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Type 1 Hypersensitive
Microbiology
29
Medical
Professional
10/25/2011

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Cards

Term
Type 1 hypersensitivity characterization
Definition
IgE mediated

initial sensitization

adaptive immune response
Term
How are mast cells activated?
Definition
cross-linking of Fc receptor bound by IgE
Term
What does allergic sensitization require?
Definition
initial exposure that generates an adaptive immune response
Term
what are the immediate inflammatory mediators released
Definition
histamine, tryptase and TNF-a
Term
What is released after the immediate mediators?
Definition
leukotrienes, prostaglandins, and cytokines= LATE RESPONSE
Term
These are recruited to the site in Late phase
Definition
eosinophils and Th2
Term
Origin of Mast cells
Definition
CD 34+ pluripotent cells
Term
How do mast cells present immaturely?
Definition
agranular
Term
what are the granule associated mediators
Definition
histamine, tryptase, chymase carboxypeptidase, heparin
Term
What are the lipid dervied mediators
Definition
PGD2- mast cells
Leukotrienes
Platelet activating factor
Term
these mast cells produce tryptase
Definition
mucosal mast cells
Term
Basophil derivation
Definition
myeloid precursor
Term
What is the difference b/t basophils and mast cells?
Definition
basophils do NOT produce PGD2
Term
Eosinophil derivation
Definition
bone marrow derived granulocytes
Term
Eosinophil mech of action
Definition
cytotoxic direct killer

slow induction of other mediators
Term
resting Eosinophils express Fc Ri receptor. T/F?
Definition
False
Term
what are hypereosinophilic syndromes complicated by
Definition
neuropathy and endomyocardial damage
Term
Which histamine receptr causes the allergic effects?
Definition
H1 receptor
Term
This enzyme is used as a marker of mast cell degranulation
Definition
Tryptase
Term
TNF-a function
Definition
inflammation
cytokine secretion
enothelium activation
recruits leukocytes to inflamed tissues
Term
This is more potent than histamine in the late phase
Definition
leukotriene
Term
characteristics of allergens
Definition
Proteins
low dose sensitization
low molecular wt.
high solubility
Stable
Term
anaphylactoid reaction
Definition
unanticipated IgE event that does require sensitization
Term
Quick relievers of Asthma
Definition
short-acting b2 agonist
anticholinergics
corticosteroids
Term
Long term controllers
Definition
corticosteroids

cromolyn
Term
Quick relievers of Asthma
Definition
short-acting b2 agonist
anticholinergics
corticosteroids
Term
Angioedema results in mediator release where?
Definition
deeper tissues
Term
What does RAST measure
Definition
specific IgE toward allergen
Term
effect of allergy shot
Definition
shifts IgE to IgG

increased production of IL-10

induction of Treg cells
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