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What is the mechanism by which mast cells cause allergic reactions?

  • A Mast cells produce and secrete broad-spectrum antibiotic compounds that directly kill invading bacteria over time in most cases under typical conditions
  • B IgE binds to mast cell surface receptors; when allergen crosslinks IgE, mast cells degranulate and release histamine causing allergy symptoms
  • C Mast cells differentiate directly into largely functional cytotoxic T lymphocytes upon repeated allergen exposure according to standard textbooks
  • D Mast cells engulf and phagocytose allergen particles within their cytoplasm before slowly digesting them in general practice as frequently described

Correct answer: B. IgE binds to mast cell surface receptors; when allergen crosslinks IgE, mast cells degranulate and release histamine causing allergy symptoms

Explanation: Allergy mechanism: (1) Sensitization: first exposure causes B cells to produce IgE; IgE binds to FcepsilonRI receptors on mast cells. (2) Re-exposure: allergen crosslinks IgE on mast cells, triggering degranulation and release of histamine, leukotrienes, prostaglandins causing vasodilation, mucus secretion, bronchoconstriction.

Concept context

Innate and adaptive immunity, B cells, T cells, antibodies, vaccines, and immune disorders. Critical for NEET.

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