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Chapter 11
Hypersensitivity
33
Immunology
Professional
03/30/2012

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Term
Type 1 Hypersensitivity
Definition
Immediate/ Allergic/ Atopy hypersensitivity
IgE, cytokine, and Mast Cell mediated
Vascular and Smooth muscle reaction
(Th2 activation causes production of IgE antibodies)
Term
Type 2 Hypersensitivity
Definition
Antibody (non-IgE) mediated hypersensitivity that produces antibodies against cell or tissue.
IgM and IgG mediated
ANTIBODIES TO CD20 CAUSES B-CELL INACTIVATION
Term
Type 3 Hypersensitivity
Definition
Antibodies against soluble antigens, with immune complexes depositing in blood vessels, causing inflammation and tissue damage.
IgM and IgG mediated
ANTIBODIES TO CD20 CAUSES B-CELL INACTIVATION
Term
Type 4 Hypersensitivity
Definition
T-lymphocyte driven response against self-antigens in tissues.
CD4+ and CD8+ T cells
USUALLY NOT SYSTEMIC
Disorders are usually chronic and progressive
TREAT WITH CYCLOSPORINE, CORTICOSTEROIDS AND CYTOKINE ANTAGONISTS
Term
Th2 cells
Definition
Secrete IL-4 and IL-13 to cause B-cell switching to IgE antibodies.
Term
Mast Cells
Definition
Secrete IL-4 and TNF to promote neutrophil and eosinophil rich inflammation
Term
Histamine
Definition
Causes:
Vascular dilation
Smooth Muscle Contraction
Term
IL-5
Definition
Causes eosinophil activation
Term
Proteases
Definition
Cause tissue damage
Term
Prostaglandins
Definition
Vascular dilation
Term
Leukotrienes
Definition
Smooth muscle contraction
Bronchial constriction
Term
Cromolyn
Definition
Inhibits mast cell degranulation
Term
Phosphodiesterase Inhibitors
Definition
Relax bronchial smooth muscles
Term
Epinephrine
Definition
Smooth Muscle contraction
Increases Cardiac Output
Inhibits Mast Cell degranulation
Term
Autoimmune Hemolytic Anemia
Definition
Target:Erythrocyte membrane proteins (Rh blood group and I antigens)
Mech: Opsonization and phagocytosis of erythrocytes
Path: Hemolysis and Anmeia
Term
Autoimmune thrombocytopenic purpura
Definition
Target: Platelet membrane proteins (GPIIb/IIIa)
Mech:Opsonization and phagocytosis
Path: Bleeding
Term
Pemphigus vulgaris
Definition
Target: Epidermal cadherin
Mech: Activation of proteases by antibodies
Path: Skin vesicles (bullae)
Term
Goodpasture's Syndrome
Definition
Target: Protein in basement membrane of kidney glomeruli and lung alveoli
Mech:Complement and Fc receptor-mediated inflammation
Path: Nephritis and lung hemorrhages
Term
Acute Rheumatic fever
Definition
Target: Streptococcal cell wall antigen
Mech: Inflammation and macrophage activation
Path: Myocarditis and arthritis
Term
Myasthenia Gravis
Definition
Target: Acetylicholine receptor
Mech: Antibody inhibits acetylcholine binding
Path: Muscle weakness and paralysis
Term
Grave's Disease
Definition
Target: TSH receptor
Mech: Antibody mediated stimulation
Path: Hyperthyroidism
Term
Pernicious Anemia
Definition
Target: Intrinsic factor of gastric parietal cells
Mech: Neutralization of intrinsic factor, decreased absorption of vitamin B12
Path: Abnormal erythropoiesis and anemia
Term
Systemic lupus erythematosus
Definition
Type III
AB: DNA, nucleoproteins, others
Path: Nephritis, arthritis, and vasculitis
Term
Polyarteritis Nordosa
Definition
Type III
AB: Hepatitis B virus surface antigen
Path: Vasculitis
Term
Post-streptococcal glomerulonephritis
Definition
Type III
AB: Streptococcal wall antigen
Path: Nephritis
Term
Serum Sickness
Definition
Type III Clinical and Experimental
AB: Various proteins
Path: Systemic vasculitis, nephritis, and arthritis
Term
Arthus Reaction
Definition
Type III experimental
AB: Various proteins
Path: Cutaneous vasculitis
Term
Rheumatoid Arthritis
Definition
Target: Unknown
Genetic: PTPN22
Path:Inflammation of synovium and erosion of cartilage and bone
Term
Multiple Sclerosis
Definition
Target: Myelin proteins
Genetic: CD25
Path: Demyelination of neurons in CNS with sensory and motor deficits
Term
Inflammatory Bowel Syndrome
Definition
Target: Unknown (Microbes?)
Genetic: NOD2
Term
Contact Sensitivity
Definition
Target: Modified Skin proteins
Genetic: None
Path: DTH reaction in skin, rash
Term
Viral Hepatitis
Definition
Target: EBNA (viral protein)
Path: CD8+ CTL-mediated hepatocyte death, liver dysfunction, and fibrosis
Term
Super antigen mediated diseases (Toxic Shock Syndrome)
Definition
Target: Polyclonal (microbial super antigens activate many T-cells (many self-reactive))
Path: Fever, systemic cytokine release
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