MHC and Transplantation Flashcards

1
Q

In what cells do blood group substances fluoresce?

A

All vascular enodthelial membrane, some epithelial cells.

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2
Q

What two types of isoagglutinins are there?

A

A or B

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3
Q

What is an isoagglutinin?

A

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

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4
Q

In whom is MHC found?

A

All vertebrae species

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5
Q

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

A

50-100,000

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6
Q

What 4 functions does an MHC molecule have?

A

> Immune role
Histocompatibility
Reproductive role
Disease susceptibility

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7
Q

Where are MHC molecules expressed?

A

At the cell surface

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8
Q

What do MHC molecules present?

A

Self and non-self antigens to T cells.

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9
Q

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

A

Chromosome 6, position 21.3.

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10
Q

How many bp is the human MHC?

A

3.6Mbp

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11
Q

What antigens do Class 1 MHC encode?

A

HLA-A, B, C = CLASSICAL

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12
Q

What antigens do Class 2 MHC encode?

A

HLA-DR, DQ, DP

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13
Q

Where are Class 1 MHC antigens present?

A

On all nucleated cells

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14
Q

Where are Class 2 MHC antigens present?

A

Mostly B lymphocytes, can induce on T lymphocytes.

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15
Q

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

A

B2 microglobulin

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16
Q

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

A

B chain

17
Q

What type of inheritence does MHC follow?

A

Mendelian

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?

A

A19

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?

A

Molecular

25
Q

What is direct recognition in transplantation?

A

> Donor WBC interact with recipient T cell
T cell recognise non-self antigen
T cell proliferate –> damage graft.

26
Q

When does direct recognition occur?

A

Immediately on transplantation

27
Q

What is indirect recognition in transplantation?

A

> Recipient WBC interact with foreign protein
Self T cells break it down
Damage graft

28
Q

Define: Sensitisation

A

Any event that leads to a HLA directed immune response.

29
Q

What are 3 examples of sensitisation?

A

> Pregnancy
Transplantation
Blood transfusion

30
Q

Define: Calculated Reaction Frequency

A

The percentage of donors in the last 10,000 that are unavailable to the recipient

31
Q

What 3 things does a pt’s transplant chance depend on?

A

> Their blood group
The rarity of HLA type
Extent of sensitisation

32
Q

What is a hyperacute rejection?

A

When recipient anitbodies in their blood bind to the graft enothelium.

33
Q

What is activated in a hyperacute rejection?

A

> Complement

> Clotting cascade

34
Q

What is the result of a hyperacute rejection?

A

Endothelial integrity reduced (leaky)

35
Q

What can result from a hyperacute rejection?

A

DIC –> ~death

36
Q

What does a Flow cross match detect?

A

If there are antibodies in pt’s serum against donor HLA antigens.