MHC and transplantation Flashcards

1
Q

Normal individuals have naturally occurring anti-A or anti-B __________.

A

isoagglutinins

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2
Q

______________ staining has revealed blood group substance in the cell membranes of all vascular endothelial cells, and certain epithelial cells.

A

Immunofluorescent

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3
Q

Proteins encoded by the MHC are expressed at the cell surface and function to present ‘____’ and ‘_____’ antigens for inspection by _____ antigen receptors.

A

Proteins encoded by the MHC are expressed at the cell surface and function to present ‘self’ and ‘nonself’ antigens for inspection by T cell antigen receptors.

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4
Q

How many MHC molecules are on the average mammalian cell?

A

50,000 – 100,000 MHC molecules

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5
Q

What does MHC have an important role in?

A

Important role in immune function, disease susceptibility and reproductive success.

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6
Q

What does the class I region encode?

A

HLA-A, B, C (‘classical’) antigens

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7
Q

What does the class II region encode?

A

HLA-DR, DQ, DP antigens

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8
Q

What does the class III region encode?

A

HSP70, TNF, C4A, C4B, C2, BF, CYP21

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9
Q

How many kb make up the class I genes?

A

3-6kb

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10
Q

How many kb make up the class II genes?

A

4-11kb

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11
Q

What does HLA stand for?

A

Human Leucocyte Antigens

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12
Q

Where are class I antigens found?

A

all nucleated cells

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13
Q

Where are class II antigens found?

A

primarily expressed on B lymphocytes but expression can be induced on T lymphocytes and other cells

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14
Q

What does co-dominant expression mean for the antigens?

A

All of the inherited antigens are displayed on the cell surface (HLA phenotype).

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15
Q

MHC is highly polymorphic which means…

A

…there are a large number of allelic variants at each locus.

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16
Q

How is the allelic variation maintained at population level?

A

survival advantage

17
Q

How is HLA polymorphism significant?

A

In terms of capacity of individual to mount an immune response in response to an antigenic challenge

18
Q

What are the 3 types of recognition in grafts?

A

direct
indirect
semi-direct

19
Q

What is sensitisation?

A

Any event which elicits an HLA directed immune response

20
Q

What does hyper acute rejection activate?

A

clotting cascade

complement