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IMMUNOLOGY
Syarifuddin Wahid
Upik A. Miskad
TERM
• Transplantation: the process of taking
cells, tissues or organs from one individual
and placing into a (usually) different
individual.
TISSUE COMPATIBILITY
- the need for donor and rescipient tissue to be compatible
in order for a transplat to be accepted.
- It depend upon genetic similarity of donor and recipient
HISTOCOMPATIBILITY ANTIGEN
Genetic similarity between transplant donor and recipient
(histocompatibility) is encoded by two set of genes namely
major histocompatibility complex (MHC) and
minor histocompatibility antigens.
TYPES OF TRANSPLANTS
Rejection
Immunocompetent
MHC Antigen Cells
(Allogenic MHC)
Self peptides
RECOGNATION OF ALLOGENIC MHC MOLECULES
BY T LYMPHOCYTES
Endothelitis
Graft rejection
ALLOGRAFT
REJECTIN
Figure 16-7 Immune mechanisms of graft rejection. A. In hyperacute rejection, preformed antibodies reactive with vascular endothelium activate complement and trigger
rapid intravascular thrombosis and necrosis of the vessel wall. B. In acute rejection, CD8+ T lymphocytes reactive with alloantigens on endothelial cells and parenchymal
cells mediate damage to these cell types. Alloreactive antibodies formed after engraftment may also contribute to vascular injury. C. In chronic rejection with graft
arteriosclerosis, injury to the vessel wall leads to intimal smooth muscle cell proliferation and luminal occlusion. This lesion may be caused by a chronic DTH reaction to
alloantigens in the vessel wall.
GRAFT REJECTION
ALLOGRAFT
REJECTIN
Figure 16-7 Immune mechanisms of graft rejection. A. In hyperacute rejection, preformed antibodies reactive with vascular endothelium activate complement and trigger
rapid intravascular thrombosis and necrosis of the vessel wall. B. In acute rejection, CD8+ T lymphocytes reactive with alloantigens on endothelial cells and parenchymal
cells mediate damage to these cell types. Alloreactive antibodies formed after engraftment may also contribute to vascular injury. C. In chronic rejection with graft
arteriosclerosis, injury to the vessel wall leads to intimal smooth muscle cell proliferation and luminal occlusion. This lesion may be caused by a chronic DTH reaction to
alloantigens in the vessel wall.
GRAFT ARTERIOSCLEROSIS
GRAFT REJECTION
ALLOGRAFT
REJECTIN
Figure 16-7 Immune mechanisms of graft rejection. A. In hyperacute rejection, preformed antibodies reactive with vascular endothelium activate complement and trigger
rapid intravascular thrombosis and necrosis of the vessel wall. B. In acute rejection, CD8+ T lymphocytes reactive with alloantigens on endothelial cells and parenchymal
cells mediate damage to these cell types. Alloreactive antibodies formed after engraftment may also contribute to vascular injury. C. In chronic rejection with graft
arteriosclerosis, injury to the vessel wall leads to intimal smooth muscle cell proliferation and luminal occlusion. This lesion may be caused by a chronic DTH reaction to
alloantigens in the vessel wall.
IMMUNOSUPPRESSED IMMUNOSUPRESSED
STRAIN B RECIPIENT STRAIN AXB RECIPIENT
STRAIN A STRAIN A
DONOR CELLS DEVIDE DONOR CELLS DEVIDE