Hypersensitivity and Allergy. n Hypersensitivity can be defined as an abnormal state of immune reactivity that has deleterious effects for the host. n The term “allergy” is often used to designate a pathological condition resulting from hypersensitivity, particularly when the symptoms occur shortly after exposure.
Overview of Type I Hypersensitivity
Cytotoxic Reactions (Type II Hypersensitivity) In its most common forms, this second type of hypersensitivity involves complement-fixing antibodies (Ig. M or Ig. G) directed against cellular or tissue antigens.
Immune Complex-Induced Hypersensitivity Reactions (Type III Hypersensitivity) In the course of acute or chronic infections, or as a consequence of the production of autoantibodies, antigen-antibody complexes (also known as immune complexes) are likely to be formed in circulation or in tissues to which the pertinent microbial or self-antigens have been adsorbed. Both scenarios can lead to inflammatory changes that are characteristic of the so-called immune complex diseases.
Delayed (Type IV) Hypersensitivity Reactions In contrast to the other types of hypersensitivity reactions discussed above, type IV or delayed hypersensitivity is a manifestation of cell-mediated immunity. In other words, this type of hypersensitivity reaction is due to the activation of specifically sensitized T lymphocytes rather than to an antigenantibody reaction.