Hypersensitivity Reactions
Injurious, patologic immune reactions causing tissue injury and disease Excessive or aberrant immune response to: Foreign antigens (non-self) - non-infectious (environmental) - infectious Self (autologous) antigens failure of self-tolerance (autoimmunity, autoimmune diseases)
Types of Hypersensitivity Reactions Type I Type II Type III Type IV Antibody mediated T cell mediated
Type II and type III (comparison)
Type II hypersensitivity animation Type II (Antibody-mediated diseases) (Cytotoxic type)
Effector mechanisms
Graves disease
Myasthenia gravis
Antibody-mediated diseases
Type III (immune complex-mediated diseases) Type III hypersensitivity animation
Effector mechanisms
Immune complex diseases
Serum sickness
Therapy Reduction fo inflammation (corticosteroids) Plasmapheresis (reduction of circulating antibodies and immune comoplexes) Anti-CD20-antibodies (reduction of B cell number) Inhibition of auto-antibody production (CD40L antagonists)
Type IV (Delayed-Type Hypersensitivity - DTH) Type IV hypersensitivity animation
Effector mechanisms
T cell-mediated diseases
Clinical manifestation of contact dermatitis
Reduction of inlammtaion (corticosteroids and TNF antagonists) T cell response inhibition (cyclosporin) Antagonists of costimulation Therapy