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DR Medhat MRCP

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Expression<br />

Structure<br />

MHC I<br />

- In all nucleated cells (ie not on<br />

RBCS) e.g<br />

‣ T- cells<br />

‣ B-cells<br />

‣ Phagocytes & APCs<br />

MHC II<br />

- Only in APCs<br />

‣ Macrophages<br />

‣ Dendritic cells.<br />

- Has one peptide limb bound to<br />

phospholipid membrane of all<br />

nucleated cells.<br />

- Composed of 4 microglobulin<br />

molecules one of them never<br />

change its structure (βmicroglobulin)<br />

& the upper 2<br />

molec(α1 &α2) form a groove<br />

acting as a cleft which is the<br />

binding site of specific antigen.<br />

- When an antigen is presented on<br />

MHC I of certain cell , the<br />

outcome is death of this cell as it<br />

will be presented to cytotoxic T-<br />

- Has 2 peptide limbs bound to<br />

phospholipid membrane of<br />

APCs .<br />

- Composed of 4<br />

microglobulins, one side<br />

(α1&α2) & the other side<br />

(β1&β2)<br />

- Antigen-binding groove is<br />

formed by α1 &β1<br />

- When an antigen is presented<br />

on MHC II , this will activate T-<br />

helper cells (CD4+) which in<br />

turn activates B-cell receptors.<br />

cell (t-killer cells)(CD8+)<br />

- Most commonly studied HLAs genes are :<br />

‣ Class I : HLA-A , HLA-B, HLA-C<br />

‣ Class II : HLA-DP, HLA-DQ , HLA-<strong>DR</strong>.<br />

‣ Class III : they are not structurally or functionally related to class I&II and it<br />

include genes of complement proteins & tumour necrosis factor.<br />

61

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