Allergy and Hypersensitivity K. J. Goodrum 2006
Types of Immune Hypersensitivity Reactions
Properties of Inhaled Allergens
Penetration of epithelial Barriers by Allergens
Early IL-4 response promotes Th2 development that drives B cell class switching to IgE
Signaling through Stat6 is necessary for Th2 responses. Th2 cells support IgE responses.
Antigen binding to IgE on mast cells leads to amplification of IgE production
Mast cell activation affects many tissues
Molecules released upon activation of mast cells
Toxic granule proteins and inflammatory substances released upon activation of eosinophils
Acute vs. late phase inflammatory responses
TH2 mediated chronic inflammation in Asthma
Treatment approaches for IgE-mediated Allergy
Type II Cytotoxic reaction
Immune Complex mediated local inflammation such as in Arthus Reaction
Serum Sickness: an Immune complex disease
Type IV Hypersensitivity Reactions
Stages of a Type IV Hypersensitivity Reaction
Th1 derived cytokines and chemokines direct Type IV reactions
Allergic Contact Dermatitis: A type IV reaction
Blistering skin lesions on hand of patient with poison ivy contact dermatitis (a type IV reaction)
Granulomatous inflammation is a consequence of chronic Type IV reactions