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Transplant immunology
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== Components to check == * Major Histocompatibility Complex (MHC) ** Type I: all cells (HLA-A, B, C) ** Type II: antigen-presenting cells (HLA-DP, DQ, DR) ** The greater the degree of match, the better the outcome ** HLA-DR, HLA-B and HLA-A are the most important * Direct cross-match ** Performed immediately before transplant ** Lysis of donor lymphocytes/complement suggests hyperacute rejection will occur * Flow cytometry cross-match ** Binding of non-complement fixing Ab in recipient serum to donor lymphocytes indicates increased risk acute rejection * Panel reactive Ab ** Can be tested for each potential recipient to generic Abx ** Patients previously sensitised will have higher levels, and will likely then have positive cross-match to more donors * Mixed lymphocyte reaction ** Used for living donation
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