Basic and Clinical Sciences (BCSE) Practice Exam

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In an allergic reaction, what component does IgE primarily bind to?

  1. Fc receptors on macrophages

  2. Basophils and mast cells

  3. Endothelial cells

  4. Neutrophils

The correct answer is: Basophils and mast cells

In an allergic reaction, IgE primarily binds to basophils and mast cells. This interaction is crucial for the pathophysiology of allergic responses. When an allergen enters the body, the immune system produces IgE antibodies specific to that allergen. These IgE antibodies then attach themselves to the surface of basophils and mast cells through high-affinity IgE receptors (also known as FcεRI). Once the allergen re-enters the body, it cross-links the bound IgE molecules on these immune cells. This cross-linking stimulates the release of various mediators, such as histamine, leukotrienes, and other inflammatory substances. These mediators contribute to the symptoms of an allergic reaction, such as itching, swelling, and airway constriction. Other types of cells, such as macrophages and neutrophils, do not have the same high-affinity receptor for IgE and are not primarily involved in the immediate hypersensitivity reactions seen in allergies. Endothelial cells also do not play a direct role in binding IgE in the context of allergic responses. Thus, basophils and mast cells are the key players in the IgE-mediated allergic reaction.