Hypersensitive Reactions

If you make people think that they think they will love you BUT is you make them
really think they will hate you
Roscoe B. Ellard

Readings Resources Outline Objectives Questions Multiple Choice Lexicon Updated 14/11/01

Who am I? My research has focused on the contetns of mast cell granules, their proteases and their role in the local inflammatory responses of type I hypersensitivity

 

Tables Classification Type I Common Antigens Penicillin Hypersensitivity

RESOURCES

 

PowerPoint Presentations
Allergies Other Hypersensitivities
Slide Shows
Allergies Other Hypersensitivities
Allergy
A description of "allergy" by a professor in the Department of Microbiology at the University of Kansas.

URL --> http://falcon.cc.ukans.edu/~jbrown/allergy.html

Allergy - Definition (Glossary of Medical Terms)
The definition of "allergy" from the Medical College of Georgia's Glossary of Medical Terms.

URL --> http://allergy.mcg.edu/glossary/glossary.html

Allergy -- Health Care Professional
This page is titled "The Immunologic Basis of Allergic Diseases." This page is part of the University of Texas - Houston, Department of Pathology and Laboratory Medicine's Medical Education Information Center (MEDIC(tm)).

URL --> http://medic.med.uth.tmc.edu/hcprof/00000027.htm

Allergy, Asthma & Immunology Online
Allergy, Asthma & Immunology Online is a "news and information service" that is maintained by a group of physicians at the Medical College of Georgia.

URL --> http://allergy.mcg.edu/

Anaphylaxis
This section on anaphylaxis is from the 16th edition of The Merck Manual of Diagnosis and Therapy.

URL --> http://www.merck.com/!!tkyL82j4JtkyL82j4J/pubs/mmanual/html/pmieechb.htm

Anti-Inflammatory, Antiallergic, and Immunologic Drug Reviews
This site, the Medical Science Bulletin (MSB) is published by the Pharmaceutical Information Associates, Ltd. Anti-Inflammatory, Antiallergic, and Immunologic Drug Reviews are provided on this page.

URL --> http://pharminfo.com/pubs/msb/msbanfl.html

Blood Group Incompatibility - Immunologic Diseases
This site provides links to several articles concerning blood group incompatibility (such as Erythroblastosis fetalis). This section is contained in a web site called "Galaxy - The Professional's Guide to the World of Informaiton."

URL --> http://www.einet.net:8000/galaxy/Medicine/Diseases-and-Disorders/Immunologic-Diseases/Blood-Group-Incompatibility.html

Immunologic Diseases
This is the Karolinska Institute Library and Information Center web site on Immunologic Diseases. It is a meta site containing links to many immunology-related sites around the world.

URL --> http://www.mic.ki.se/Diseases/c20.html

Immunologic Disorders Due To Hypersensitivity
This section on immunolgic disorders due to hypersensitivity is from the 16th edition of The Merck Manual of Diagnosis and Therapy.

URL --> http://www.merck.com/!!tCeq40w64tCeq40w64/pubs/mmanual/html/ipkngkjd.htm

Immunopathology Lecture Notes
Located at Cornell University Medical Center, this site provides lecture notes on Immunopathology. Topics such as Type I Hypersensitivity (Anaphylaxis), Type II Hypersensitivity (Antibody-Dependent), Type III Hypersensitivity (Immune Complex Initiated), and Type IV Hypersensitivity (Cell-Mediated) are covered as well as numerous others.

URL --> http://edcenter.med.cornell.edu/CUMC_PathNotes/Immunopathology/Immuno_TOC.html

Food Allergy - Environmed Research Inc.
This commercial site provides information about food allergies and hypersensitivity.

