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chemokine β receptor-like 1 163 chemiluminescence<br />

prevent incorrect conformations or enhance correct ones.<br />

Chaperones are believed to combine with the surfaces<br />

of proteins exposed during intermediate folding and to<br />

restrict further folding to the correct conformations. They<br />

take part in transmembrane targeting of selected proteins.<br />

Chaperones hold some proteins that are to be inserted<br />

into membranes in intermediate conformation in the<br />

cytoplasm until they interact with the target membrane.<br />

Besides BiP, they include heat shock proteins 70 and 90 and<br />

nucleoplasmins.<br />

Charcot–Leyden crystals<br />

Crystals present in asthmatic patients’ sputum that are hexagonal<br />

and bipyramidal. They contain a 13-kDa lysophospholipase<br />

derived from the eosinophil cell membrane.<br />

Chase, Merrill (1905– 2004)<br />

American immunologist who worked with Karl Landsteiner<br />

at the Rockefeller Institute for Medical Research, New<br />

York. He investigated hypersensitivity, including delayedtype<br />

hypersensitivity and contact dermatitis. He was the<br />

first to demonstrate the passive transfer of tuberculin and<br />

contact hypersensitivity and also made contributions in the<br />

fields of adjuvants and quantitative methods.<br />

Chase–Sulzberger phenomenon<br />

Refer to Sulzberger–Chase phenomenon.<br />

Normal<br />

PMN<br />

Merrill Chase.<br />

Chediak–Higashi syndrome.<br />

Chediak-Higashi Syndrome<br />

PMN<br />

Chediak–Higashi syndrome<br />

A childhood disorder with an autosomal-recessive mode of<br />

inheritance, identified by the presence of large lysosomal<br />

granules in leukocytes that are very stable and undergo<br />

slow degranulation. Induced by mutations in the CHS1 gene<br />

associated with intracellular fusion/fission activity. Multiple<br />

systems may be involved. Repeated bacterial infections with<br />

various microorganisms, partial albinism, central nervous<br />

system disorders, hepatosplenomegaly, and an inordinate<br />

incidence of malignancies of the lymphoreticular tissues may<br />

occur. The large cytoplasmic granular inclusions that appear<br />

in white blood cells may also be observed in blood platelets<br />

and can be seen by regular light microscopy in peripheral<br />

blood smears. Defective neutrophil chemotaxis and an<br />

altered ability of the cells to kill ingested microorganisms are<br />

observed. The killing time is delayed, even though hydrogen<br />

peroxide formation, oxygen consumption, and hexose<br />

monophosphate shunt are all within normal limits. Defective<br />

microtubule function leads to defective phagolysosome<br />

formation. Cyclic AMP levels may increase which causes<br />

decreased neutrophil degranulation and mobility. High<br />

doses of ascorbic acid have been shown to restore normal<br />

chemotaxis, bactericidal activity, and degranulation. Natural<br />

killer (NK) cell numbers and function are decreased. The<br />

incidence of lymphomas in patients with Chediak–Higashi<br />

syndrome is increased. There is no effective therapy other<br />

than the administration of antibiotics for the infecting microorganisms.<br />

The disease carries a poor prognosis because of<br />

the infections and neurological complications. The majority<br />

of affected individuals die during childhood, although occasionally<br />

subjects may live longer.<br />

chemical adjuvants<br />

Chemicals used for immunopotentiation that include the<br />

polynucleotide poly-I:C and poly-A:U, vitamin D 3, dextrand<br />

sulphate, inulin, dimethyl, dioctadecyl ammonium<br />

bromide (DDA), avridine, carbohydrate polymers similar<br />

to mannan, and trehalose dimycolate, among others. Two<br />

of the newer chemical adjuvants include polyphosphazines<br />

(initially introduced as slow release-promoting agents) and<br />

a Leishmania protein LeIF.<br />

chemical “splenectomy”<br />

Deliberate suppression of the immune system by the<br />

administration of high dose corticosteroids (1 mg/kg/day) or<br />

intravenous immunoglobulin (0.4 g/kg/day). This prevents<br />

endocytosis of cells or microorganisms opsonized by a<br />

coating of immunoglobulin or complement which blocks<br />

Fc receptors. Although the opsonized particles are bound,<br />

they are not endocytosed. This procedure has been used in<br />

the management of hypersplenism associated with certain<br />

immune disorders such as autoimmune hemolytic anemia,<br />

Felty’s syndrome, or autoimmune neutropenia.<br />

chemiluminescence<br />

The conversion of chemical energy into light by an oxidation<br />

reaction. A high energy peroxide intermediate such<br />

as luminol is produced by the reaction of a precursor<br />

substance exposed to peroxide and alkali. The emission<br />

of light energy by a chemical reaction may occur during<br />

reduction of an unstable intermediate to a stable form.<br />

Chemiluminescence measures the oxidative formation of<br />

free radicals such as superoxide anion by polymorphonuclear<br />

neutrophils and mononuclear phagocytes. Light is<br />

released from these cells after they have taken up luminol<br />

C

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