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Transplant Immunology
01/28/15 Transplant Immunology - Quiz 2 Material
16
Pharmacology
Graduate
02/02/2015

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Term
Graft rejection mediated by adaptive immune system
Definition
Shows specificity and memory
Dependent upon lymphocytes
Term
Barriers to Tissue Transplantation
Definition
MHC's
Minor histocompatibility Antigens
- When MHC class I molecules scavenge for antigens inside cells, peptides of donor/recipient do not match
- Polymorphism of histocompatibility molecules is barrier to transplantation
Term
Alloantigen
Definition
Cell or tissue present in some members of a species, but not others
Term
Alloreactivity
Definition
T cells or antibodies from one individual that will react with tissue antigens of second genetically different individual
Term
Autograft
Definition
Graft transplanted from one individual to the same individual
Term
Allograft
Definition
Graft transplanted from one individual to a second genetically different individual of the same species
Term
Syngeneic Graft
Definition
graft transplanted from one individual to a second genetically identical individual
Term
Xenograft
Definition
Graft from one species to another
Term
Direct Alloantigen Recognition
Definition
T cells bind directly to intact allogeneic MHC molecule on a donor antigen-presenting cell
Term
Indirect ALloantigen Recogntion
Definition
Allogeneic MHC molecules from graft cells take n up and processed by recipient APCs
Peptide fragments of allogeneic MHC molecules bound and presented by recipient MHC molecules
Term
Hyperacute Rejection
Definition
Alloantibodies and complement cause endothelial damage, inflammation and thrombosis
Term
Acute Rejection
Definition
Alloreactive recipient T cells attack graft causing parychemal damage and inflammation
- due to direct alloantigen recognition by recipient T cells
Term
Chronic Rejection
Definition
Induces graft arteriosclerosis and vessel occlusion
- due to direct and indirect alloantigen recognition by recipient T cells
Term
Immunosuppressive Drugs
Definition
Cyclosporine & Tacrolimus
- Most usefful class of immunosuppressive drugs
- Calcineurin inhibitors
* block calcineurin (T cell phosphatase)
* Inhibits transcription of cytokine genes in T cells
Term
Sources of Hematopoietic Stem Cells
Definition
Bone marrow
Peripheral blood
Placental cord blood
Fetal liver
Term
Graft Vs Host Disease
Definition
Major problem
- Immune system destroyed by radiation and chemicals prior to transplant
- GVH occurs when donor T cells react against tissue antigens of recipient
- Life threatening situation
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