Transplantation Immunology

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19 Terms

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co-dominantly

how HLA genes are expressed

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autograft

same individual at a different location

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syngeneic

transferred between genetically identical individuals

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allograft

transfer between genetically different members of the same species

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xenografts

transfer between members of different species

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direct recognition

donor APCs present to recipient T-cells and involve MHC I or II

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indirect recognition

recipient APCs present to recipient T-cells and involve MHC II

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chronic rejection timeline

weeks to years

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chronic rejection

vascular connections

donor tissue replaced my ECM and scar tissue

mismatches of non-MHC genes

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acute rejection timeline

2-4 weeks

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acute rejection

vascular connections

edematous and inflamed donor tissue

MHC mismatches, especially MHC I

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hyperacture rejection timeline

a few days

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hyperacute rejection

no vascular connections

immune response involving complement, NK cells, and antibodies against vasculature

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second set rejection

an immune response mediated by memory B cells and T cells

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panel reactive antibody (PRA)

the percentage of the population that the recipient would reject a donation from

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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

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CYP inducer

a molecule that increases metabolism, therefore decreasing concentration of the drug

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CYP inhibitor

a molecule that decreases metabolism, therefore increasing concentration of the drug

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nadir creatinine

the lowest creatinine concentration; new normal for those who have received a kidney transplant