Friday, March 1, 2013

What is Graft-vs.-host disease ? & what are GVHD types ?

 

What is Graft-vs.-host disease ? & What are the types of Graft vs Host Disease (GVHD) ?

 

artAE14Graft-vs.-host disease is an immune attack on the recipient by cells from a donor

artAE24Graft versus host disease (GVHD) occurs when immunologically competent cells are introduced into an immunoincompetent host

artC77FThe main problem with transplanting organs and tissues is that the recipient host does not recognize the new tissue as its own.

artC790Instead, it attacks it as foreign in the same way it attacks germs, to destroy it.

artDDFEIf immunogenic cells from the donor are transplanted along with the organ or tissue, they will attack the host, causing graft vs. host disease.

artDDFFThe only transplanted tissues that house enough immune cells to cause graft vs. host disease are the blood and the bone marrow

TYPES OF GVHD include :

artEFDAAcute GVHD occurs within the first 100 days of transplantation and consists of the triad of

–dermatitis,

–enteritis, and

–hepatitis.

artEFDBChronic GVHD develops after day 100 and consists of an autoimmune syndrome directed toward multiple organs.

artEFECBecause the skin often is the earliest organ affected in GVHD, dermatologists are crucial members of the patient's treatment team.

What is the Mechanism of Autoimmune Diseases ?

 

What is the Mechanism of Autoimmune Diseases ?

 

art2B0DFailure of peripheral tolerance

–Breakdown of T cell anergy

–Failure of Activation-Induced Cell death

–Failure of T cell Medicated suppression

–Molecular Mimicry

–Polyclonal Lymphocyte Activation

–Release of sequestered Antigens

–Exposure of cryptic self and Epitope Spreading

art2B1DGenetic Factors in Autoimmunity

art2B1EMicrobial agents in Autoimmunity

What is Immunologic Tolerance ?

 

What is Immunologic Tolerance ?

art342CImmunologic tolerance is a state in which the individual is incapable of developing an immune response to a specific antigen

art342DSelf tolerance refers to lack of responsiveness to an individual’s antigens

art342EIn this way it underlies our ability to live in harmony with our own cells and tissues

 

What is the mechanism of immunologic tolerance ?

artAB601-Central tolerance

artAB61Peripheral tolerance

–Clonal deletion by activation induced cell death

–Clonal anergy

–Peripheral suppression by T cells

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