26.07.2013 Views

Untitled - D Ank Unlimited

Untitled - D Ank Unlimited

Untitled - D Ank Unlimited

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

collagen (type I, II, and III) autoantibodies 183 colon antibodies<br />

Fibril<br />

Triple helix<br />

α-Chain<br />

Gly<br />

X<br />

Gly Gly<br />

Y Y<br />

X X<br />

Collagen.<br />

collagen (type I, II, and III) autoantibodies<br />

Autoantibodies found in various autoimmune diseases such<br />

as mixed connective tissue disease (MCTD), systemic lupus<br />

erythematosus (SLE), progressive systemic sclerosis (PSS),<br />

rheumatoid arthritis (RA), and vasculitis. Approximately<br />

85% of SLE patients have antibodies against type I collagen.<br />

Type II collagen autoantibodies in rodents and monkeys have<br />

led to arthritis. Autoantibodies to types I, II, and III collagen<br />

have been identified in adult and juvenile rheumatoid arthritis<br />

and relapsing polychondritis. Individuals with hypersensitivity<br />

reactions to collagen implants may manifest immunity<br />

to native and denatured collagens. Autoantibodies to type<br />

II collagen have been associated with RA and relapsing<br />

polychondritis patients. Autoimmunity to type II collagen has<br />

been hypothesized to have a role in the pathogenesis of RAs.<br />

Autoantibodies to type II collagen have also been reported<br />

in scleroderma and SLE and possibly in inner ear diseases.<br />

Collagen type III antibodies have been found in 44% of SLE<br />

patients and 85% of RA patients.<br />

collagen disease and arthritis panel<br />

A cost-effective battery of tests to diagnose rheumatic<br />

disease that includes the erythrocyte sedimentation rate and<br />

assays for rheumatoid factor (RA test), antinuclear antibody,<br />

uric acid levels, and C-reactive protein.<br />

collagen disease/lupus erythematosus diagnostic panel<br />

A battery of serum tests for the diagnosis of collagen vascular<br />

disease that yields the most information for the least cost.<br />

collagen-induced arthritis (CIA)<br />

The deliberate injection of DBA/1J mice with type II collagen<br />

incorporated into complete Freund’s adjuvant to produce<br />

arthritis in multiple joints as a consequence of autoimmunity.<br />

A murine model of rheumatoid arthritis in humans.<br />

collagen type IV (CIV22)<br />

Anti-collagen type IV is a mouse monoclonal antibody that<br />

detects collagen type IV, the major component of the basal<br />

lamina. Antibodies to this molecule confirm its presence<br />

and reveal the morphological appearance of the structure.<br />

Normal tissue stains with this antibody in a fashion consistent<br />

with the sites of mesenchymal elements and epithelial<br />

basal laminae. Collagen IV can also be useful in the classification<br />

of soft tissue tumors; schwannomas, leiomyomas,<br />

and their well differentiated malignant counterparts<br />

usually immunoreact to this antibody. The vascular nature<br />

of neoplasms, hemangiopericytoma, angiosarcoma, and<br />

epithelioid hemangioendothelioma can be revealed by this<br />

antibody with greater reliability than non-specific stains<br />

such as silver reticulum.<br />

Y<br />

collagen type IV autoantibodies<br />

Autoantibodies against collagen type IV that is present in all<br />

human basement membranes including those of the kidney,<br />

eye, cochlea, lung, placenta, and brain. The triple helical<br />

molecules are composed of two α1 chains and one α2 chain<br />

in a chicken wire-like network. Four other type IV collagen<br />

chains (α3 to α6) form a similar network. Autoantibodies<br />

against type IV collagen occur in progressive systemic<br />

sclerosis, Raynaud’s phenomenon, and scleroderma. Seventy<br />

percent of patients with systemic lupus erythematosus (SLE),<br />

Raynaud’s phenomenon, polyarteritis nodosa, or vasculitides<br />

have collagen type IV autoantobodies. Among patients with<br />

thromboangiitis obliterans (Burger’s disease), 35 to 44%<br />

have autoantibodies against types I and IV collagen. Three<br />

fourths of patients develop cell-mediated immunity to these<br />

two collagens. Autoantibodies to basement membrane and<br />

interstitial collagens play a role in the pathogenesis of scleroderma.<br />

Autoantibodies to type IV collagen are found also in<br />

post-streptococcal glomerulonephritis. Circulating antibodies<br />

specific for the NC1 domain of type IV collagen are present<br />

in Goodpasture’s syndrome and lead to rapidly progressive<br />

glomerulonephritis in these subjects. Most Alport syndrome<br />

patients lack α3, α4, and α5 chains in their glomerular basement<br />

membranes.<br />

collagen vascular diseases<br />

A category of connective tissue diseases in which type III<br />

hypersensitivity mechanisms with immune complex of<br />

deposition play a major role. These diseases are characterized<br />

by inflammation and fibrinoid necrosis in tissues.<br />

Patients may manifest involvement of multiple systems,<br />

including the vasculature, joints, skin, kidneys, and other<br />

tissues. These are classic, systemic autoimmune diseases<br />

in most cases. The prototype of this category is systemic<br />

lupus erythematosus (SLE). Other disorders included in this<br />

category are dermatomyositis, polyarteritis nodosa, progressive<br />

systemic sclerosis (scleroderma), rheumatoid arthritis,<br />

and mixed connective tissue disease. They are treated with<br />

immunosuppressive drugs, especially corticosteroids.<br />

collectin receptor<br />

The receptor of C1q, a subcomponent of the complement<br />

component C1.<br />

collectins<br />

A family of structurally related calcium-dependent proteins<br />

or sections with collagen-like domains that bind sugars such<br />

as mannose-binding protein. Collectins may bind to C1q,<br />

thereby activating the complement system, and participate<br />

in innate immunity through their actions as microbial<br />

recognition receptors. These soluble pattern recognition<br />

molecules remove pathogenic microorganisms by opsonization,<br />

agglutination, or the lectin pathway of complement<br />

activation. Examples include mannose-binding lectin and<br />

lung surfactant proteins A and D.<br />

colocalization<br />

Mechanism of differential redistribution of membrane components<br />

into patches and caps used to investigate possible<br />

interactions between various plasma membrane components<br />

or between cell membranes and cytoplasmic structures.<br />

colon antibodies<br />

Immunoglobulin G (IgG) antibodies in the blood sera of 71%<br />

of ulcerative colitis patients may be shown by flow cytometry<br />

to react with rat colon epithelial cells. Antibodies reactive with<br />

a 40-kDa constituent of normal colon extracts have been found<br />

C

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!