Tissue Transplants Flashcards
Cross match test
mix recipient’s serum with patients RBC
no clumping = compatible
Where are class I MHCs found?
present on all nucleated cells
Where are class II MHCs found?
only on APCs
Why do you not need to do MHC typing for blood transfusions?
MHCs are not found on RBCs
How can rejection occur years after transplant?
some HLAs are not matched and there is always chronic inflammation
this inflammation against minor HLAs finally builds up and rejection occurs
Acute rejection is due to …
antibodies to major HLA antigens
alloreactive CD8+ T-cells
Hyperacute rejection is due to …
complement activation
pre-exisiting antibodies
Chronic rejection is due to …
antibodies to minor HLA antigens
alloantigen specific CD4+ T-cells
Timing of hyperacute rejection
minutes to hours
Timing of acute rejection
weeks to months