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Untitled - D Ank Unlimited

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immunologic facilitation (facilitation immunologique) 379 immunological deficiency state<br />

Schematic view of antigen excess<br />

IgG2<br />

Antibody against<br />

C3Hf/He(H-2K TS (H-2<br />

)<br />

fibrosarcoma<br />

S ) mouse<br />

immunologic facilitation (facilitation immunologique)<br />

Slightly prolonged survival of certain normal tissue<br />

allografts (e.g., skin) in mice conditioned with isoantiserum<br />

specific for the graft.<br />

immunologic paralysis<br />

Immunologic unresponsiveness induced by the injection<br />

of large doses of pneumococcal polysaccharide into mice,<br />

where it is metabolized slowly. Any antibody that is formed<br />

is consumed and is not detectable. The pneumococcal<br />

polysaccharide antigen remains in the tissue of recipients<br />

for months, during which time they produce no immune<br />

response to the antigen. Immunologic paralysis is much<br />

easier to induce with polysaccharide than with protein<br />

antigens. It is highly specific for the antigen used for its<br />

induction. Felton’s first observation of immunologic paralysis<br />

preceded the demonstration of acquired immunologic<br />

tolerance by Medawar et al.<br />

immunologic tolerance<br />

An active but carefully regulated response of lymphocytes to<br />

self antigens. Autoantibodies are formed against a variety of<br />

self antigens. Maintenance of self tolerance is a quantitative<br />

process. When comparing the ease with which T and B cell<br />

tolerance may be induced, it was found that T cell tolerance<br />

is induced more rapidly and lasts longer than B cell tolerance.<br />

For example, T cell tolerance may be induced in a single day,<br />

whereas B cells may require 10 days for induction. In addition,<br />

100 times more tolerogen may be required for B cell<br />

tolerance than for T cell tolerance. The duration of tolerance<br />

C3H f/He(H-2 K )<br />

fibrosarcoma<br />

Progressive growth of<br />

tumor allograft<br />

Immunologic enhancement (tumor enhancement).<br />

Anti-SIII<br />

Antibody<br />

Immunologic (or immune) paralysis.<br />

Pneumococcus<br />

polysaccharide<br />

SIII<br />

Antigen<br />

Lymphocyte<br />

Fc receptor<br />

site<br />

Central<br />

Fibrosarcoma<br />

epitope<br />

Peripheral<br />

is much greater in T cells (e.g., 150 days) compared to that<br />

in B cells, which is only 50 to 60 days. T suppressor cells<br />

are also very important in maintaining natural tolerance to<br />

self antigens; for example, they may suppress T helper cell<br />

activity. Maintenance of tolerance is considered to require<br />

the continued presence of specific antigens. Low antigen<br />

doses may be effective in inducing tolerance in immature B<br />

cells, leading to clonal abortion, but T cell tolerance does not<br />

depend upon the level of maturation. Another mechanism of<br />

B cell tolerance is cloning exhaustion, in which the immunogen<br />

activates all of the B lymphocytes specific for it, leading<br />

to maturation of cells and transient antibody synthesis,<br />

thereby exhausting and diluting the B cell response. Another<br />

mechanism of B cell tolerance is antibody-forming cell<br />

blockade. Antibody-expressing B cells are coated with excess<br />

antigen, rendering them unresponsive to the antigen.<br />

immunological contraception<br />

A method to prevent an undesired pregnancy. Vaccines that<br />

induce antibodies and cell-mediated immune responses<br />

against either a hormone or gamete antigen significant to<br />

reproduction have been developed. Such vaccines control<br />

fertility in experimental animals. They have undergone<br />

exhaustive safety and toxicological investigations which<br />

have shown the safety and reversibility of some of the vaccines<br />

and with approval of regulatory agencies and ethics<br />

commissions, have undergone clinical trials in humans. Six<br />

vaccines, three in women and three in men, have completed<br />

phase I clinical trials showing their safety and reversibility.<br />

One vaccine has successfully completed phase II trials,<br />

proving efficacy in females. The trials determined the titers<br />

of antibodies and other immunological features. A fertilized<br />

egg makes the hormone hCG. Antibodies that inactivate<br />

one or more hormones involved in the production of gametes<br />

and sex steroids may be expected to impair fertility.<br />

Blocking the action of LHRH would also inhibit the synthesis<br />

of sex steroids. This may prove useful in controlling<br />

fertility of domestic animals but would not be acceptable<br />

for contraception in humans. Two vaccines against LHRH<br />

are in clinical trials in prostate carcinoma patients. An FSH<br />

vaccine would act at the level of male fertility since FSH is<br />

required for spermatogenesis in primates.<br />

immunological deficiency state<br />

Immunodeficiency.<br />

I

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