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activated macrophage 9 acute AIDS syndrome<br />

immunoblasts. The cells increase in size from 15 to 30 mm in<br />

diameter, show increased cytoplasmic basophilia, and develop<br />

vacuoles, lysosomes, and ribosomal aggregates. Pinocytotic<br />

vesicles are present on the cell membrane. The nucleus contains<br />

little chromatin, which is limited to a thin marginal layer, and<br />

the nucleolus becomes conspicuous. The array of changes<br />

following stimulation is called transformation. Such cells are<br />

called transformed cells. An activated B lymphocyte may<br />

synthesize antibody molecules, whereas an activated T cell may<br />

mediate a cellular immune reaction.<br />

activated macrophage<br />

A macrophage that has been stimulated in some manner or<br />

by some substance to increase its functional efficiency with<br />

respect to phagocytosis, intracellular bactericidal activity, or<br />

lymphokine (i.e., IL-1) production. A lymphokine-activated<br />

mononuclear phagocyte is double the size of a resting macrophage.<br />

Major histocompatibility complex (MHC) class II<br />

antigen surface expression is elevated, and lysosomes increase.<br />

The latter changes facilitate antimicrobial defense.<br />

activation<br />

Stimulation of lymphocytes or macrophages to increase<br />

their functional activity or initiation of the multicomponent<br />

complement cascade in serum consisting of a series<br />

of enzyme–substrate reactions leading to the generation of<br />

functionally active effector molecules.<br />

activation-induced cell death (AICD)<br />

A phenomenon first observed in T hybridomas that die<br />

within 24 hours of stimulation. It was also observed in vivo<br />

following systemic stimulation by bacterial sAgs or peptide<br />

antigens. AICD represents a heightened sensitivity of<br />

recently stimulated cells to apoptosis induced by T cell<br />

receptor (TCR) crosslinking, linked to the cell cycle. It can<br />

also eliminate T cells immediately at the time of initial<br />

stimulation, especially in virus-infected individuals. In<br />

clonal exhaustion, AICD can lead to the complete elimination<br />

of all antigen-reactive cells and may represent the basis<br />

for high dose tolerance. Frequently mediated by the Fas<br />

pathway or TNFR1 pathway.<br />

activation-induced deaminase (AID)<br />

A purported RNA- or DNA-editing enzyme requisite<br />

for isotype switching as well as somatic hypermutation.<br />

Germinal center B cells express it selectively.<br />

activation phase<br />

A stage in the adaptive immune response following recognition<br />

that is associated with lymphocyte proliferation and<br />

differentiation into effector cells.<br />

activation protein-1 (AP-1)<br />

DNA-binding transcription factors composed of dimers of<br />

two proteins linked to each other through a shared structural<br />

motif termed a leucine zipper. An example of an AP-1<br />

factor is one comprised of Fos and Jun proteins. Among the<br />

many different genes of the immune system in which AP-1<br />

exerts transcriptional regulation of cytokine genes.<br />

activation unit<br />

Interaction of C3b with C4b2a bound to the cell membrane.<br />

active anaphylaxis<br />

The anaphylactic state induced by natural or experimental<br />

sensitization in atopic subjects or experimental animals. See<br />

also anaphylaxis.<br />

active immunity<br />

Protection attained as a consequence of clinical or subclinical<br />

infection or deliberate immunization with an infectious agent or<br />

its products. A type of adaptive immunity in which lymphocytes<br />

are activated in response to a foreign antigen to which<br />

they have been exposed. Compare with passive immunity.<br />

active immunization<br />

The induction of an immune response either through exposure<br />

to an infectious agent or by deliberate immunization<br />

with products of the microorganism inducing the disease<br />

to develop protective immunity. A clinical disease or<br />

subclinical infection or vaccination may be used to induce<br />

the desired protective effect. Booster immunization injections<br />

given at intervals after primary exposure may lead to<br />

long-lasting immunity through activation of immunological<br />

memory cells. Refer also to vaccination.<br />

H<br />

1<br />

Arg Pro Pro Gly Phe Ser Pro Phe Arg OH<br />

Primary structure of serum bradykinin.<br />

active kinins<br />

The active kinin compounds are characterized by a nonapeptide<br />

amino acid sequence whose prototype is bradykinin,<br />

the active kinin generated from plasma kininogen.<br />

Generation of the other forms depends on the enzyme and<br />

substrate used, and they differ in length and the additional<br />

residues. Tissue kallikreins are best activated by<br />

enzymes such as trypsin and hydrolyze, both low molecular<br />

weight kininogen (LMK) and high molecular weight<br />

kininogen (HMK) to yield kallidin, a tissue form of kinin.<br />

Bradykinin is formed by the action of plasma kallikrein<br />

on HMK or by the action of trypsin on both LMK and<br />

HMK. Met-lys-bradykinin, another kinin, results from<br />

hydrolysis by plasma kallikrein activated by acidification.<br />

Other active kinins have also been described. Besides<br />

being the precursors for the generation of kinins, kininogens<br />

also affect the coagulation system, with activation of<br />

the Hageman factor (HF) being the link between the two<br />

systems.<br />

active site<br />

A crevice formed by the VL and VH regions of an immunoglobulin’s<br />

Fv region. It may differ in size or shape from<br />

one antibody molecule to another. Its activity is governed<br />

by the amino acid sequence in this variable region and<br />

differences in the manner in which VL and VH regions<br />

relate to one another. Antibody molecule specificity is<br />

dependent on the complementary relationship between<br />

epitopes on antigen molecules and amino acid residues<br />

in the recess comprising the antibody active site. The VL<br />

and VH regions contain hypervariable areas that permit<br />

great diversity in the antigen-binding capacity of antibody<br />

molecules.<br />

acumentin<br />

A neutrophil and macrophage motility protein that links to<br />

the actin molecule to control actin filament length.<br />

acute AIDS syndrome<br />

Within the first to sixth week following HIV-1 infection,<br />

some subjects develop the flu-like symptoms of sore throat,<br />

anorexia, nausea and vomiting, lymphadenopathy, maculopapular<br />

rash, wasting, and pain in the abdomen, among<br />

other symptoms. The total leukocyte count is slightly<br />

depressed, with possible CD4 to CD8 ratio inversion.<br />

9<br />

A

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