Hypersensitivity

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Grand Canyon University *

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64

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Biology

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Nov 24, 2024

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docx

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2

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1. Hypersensitivity reactions manifest as heightened or inappropriate immunological responses triggered by exposure to an antigen or allergen. Immediate hypersensitivity reactions, encompassing Type I, II, and III reactions, are so named due to their rapid onset within 24 hours of antigen or allergen exposure. The primary mediators of immediate hypersensitivity reactions are IgE, IgM, and IgG antibodies (Justiz Vaillant et al., 2022). 2. There are four commonly recognized types of hypersensitivity reactions : Type I Hypersensitivity Reactions: Immediate allergic responses characterize Type I reactions, including reactions to substances such as food, pollen, asthma, and anaphylaxis (Justiz Vaillant et al., 2022). Type II Hypersensitivity Reactions: Referred to as cytotoxic reactions, Type II hypersensitivity involves tissue-specific antibodies that lead to the destruction of cells. Examples of conditions associated with Type II reactions include autoimmune hemolytic anemia and Goodpasture syndrome (Justiz Vaillant et al., 2022). Type III Hypersensitivity Reactions Immune complex-mediated responses define Type III hypersensitivity, where tissue damage occurs due to the deposition of antigen-antibody complexes. Examples of Type III reactions include various vasculitis and glomerulonephritis (Justiz Vaillant et al., 2022). Type IV Hypersensitivity Reactions: Type IV reactions exhibit a delayed onset, occurring a significant time after exposure to the antigen. Also known as delayed-type hypersensitivity, these reactions involve T lymphocytes rather than antibodies. Notable examples encompass TB skin tests and contact dermatitis (Justiz Vaillant et al., 2022). 3. Regarding Manuel's experience, he encountered a Type I hypersensitivity reaction. The onset was immediate, and Type I reactions are antibody-mediated, involving anaphylactic and atopic immune responses. This aligns with the description of Type I hypersensitivity, distinguishing it from other types of hypersensitivity reactions. 4. This process involves an antibody-mediated response, primarily through IgE antibodies activating mast cells. Initial exposure to the antigen primes Th2 cells, leading B cells to convert IgM to IgE antibodies. Subsequent antigen entry triggers cross-linking with IgE, releasing preformed mediators like histamine. This induces widespread effects such as vasodilation, bronchoconstriction, and increased vascular permeability, characterizing hypersensitivity reactions. 5. Epinephrine exerts its effects through alpha-1 receptors, resulting in heightened vascular smooth muscle, pupillary dilator muscle, and intestinal sphincter contractions. Additionally, beta-1 receptor activation leads to increased heart rate, myocardial contractility, and renin release. Beta-2 effects include bronchodilation, offering potential benefits in treating asthma exacerbations, as well as vasodilation, tocolysis, and increased aqueous humor production (Dalal & Grujic, 2020).
References Dalal, R., & Grujic, D. (2020). Epinephrine . PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK482160/#:~:text=Through%20its%20action%20on %20alpha Justiz Vaillant, A. A., Vashisht, R., & Zito, P. M. (2022). Immediate Hypersensitivity Reactions . PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK513315/#:~:text=Hypersensitivity %20reactions%20are%20exaggerated%20or
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