Basic and Clinical Sciences (BCSE) Practice Exam

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What immune component is primarily involved in initiating a Type I allergic reaction?

  1. IgM

  2. IgG

  3. IgE

  4. Cytokines

The correct answer is: IgE

The immune component that is primarily involved in initiating a Type I allergic reaction is IgE. This class of immunoglobulin plays a crucial role in the body's response to allergens. Upon initial exposure to an allergen, B cells produce IgE antibodies specific to that allergen. These IgE antibodies bind to the surface of mast cells and basophils, which are key players in the allergic response. Upon subsequent exposure to the same allergen, the allergen cross-links the IgE antibodies on the surface of these cells, leading to their activation and degranulation. This process releases various mediators, including histamine, which causes the symptoms associated with allergic reactions such as itching, swelling, and bronchoconstriction. The role of IgE in this cascade makes it essential for the initiation of Type I hypersensitivity reactions, commonly known as immediate allergic reactions. Other options such as IgM and IgG are involved in different aspects of the immune response but do not directly initiate Type I allergic reactions. Cytokines, although important in mediating and regulating immune responses, do not initiate the allergic response themselves but rather influence the action of various immune cells and can be downstream effects of the allergic reaction initiated by IgE. This delineation