Transplantation Flashcards
2 sources of donor kidneys
live and deceased
2 types of deceased donors
brain dead
cardiac death
define autograft
self transferred from one body site to another in the same individual
define isograft
tissue transferred between genetically identical individuals
define allograft
tissue transferred between genetically different members of the same species
define xenograft
from different species
4 types of graft
autograft
isograft
allograft
xenograft
4 categories of cellular components of immune system
APCs
B cells and antibodies
T cells
Other cells
4 effector mechanisms of allogeneic grafts
cell mediated
humoral mediated
direct recognition
indirect recognition
5 mechanisms for overcoming the immune response
Total body irradiation Surgical ablation Total lymphoid irradiation (also take out spleen) Immunosuppressive drugs Immunoabsorption/ plasmapheresis
what type of drug is cyclosporin?
calcineurin inhibitor
3 examples of immunosuppressive drugs used in renal transplants
cyclosporin
tacrolimus
azathioprine
prednisolone
When does acute rejection occur?
in first 3 months
2 types of acute rejection
2 types of rejection- cellular or vascular (blockage of blood supply)
adverse complications of immunosuppression
infection
malignancy