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γδ T cells 288 gastric cell cAMP-stimulating autoantibodies<br />

αβ TCR<br />

β α<br />

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γ (Cγ1) δ<br />

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The diversity of the γδ TCRs and lymphokine synthesis by<br />

cells expressing the γδ TCRs attest to the significance of<br />

the cells in the immune system. Little is known concerning<br />

the types of antigen recognized by γδ TCRs. They fail to<br />

recognize peptide complexes bound to polymorphic MHC<br />

molecules.<br />

T cells<br />

Early T lymphocytes that express γ and δ chains comprising<br />

the T cell receptor of the cell surface. They comprise only<br />

5% of the normal circulating T cells in healthy adults. γδ T<br />

cells home to the lamina propria of the gut. Their function<br />

is not fully understood. γδ T lymphocytes recognize<br />

antigens or pathogens in their natural and unprocessed<br />

states. They respond more rapidly than do αβ T cells to<br />

antigen and proliferate less than the latter. γδ T cells require<br />

negligible or no conventional costimulation. They have been<br />

called sentinels of innate immunity and represent a link to<br />

the adaptive immune system.<br />

M globulin<br />

Obsolete term for IgM.<br />

gammopathy<br />

An abnormal increase in immunoglobulin synthesis.<br />

Gammopathies that are monoclonal usually signify malignancy<br />

such as multiple myeloma, Waldenström’s disease,<br />

heavy chain disease, or chronic lymphocytic leukemia.<br />

Benign gammopathies occur in amyloidosis and monoclonal<br />

gammopathy of undetermined etiology. Inflammatory<br />

disorders are often accompanied by benign polyclonal<br />

gammopathies. These include rheumatoid arthritis, lupus<br />

erythematosus, tuberculosis, cirrhosis, and angioimmunoblastic<br />

lymphadenopathy.<br />

gancyclovir (9-[2-hydroxy-1(hydroxymethyl) ethoxymethyl]<br />

guanine)<br />

An antiviral drug used for the therapy of immunocompromised<br />

patients infected with cytomegalic inclusion virus.<br />

Five days of gancyclovir therapy has proven effective for<br />

clearing cytomegalovirus (CMV) from the blood, urine,<br />

and respiratory secretions. It has been used successfully<br />

to treat CMV retinitis, gastroenteritis, and hepatitis. Drug<br />

resistance may develop. The drug may induce neutropenia<br />

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γδ TCRs<br />

T cell receptor (TCR) showing αβ and γδ receptors.<br />

γ (Cγ2 2χ) δ<br />

γ (Cγ2 3χ) δ<br />

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and thrombocytopenia as side effects. It has not proven very<br />

effective in AIDS or bone marrow transplant patients.<br />

ganglioside autoantibodies<br />

Autoantibodies to the monosialogangliosides GM 1, GM 2,<br />

and GM 3 are present in Guillain–Barré syndrome (GBS),<br />

multiple sclerosis (MS), rheumatic disorders with neurologic<br />

involvement, motor neuron diseases (MNDs), and<br />

various neoplasms. These autoantibodies crossreact with<br />

one or more polysialogangliosides, including GD 1a, GD 1b,<br />

GD 2, GD 3, GT 1a, GT 1b, and GQ 1b. Cross or polyreactivity<br />

patterns lend some clinical specificity to the antiganglioside<br />

response in GBS, Miller–Fisher syndrome (MFS), MNDs,<br />

and other neurological diseases that include schizophrenia,<br />

AIDS dementia complex, and neuropsychiatric–systemic<br />

lupus erythematosus (SLE).<br />

Gardasil ®<br />

A human papillomavirus (HPV) vaccine comprised of four<br />

strains of HPV, a virus transmitted through the skin via<br />

sexual contact. Protects against two strains of HPV that<br />

cause approximately 70% of cervical cancer cases. It also<br />

protects against two additional strains that are responsible<br />

for approximately 90% of genital wart cases. It is considered<br />

safe and effective for 9- to 26-year old females. Clinical trials<br />

proved Gardasil 100% effective against HPV strains 16 and<br />

18, the etiologic agents for 70% of cervical cancer cases. It<br />

was 99% effective against HPV strains 6 and 11 that induce<br />

90% of genital wart cases. The CDC indicates that more than<br />

20 million people have HPV infections. Eighty percent of<br />

females are infected by the time they reach 50 years of age<br />

and 50% of sexually active individuals have HPV. Refer to<br />

human papillomavirus recombinant vaccine.<br />

gas gangrene antitoxin<br />

Antibodies found in antisera against exotoxins produced by<br />

Clostridium perfringens, C. septicum, and C. oedematiens,<br />

bacteria that may cause gas gangrene. In the past, this antiserum<br />

was used with antibiotics and surgical intervention in<br />

the treatment of wounds with potential for gas gangrene.<br />

gastric cell cAMP-stimulating autoantibodies<br />

These autoantibodies have been detected in young males<br />

with long-standing duodenal ulcer disease, a family history<br />

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