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Untitled - D Ank Unlimited

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directional flow 231 disulfide bonds<br />

directional flow<br />

Inhaled microorganisms in dust or droplets greater than 5<br />

μm adhere to the mucosa lining the upper respiratory tract<br />

and are swept upward by cilia to the posterior pharynx followed<br />

by expectoration or swallowing.<br />

directional selection<br />

A form of natural selection in which older alleles are replaced<br />

with newer variants, as in the MHC, leading to change.<br />

discoid lupus erythematosus<br />

A type of lupus erythematosus that involves only the skin,<br />

which manifests a characteristic rash. The viscera are not<br />

involved. The skin manifests erythematous plaques and<br />

telangiectasis with plugging of the follicles. Also called<br />

cutaneous lupus erythematosus.<br />

Discoid lupus erythematosus.<br />

Discoid lupus erythematosus. Immune deposits at dermal–epidermal<br />

junction.<br />

discontinuous epitope<br />

Refer to conformational epitope.<br />

disintegrin<br />

Low molecular weight peptide found in several different<br />

snake venoms. Disintegrins interrupt integrin<br />

function by blocking their interactions with surface<br />

receptors. Thus, they function as integrin inhibitory<br />

proteins.<br />

disodium cromoglycate<br />

A valuable drug for treating immediate (type I) hypersensitivity<br />

reactions, especially allergic asthma. Although<br />

commonly used as an inhalant, it may also be administered<br />

orally or applied topically to the nose and eyes.<br />

Mechanisms of action that have been postulated include<br />

mast cell membrane stabilization and bridging of immunoglobulin<br />

E (IgE) on mast cell surfaces, thereby blocking<br />

bridging by antigen.<br />

disseminated intravascular coagulation (DIC)<br />

A tendency to favor coagulation over fibrinolysis in the<br />

blood circulation as a consequence of various factors.<br />

In DIC, 30 to 65% of the cases are due to infection. Fast<br />

or slow DIC may occur. The fast variety is characterized<br />

by acute, fulminant, consumptive coagulopathy<br />

with bleeding as a result of Gram-negative substances,<br />

massive tissue injury, burns, etc. Deficient or consumed<br />

coagulation factors must be replaced in fast DIC.<br />

Slow DIC accompanies chronic diseases characterized<br />

by thrombosis, microcirculatory ischemia, and endorgan<br />

function. Examples include acute promyelocytic<br />

leukemia, neoplasia, and vasculitis. The pathogenesis<br />

includes endothelial cell damage produced by endotoxins<br />

or other agents, activation of platelets, and activation of<br />

the intrinsic coagulation pathway. Tissue thromboplastin<br />

may be released by trauma or neoplasia, leading to<br />

activation of the extrinsic pathway. Patients with DIC<br />

have elevated partial thromboplastin time, prothrombin<br />

time, fibrinopeptide A, and fibrinogen degradation products<br />

along with decreased fibrinogen, factor V, platelets,<br />

antithrombin III, factor VIII, and plasminogen. Diffuse<br />

cortical necrosis of the kidneys occurs.<br />

dissociation constant<br />

The equilibrium constant for dissociation. This is usually<br />

described in enzyme–substrate interactions. If the interaction<br />

of enzyme with substrate attains equilibrium prior<br />

to catalysis, the Michaelis constant (K M) represents the<br />

dissociation constant. The Michaelis constant is equivalent<br />

to the concentration substrate when the reaction velocity is<br />

half maximal.<br />

distemper vaccine<br />

An attenuated canine distemper virus vaccine prepared<br />

from virus grown in tissue culture or chick embryos.<br />

distribution ratio<br />

The ratio of plasma immunoglobulin to whole-body<br />

immunoglobulin.<br />

disulfide bonds<br />

The S–S chemical bonds between amino acids that link<br />

polypeptide chains together. Chemical reduction may break<br />

these bonds. Disulfide bonds in immunoglobulin molecules<br />

are either intrachain or interchain (i.e., linking heavy to<br />

light chains and heavy to heavy chains). The different types<br />

of bonds in immunoglobulin molecules differ in their ease<br />

of chemical reduction.<br />

D

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