transplants Flashcards
for bone marrow transplants you must abolish
bone marrow with chemo
autograft
done-recipient is same person
syngenetic graft
identical twins
xenograft
different species
allograft
same species
failure to match leads to
rejection of transplant
features of good match
- same blood type
- same MHC
- negative cross match screen
donor cells express MHC I, if different from recipient..
CD8 cells will react
human leukocyte antigens make up
MHC class I and II molecules
genes on chromosome __ determine HLA type
6
some HLA subtypes are associated with
autoimmune disease
__ sets of HLA genes per parent
2
sibling has __ chance of match
25%
most imp HLA genes for solid organ transplants
HLA-A
HLA-B
HLA-DR
two problems with mismatch
- rejection of new cells
- graft vs host disease
path of graft vs host
donated T cells react with recipient cells
sxs of graft vs host
rash, diarrhea, abd pain
hyperacute rejection happens
within mins
hyperacuture rejection is caused by
preformed antibodies in recipient
hyperacute rejection sxs
blood vessel spasm
intravascular coag
ischemia
acute rejection occurs
weeks to months after transplant
path of acute rejection
recipient T cells react to graft causing cell mediated immune response
biopsy of acute rejection shows
lymphocytes
chronic rejection occurs
months to years after transplant
chronic rejection shows
fibrosis of vessels