IMMUNOLOGY
IMMUNOLOGY
IMMUNOLOGY
IMMUNOLOGY
IMMUNOLOGY
100

Heavy & Light chain regions

Binds antigen but doesn't activate effector mechanisms

Fab Domain
100

lo concentration in serum

bound to mast cells & basophils

initiates allergic rxn & anaphylotic shock  

induces histamine release


IgE
100

low affinity, avidity and titer

1st encounter w/ the foreign antigen

memory cells generated

primarily IgM antibodies

Primary immune response
100
 What Ig on the Fc regions can also activate complement and how many ?
(2) IgG
100

2nd method of destruction

C3 binds & promotes its assembly

resembles a hollow tube, inserts itself into the membrane, H20 flows in causes the cell to bursts

MAC "Membrane Attack Complex"
200

Heavy chains only

Activates effector mechanisms after antigen binds, allowing for AB destruction

Fc domain
200

Bound to membrane of a beta cell

minimum levels in serum

unknown function

IgD
200
No antibody detected
Lag phase
200

Lysis of antibody coated cells

Mediates opsonization

regulates features of the inflammatory & immune response

Complement System
200
IgG binds to RBC > FcyR-mediated phagocytosis
Tagged RBCs
300
5 classes of Ig
IgG, IgA, IgM, IgE, IgD
300

"largest"

Doesn't cross placenta

predominate Ig during fetal development

Hi avidity due to 10 binding sites


IgM
300

High affinity, avidity and titer

2nd encounter w/foreign antigen

memory cells engaged

Primarily IgG antibodies made

Secondary Immune Response
300
Name the 2 mechanisms of destruction.
Opsonization & MAC "Membrane Attack Complex"
300

Cells are cleared in the liver/spleen not in the intravascular space

Caused by IgG red cell anitbodies

RBC consumption by phagocytes


Extravascular Hemolysis
400

Most abundant in serum

"lightest"

small enough to cross the placenta

IgG
400
Being exposed to transfusion & pregnancy initiates what ?
immune response
400
Titer steady
Plateau
400

Conformational change of IgM after binding the antigen, this initiates complement cascade

And 2 IgG's bind in clusters on the same target of the complement cascade

Activation
400
IgG binds to RBC > initiates complement cascade w/C3b deposition on cell & phagocytosis by C3b receptors
Tagged RBCs
500

dominant in secretions

deficiency in transfusion rxns

monomer in serum

undetectable w/DAT

neutralizes foreign invaders & only picks up IgG

IgA
500
What are the four phases of immune response?
lag, log, plateau, decline
500
Titer increases
Log phase
500

The target is covered w/ complement components and is marked for destruction

C3 is converted to C3b and is recognized by phagocytes

C3b can be degraded into C3dg, this will become unrecognizable by phagocytes & is bypassed

Opsonization
500

Lysis occurs while still w/vasculature

Signs & symptoms of AHTR

Caused by IgM red cell antibodies

Cell destruction by MAC

Intravascular Hemolysis
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