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Untitled - D Ank Unlimited

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type I cytokine receptors 725 type I cytokine receptors<br />

IgE B cell<br />

Antigen<br />

IgE antibody<br />

Ag<br />

Primary and<br />

secondary mediators<br />

Mast cell<br />

with IgE<br />

Fc receptors<br />

Type I hypersensitivity reaction in which antigen molecules cross link IgE<br />

molecules on surfaces of mast cells, resulting in their degranulation and<br />

release of primary and secondary mediators of anaphylaxis.<br />

(a)<br />

(b)<br />

(c)<br />

IgG<br />

Target cell<br />

Acetylcholine<br />

receptor<br />

C1q<br />

IgG<br />

Nerve<br />

Muscle cell<br />

Surface<br />

antigen<br />

NK/K cell<br />

Fc Receptor<br />

Surface antigen<br />

Activation of<br />

muscle<br />

C1q + C1r + C1s<br />

C1, 4, 2, 3, 5b,<br />

6, 7, 8, 9<br />

that induce allergy) attached to basophil or mast cell Fcε<br />

receptors. Cross linking of the cell-bound IgE antibodies by<br />

antigen is followed by mast cell or basophil degranulation<br />

and the release of pharmacological mediators including vasoactive<br />

amines such as histamine that causes increased vascular<br />

permeability, vasodilation, bronchial spasm, and mucous<br />

secretion. Secondary mediators of type I hypersensitivity<br />

include leukotrienes, prostaglandin D 2, platelet-activating<br />

factor, and various cytokines. Systemic anaphylaxis is a serious<br />

clinical problem and can follow the injection of protein<br />

antigens such as antitoxins or of drugs such as penicillin.<br />

type I cytokine receptors<br />

Cytokine receptors that possess conserved structural motifs<br />

in their extracellular domains and bind cytokines that fold<br />

into four α-helical strands. They include growth hormone,<br />

interleukin-2 (IL2), IL3, IL4, IL5, IL6, IL7, IL9, IL11,<br />

IL13, IL15, granulocyte–macrophage colony-stimulating<br />

factor (GM-CSF), and G-CSF. Some of these receptors have<br />

ligand-binding chains and one or more signal-transducing<br />

chains. The same structural motifs are found in all these<br />

chains. When bound to their cytokine ligands, type I<br />

Formation<br />

of<br />

M.A.C.*<br />

*Membrane attack complex<br />

Acetylcholine<br />

IgG<br />

Perforin release<br />

Ca 2+<br />

NK/K cell<br />

mediated lysis<br />

IgG antibody<br />

coated target<br />

cell<br />

Activation of<br />

muscle inhibited<br />

Antibody/<br />

complement<br />

mediated<br />

lysis<br />

Three forms of type II hypersensitivity.(a) Antibody and complement-mediated lysis of a nucleated cell as a consequence of formation of the membrane attack<br />

complex (MAC). (b) Antibody-dependent, cell-mediated cytotoxicity through the action of a natural killer (NK) or killer (K) cell with surface antibody specific<br />

for a target cell. (c) Inhibition of transmission of nerve impulses by antibodies against acetylcholine receptors as occurs in myasthenia gravis.<br />

T

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