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D E P A R T E M E N T O F
I M M U N O L O G Y
1
GRAFT VS HOST REACTION
2
QUESTION#1
What are the result of organ
transplant? And Why fetus is not
act as a graft vs host reaction?
TABLE OF CONTENT
3
 What is organ transplant?
 Transplant rejection & its mechanism
 What is Graft Vs Host reactions & diseases(GvHD)?
 Why fetus Is not rejected from maternal immune
response?
 References
What is organ Transplantation?
4
Organ transplantation is a medical procedure in which
an organ is removed from one body and placed in the
body of a recipient, to replace a damaged or missing
organ.
Transplantation Rejection :
5
Mechanism of transplantation rejection:
6
 In the result of transplantation, the immune
response to a transplanted organ consists of both
immune responses;
Humoral (antibody mediated) mechanisms
Cellular (lymphocytes mediated) mechanisms
The CD4 and CD8 T cells recognize the
alloantigens which are expressed on the cells of the
foreign graft, it held through T-cell receptors(TCR)
on the surface of T-CELLs.
Complication may seen in post-
transplantation
7
GRAFT vs HOST DISEASES(GvHD):
It is an immune condition that occurs after
transplant procedures, when immune cells from
the donor (known as graft cells) attack the
recipient patient host's tissues; the disease is a
side effect that is common after an allogeneic
bone marrow transplant (stem cell transplant).
Why fetus is not rejected as GvHD?
8
During pregnancy are specific to paternal alloantigens,
which protects the fetus from rejection by the mother's
immune system.
Placenta.
Pregnancy Hormones.
Why fetus is not rejected as GvHD?
9
Pregnancy hormones such as estrogens, progesterone,
LH, FSH, and hCH hormones plays role as
immunosuppressant to reduces the risk of fetal GvHD or
damages.
2. Placenta
10
 Placenta place a very important role as
immunogenic barrier between fetus & mother. It
deplets T-CELLS stimulation to reduces the immune
responses.
PLACENTA:
11
i) Placenta: It is the tissue that
connects embryo and uterine wall. It
is selectively permeable, allows
nutrients and other vital factors to
enter the amniotic cavity, and
facilitates exit of metabolic wastes.
ii) Chorion: It forms the outermost
membrane that surrounds the
embryo and fetus.
iii) Decidua: During pregnancy, the
maternal uterine lining is termed as
decidua. It forms the maternal
component of the placenta.
Reference
12
1. https://www.sciencedaily.com/releases/2018/02/180246.htm
2. https://emedicine.medscape.com/article/432209-overview
3. https://www.sciencedaily.com/releases/2012/06/12042244.htm
4. https://www.medicinenet.com/graft_versus_host_disease_gvhd/arti
cle.htm
13

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IMMUNOLOGY CASE STUDY(Graft Vs Host Diseases)

  • 1. D E P A R T E M E N T O F I M M U N O L O G Y 1 GRAFT VS HOST REACTION
  • 2. 2 QUESTION#1 What are the result of organ transplant? And Why fetus is not act as a graft vs host reaction?
  • 3. TABLE OF CONTENT 3  What is organ transplant?  Transplant rejection & its mechanism  What is Graft Vs Host reactions & diseases(GvHD)?  Why fetus Is not rejected from maternal immune response?  References
  • 4. What is organ Transplantation? 4 Organ transplantation is a medical procedure in which an organ is removed from one body and placed in the body of a recipient, to replace a damaged or missing organ.
  • 6. Mechanism of transplantation rejection: 6  In the result of transplantation, the immune response to a transplanted organ consists of both immune responses; Humoral (antibody mediated) mechanisms Cellular (lymphocytes mediated) mechanisms The CD4 and CD8 T cells recognize the alloantigens which are expressed on the cells of the foreign graft, it held through T-cell receptors(TCR) on the surface of T-CELLs.
  • 7. Complication may seen in post- transplantation 7 GRAFT vs HOST DISEASES(GvHD): It is an immune condition that occurs after transplant procedures, when immune cells from the donor (known as graft cells) attack the recipient patient host's tissues; the disease is a side effect that is common after an allogeneic bone marrow transplant (stem cell transplant).
  • 8. Why fetus is not rejected as GvHD? 8 During pregnancy are specific to paternal alloantigens, which protects the fetus from rejection by the mother's immune system. Placenta. Pregnancy Hormones.
  • 9. Why fetus is not rejected as GvHD? 9 Pregnancy hormones such as estrogens, progesterone, LH, FSH, and hCH hormones plays role as immunosuppressant to reduces the risk of fetal GvHD or damages.
  • 10. 2. Placenta 10  Placenta place a very important role as immunogenic barrier between fetus & mother. It deplets T-CELLS stimulation to reduces the immune responses.
  • 11. PLACENTA: 11 i) Placenta: It is the tissue that connects embryo and uterine wall. It is selectively permeable, allows nutrients and other vital factors to enter the amniotic cavity, and facilitates exit of metabolic wastes. ii) Chorion: It forms the outermost membrane that surrounds the embryo and fetus. iii) Decidua: During pregnancy, the maternal uterine lining is termed as decidua. It forms the maternal component of the placenta.
  • 12. Reference 12 1. https://www.sciencedaily.com/releases/2018/02/180246.htm 2. https://emedicine.medscape.com/article/432209-overview 3. https://www.sciencedaily.com/releases/2012/06/12042244.htm 4. https://www.medicinenet.com/graft_versus_host_disease_gvhd/arti cle.htm
  • 13. 13