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10 Cards in this Set

  • Front
  • Back
Tumor antigens may be products of what 4 things?
- mutated proteins
- products of oncogenes
- overexpressed or aberrantly expressed self protein
- products of oncogenic viruses
Tumor rejection is mainly mediated by _____.
CTL
Name 3 ways tumors may evade CTL.
- by downregulating expression of tumor antigen
- shut off expression of MHC Class I molecules
- secrete suppressive cytokines, express inhibitory ligands (to inhibit T cell activation)
Differentiate between: hyperacute rejection, acute rejection, and chronic rejection.
hyperacute
- occurs within minutes of transplantation
- characterized by thrombosis of graft vessels/ischemic necrosis of graft
- mediated by preformed antibodies leading to complement activation, endothelial damage and inflammation

Acute rejection
- occurs within days to weeks after transplantation
- principal cause of early graft failure
- mediated mainly by T cell reaction against alloantigens in the graft leading to vascular damage (endotheliatis)
- Ab's also can contribute
- immunosuppressive therapy is designed to prevent this type of rxn

Chronic rejection
- occurs over months and years
- mediated by T cell cytokines (esp TGF-beta) that stim hyperplasia of vascular SM and tissue fibroblasts, leading to vessel occlusion
Differentiate between direct vs. indirect recognition of alloantigens.
direct- T cell recognizes unprocessed allogeneic MHC molecule on graft APCs

indirect - T cell recognizes processed peptide of allogeneic MHC molecule bound to self MHC molecule on host APC
Define Mixed Lymphocyte Reaction (MLR)
take T cells from one individual, culture with leukocytes of another individual and see what the T cell response is. the magnitude of response is proportional to the extent of the MHC differences between these individuals and is a rough predictor of the outcomes of grafts exchanged between these individuals
Antibodies that recognize blood group molecules are ALWAYS Ig__. Why?
IgM; blood group antigens are CHOs
Serum from individuals of Type O blood have which antibody(s). They would agglutinate with RBCs of which type(s)?
Anti-A & anti-B; would agglutinate with RBCs of A,B, and AB
Serum from individuals of Type A blood have which antibody(s). They would agglutinate with RBCs of which type(s)?
anti-B; RBCs with B and AB
Serum from indivduals of Type AB blood have which antibody(s). They would agglutinate with RBCs of which type(s)?
no antibodies; agglutinate with none