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Immunoglobulins, T-cells, Hypersensitivity Reactions

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IgM   The first antibody produced in response to an antigen. Fixes complement. Does not cross the placenta.  
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IgG   The primary antibody in the secondary response (second-exposure). Opsonizes (coats) bacteria, fixes complement, thereby destroying the bacteria. Crosses the placenta.  
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IgA   Found in mucosal secretions (upper respiratory tract, genitourinary tract). Engages pathogens outside the body. Aggregated form activates the alternative pathway of complement activation only.  
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IgE   Mediates Type I hypersensitivity reaction by binding to antigens and the surface of mast cells and basophils, stimulating the release of histamine. Levels often elevated in helminth infections.  
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IgD   Membrane IgD is part of the functional B cell receptor on mature B cells.  
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Type I hypersensitivity reaction   Results from IgE-mediated release of inflammatory molecules such as histamine from mast cells and basophils, can manifest as an asthma attack, a local wheal-and-flare, or anaphylaxis.  
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Type 2 hypersensitivity reaction   Antibody and complement mediated, is cytotoxic in nature and occurs in autoimmune hemolytic anemia, Graves' disease, and myasthenia gravis.  
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Type 3 hypersensitivity reaction   Caused by immune complex deposition and subsequent complement activation, may be a complication of IV administration of antigenic medications (penicillin).  
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Type 4 hypersensitivity reaction   Cell mediated, results in a delayed (24 to 48 hour) response. It is mediated by T cells. Examples include transplant rejection, TB skin test, and contact dermatitis (poison ivy).  
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Tc cells (cytotoxic cells)   Executors of the cell-mediated arm of the acquired immune system.  
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Th cells (T-helper cells)   Coordinators of the acquired immune system. They decide whether to attack an invader with a predominantly cell-mediated or humoral (antibody-mediated) attack.  
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Th1 cells   Stimulate the cell-mediated arm of the acquired immune system by secreting IL-2 and λ-interferon, which stimulate the action of macrophages and Tc cells.  
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Th2 cells   Stimulate the humoral (antibody-mediated) arm of the acquired immune system by secreting IL-4 and IL-5, which stimulate B cells to make antibodies.  
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