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Lecture notes – They recognise the graft
Module: Biology (C100)
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University: University of Salford
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Lecture notes – They recognise the graft
Cytotoxic T cells then recognize the graft because it bears foreign class I MHC molecules. This
response is much like the activation of CTLs by virally infected host cells. A second mechanism
involves the T-helper cells reacting to the graft and releasing cytokines. The cytokines stimulate
macrophages to enter, accumulate within the graft, and destroy it. MHC molecules play a dominant
role in tissue rejection reactions because of their unique association with the recognition system of T
cells. Unlike antibodies, T cells cannot recognize or react directly with non-MHC molecules (viruses,
allergens). They recognize these molecules only in association with, or complexed to, an MHC
molecule.
Tissue Transplantation Rejection
Because class I MHC molecules are present on every nucleated cell in the body, they are important
targets of the rejection reaction. The greater the antigenic difference between class I molecules of
the recipient and donor tissues, the more rapid and severe the rejection reaction is likely to be. Class
II MHC molecule mismatch can also result in rejection and may be even more severe than class I
mismatch reactions. However, the reaction can sometimes be minimized if recipient and donor
tissues are matched as closely as possible. Most recipients are not 100% matched to their donors, so
immuno suppressing drugs are used to prevent host mediated rejection of the graft.
Organ transplant recipients also can develop graft-versus host disease. This occurs when the
transplanted tissue contains immune cells that recognize host antigens and attack the host. The
immuno suppressed recipient cannot control the response of the grafted tissue. Graft-versus-host
disease is a common problem in bone marrow transplants. The transplanted bone marrow contains
many mature T cells. These cells recognize the host MHC antigens and attack the immunosuppressed
recipient’s normal tissue cells.
In November 2002 a mysterious pneumonia was seen in the Guangdong Province of China, but the
first case of this new type of pneumonia was not reported until February 2003.
Thanks to the ease of global travel, it took only a couple of months for the pneumonia to spread to
more than 25 countries in Asia, Europe, and North and South America.
This newly emergent pneumonia was labeled “severe acute respiratory syndrome” (SARS), and its
causative agent was identified as a previously unrecognized coronavirus (CoV), the SARS-CoV.
Almost 10% of the roughly 8,000 people with SARS died.
SARS-CoV