TRANSPLANTATION Flashcards
Pre‐existing antibodies due to either blood group incompatibility or pre-sensitization to class I MHC through blood transfusion
Hyperacute
Activation of lymphocytes
Acute
Multiple immune mechanisms or recurrence of the original disease
Chronic
Antibodies bind to blood vessel endothelium in the graft, resulting in complement activation, neutrophil recruitment, platelet aggregation, and blood clotting
Hyperacute
Cytotoxic T‐cells attack the donor cells
expressing foreign MHC. Helper T‐cells and B‐cells collaborate in the production of antibodies to alloantigens
Acute
Mechanisms not fully understood. Can involve lymphocytes, phagocytes, antibodies and complement
Chronic
Remove organ
Hyperacute
Increase immunosuppression (with caution)
Acute
Does not respond to increased
immunosuppression; replace organ
Chronic