Immunoglobulin E (IgE) function: Which statement best describes the principal immunological role of IgE in humans?
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AImmunity against some parasites (and mediation of immediate hypersensitivity)
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BComplement-mediated killing and classical opsonization as the main function
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CMajor antibody in external secretions
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DAll of the above
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EPrimary opsonin for intracellular bacteria
Answer
Correct Answer: Immunity against some parasites (and mediation of immediate hypersensitivity)
Explanation
Introduction / Context:Different antibody isotypes specialize for distinct immune niches. IgE is tightly linked to antiparasitic defense and allergic responses via mast cells and basophils.
Given Data / Assumptions:
- IgE binds Fcε receptors on mast cells and basophils.
- Cross-linking by antigen triggers degranulation.
- Secretory dominance is associated with IgA, not IgE.
Concept / Approach:IgE arms FcεRI-expressing cells. Upon exposure to helminth antigens or allergens, cross-linking causes mediator release (histamine, leukotrienes), promoting eosinophil recruitment and barrier responses helpful in anti-helminth immunity but also causing allergy symptoms.
Step-by-Step Solution:Associate IgE with mast cells/basophils and eosinophils.Identify physiologic role: antiparasitic defense; pathologic role: immediate hypersensitivity.Exclude complement-dominant and secretory-dominant roles (belong to IgG/IgM and IgA).
Verification / Alternative check:Elevated IgE and eosinophilia correlate with helminth infections; allergen skin testing depends on IgE-mediated mast cell degranulation.
Why Other Options Are Wrong:
- Complement killing/opsonization: Primarily IgG and IgM.
- Secretions: Predominantly dimeric IgA with secretory component.
- All of the above: Overgeneralizes beyond IgE’s niche.
Common Pitfalls:Confusing isotype locations and effector mechanisms (IgA vs IgE).
Final Answer:Immunity against some parasites (and mediation of immediate hypersensitivity).