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equilibrium constant 254 erythema nodosum<br />

Epithelium<br />

with<br />

productive<br />

infection<br />

EBV-infected<br />

B cell<br />

B cell pool<br />

with latent<br />

infection<br />

B<br />

B<br />

B<br />

B<br />

E-B virus<br />

particles<br />

B<br />

Circulates<br />

B<br />

B cell<br />

transformed<br />

by EBV<br />

binding to complement receptor 2 (CR2 or CD21). It causes<br />

infectious mononucleosis and establishes a latent infection<br />

of B cells that persists for life and is controlled by T cells.<br />

equilibrium constant<br />

A constant that expresses the state of equilibrium reached<br />

by molecules in a reversible reaction such as A + B = AB.<br />

The equilibrium constant may be expressed as a dissociation<br />

constant, K D = [A][B]/[AB] or an association constant,<br />

K A = [AB]/[A][B].<br />

equilibrium dialysis<br />

A method to ascertain the affinity of an antibody for an<br />

antigen and its valency. Equilibrium dialysis was developed<br />

for the study of primary antibody–hapten interactions. Two<br />

cells are separated by a semipermeable membrane, allowing<br />

the free passage of hapten molecules but not larger antibody<br />

molecules. At time zero (t 0), there is a known concentration<br />

of hapten in cell A and antibody in cell B. Hapten from<br />

cell A will then diffuse across the membrane into cell B<br />

until, at equilibrium, the concentration of free hapten is<br />

the same in both cells A and B; that is, the rate of diffusion<br />

of hapten from cell A to B is the same as that from cell B<br />

to A. Although the concentrations of free hapten are the<br />

B<br />

Release<br />

into<br />

oropharynx<br />

T cell activated<br />

Lytic cycle T<br />

T cell pool<br />

T<br />

with<br />

T<br />

EBV-specific<br />

T memory<br />

T cell activated<br />

Epstein–Barr virus (EBV)–host interaction.<br />

Antigen Antigen + Antibody<br />

Antibody<br />

Antigen<br />

Equilibrium dialysis.<br />

same in both cells, the total amount of hapten in cell B is<br />

greater because some of the hapten is bound to the antibody<br />

molecules. A series of experiments is performed, varying<br />

the starting amount of hapten concentration while keeping<br />

antibody concentration constant.<br />

equivalence (equivalence point)<br />

In a precipitation reaction in vitro, the antigen-to-antibody<br />

ratio at which maximal precipitation takes place. The supernatant<br />

should not contain free antigen or free antibody, as<br />

all of the antigen and antibody molecules react with one<br />

another at equivalence.<br />

equivalence zone<br />

Refer to zone of equivalence.<br />

erbA, erbB<br />

Oncogenes expressing tyrosine kinase activity. They are<br />

similar in structure to the avian erythroblastosis retrovirus.<br />

They code for cell membrane proteins. erbB is expressed<br />

in breast and salivary gland carcinomas and is a truncated<br />

version of epidermal growth factor receptor. Increased copy<br />

numbers of the c-erbB2 (HER2/neu) gene suggest an unfavorable<br />

prognosis for carcinoma of the breast.<br />

ergotype<br />

A T lymphocyte being activated. The injection of antiergotype<br />

T cells blocks full-scale activation of T lymphocytes<br />

and may prevent development of experimental autoimmune<br />

disease in animal models. An example is experimental<br />

allergic encephalomyelitis (EAE), in which antiergotype T<br />

lymphocytes may prevent full T lymphocyte activation.<br />

erp57<br />

A chaperone molecule that participates in the loading of<br />

peptide onto major histocompatibility complex (MHC) class<br />

I molecules in the endoplasmic reticulum.<br />

erythema<br />

Redness of the skin caused by dilatation of blood vessels<br />

lying near the surface.<br />

erythema marginatum<br />

Immune-complex-induced vasculitis in the subcutaneous<br />

tissues associated with rheumatic fever.<br />

erythema multiforme<br />

Skin lesions resulting from subcutaneous vasculitis produced<br />

by immune complexes. They are frequently linked<br />

to drug reactions. A lesion is identified by a red center<br />

encircled by an area of pale edema that is encircled by a<br />

red or erythematous ring. This gives it a target appearance.<br />

Erythema multiforme usually signifies a drug allergy or<br />

may be linked to systemic infection. Lymphocytes and<br />

macrophages infiltrate the lesions. When involvement and<br />

sloughing of the mucous membranes are present, the lesions<br />

are considered quite severe and even life threatening. This<br />

form is called the Stevens–Johnson syndrome.<br />

erythema nodosum<br />

Slightly elevated erythematous nodules that develop on the<br />

shins and sometimes the forearm and head and are very<br />

painful. They represent subcutaneous vasculitis involving<br />

small arteries. The phenomenon is associated with infection<br />

and is produced by antigen–antibody complexes. Erythema<br />

nodosum may be an indicator of inflammatory bowel disease,<br />

histoplasmosis, tuberculosis, sarcoidosis, or leprosy.<br />

It can follow the use of certain drugs. Although claimed in<br />

the past to be due to antigen–antibody deposits in the walls<br />

of small venules, the immunologic mechanism may involve<br />

type IV (delayed-type) hypersensitivity in the small venules.

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