Allergy: Cause, IgE, Histamine and Anti-Histamines

Biology · Human Health and Diseases · NEET

Allergy is the exaggerated (too strong) response of the immune system to certain antigens in the environment, called allergens (like dust mites and pollen). The antibody made in allergy is IgE, and the symptoms come from histamine and serotonin released by mast cells. Memory hook: "Allergy = E for Environment, IgE; Mast cells fire Histamine; anti-Histamine cools it down."
How an Allergy Happens (NCERT)Allergen entersdust mite, pollenBody makesIgE antibodyIgE sits onMast cellsMast cell releasesHistamine +SerotoninSymptoms: sneezing, watery eyes,running nose, hard breathingTreat withAnti-histamine
The allergy pathway: allergen enters, body makes IgE, IgE sits on mast cells, mast cells release histamine and serotonin causing symptoms; anti-histamine blocks histamine to stop the symptoms.

Your doubts, answered

Which antibody is produced in an allergic reaction?

IgE. NCERT clearly says the antibodies produced against allergens are of the IgE type. This is a very common NEET one-liner: allergen enters, body makes IgE, IgE sits on mast cells. Do not write IgG or IgM for allergy.

Why is allergy called an 'exaggerated' immune response?

Because the immune system reacts too strongly to harmless things. NCERT defines allergy as the exaggerated response of the immune system to certain antigens present in the environment. Pollen, mites and dander are not real dangers, but the body still fires a big IgE response, causing sneezing and wheezing.

Which cell releases histamine in allergy?

Mast cells. NCERT: allergy is due to the release of chemicals like histamine and serotonin from the mast cells. When IgE-coated mast cells meet the allergen, they burst open and release histamine and serotonin, which cause the symptoms. Remember: Mast cells = the chemical store.

What is the difference between an allergen and an antigen?

Every allergen is an antigen, but not every antigen causes allergy. An allergen is a special antigen (like dust mite, pollen, animal dander) that triggers an exaggerated IgE response. NCERT calls the substances that cause this response allergens. So allergen = allergy-causing antigen.

Why does asthma happen? Is it an allergy?

Yes, asthma is an allergic (hypersensitivity) reaction. It happens due to the allergic reaction of mast cells in the lungs. The IgE-mast cell reaction in the airways releases histamine, causing the airways to narrow, giving wheezing and difficulty in breathing. NEET 2016 asked exactly this.

Which drugs are used to reduce allergy symptoms?

NCERT lists three: anti-histamine, adrenalin, and steroids. These quickly reduce the symptoms. Anti-histamine works by blocking histamine, which is the main chemical causing the symptoms. Memory: to fight histamine, use ANTI-histamine.

⚠️ The NEET trap
Choosing IgG (or IgA) as the antibody produced in allergy, because IgG is the 'most common' antibody.
The antibody in allergy is IgE. IgG is the most abundant antibody in blood, but allergy specifically uses IgE, which binds to mast cells.
🧠 Allergy = allErgy = IgE. The 'E' links them.

Real NEET questions

2016

Asthma may be attributed to:

A · Bacterial infection of the lungs
B · Allergic reaction of the mast cells in the lungs
C · Inflammation of the trachea
D · Accumulation of fluid in the lung
Solution: Asthma is an allergic (hypersensitivity) condition. The IgE-mast cell reaction in the airways releases histamine and serotonin, narrowing the airways and causing wheezing. Bacterial infection and fluid accumulation describe pneumonia, not asthma. NCERT: allergy is due to release of histamine and serotonin from mast cells.
2024

Match List I with List II: A. Common cold B. Haemozoin C. Widal test D. Allergy | I. Plasmodium II. Typhoid III. Rhinoviruses IV. Dust mites

A · A-I, B-III, C-II, D-IV
B · A-III, B-I, C-II, D-IV
C · A-IV, B-II, C-III, D-I
D · A-II, B-IV, C-III, D-I
Solution: Common cold = Rhinoviruses (A-III). Haemozoin = Plasmodium/malaria (B-I). Widal test = Typhoid (C-II). Allergy is triggered by allergens such as dust mites (D-IV). So the correct match is A-III, B-I, C-II, D-IV. This is why remembering 'dust mites = common allergen' matters.

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Frequently asked

What is allergy in simple words?

Allergy is when the immune system reacts too strongly to a harmless substance in the environment. NCERT calls it the exaggerated response of the immune system to certain antigens (allergens) like pollen and dust mites.

What are common allergens?

NCERT gives these examples: mites in dust, pollens, and animal dander. These enter the body and make it produce IgE antibodies.

What are the symptoms of allergy?

Sneezing, watery eyes, running nose, and difficulty in breathing. These are caused by histamine and serotonin released from mast cells.

How is the cause of an allergy found?

NCERT: the patient is exposed to or injected with very small doses of possible allergens, and the reactions are studied. This is the skin-test method.

How does anti-histamine work?

Histamine is the main chemical that causes allergy symptoms. Anti-histamine blocks histamine, so the symptoms reduce quickly. NCERT also lists adrenalin and steroids as drugs that reduce allergy symptoms.

Why do more city children get allergies today?

NCERT says modern lifestyle has lowered immunity and increased sensitivity to allergens. This may be because of the very clean, protected environment given early in life, so the immune system does not learn to ignore harmless particles.