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After seroconversion, the amount of virus circulating in the blood drops and stays at a low level for several years. During this time, the levels of CD4 + cells, especially helper T cells, decline steadily, until at some point, the immune response is so weak that opportunistic disease and eventually death result. CD4 is the receptor that HIV uses to get inside T cells and reproduce. Given that CD4 + helper T cells play an important role in other in T cell immune responses and antibody responses, it should be no surprise that both types of immune responses are eventually seriously compromised.

Treatment for the disease consists of drugs that target virally encoded proteins that are necessary for viral replication but are absent from normal human cells. By targeting the virus itself and sparing the cells, this approach has been successful in significantly prolonging the lives of HIV-positive individuals. On the other hand, an HIV vaccine has been 30 years in development and is still years away. Because the virus mutates rapidly to evade the immune system, scientists have been looking for parts of the virus that do not change and thus would be good targets for a vaccine candidate.

Hypersensitivities

The word “hypersensitivity” simply means sensitive beyond normal levels of activation. Allergies and inflammatory responses to nonpathogenic environmental substances have been observed since the dawn of history. Hypersensitivity is a medical term describing symptoms that are now known to be caused by unrelated mechanisms of immunity. Still, it is useful for this discussion to use the four types of hypersensitivities as a guide to understand these mechanisms ( [link] ).

Immune hypersensitivity

This table describes different types of hypersensitivity. In Type I (IgE-Mediated Hypersensitivity), IgE is bound to mast cells via its Fc portion. When an allergen binds to these antibodies, crosslinking of IgE induces degranulation. Type I causes localized and systemic anaphylaxis, seasonal allergies including hay fever, food allergies such as those to shellfish and peanuts, hives, and eczema. In Type II (IgG-Mediated Hypersensitivity), cells are destroyed by bound antibody, either by activation of complement or by a cytotoxic T cell with an Fc receptor for the antibody (ADCC). Examples are when red blood cells are destroyed by complement and antibody during a transfusion of mismatched blood types or during erythroblastosis fetalis. In Type III (Immune Complex-Mediated Hypersensitivity), antigen-antibody complexes are deposited in tissues, causing activation of complement, which attracts neutrophils to the site. Most common forms of immune complex disease are seen in glomerulonephritis, rheumatoid arthritis, and systemic lupus erythematosus. In Type IV (Cell-Mediated Hypersensitivity), Th1 cells secrete cytokines, which activate macrophages and cytotoxic T cells and can cause macrophage accumulation at the site. Most common forms are contact dermatitis, tuberculin reaction, and autoimmune diseases such as diabetes mellitus type I, multiple sclerosis, and rheumatoid arthritis.
Components of the immune system cause four types of hypersensitivity. Notice that types I–III are B cell mediated, whereas type IV hypersensitivity is exclusively a T cell phenomenon.

Immediate (type i) hypersensitivity

Antigens that cause allergic responses are often referred to as allergens. The specificity of the immediate hypersensitivity    response is predicated on the binding of allergen-specific IgE to the mast cell surface. The process of producing allergen-specific IgE is called sensitization, and is a necessary prerequisite for the symptoms of immediate hypersensitivity to occur. Allergies and allergic asthma are mediated by mast cell degranulation that is caused by the crosslinking of the antigen-specific IgE molecules on the mast cell surface. The mediators released have various vasoactive effects already discussed, but the major symptoms of inhaled allergens are the nasal edema and runny nose caused by the increased vascular permeability and increased blood flow of nasal blood vessels. As these mediators are released with mast cell degranulation, type I hypersensitivity    reactions are usually rapid and occur within just a few minutes, hence the term immediate hypersensitivity.

Most allergens are in themselves nonpathogenic and therefore innocuous. Some individuals develop mild allergies, which are usually treated with antihistamines. Others develop severe allergies that may cause anaphylactic shock, which can potentially be fatal within 20 to 30 minutes if untreated. This drop in blood pressure (shock) with accompanying contractions of bronchial smooth muscle is caused by systemic mast cell degranulation when an allergen is eaten (for example, shellfish and peanuts), injected (by a bee sting or being administered penicillin), or inhaled (asthma). Because epinephrine raises blood pressure and relaxes bronchial smooth muscle, it is routinely used to counteract the effects of anaphylaxis and can be lifesaving. Patients with known severe allergies are encouraged to keep automatic epinephrine injectors with them at all times, especially when away from easy access to hospitals.

