What is the Difference Between Hypersensitivity and Autoimmunity?

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Hypersensitivity and autoimmunity are both defective immune responses, but they differ in their specific manifestations and triggers. Here are the key differences between the two:

  • Hypersensitivity is an exaggerated and inappropriate immune response to an antigenic stimulus, which can be triggered by both endogenous and exogenous antigens. It includes immediate-type (allergy), delayed-type, and autoimmunity. A large proportion of the population is affected by one or more types of hypersensitivity, and it can manifest as acute or chronic conditions.
  • Autoimmunity is a type of hypersensitivity to self-antigens that only affects approximately 5% of the population. It is an adaptive immune response mounted against self-antigens, and it is only triggered by endogenous antigens. Autoimmunity manifests as chronic problems due to the failure of immunological tolerance mechanisms and the continuous presence of self-antigens.

In summary, the main difference between hypersensitivity and autoimmunity is that hypersensitivity is an exaggerated immune response to various antigens, while autoimmunity is a specific type of hypersensitivity directed against the body's own antigens.

Comparative Table: Hypersensitivity vs Autoimmunity

Here is a table comparing hypersensitivity and autoimmunity:

Feature Hypersensitivity Autoimmunity
Definition Hypersensitivity is an exaggerated and inappropriate immune response to an antigenic stimulus. Autoimmunity is a type of hypersensitivity to self-antigens.
Triggers Can be triggered by both exogenous and endogenous antigens. Only triggered by endogenous antigens, i.e., self-components.
Types Includes immediate, delayed, and autoimmunity. A subset of hypersensitivities, specifically Type IV hypersensitivity.
Manifestations Can have both acute and chronic manifestations. Only has chronic manifestations.
Immune Reaction Involves various immune cells, such as T and B cells, in the development and mediation of reactions. Involves antibodies directed against target self-antigens on the surface of cells or other structures.

Hypersensitivity reactions are maladaptive immune responses toward harmless foreign particles or self-antigens, and they occur after tissue sensitization. Autoimmunity, on the other hand, refers to the failure of immunological tolerance mechanisms, causing reactions against own cells and tissues.