Lecture 20 - Immunology of transplantation Flashcards

1
Q

What are the two major advancements with transplantations? [2]

A
  • Surgery

- Immune suppression

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2
Q

What happens to a transplant if the antigens are recognised as foreign?

A

The transplant is rejected

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3
Q

What are the two challenges that restrict the advancement of transplants? [2]

A
  • Managing Organ rejection

- Organ supply

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4
Q

What are the types of transplant that can be performed?

A
  • Solid organ
  • Stem cell transfer
  • Others
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5
Q

What does Autograft refer to?

A

Using tissues from a patient for a transplant to the same patient

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6
Q

What does Isograft refer to?

A

Using tissues/organs from an identical twin

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7
Q

What does Allograft refer to?

A

Using tissues/organs from a non-identical donor

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8
Q

What does Xenograft refer to?

A

Using tissues/organs from animals

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9
Q

What does it mean if a transplant is Histocompatible?

A
  • No immune response

- Accepted

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10
Q

What does it mean if a transplant is HistoIncompatible?

A
  • Immune response

- Rejected

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11
Q

What kind of response do MAJOR histocompatibility antigens cause?

A

Strong responses

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12
Q

What kind of response do MINOR histocompatibility antigens cause?

A

Weaker response

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13
Q

Where is the loaction of the gene loci that are responsible for the most vigorous graft rejections?

A

In the major histocompatibility complex

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14
Q

How are the alleles in the MHC genes expressed?

A

Co-dominantly

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15
Q

What does MINOR histocompatability antigen incompatibility cause?

A

Slow graft rejections

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16
Q

What are the three types of graft rejection? [3]

A
  • Hyperacute (minutes)
  • Acute (days to weeks)
  • Chronic (months to years)
17
Q

How does hyperactive rejection occur?

A
  • Patient has pre-formed anti-donor antibodies

- Activates immune system

18
Q

What are the stages of rejection during an Acute rejection?

A
  • Allo-recognition and activation of CD4+ Th cells
  • Generation of efectors cells
  • Attack on graft
19
Q

How does chronic rejection occur?

A
  • Slow and progressive loff of graft function

- Leads to bloackage of vessels

20
Q

How can you avoid graft rejection?

A
  • Organ retrieval

- Pre-screening and matching

21
Q

How can you prevent graft rejection?

A

Immune suppression

22
Q

How can you minimise the damage to donated organs before a transplant?

A
  • Optimal donor management

- Organ preservation

23
Q

What are the drawbacks to using immune supression?

A
  • Increases risk of infections and malignancy

- Drug associated toxicities