- hypersensitivity
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In immunology, a state of excessive and potentially damaging immune responsiveness as a result of previous exposure to antigen. If the hypersensitivity is of the immediate type (antibody-mediated), then the response occurs in minutes; in delayed hypersensitivity the response takes much longer (about 24h) and is mediated by primed T-cells. Hypersensitivity responses are not simply divisible into the two types, and it is now more common to subdivide immediate responses into types I, II, and III, the delayed response being of type IV. Type I responses involve antigen reacting with IgE fixed to cells (usually mast cells) and are characterized by histamine release; anaphylactic responses and urticaria are of this type. In type II responses circulating antibody reacts with cell surface or cell-bound antigen, and if complement fixation occurs, cytolysis may follow. In type III reactions immune complexes are formed in solution and lead to damage (serum sickness, glomerulonephritis, Arthus reaction). Delayed-type responses of Type IV involve primed lymphocytes reacting with antigen and lead to formation of a lymphocyte-macrophage granuloma without involvement of circulating antibody.
Dictionary of molecular biology. 2004.