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Untitled - D Ank Unlimited

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cytotoxicity tests 213 cytotropic anaphylaxis<br />

INFγ<br />

INFα/β<br />

Tc cell or<br />

CTL precursor<br />

Tumor cell<br />

INF γ<br />

CTL<br />

differentiation<br />

Cytotoxic<br />

T Lymphocyte<br />

(CTL)<br />

induced can be programmed cell death (apoptosis), in which<br />

the nuclear DNA of the dying cell disintegrates and the<br />

cell membrane increases in permeability, or the cell death<br />

may be the result of necrosis that does not involve active<br />

metabolic processes and leads to increased membrane<br />

permeability without immediate nuclear disintegration.<br />

Cell-mediated cell lysis usually induces apoptosis, whereas<br />

antibody and complement usually induce necrosis. Cell<br />

death is determined by measurement of increased membrane<br />

permeability and by detecting DNA disintegration.<br />

The two methods used to determine membrane permeability<br />

of cells are dye exclusion, in which Trypan blue is used<br />

to stain dead cells but not viable ones, and the chromium<br />

release assay, in which target cells are labeled with radioactive<br />

51 Cr, which is released from cells that develop increased<br />

membrane permeability as a consequence of immune<br />

attack. To quantitatively measure either DNA disintegration,<br />

125 IUdR or 3 H-thymidine can be used to label nuclear<br />

DNA.<br />

cytotoxicity tests<br />

(1) Assays for the ability of specific antibody and complement<br />

to interrupt the integrity of a cell membrane, which<br />

permits a dye to enter and stain the cell. The relative proportion<br />

of cells stained, representing dead cells, is the basis<br />

for dye exclusion tests. Refer to microlymphocytotoxicity.<br />

(2) The ability of specifically sensitized T lymphocytes to<br />

kill target cells, the surface epitopes of which are the targets<br />

of their receptors. Loss of the structural integrity of the<br />

cell membrane is signified by the release of a radioisotope<br />

TCR<br />

Epitope<br />

MHC class I<br />

receptor<br />

CD8+<br />

Perforin and<br />

granzymes<br />

Tumor cell<br />

Cytotoxic T lymphocytc (CTL)-mediated tumor lysis.<br />

MHC class I<br />

receptor<br />

Increase in<br />

MHC class I<br />

expression<br />

CD8 + T cell<br />

Epitope<br />

TCR CD8 +<br />

Cytotoxic<br />

T Lymphocyte<br />

(CTL)<br />

TCR<br />

CD8 +<br />

MHC class I<br />

receptor<br />

Perforin<br />

and<br />

granzymes<br />

Cytotoxic T lymphocytc (CTL)-mediated killing of tumor cells.<br />

Tumor cell<br />

Tumor cell<br />

lysis<br />

Tumor cell<br />

lysis<br />

such as 51 Cr, which has been taken up by the target cells<br />

prior to the test. The amount of isotope released into the<br />

supernatant reflects the extent of cellular injury mediated by<br />

the effector T lymphocytes.<br />

cytotoxins<br />

Proteins synthesized by cytotoxic T lymphocytes that facilitate<br />

target cell destruction. Cytotoxins include perforins and<br />

granzymes or fragmentins, and granulysin.<br />

cytotrophic antibodies<br />

Immunoglobulin E (IgE) and IgG antibodies that sensitize<br />

cells by binding to Fc receptors on their surface, thereby<br />

sensitizing them for anaphylaxis. When the appropriate<br />

allergen crosslinks the Fab regions of the molecules, it leads<br />

to the degranulation of mast cells and basophils bearing IgE<br />

on their surface.<br />

cytotropic anaphylaxis<br />

Form of anaphylaxis caused by antigen binding to reaginic<br />

IgE antibodies. The latter are cytotropic; that is, they<br />

bind to cells. Cytotropic antibodies (immunoglobulin E<br />

[IgE]) bind to specific receptors on the mast cell surface.<br />

The receptors are in close proximity to a serine esterase<br />

enzyme, causing the release of mast cell granules, and to a<br />

natural inhibitor of this enzyme. As long as the surface IgE<br />

has not bound antigen, the status quo of the cell is maintained.<br />

It is believed that binding of the antigen induces a<br />

conformational alteration in the IgE, with displacement of<br />

the inhibitor from its steric relationship to the enzyme. The<br />

inhibition-free enzyme mediates the release. The process<br />

requires energy and is Ca 2+ dependent.<br />

C

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