MHC and Transplantation Flashcards

1
Q

In what cells do blood group substances fluoresce?

A

All vascular enodthelial membrane, some epithelial cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What two types of isoagglutinins are there?

A

A or B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is an isoagglutinin?

A

An isoantibody capable of gluing together cells from individuals of same species.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In whom is MHC found?

A

All vertebrae species

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How many MHC molecules are found in an average mammalian cell?

A

50-100,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What 4 functions does an MHC molecule have?

A

> Immune role
Histocompatibility
Reproductive role
Disease susceptibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where are MHC molecules expressed?

A

At the cell surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do MHC molecules present?

A

Self and non-self antigens to T cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

On what chromosome and what position is the Human MHC (aka HLA complex) found?

A

Chromosome 6, position 21.3.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How many bp is the human MHC?

A

3.6Mbp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What antigens do Class 1 MHC encode?

A

HLA-A, B, C = CLASSICAL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What antigens do Class 2 MHC encode?

A

HLA-DR, DQ, DP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where are Class 1 MHC antigens present?

A

On all nucleated cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where are Class 2 MHC antigens present?

A

Mostly B lymphocytes, can induce on T lymphocytes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Class 1 MHC heavy chain non-covalently associated with?

A

B2 microglobulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Class 2 MHC a chain non-covalently associated with?

17
Q

What type of inheritence does MHC follow?

18
Q

At a given locus how many antigens does an individual inherit?

A

2 antigens

19
Q

What type of expression does MHC follow?

A

Co-dominant expression- all antigens express on cell surface

20
Q

At each locus, what makes MHC polymorphic?

A

Lots of allele variants

21
Q

What is the advantage of MHC polymorphism?

A

It allows greater chance of mounting immune response against antigen.

22
Q

What antigen is broad in HLA nomenclature?

23
Q

What does ‘split’ mean in HLA nomenclature?

A

A19 has subgroups.

24
Q

What HLA type is denoted by an asterisk and 4 digits?

25
What is direct recognition in transplantation?
> Donor WBC interact with recipient T cell > T cell recognise non-self antigen > T cell proliferate --> damage graft.
26
When does direct recognition occur?
Immediately on transplantation
27
What is indirect recognition in transplantation?
> Recipient WBC interact with foreign protein > Self T cells break it down > Damage graft
28
Define: Sensitisation
Any event that leads to a HLA directed immune response.
29
What are 3 examples of sensitisation?
> Pregnancy > Transplantation > Blood transfusion
30
Define: Calculated Reaction Frequency
The percentage of donors in the last 10,000 that are unavailable to the recipient
31
What 3 things does a pt's transplant chance depend on?
> Their blood group > The rarity of HLA type > Extent of sensitisation
32
What is a hyperacute rejection?
When recipient anitbodies in their blood bind to the graft enothelium.
33
What is activated in a hyperacute rejection?
> Complement | > Clotting cascade
34
What is the result of a hyperacute rejection?
Endothelial integrity reduced (leaky)
35
What can result from a hyperacute rejection?
DIC --> ~death
36
What does a Flow cross match detect?
If there are antibodies in pt's serum against donor HLA antigens.