概述HLA分型技术.pptVIP

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* HLA分型技术 上海交通大学医学院 彭奕冰 主任技师 优选 * Major Histocompatibility Complex (MHC) What is MHC? HLA H-2 Minor histocompatibility antigens 优选 * Significance of the MHC role in immune response role in organ transplantation role in predisposition to disease 优选 * Progress in organ transplantation 优选 * Genetic barriers to transplantation autologous: in the same individual (autograft) isologous: between genetically Identical individuals (isograft), i.e., identical twins (inbred animals) homologous: between individuals of the same species (allograft) heterologous: between individuals different species (xenograft) 优选 * Principles of transplantation 优选 * Minor histocompatibility antigens and graft survival minor histocompatibility antigens also cause rejection The rejection time is variable but longer than that for major histocompatibility antigen They have additive effects 优选 * Graft versus host (GVH) disease 优选 * GVH disease in humans 优选 * The human MHC genes 优选 * The mouse MHC genes 优选 * Polymorphism of MHC antigens (based on phenotype) HLA基因系统的多态性及一些主要基因座位的等位基因数 正式命名显示多态性的HLA基因座位有31个,共2 320个等位基因。? 图中所示为常见基因座位的等位基因数。 优选 * The inheritance of MHC genes 优选 * Crossing over results in new haplotypes 优选 * MHC products expressed on cells If Jack and Jill have four children; Bo, Kim, Mo and Lee They’ll all inherit antigens of the parental MHC Oft their haplotypes will be of the father or mother Unless during meiosis, a crossover should occur 优选 * Class-I expressed on all nucleated cells in man, and also on erythrocytes in mice. Class-II expressed primarily on antigen presenting cells (dendritic cells, macrophages and B cells, etc.) Differential expression of MHC antigens 优选 * Alloreactivity of T cells: MLR and CTL generation CD4+TH1 CD8+CTL CD8+preCTL 优选 * Alloreactivity of T cells Positive Selection Thymus Alloreaction (MLR) Proliferation and Differentiation 优选 * Inflammation lysis ADCC lysis IL2, IFN ? TNF?, NO2 IL2, IL4, IL5 IL2, TNF?,

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