Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Type 1 Hypersensitivity: Mechanisms, Mediators, and Clinical Signs, Lecture notes of Cell Biology

An in-depth exploration of Type 1 hypersensitivity, also known as immediate or IgE-mediated allergies. It covers the key points of this type of reaction, including the role of IgE attached to mast cells, clinical signs, specific allergic conditions, and the induction of type I hypersensitivity. The document also discusses the response of mast cells to antigens, mast cell derived mediators, regulation of mast cell degranulation, and inflammatory responses to antigens. Additionally, it covers the diagnosis and treatment of Type I hypersensitivity.

Typology: Lecture notes

2021/2022

Uploaded on 09/12/2022

aseema
aseema 🇺🇸

4.5

(11)

240 documents

1 / 9

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
TYPE%1%HYPERSENSITIVITY%
Key%Points%
1. IgE%attached%to%mast%cells%mediates%type%1%hypersensitivity%reactions%
Reactions%develop%within%seconds%or%minutes%after%exposure%to%antigen%(Ag)%
%
2. Clinical%signs%(acute%inflammation%and%systemic%effects%caused%by%rapid%degranulation%of%mast%cells%that%
occurs%once%Ag%binds%and%cross-links%two%IgE%molecules,%causing%release%of%vasoactive%molecules,%
chemotactic%molecules,%enzymes%and%cytokines%
%
%
%
3. Severity%and%location%of%clinical%signs%depends%on%number%and%location%of%mast%cells,%basophils,%
eosinophils,%which%depends%on%degree%of%sensitization%of%animal,%amount%of%antigen%involved%and%route%
of%administration%
!
Specific!allergic!conditions!!
Food%allergy%
Allergic%inhalant%dermatitis%
Atopic%dermatitis%
Allergies%to%vaccines%and%drugs%
Allergies%to%parasites:%sarcoptes%scabiei%dogs,%octodectes%cyanotis%in%cats%
i. Flea%allergy%dermatitis%may%also%be%type%IV%HS%mediated%
Eosinophilic%granuloma%complex%(cats)%
!
Allergic!anaphylaxis%
Severe,%life%threatening%generalized%or%systemic%hypersensitivity%reaction%
Clinical%signs%determined%by%organ%involvement%and%differs%among%species%
Symptoms%are%result%of%vasoactive%molecules%contracting%smooth%muscle%of%bronchi,%GIT,%uterus%
and%bladder%
%
pf3
pf4
pf5
pf8
pf9

Partial preview of the text

Download Type 1 Hypersensitivity: Mechanisms, Mediators, and Clinical Signs and more Lecture notes Cell Biology in PDF only on Docsity!

TYPE 1 HYPERSENSITIVITY

Key Points

  1. IgE attached to mast cells mediates type 1 hypersensitivity reactions
    • Reactions develop within seconds or minutes after exposure to antigen (Ag)
  2. Clinical signs (acute inflammation and systemic effects caused by rapid degranulation of mast cells that occurs once Ag binds and cross-links two IgE molecules, causing release of vasoactive molecules, chemotactic molecules, enzymes and cytokines
  3. Severity and location of clinical signs depends on number and location of mast cells, basophils, eosinophils, which depends on degree of sensitization of animal, amount of antigen involved and route of administration Specific allergic conditions - Food allergy - Allergic inhalant dermatitis - Atopic dermatitis - Allergies to vaccines and drugs - Allergies to parasites: sarcoptes scabiei dogs, octodectes cyanotis in cats i. Flea allergy dermatitis may also be type IV HS mediated - Eosinophilic granuloma complex (cats) Allergic anaphylaxis - Severe, life threatening generalized or systemic hypersensitivity reaction - Clinical signs determined by organ involvement and differs among species - Symptoms are result of vasoactive molecules contracting smooth muscle of bronchi, GIT, uterus and bladder

