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Canale–Smith syndrome 132 capping phenomenon<br />

immunodominant surface antigen. Antiflagellin antibodies<br />

appear early during an infection and are believed to<br />

be protective. MOMP is also immunogenic. All of these<br />

antibodies have specificity for homologous and heterologous<br />

strains. Lipopolysaccharides (LPSs) induce variable<br />

antibody responses. Half of the cases of C. enteritis develop<br />

during Guillain-Barré syndrome. These patients develop<br />

increased circulating IgG and IgM that bind to GM1 and<br />

GD1 ganglioside epitopes and crossreact with the LPSs of<br />

certain serotypes of C. jejuni. Definitive studies of T cell<br />

responses to Campylobacter remain to be performed.<br />

Canale–Smith syndrome<br />

A rare autoimmune and lymphoproliferative syndrome<br />

(ALPS) that leads to lymphoid enlargement and immune<br />

cytopenia. It is a consequence of a dominant, nonfunctional<br />

Fas molecule. Children develop “double-negative” T lymphocytes<br />

and hypergammaglobulinemia. Unlike lpr and gld<br />

mice, human patients rarely develop antinuclear antibodies or<br />

lupus-like renal pathology; however, in the few cases studied,<br />

they showed increased susceptibility to malignancy.<br />

cancer<br />

An invasive, metastatic, and highly anaplastic cellular<br />

tumor that leads to death. Neoplasms are often divided into<br />

the two broad categories of carcinoma and sarcoma.<br />

cancer–testis antigens<br />

Proteins normally present only on spermatogonia and<br />

spermatocytes that become tumor-associated antigens when<br />

they appear on other types of cells as a consequence of<br />

transformation.<br />

Candida immunity<br />

Resistance against Candida begins with the nonspecific<br />

barriers such as intact skin and mucosal epithelium in<br />

addition to the indigenous bacterial flora that compete for<br />

binding sites. Once these protective barriers have been<br />

breached, the major cellular defense is neutrophils, which<br />

phagocytose the Candida microorganisms with intracellular<br />

killing through oxidative mechanisms. Monocytes and<br />

eosinophils also participate in this process. Microabscesses<br />

may form in infected tissues. Mononuclear cells constitute<br />

the main inflammatory response in more chronic infections.<br />

Immunoglobulin G (IgG), IgM, and IgA classes of<br />

Candida-specific antibodies have been found in infected<br />

patients. Local mucosal immunity, such as in the vagina,<br />

is associated with the development of IgA antibodies in<br />

secretions. Even though antibody titers are elevated in<br />

infected patients, the humoral immune response does not<br />

have a principal role in host defense against Candida.<br />

Patients with defects in cell-mediated immunity, such as<br />

AIDS patients and those with chronic mucocutaneous<br />

candidiasis, have increased susceptibility to Candida infections.<br />

Vaccination has been determined to be ineffective in<br />

preventing Candida infections.<br />

canine distemper virus<br />

A virus that induces disease in dogs and is associated<br />

with demyelination, probably induced by myelin-sensitive<br />

lymphocytes.<br />

canine immunity<br />

The canine immune system, using the dog as the classic<br />

example, is structurally and functionally very similar to its<br />

mouse and human counterparts. As in humans, dogs have<br />

numerous natural resistance mechanisms that prevent disease-causing<br />

agents by nonimmunologic means, including,<br />

Canine immunity.<br />

for example, the skin and mucous membranes. Dogs have<br />

the same immunoglobulin classes as described in humans.<br />

Canine cell-mediated immunity is essentially no different<br />

from the murine and human equivalents. The major histocompatibility<br />

complex (MHC) in the dog is known as DLA,<br />

which encodes the DLA class I and class II histocompatibility<br />

antigens. Natural killer (NK) cells, killer (K) cells, and T<br />

suppressor cells have also been described in dogs. There are<br />

also multiple inherited canine immunodeficiencies. Acquired<br />

immune deficiencies may also be associated with vitamin<br />

and mineral deficiencies, and various autoimmune conditions<br />

have been described including systemic lupus erythematosus<br />

(SLE), which is associated with MHC DLA-A7.<br />

canine parvovirus vaccine<br />

Initially, a live and attenuated feline enteritis vaccine was<br />

used, based on its crossreactivity with canine parvovirus.<br />

Canine parvovirus may have originated from the feline<br />

enteritis organism by mutation. This vaccine was later<br />

replaced with attenuated canine parvovirus vaccine.<br />

canonical structure<br />

A frequently encountered molecular sequence or molecular<br />

arrangement.<br />

capillary leak syndrome<br />

The therapeutic administration of GM-CSF (granulocyte–<br />

macrophage colony-stimulating factor) may lead to progressive<br />

dyspnea and pericarditis in the treatment of patients<br />

bearing metatastic solid tumors. Interleukin-2 (IL2) may<br />

likewise induce the effect when used to treat tumor patients.<br />

IL2 treatment may lead to the accumulation of 10 to 20 L<br />

of fluid in peripheral tissues with resultant disorientation,<br />

confusion, and pronounced fever.<br />

Caplin’s syndrome<br />

Rheumatoid nodules in the lungs of subjects such as hard<br />

coal miners in contact with silica.<br />

capping<br />

The migration of antigens on the cell surface to a cell pole<br />

following crosslinking of antigens by a specific antibody.<br />

These antigen–antibody complexes coalesce or aggregate<br />

into a “cap” produced by the interaction of antigen with<br />

cell-surface immunoglobulin M (IgM) and IgD molecules<br />

at sites distant from each other, as revealed by immunofluorescence.<br />

Capping is followed by internalization of the<br />

antigen after which the cell surface is left bereft of immunoglobulin<br />

receptors until they are re-expressed.<br />

capping phenomenon<br />

The migration of surface membrane proteins toward one pole<br />

of a cell following crosslinking by a specific antibody, antigen,<br />

or mitogen. Bivalent or polyvalent ligands cause the surface

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