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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

Hi Be Home Be safe , how are things doing hope all is well
Natarajan Reply
3 longitudinal bands of smooth muscles found in large intestines
Jamia
what's is sutures
Nimeshka Reply
what would I like to know
Roy Reply
anything u can tell me
Roy
anatomy mins
Manish
when two or more bones meet.
Joseph
Joints
Anita
I am interested in learning but it is a little threatening corona virus covid 19
Samnang Reply
I don't know about Corona virus
Vicky
what would you like to know?
Mbasa
what is a peripheral protien
Ayesha Reply
actually its located in between the lipid layer, it does not specify if it's closer to the inside or the outside of the cell
Justin
It is protein found in lipid bilayer but found attached with Cytoplasm aspect
Jamal
what are the collection of blood.?
sunshine Reply
Effect of exercise on different body systems?
Rania Reply
what is ambroylogy
kashif Reply
embryology..is the biological studing of embryos
Ava
I know biological study but embryology mean any pic, example?
kashif
https://upload.wikimedia.org/wikipedia/commons/b/b6/Comparative_embryology_of_the_vertebrates%3B_with_2057_drawings_and_photos._grouped_as_380_illus_%281953%29_%2820482505100%29.jpg
Ava
I like to learn about medical and more
Samnang
what is the function of the blood
Yolanda Reply
Transporting of oxygen,fighting against germs, forms clotting ,distribution of nutrients and minerals through out the body ,
Nimco
Transportation of gases such as oxygen and water blance and carrei metabolites to the exit organ and Acid base equilibrium and clotting blood and Immune
Jamal
What are Gross and microscopicAnatomy
Waiswa Reply
study of the internal structures of a human being
Niyi
gross anatomy is the study of body parts that can be seen with our naked eyes while micro anatomy involves the study of body parts that cannot be seen with our naked eyes but with the aid of a microscope
Oppong
gross means examination of specimen or tissue with bare (unaided ) eye while microscopic means examination of same with the help of microscope
Jamia
what is physiology
Waiswa Reply
what are blood pressure
Waiswa
physiology is the study of the normal functions of organs
Romaissaa
Blood pressure is a when systolic phase is 190 and diastolic phase 90.
Rahma
systolic phase is 180.not 190
Manish
explain the anatomy of the human heart
Maia Reply
is the scientific study of the body structure ie like structure very small which can be only observed.
Waiswa
where can I find the muscle organization
Taonga Reply
what is the physiology?
Josoph Reply
the study of functioning of body organs
Muskan
In other words... Physiology is the study of normal function within living creatures. It is a sub-section of biology, covering a range of topics that include organs, anatomy, cells, biological compounds, and how they all interact to make life possible.
Young
which part of the heart supply blood to all parts of the body
Waiswa
left heart supply all the body.
Rahma
what analysisof an anatomy
Waiswa
Okay thanks distinguish between blood pressure and body organs
Waiswa
branch of anatomy which deal with the life process and function
MT
how oxygen and carbondioxide are transported in the body.
riddon Reply
Through the lungs as we inhale oxygen it diffuses into the alveoli while carbon dioxide diffuses out of the blood and from our bodies
Angel
from lungs o2 diffuses into blood capillaries from where it is bound to heam part of hb there after it is transported to different parts of body ...co2 that is produced during respiration in cells gets transported to lungs from lungs it gets exhalated
Jamia
o2 is mainly transported by hb present in blood while co2 is transported main as bicarbonate.. detailed topics
Malik

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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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