Thrush- Transplantation Flashcards

1
Q

what type of transplant is usually autologous?

A

skin

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2
Q

what does allograft mean?

A

tissue transferred between genetically distinct individuals of the same species

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3
Q

what is graft rejection due too?

A

specificity and memory

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4
Q

what type of rejection mimics a primary immune response? and what type mimics a memory response?

A

first rejection.

second rejection.

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5
Q

which anti-T cell can allow a skin graft survive a a few more days before being rejected?

A

anti-CD4 (combination of both anti-CD4 and anti CD8 can postpone rejection even longer)

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6
Q

in a transplant do the dendritic cells of the graft serve as a antigen presenting cell (APC)?

A

yes

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7
Q

in the effector stage of graft rejection, what mediates cytotoxicity via alloantigen recognition of graft cells?

A

CTL

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8
Q

what cytokines are produced during the effector stage of graft rejection?

A

IL-2, IFN-gamma, TNF-beta

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9
Q

is IFN-gamma directly cytotoxic to graft cells?

A

no. TNF-beta is

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10
Q

what is IFN-gamma responsible for?

A

DTH response and recruitment of macrophages.

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11
Q

what cytokine is responsible for T cell proliferation and CTL activation?

A

IL-2

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12
Q

what type of rejection occurs after 2-4 weeks and is usually due to differences in classical MHC genes?

A

acute rejection

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13
Q

when does hyperacute rejection occur and what happens?

A

occurs within a few days after transplant. usually due to pre-existing antibodies (initiate complement activation) and or NK cells

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14
Q

what type of rejection will patients experience with: repeated blood transfusions, many pregnancies and previous graft?

A

hyperacute rejection

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15
Q

what type of rejection is due to minor histocompatibility antigens or the non-MHC genes? and can immunosuppressive drugs prevent it?

A

chronic rejection.

no immunosuppressive drugs cannot prevent it.

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16
Q

which type of MHC genes are most important during graft survival?

A

class II MHC

17
Q

why is it so difficult to find identical MHC matches?

A

they are polymorphic, polygenic and are co-dominantly expressed

18
Q

in bone marrow transplants, what should be removed from the donor marrow?

A

partially removing donor T cells seems to help prevent GvHD and also increases chance of survival

19
Q

what drugs help prevent T and B cell proliferation?

A

mitotic inhibitors

20
Q

what drugs are used as anti-inflammatory agents?

A

corticosteroids