Type II Hypersensitivity: Pathogenesis and clinical findings
Definition: When antigens bind to the body's cell surfaces, forming an "antigen-surface complex" that triggers a maladaptive antibody-mediated immune reaction. These antigens can either be self-antigens, or foreign antigens that a patient has been previously exposed to.
Antigen binds receptor on body cell surface - Example: drug (i.e. heparin) binds the surfaces of body cells (i.e. platelets)
-> An "antigen-surface complex" is created on the body cell
-> B-Cells with specific pre-formed antibodies against these complexes recognize them as foreign
-> B-cells produce autoimmune antibodies (IgG, rarely IgM) against either the antigen, the cell surface receptor, or the entire complex
-> Antibody binding recruits macrophages and activates the complement cascade, which destroy these cell surfaces
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