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co-dominantly
how HLA genes are expressed
autograft
same individual at a different location
syngeneic
transferred between genetically identical individuals
allograft
transfer between genetically different members of the same species
xenografts
transfer between members of different species
direct recognition
donor APCs present to recipient T-cells and involve MHC I or II
indirect recognition
recipient APCs present to recipient T-cells and involve MHC II
chronic rejection timeline
weeks to years
chronic rejection
vascular connections
donor tissue replaced my ECM and scar tissue
mismatches of non-MHC genes
acute rejection timeline
2-4 weeks
acute rejection
vascular connections
edematous and inflamed donor tissue
MHC mismatches, especially MHC I
hyperacture rejection timeline
a few days
hyperacute rejection
no vascular connections
immune response involving complement, NK cells, and antibodies against vasculature
second set rejection
an immune response mediated by memory B cells and T cells
panel reactive antibody (PRA)
the percentage of the population that the recipient would reject a donation from
HLA cross match
a test that determines if a recipient will reject a donation based on blood-blood interaction; negative is desirable for a donation match
CYP inducer
a molecule that increases metabolism, therefore decreasing concentration of the drug
CYP inhibitor
a molecule that decreases metabolism, therefore increasing concentration of the drug
nadir creatinine
the lowest creatinine concentration; new normal for those who have received a kidney transplant