Questions & Answers

what is stumac
Abdussalam Reply
What is phagocytosis
Mohamed Reply
Phagocytosis, process by which certain living cells called phagocyte
Sadashiv
It is the process that is carried out by the immune system of the body, that certain specialized immune cells (macrophages, Nks, dendritic cells, etc) that engulf and neutralize the foreign substances that invades the body.
Wesley
So that they can be predicate out of the body.
Wesley
phagocytosis is the process by which living cell or yh plasma membrane engulf large molecules into it internal environment ... it also known as food feeding
Boateng
all that you are say what does it mean?
Dzah
simply is the way the immune system fights foreign bodies by engulfing them..
Dzah
by the help of the immune cells...
Dzah
what are the six types of connective tissues
Athieno Reply
describe the structure of the liver
Atwebembeire Reply
what is specific name for spinal cord
Stanley Reply
what is the best description for skeletal muscular
Stanley
what is the best description for skeletal muscular
Stanley
costs of bones of skeleton, their joint s and voluntary
grace
what are examples of long bones
grace
example of long bones will be the femur tibia and humerus and even radius
Nina
so basically long bones are mostly in you hands and feets
Nina
skeletal muscular are voluntary and are attached to the bone by tendon which help maintain the posture and position of the body and it also protects internal organs in the abdominal region
Nina
The specific name for spinal cord is coccygeal segment
Sandra
Smallest unit of life
Kimberly Reply
cell
Adnan
The cell is the smallest structural and functional unit of living organisms, which can exist on its own. Therefore, it is sometimes called the building block of life. Some organisms, such as bacteria or yeast, are unicellular—consisting only of a single cell—while others, for instance, mammalians, a
Adnan
cells are the building blocks of life
Stanley
Describe the complications of fracture
Zaifa Reply
functions of connective tissue
renah Reply
what is a local potential
Nandi Reply
potential of neurons
vipin
response of neurons against sodium ion Chanel
vipin
The resting membrane potential of a neuron is about -70 mV (mV=millivolt) - this means that the inside of the neuron is 70 mV less than the outside. At rest, there are relatively more sodium ions outside the neuron and more potassium ions inside that neuron.
Adnan
what is tissues
Addai Reply
are groups of specialized cell that perform they same activity
Deng
a group of specialized cells of the same structure and function
Malenga
a group of specialized cells that have the same structure and perform the same function
Cantiago
tissue is a group of specialised cells performing similar functions and are of the same embryonic origin
Maura
group of specialized cells that have similar structure and act together to perform a specific function
esekon
a group of specialised cell which has same function
Grace
a group of specialized cells that perform the same function.
faiz
what is meant by control center?
Freeman Reply
what is anatomy
Ajibola Reply
is the study of the structure of the body and their relationship to each refers to the shapes iyo sizes
Khadar
If water touches hydrophobic tail, what will happen as negative effect?
Sayo
is the study of structural of the human body and their function
Masiame
What is the function of the Trachea
Samuel
what is a blastomere?
Toluba Reply
In biology, a blastomere is a type of cell produced by cleavage (cell division) of the zygote after fertilization and is an essential part of blastula formation.
Adnan
what is cell
Shivaani
Cells are the basic building blocks of all living things. The human body is composed of trillions of cells. They provide structure for the body, take in nutrients from food, convert those nutrients into energy, and carry out specialized functions. ... Cells have many parts, each with a different
Adnan
function
Adnan
cell is a membrane bound unit that contains the fundamentals molecules of life
Sushma
A1
Adnan
excellent
Adnan
movement,reproduction, excretion, respiration ,growth ,nutrition, response to external stimuli.
Sushma
good
Adnan
sister excellent
Adnan
questions pushy ja sukty hy kya
Maryam
jwab forun milta hy ya ak do din k bad
Maryam
Maryam Riaz sister what you say
Adnan
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Maryam
inshallah
Adnan
zaror mere behen
Adnan
question kari
Adnan
hn mil mil sakte h na esly
Ziya
Which muscle of the gluteal region originates from lumber spine? a. Gluteus medius b. Psoas major c. Iliacus d. Gluteus maximus
Maryam
sweet sister's
Adnan
question tu kari Inshallah Allah behtar kariga
Adnan
to mcqs kia to hy
Maryam
answer ni mila abhi
Maryam
wait sister
Adnan
what is the functional unit of kidneys
Khadar
nephron is the functional unit of kidney
Maryam
Maryam Riaz sister option. d. gluteus maximus
Adnan
thanks
Maryam
sorry Maryam Riaz sister
Adnan
option b. psoas major
Adnan
right answer this one
Adnan
nephron is the functional unit of kidney
Ihsan
I discussed with to my teachers
Adnan
d
Ihsan
d. is right option bro
Adnan
yes
Ihsan
what is cell
Shilpa
cell is the smallest unit of life
Maryam
ok
Shilpa
Cells are the basic building blocks of all living things. The human body is composed of trillions of cells. They provide structure for the body, take in nutrients from food, convert those nutrients into energy, and carry out specialized functions. ... Cells have many parts, each with a different
Adnan
function
Adnan
Maryam Riaz sister I m clear option d. also right thank you ihan bro
Adnan
type structure function origin insertion action of muscles
DAMINI Reply
get anatomyka app
Raghvendra
what you ask especially
Raghvendra
oxygn amount in our body
Tg Reply
A normal level of oxygen is usually 95% or higher. Some people with chronic lung disease or sleep apnea can have normal levels around 90%. The “SpO2” reading on a pulse oximeter shows the percentage of oxygen in someone's blood
Adnan

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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