P6 IMMUNOLOGY HLA/MHC Flashcards

1
Q

cluster of genes important in
* Immune recognition
* Signalling between cells of the immune system

A

HLA COMPLEX

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2
Q

HLA stands for

A

human leukocyte antigen

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3
Q

MHC stands for

A

major Histocompatibility Complex

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4
Q

mention the 7 groups of HLA antigens recognised

A

A,B,C,D,DR,,DQ,DP

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5
Q

class 1 MHC is found in

A

all nucleated cells

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6
Q

class 2 MHC is found in

A

Mononuclear cells : macrophages , lymphocytes

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7
Q

HLA FUNCTION

A
  • bind & present peptides to TCR
  • ligands to NK receptors
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8
Q

functions of CLASS 2 HLA molecules

A
  • antigen recognition by CD8
  • transplant rejection
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9
Q

Function of CLASS 2 HLA molecules

A
  • antigen recognition by CD4
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10
Q

function of HLA typing

A
  • paternity testing
  • disease association
  • donor selection for transplantation
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11
Q

mention at least 3 diseases associated with HLA-DR3

A
  • celiac
  • SLE
  • sicca syndrome
  • graves
  • idiopathic addison’s
  • myasthenia gravis
  • insulin dependent DM
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12
Q

PCR methods used in HLA typing

A
  • SSO probes
  • SSP
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13
Q

procedures that restore stem cells that have been destroyed by high doses of chemotherapy and/or radiation therapy

A

bone marrow transplantation

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14
Q

mention the 3 types of transplantation

A

1- autologous
2- syngeneic
3- allogeneic

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15
Q

in Autologous transplants, patients receive stem cell from

A

Their own stem cells

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16
Q

in syngeneic transplants, patients receive stem cell from

A

Their identical twin

17
Q

in allogeneic transplants, patients receive stem cell from

A

brother , sister , parent , unrelated donor

18
Q

Mention 3 post transplant complications

A

GVH disease
infection
veno-occlusive liver disease

19
Q

clinical manifestations of GVH disease

A
  • jaundice
  • severe diarrhoea
  • skin rash