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Untitled - D Ank Unlimited

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Feulgen reaction 271 fibrin<br />

villous cytotrophoblasts and syncytiotrophoblasts any<br />

classical polymorphic histocompatibility complex (MHC)<br />

class I or II antigens. Constitutive human leukocyte antigen<br />

(HLA) expression is also not induced by known upregulators<br />

such as interferon-γ. Thus, classical MHC antigens are<br />

not expressed throughout gestation. Extravillous cytotrophoblast<br />

cells selectively express HLA-G, a nonclassical<br />

MHC class I antigen that has limited genetic polymorphism.<br />

HLA-G may protect the cytotrophoblast population from<br />

MHC-nonrestricted natural killer (NK) cell attack. The<br />

trophoblast also protects itself from maternal cytotoxicity<br />

during gestation by expressing a high level of complement<br />

regulatory proteins on its surface such as membrane cofactor<br />

protein (MCP; CD46), decay-accelerating factor (DAF;<br />

CD55), and membrane attack complex inhibitory factor<br />

(CD59). The maternal immune system recognizes pregnancy<br />

(i.e., the fetal trophoblast) in a manner that results in cellular,<br />

antibody, and cytokine responses that protect the fetal<br />

allograft. CD56-positive large granular lymphocytes may be<br />

regulated by hormones in the endometrium that control their<br />

function. They have been suggested to be a form of NK cell<br />

in arrested maturation, possibly due to persistent expression<br />

of HLA-G on target invasive cytotrophoblast. Contemporary<br />

studies have addressed cytokine interactions at the fetal–<br />

maternal tissue interface in pregnancy. HLA-G or other fetal<br />

trophoblast antigens have been postulated to possibly stimulate<br />

maternal lymphocytes in endometrial tissue to synthesize<br />

cytokines and growth factors that act in a paracrine<br />

manner beneficial to trophoblast growth and differentiation.<br />

This has been called the immunotrophism hypothesis. Other<br />

cytokines released into decidual tissue include colonystimulating<br />

factors (CSFs), tumor necrosis factor α (TNF-α),<br />

IL6, and transforming growth factor β (TGF-β). Fetal<br />

syncytiotrophoblast has numerous growth factor receptors.<br />

Thus, an extensive cytokine network is present within the<br />

uteroplacental tissue that offers both immunosuppressive<br />

and growth-promoting signals. In humans, IgG is selectively<br />

transported across the placenta into the fetal circulation<br />

following combination with transporting Fcγ receptors on<br />

the placenta. This transfer takes place during the 20th to the<br />

22nd week of gestation. Maternal HLA-specific alloantibody<br />

that is specific for the fetal HLA type is bound by nontrophoblastic<br />

cells expressing fetal HLA antigens, including<br />

macrophages, fibroblasts, and endothelium within the villous<br />

mesenchyme of placental tissue, thereby preventing these<br />

antibodies from reaching the fetal circulation. Maternal antibodies<br />

against any other antigen of the fetus will likewise be<br />

bound within the placental tissues to a cell expressing that<br />

antigen. The placenta acts as a sponge to absorb potentially<br />

harmful antibodies. Exceptions to placental trapping of<br />

deleterious maternal IgG antibodies include maternal IgG<br />

antibodies against RhD antigen and certain maternal organspecific<br />

autoantibodies.<br />

Feulgen reaction<br />

A standard method that detects DNA in tissues.<br />

fever<br />

An increase in the body temperature above normal.<br />

Attributable to cytokines released during infection.<br />

fibrillarin antibodies<br />

Antibodies against fibrillarin found in about 8% of patients<br />

with diffuse and limited scleroderma. Fibrillarin is a 34-kDa<br />

protein constituent of U3 ribonucleoprotein (U3-RNP).<br />

Mercuric chloride induces autoantibodies against U3 small<br />

nuclear ribonucleoprotein in susceptible mice.<br />

fibrillarin autoantibodies<br />

Antibodies discovered in 4 to 9% of patients with scleroderma.<br />

Fibrillarin is the main 34-kDa component of U3<br />

ribonucleoprotein (U3-RNP). Fifty-six percent of black<br />

patients with diffuse cutaneous scleroderma compared<br />

with only 14% of black patients with limited cutaneous<br />

scleroderma and white patients with diffuse and limited<br />

cutaneous scleroderma (5% and 4%, respectively) had antifibrillarin<br />

autoantibodies in their sera. Mercuric chloride can<br />

induce fibrillarin antibodies in mouse strains that recognize<br />

the same epitopes as fibrillarin antibodies found in scleroderma<br />

patients and are mainly of the immunoglobulin G<br />

(IgG) class. The demonstration that selected human leukocyte<br />

antigen (HLA) haplotypes occur at a greater frequency<br />

in patients with fibrillarin antibodies suggests a genetic<br />

predisposition to develop these autoantibodies. Indirect<br />

immunofluorescence and immunoblotting are the methods<br />

of choice for antifibrillarin antibody detection.<br />

fibrin<br />

Fibrinogen<br />

Thrombin<br />

H 2 O Fibrinopeptides<br />

Fibrin Soft Clot<br />

Fibrin.<br />

Fibrin<br />

Protein responsible for the coagulation of blood. It is<br />

formed through the degradation of fibrinogen into fibrin<br />

monomers. Polymerization of the nascent fibrin molecules<br />

(comprising the α, β, and γ chains) occurs by end-to-end as<br />

well as lateral interactions. The fibrin polymer is envisaged<br />

as having two chains of the triad structure lying side by<br />

side in a staggered fashion in such a way that two terminal<br />

nodules are associated with the central nodule of a third<br />

molecule. The chains may also be twisted around each<br />

other. The fibrin polymer thus formed is stabilized under<br />

the action of a fibrin-stabilizing factor, another component<br />

of the coagulation system. Fibrinogen may also be degraded<br />

by plasmin. In this process, a number of intermediates,<br />

designated as fragments X, Y, D, and E, are formed. These<br />

fragments interfere with polymerization of fibrin by binding<br />

to nascent intact fibrin molecules, thus causing a defective<br />

and unstable polymerization. Fibrin is also cleaved by plasmin<br />

into similar but shorter fragments, collectively designated<br />

fibrin degradation products. Of course, any excess of<br />

such fragments will impair the normal coagulation process,<br />

F

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