Thursday 31 July 2014

The Science of Allergies

In my last post, which was about how and why the cells within our bodies communicate amongst each other, I used the example of our immune system. This incredible network of white blood cells guards our bodies against disease-causing microorganisms with a variety of defensive mechanisms; the importance of our immune system is reflected in the disastrous consequences of deficiency diseases such as AIDS. Without an immune system, a common cold would kill you. The whole system relies on the fact that our white blood cells recognise pathogens as foreign, and thus set off an alarm signal which triggers the whole response – including the familiar symptoms of coughing, fevers and inflammation. As amazing as it is, the immune system is not infallible, and often can be set off by harmless substances which happen to find their way into our bodies – resulting in an allergic reaction.
When an allergen enters your body (which may be from eating it, breathing it in, or via the bloodstream, e.g. insect bites), it will bind to specific receptors on white blood cells – this happens because of their complementary shape. These cells will then send out signals which trigger the production of a type of antibody called Immunoglobulin E, or IgE1. IgE then goes and attaches to another type of white blood cell called mast cells2. The next time that allergen comes along, it will bind to the IgE antibodies, which once again have a specific shape which allows them to recognise the invading substance3.  The binding of the allergen causes IgE to change shape, kicking into an action a signal transduction pathway which causes the mast cells to release chemicals such as histamine4.
The effect of these chemicals is to induce the well-known allergy symptoms: in nasal allergies (collectively known as allergic rhinitis5), such as hay fever, histamine causes inflammation, sneezing, running nose, etc. but some allergic reactions have more serious effects. Anaphylaxis, for example, can be brought on by an allergy to nuts or insect venom; characterised by symptoms such as rapid swelling and hives, anaphylaxis can be fatal if not treated6.
So essentially, your immune system does a great job of protecting you from nasty bacteria, viruses and fungi, but every so often it gets it wrong, going into overdrive at the first sign of something harmless like pollen or pet hair. In a sense, it’s the price that must be paid for having a really good immune system; so while hay fever can be a real nuisance and many allergies can be very harmful, it’s a lot better than not having a working immune system at all!

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