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Disorders of the Immune Response

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Question
Answer
HYPERSENSITIVITY REACTIONS   HYPERSENSITIVITY REACTIONS  
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TYPE I   TYPE I  
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What are type 1 reactions?   Anaphylactic response  
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What is its speed?   Very quick  
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What antibodies is it based upon?   IgE  
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Where does the IGE bind?   Binds to mast cells  
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What are the steps of the Type One response?   1. Allergen binds to IgE, mast cells degranulate, histamine released, leukotrines and prostaglandins are made  
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TYPE ONE DISEASES   TYPE ONE DIESEASES  
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What are the three types?   Localized and systemic anaphylaxis, and Type one autoimmune disease  
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What is localized anaphlaxis? what does it cause and why?   Animal dander; causes hives due to histamine  
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SYSTEMIC ANAPHLAXIS   SYSTEMIC  
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What are the two types?   Food allergy and nicillin allergy  
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What is a type one autoimmune disease?   Infectious disease, like cross reacting antibodies  
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TYPE TWO   TYPE TWO  
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What kind of reactions are they?   Cytotoxic reactions  
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What antibodies are they due to/   IgG and IgM  
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Where are the antigens located?   On membranes  
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What do they lead to?   Complement activation  
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TYPE TWO DISEASES   TYPE TWO DISEASES  
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Name the five diseases:   1. ABO blood type 2. Rh Incombatability 3. Drug induced cyto rxns 4. Graves Disease 5. Myasthenia Gravis  
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Why do we have antibodies against AB if we're O?   B/c we have normal floral that looks like an antigen  
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What is Rh?   protioen on RBC  
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When is the only time blood gets from fetus to mom and vice versa?   At birth  
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What does happen when we have the third baby and some blood is transferred?   IgG gets active, and attacks fetus RBC...NO!  
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How do we stop this?   Give mom some rogam  
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When is the only time this is a problem what + and - WRT baby and mom?   When the baby is Rh+, but mom is Rh-  
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What happens in drug induced cytotoxic reactions?   Drug sticks to plateletts, lyse plateletts -->improper clotting  
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What diseases are caused in this reaction/   Thrombocytopenic perpura and hemolytic anemia  
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TYPE III   TYPE III  
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What kind of reactions are they?   Immune complex reactions  
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What two antibodies are important here?   IgM and IgG  
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Are they solube or insoluble anitgens in this reaction?Thus, where are teh antigens located?   Solube antigens, so they're in serum and not in cell membrane  
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What do they allow?   Complement activation  
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What are the diseases associated with type III?   Glomerular nephritis  
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What is associated with type III automimmune diseases?   Systemic lupus erythematosus and Rheumatoid arthritis  
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What is glomerular nephritis?   rare, but big problem  
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What are the steps involved in its activation? See fig. 19.6   1. Complex in cell wall 2. Neutrophils attracted 3. Enzymes released from neutrophils damage endothelial cells  
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What does SLE cause?   butterfly rash  
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TYPE IV   TYPE IV  
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What kind of reactions are they?   Cell-mediated reactions  
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What does it mean for them to have delayed type sensitivity?   Tkaes a while for them to happen after you see antigen  
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What are the characteristics in the initial sensitization WRT time period?   First time you see it, it takes a long time  
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What are the steps of activation?   1. Mac or Dend cells process antigen, 2. activate H-t cells and Delay t-cells, and form T memory cells  
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What's special about the t-memory cells formed?   They actually cause a problem when you see the thing a second tim  
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NEXT CONTACT WITH ANTIGEN   AFTER MEMORY CELLS HAVE BEEN CREATED  
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What are the steps now?   1. Mac or dend cells process antigen, 2. activate memory t-cells 3. go to infected area 4. cause cells and cytokines to be released  
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What do the cells and cytokines cause?   swelling and inflammation-->more macrophages called  
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TYPE IV DISEASES   TYPE IV DISEASES  
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What is one in an infection?   Mycobacterium tuberculosis  
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What does it cause? Which is a ?   Granuloma; lesion  
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What are allergic conact dermatitis?   Poison ivy and latex allergy  
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HISTIOCOMPATABILITY Antigens   ANTIGENS  
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What are they assocaited witH/   Reactions against MHC molecules  
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MHC molecules hold a role in what process in regards to organs?   Tissue typing  
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OTHER IMMUNE DISORDERS   OTHER IMMUNE DISORDERS  
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What are most drugs? What does this mean?   Haptens--They need to stick to something to initiate antibody response  
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