On tissue rejection (from something I've posted elsewhere)
Transplants are pretty interesting. Even though it is not the person's self-MHC I proteins that exist on the transplanted tissue cell surfaces, sometimes cytotoxic T cells are able to bind to the MHC I proteins and the foreign antigens that they are displaying and "kill" the cell in the same way that they would if it was the person's own body cell that was infected. Here's a chunk from my uni textbook:
Before the onslaught can begin, the cytotoxic T cell must "dock" on the target cell by binding to a self-nonself complex. Remember, all body cells dis- play class I MHC antigens, so all infected or abnormal body cells can be destroyed by these T cells. The attack on foreign human cells, such as those of a graft, is more difficult to explain because here all of the antigens are nonself. However, apparently the Tc cells sometimes "see" the foreign class I MHC antigens as a combination of self class I MHC protein bound to foreign antigen. Once· cytotoxic T cells recognize their targets, there are two major mechanisms by which they can deliver a lethal hit.
So as you can see, T cells are pretty important - both cytoxic, and T helper (which are needed for activation). Also important are NK cells, phagocytes, and antibodies (so B cells). Both humoral and cell-mediated responses are important.
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And guys, let's not let Chemistry override Biology
