15.2 Types of Graft Rejection Flashcards

1
Q

This type of graft rejection usually happens minutes to hours and preformed antibodies to ABO, HLA, and certain antigens bind to donor vascular endothelium, activating complement and clotting factors

A

Hyperacute

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2
Q

This type of graft rejection may lead to thrombus formation, ischemia, and necrosis of transplanted tissue

A

Hyperacute

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3
Q

This type of graft rejection usually happens days and is similar to hyperacute

A

accelerated

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4
Q

This type of graft rejection usually happens for days to months where cell-mediated response to foreign MHC-expressing cells.

A

Acute

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5
Q

In acute graft rejection: ___________ produces cytokines and induce delayed-type hypersensitivity

A

CD 4+ T cells

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6
Q

In acute graft rejection: ___________ Mediates cytotoxic reactions

A

CD8+ T cells

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7
Q

This type of graft rejection happens when antibodies produced against HLA antigens bind to vessel walls activate complement, and induce transmural necrosis and inflammation

A

Acute

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8
Q

This type of graft rejection usually happens 1 year or more, it is a delayed-type of hypersensitivity response and possibly antibodies to foreign HLA antigens on the Graft.

A

Chronic

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9
Q

This type of graft rejection can cause graft arteriosclerosis and smooth muscle proliferation to occur, resulting in fibrosis, scarring, and narrowing of vessel lumen

A

Chronic

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10
Q

This type of graft rejection usually happens for 100 days or more where T cells in HSC, lung or liver transplants reac against foreign HLA prteins i the recipient cells causing massive cytokine release, inflammation, and tissue destruction in various locations throughout the body

A

Graft versus host disease

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11
Q

Timing of hyperacute after transplant?

A

Minutes to hours

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12
Q

Timing of Chronic after transplant?

A

1 year or more

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13
Q

Timing of Acute after transplant?

A

Days to months

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14
Q

Timing of Accelerated after transplant?

A

days

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15
Q

How to minimize Graft versus host disease?

A

Radiation

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16
Q

This are given too transplanted patients to lowers the immune response

A

Immunosuppresants

17
Q

Immunosuppressants:

Azathioprine

a. Steroids
b. Antibiotics
c. Calcineurin inhibitors
d. Monoclonal Ab
e. Polyclonal Ab

A

b

18
Q

Immunosuppressants:

Anti inflammatory

a. Steroids
b. Antibiotics
c. Calcineurin inhibitors
d. Monoclonal Ab
e. Polyclonal Ab

A

a

19
Q

Immunosuppressants:

Thymoglobulin

a. Steroids
b. Antibiotics
c. Calcineurin inhibitors
d. Monoclonal Ab
e. Polyclonal Ab

A

e

20
Q

Immunosuppressants:

Basiliximab

a. Steroids
b. Antibiotics
c. Calcineurin inhibitors
d. Monoclonal Ab
e. Polyclonal Ab

A

d

21
Q

Immunosuppressants:

Alemtuzumab

a. Steroids
b. Antibiotics
c. Calcineurin inhibitors
d. Monoclonal Ab
e. Polyclonal Ab

A

d

22
Q

Immunosuppressants:

Cyclosporine, Tacrolimus

a. Steroids
b. Antibiotics
c. Calcineurin inhibitors
d. Monoclonal Ab
e. Polyclonal Ab

A

c

23
Q

Immunosuppressants:

Sirolimus

a. Steroids
b. Antibiotics
c. Calcineurin inhibitors
d. Monoclonal Ab
e. Polyclonal Ab

A

c

24
Q

A Calcineurin inhibitors that block signal transduction from a T cells

A

Tacrolimus