MHC class 1 or class 2 deficiency
Overview
MHC class 1 or class 2 deficiency: An inherited immunodeficiency disorder involving a deficiency of class I and II major histocompatibility complexes. Serious infections can result. Immunology. 1996 May; 88(1): 124–129. PMCID: PMC1456472 Copyright notice Impact of donor MHC class I or class II antigen deficiency on first- and second-set rejection of mouse heart or liver allografts. S Qian, F Fu, Y Li, L Lu, A S Rao, T E Starzl, A W Thomson, and J J Fung Department of Surgery, University of Pittsburgh Medical Center, PA, USA. Small right arrow pointing to: This article has been cited by other articles in PMC. Abstract The influence of donor major histocompatibility complex (MHC) class I- or class II-deficiency on the initiation of first- and second-set rejection of mouse heart and liver allografts was examined. C3H (H-2k) mice received heterotopic cardiac or orthotopic liver grafts from unmodified B10 (H-2b), B6 (H-2b), b2m (H-2b; class I deficient) or AB0 (H-2b; class II deficient) donors. Organ survival was also investigated in C3H recipients that had been presensitized by a normal B10 skin graft 2-3 weeks before heart or liver transplantation. The absence of cell surface MHC class I or class II resulted in significant prolongation of primary cardiac allograft survival. Three of seven (43%) MHC class I-deficient, and two of five (40%) class II-deficient heart grafts were accepted indefinitely (survival time > 100 days). Thus both MHC class I and class II molecules appear to be important for the elicitation of first-set rejection in the heart allograft model. All liver allografts survived > 100 days in normal recipients. In C3H recipients that had been presensitized by a B10 skin graft, however, both heart and liver grafts from AB0 (class II deficient) donors underwent accelerated rejection (median survival time [MST] 3 and 4 days, respectively). In contrast, liver grafts from class I-deficient mice (b2m) were still accepted indefinitely by B10 skin-presensitized C3H recipients, whereas class I-deficient hearts survived significantly longer than those from class II-deficient or normal donors. These data demonstrate that the expression of donor MHC class I, and not class II is crucial in initiating second-set organ allograft rejection. In vitro monitoring revealed that at the time of organ transplant, both splenocytes and serum of the skin-presensitized animals displayed high cytotoxicity against AB0 (class II-deficient) but not against b2m (class I-deficient) targets.
Symptoms
The list of signs and symptoms mentioned in various sources for MHC class 1 or class 2 deficiency includes the 12 symptoms listed below: * Persistent diarrhea * Malabsorption * Mucocutaneous candidiasis * Upper respiratory tract bacterial infection * Lower respiratory tract bacterial infection * Failure to thrive * Chronic sinusitis * Chronic bronchitis * Fatigue * Viral infections * Fungal infections * Bacterial infections Note that MHC class 1 or class 2 deficiency symptoms usually refers to various symptoms known to a patient, but the phrase MHC class 1 or class 2 deficiency signs may refer to those signs only noticable by a doctor.
Causes
Other Possible Causes of these Symptoms * Bacterial infections * Chronic bronchitis * Chronic sinusitis * Failure to thrive * Fatigue * Fungal infections * Malabsorption * Persistent diarrhea
Diagnosis
The signs and symptom information on this page attempts to provide a list of some possible signs and symptoms of MHC class 1 or class 2 deficiency. This medical information about signs and symptoms for MHC class 1 or class 2 deficiency has been gathered from various sources, may not be fully accurate, and may not be the full list of MHC class 1 or class 2 deficiency signs or MHC class 1 or class 2 deficiency symptoms. Furthermore, signs and symptoms of MHC class 1 or class 2 deficiency may vary on an individual basis for each patient. Only your doctor can provide adequate diagnosis of any signs or symptoms and whether they are indeed MHC class 1 or class 2 deficiency symptoms.