells (cancerous cells)
    • Type 1 diabetes (islet cell destruction)
    • Graft-versus-host disease
    • Chronic transplant rejection
    • Drug reactions, tattoo/black henna/nickel reactions, etc.

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Description

This quiz explores the various types of immune responses, specifically focusing on hypersensitivity reactions types III and IV. Understand how these reactions are mediated, their time frames, and the potential examples of localized and systemic responses. Test your knowledge on the mechanisms and implications of these immune functions.

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