Tissue transplant Flashcards
autograft
graft from one anatomical location to another on the same individual
isograft
transplant from one individual who is syngeneic to the donor/identical twins
allograft
graft/transplant from one individual to a genetically dissimilar individual of same species
xenogaft
graft/transplant between donor and recipient of different species
first set rejection
the first graft from a particuular histoincompatible donor leads to rejection after 2 weeks
second set rejection
the second graft from the same donor will be completely rejected within a week - immunological memory expressed
hyperacute rejection
within hours. preformed antibodies -> activation complement cascade - >phagocytic recruitment
acute rejection
days/week. t cell-mediated immunity.
chronic rejection
month-years. activation of CD4+ cells
TNF-B
cytotoxic to graft cells
increase HLA class 1 expression
IFN-gamma, IFN-alpha/beta, TNF-alpha and TNF-beta
corticosteroids
inhibit lymphocyte gene expression, down regulate adhesion receptors, inhibit phagocytosis and HLA molecule expression
Antimetabolites
purine antagonists, DNA alkylating agents
Blocking agents
monoclonal antibodies therapy against CD3 to block Tcell activation and against IL-2r.
cyclosporine
interferes with gene transcription in T cells to include IL-2, IL-4, IFN-gamma, and IL-2r