Induction of type I hypersensitivity

  • Normal animals respond to Ag in the environment, inhaled air or food by producing IgG or IgA antibodies
  • Atopic animals respond by mounting exaggerated Th2 response and producing IgE antibodies o Referred to as type I hypersensitivity reactions or allergies
  • Normal animals infested by parasitic worms and insects also produce large amounts of IgE o Only well characterized beneficial feature of type I hypersensitivity IgE
  • Immunoglobulin with 4-chain structure
  • MW 200 kDa
  • Location o Most found in bloodstream § Firmly bound to Fce receptors on tissue mast cells (½ life 11-12 days) o Very small amount also in serum (serum ½ life 2 days)
  • Production o Th2 cells produce IL-4 or IL-3, these IL together with CD40 trigger B cell IgE synthesis o IL-4 also produced by stimulated mast cells
  • IgE receptors o Two types: high-affinity FceRI; low-affinity FceRII (CD23) o Two forms of FceRI § abg2: found on mast cells, basophils, neutrophils, eosinophils § ag2: found on antigen presenting dendritic cells, monocytes o Presence of FceRI ensures mast cells are constantly coated with IgE § Bind almost irreversibly (high affinity) o FceRII (CD23) is a selectin § Found on B cells, NK cells, macrophages, dendritic cells, eosinophils, platelets § Binds IgE AND complement receptor CR2 (CR21)

Mast cell derived mediators (3 categories)

  1. Molecules released from exocyosed granules (seconds, minutes)
  2. Eicosanoids (lipids) synthesis and secretion (minutes)
  3. Cytokine (protein) synthesis and secretion (hours)
  • Most important mediators: histamine, serotonin, prostaglandins, leukotrienes
  • Cytokines are proinflammatory and/or promote Th2 responses Regulation of mast cell degranulation
  • Two G protein linked surface receptors for catecholamines: alpha and beta adrenoceptors
  • Epinephrine has both alpha and beta adrenergic activity o Alpha effects: causes vasoconstriction in skin and viscera o Beta effects: cause smooth muscle to relax o Suited to combat vasodilation and smooth muscle contraction produced in type 1 HS Inflammatory responses to Ag
  • Immediate phase o 10 - 20 minutes, acute inflammatory response o result of mast cell degranulation
  • Late phase reaction o 6 - 12 hours, characterized by redness, edema, pruritus o result of release of inflammatory mediators from eosinophils, neutrophils attracted to site by mast cell derived chemotactic factors

Basophils

  • Least numerous granulocyte
  • Granules contain complex mixture of vasoactive molecules similar to those in mast cells Eosinophils
  • Considered terminal effector cells of allergic response
  • Originate in bone marrow and spend 30 minutes circulating in bloodstream before migrating into tissues (½ life 12 days)
  • Contain 2 types of granule o Small primary granules: arylsulfatase, peroxidase, acid phosphatase o Large crystalloid granules: eosinophil cationic protein, eosinophil peroxidase, eosinophil derived neurotoxin
  • Eosinophil activation (3 mechanisms)
    1. Th2 + mast cells: produce IL-5 and eotaxins that stimulate release of eosinophils from bone marrow
    2. Chemotaxis: Eosinophils attracted to sites of mast cell degranulation by eotaxins, histamines, leukotrienes, 5-HT, platelet activating factor, IL-8 complexes to IgA
    3. Direct activation of eosinophils: by some common allergens. Stimulate chemotaxis

Diagnosis of Type I Hypersensitivity

  • Direct skin testing
  • Passive cutaneous anaphylaxis test
  • Serological methods measuring IgE in body fluids o Western blotting o ELISA Treatment of Type I Hypersensitivity
  • Corticosteroids to reduce irritation and inflammation associated with allergic response o Inhibits nuclear factor kappa beta activity and blocks production of prostaglandins and leukotrienes
  • Cyclosporine
  • Desensitization therapy (allergy shots) o Promotes IgG rather than IgE production and reduces recruitment of inflammatory cells

Questions:

  1. Type I hypersensitivities are mediated by ______ attached to ________
  2. Briefly describe the mechanism of type I hypersensitivity reactions
  3. Name the two IgE receptors. Which has a stronger affinity for IgE and is found on mast cells
  4. Name 4 of the most important mast cell derived mediators
    • Most important mediators: histamine, serotonin, prostaglandins, leukotrienes
  5. Name the major shock organ, clinical sign observed with anaphylaxis and major mediator(s) involved in the dog and cat.
  6. Describe the difference between an anaphylactoid reaction and anaphylaxis