Transplantation Flashcards
autologous grafts
donor and recipient are the same person; skin grafting, bone marrow
syngeneic grafts
donor and recipient are genetically identical; twins
allogeneic grafts
donor and recipient are same species but unrelated; heart, lung, kidney, liver
xenogeneic grafts
donor and recipient are different species
first set rejection
graft between unrelated individuals; graft is initially accepted and then rejected after about 10-14 days
second set rejection
occurs when an individual has been previously sensitized to the graft which causes a much faster rejection (6 days)
evidence that T cells play primary role in rejection reactions
nude mice (lack thymus) accept allografts but B cell deficient mice reject them
alloreactivity
ability of T cells to recognize foreign MHC molecules
direct recognition
T cell interacts with APC from donor and non-self MHC
indirect recognition
proteins and peptides from transplant get picked up by self-MHC
hyperacute rejection
recipient has preformed antibodies to antigen on graft; occurs when there is no ABO matching
minor H antigens
polymorphic self proteins that differ in amino acid sequence between individuals give rise to minor H antigen differences; slow graft rejection