Transplantation and Immunosuppressive drugs Flashcards
What are the 4 types of donor/recipient relationship?
Autologous (from own self so genetically identical)
Syngeneic (from another individual but genetically identical)
Allogeneic - (donor and recipient are different and not genetically identical)
Xenogeneic (donot and recipient are diff and also diff speciies)
Why do autologous and syngeneic donors and recipient relation not caus immune response?
Donor and recipeient are genetically identical
Give an example of autologous and syngeneic trnaplant?
Autologous - skin graft
Syngeneic - between twins
Give an example of allogeneic transplant?
Between siblings (brother and sister)
Give an example of a xenogeneic transplant?
Pig valve used in transplant in humans
Why are immune responses caused after transplantation?
Genetic differences between donor and recipeient mainly in MHC
Which HLA class is biggest?
Class 1
What is an epitope?
Antigenic determinant (the part of antigen that is recongised by immune cells e.g. b cell, t cell or antibodies)
Where do epitopes on MHC need to be matched?
B cells and T cells must be able to recognise self MHC so matching makes sure they aren’t destoryed if not deteted?
How are Donor MHc epitopes matched?
Next generation sequencing to see genetic differences between donor and recipient
Which cells are activated is MHC class 1 present fragments of intracellular proteins?
T cell receptors on cytotoxic T cells with assistance of CD8 co-receptor
Which cells are activated is MHC class 2 present fragments of intracellular proteins?
T cell receptor on helper T cells with assistance from CD4