URL --> http://www.nutramed.com/zeno/immunology.htm

ASSIGNED READING

CHAPTER 17: pp 413-439

OUTLINE/SUMMARY

  1. Gell & Coombs Classification
  2. Type I Hypersensitivity: IgE mediatiated
  3. Mechanisms
  4. Mediators
  5. Consequences
  6. Regulation
  7. Detection
  8. Theraphy
  9. Type II Hypersensitivity: Antibody mediated cytotoxic
  10. Type II Hypersensitivity: Complex mediated cytotoxic

PERFORMANCE OBJECTIVES

DEFINE THE FOLLOWING KEY WORDS:

allergen allergy anaphylactic shock
anaphylaxis anergy contact sensitivity
basophils atopy delayed type hypersensitivity
degranulation hypersensitivity homocytotropic antibodies
desenstization hyposensitivity immediate hypersensitivity
granulomas late phase reaction mast cells
sensitization senstizing dose shocking dose
systemic anaphlyaxis triple response edema
erythema wheal and flare tubercles
Type I hypersensitivity tuberculosis tuberculin skin reaction
Type II hypersensitivity Type II hypersensitivity Type IV hypersensitivity

 

ON COMPLETION OF THIS SECTION THE STUDENT SHOULD BE ABLE TO:

  1. List the Gell & Coombs classification for hypersensitivity reactions; give examples of each type.
  2. Describe stimulatory hypersensitivity and give a specific example
  3. Discuss the difference between primary and secondary exposure to antigen in imunity and in hypersensitivity
  4. Describe the structural and functional characteristics of IgE.
  5. Discuss the cytotropic nature of IgE
  6. Differentiate betweeen the cyclooxygenase and lipoxygenase pathways of mediator production
  7. Describe the role of mast cells in immediate hypersensitivity reactions.
  8. Distinguish between release of preformed and newly formed mediators from mast cells and give examples of each type of mediator
  9. Discuss the hallmarks of delayed type hypersensitivity
  10. Explain the mechanisms of Delayed Type Hypersensitivity induction and development
  11. Distinguish between different types of Delayed type hypersensitivity.
  12. Describe tuberculosis in terms of hypersensitivity reactions.

SHORT ANSWER QUESTIONS

  1. By derivation, what does allergy mean and what does hypersensitivity mean? Are they synonymous?
  2. The main difference between immediate and delayed types of hypersensivitiy is the time of appearance of the reactions. True/False? If false, name the main differences.
  3. What is the type II reaction described by Gell & Cooombs? Does this reaction require complement?
  4. Is there a tendency to immediate hypersenstivity reactions? Explain?
  5. Differentiate between antigen and allergen.
  6. What immune and nonimmune cells are involved in immediate hypersensivity?
  7. What class of antibody in responsible for immediate hypersenstivity?
  8. Describe some structural and biological characteristics of this antibody?
  9. What do we mean by homocytotropic antibodies?
  10. Briefly describe the result of the interaction of IgE, with mast cells
  11. What are the chemical mediators of immediate hypersentivity reactions?
  12. Some effector molecules of immediate hypersensitivity reactions are preformed mediators; others are newly synthesized mediators.
  13. Distinguish between the two.
  14. Briefly describe the two pathways for the production of newly synthesized mediators.
  15. How can you determine whether a person is allergic to a foreign protein?
  16. What is the triple response?
  17. Name two "in vitro" test. W
  18. hat is the mechanism for desensitization for immediate hypersensitivities?
  19. Is this desensitization lifelong?
  20. If not speculate on the reasons.
  21. What are some other modes of treatment for immediate hypersensitivity?
  22. Describe the differences between systemic anahylaxis and atopy?
  23. Are the mechanisms of cell-mediated immunity and DTH the same?
  24. Name the effector cells in DTH.
  25. What are some of the hallmarks of DTH reactions?
  26. Describe contact sensitivity.
  27. How does contact sensitivity differ from the tuberculin skin reaction?
  28. What is the mechanism of the tuberculin skin test?
  29. If the test is positive what causes the induration (hardening) of the test site?
  30. What substances are used in this test?
  31. Name three different types of tuberculin skin tests?