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immunological escape 380 immunologically privileged sites<br />

immunological escape<br />

A mechanism of escape in which tumors that are immunogenic<br />

continue to grow in immunocompetent syngeneic<br />

hosts in the presence of a modest in vivo antitumor immune<br />

response. Escape mechanisms may facilitate evasion of a fatal<br />

tumoricidal response and render tumors incapable of inducing<br />

such a response. Failure of tumor antigen presentation by<br />

major histocompatibility complex (MHC) class I molecules,<br />

lack of costimulation, and downregulation of tumor-destructive<br />

immune responses by tumor antigens, immune complexes, and<br />

molecules such as TGF-β and P15E are all believed to contribute<br />

to the inefficiency of tumor immunity.<br />

immunological ignorance<br />

A type of tolerance to self in which a target antigen and<br />

lymphocytes capable of reacting with it are both present<br />

simultaneously in an individual without an autoimmune<br />

reaction occurring. Peripheral tolerance to self constituents<br />

present in such small quantities that immature dendritic<br />

cells rather take them up and present them to cognate T<br />

cells. The abrogation of immunologic ignorance may lead to<br />

autoimmune disease.<br />

immunological inertia<br />

Specific immunosuppression related to paternal histocompatibility<br />

antigens during pregnancy, such as suppression<br />

of maternal immune reactivity against fetal histocompatibility<br />

antigens.<br />

immunological infertility<br />

Infertility in 12 to 25% of cases in which couples experience<br />

infertility even though they manifest no significant<br />

abnormalities upon physical examination. These cases<br />

of unexplained infertility may be caused by autoimmune<br />

responses to organ-specific antigens of the reproductive<br />

tract of both males and females and isoimmune reactions of<br />

females against semen components. Immune responses may<br />

cause or contribute to infertility in approximately 10% of<br />

these couples.<br />

immunological memory<br />

The effectiveness of protective immunity against an infectious<br />

agent depends on the ability of the immune system<br />

to retain a memory of the original infective agent in order<br />

to provide an enhanced immune response on re-exposure<br />

to the same agent. This mechanism usually prevents overt<br />

infection and a fatal outcome; however, not all consequences<br />

of immune memory are beneficial. A second infection<br />

with the dengue virus may be more severe than the<br />

first. Another detrimental effect of immunity is sensitization<br />

to an allergen that leads to a hypersensitivity reaction.<br />

During a primary immune response to an infectious agent,<br />

each antigen-specific lymphocyte clone activated produces<br />

numerous memory lymphocytes of identical specificity and<br />

greater affinity. A second attack by the same pathogen leads<br />

to a secondary immune response when memory lymphocytes<br />

are activated, which leads to more rapid and efficient<br />

elimination of the invading pathogen. Immunologic<br />

memory is specific for a particular antigen and is long lasting.<br />

Immunological memory is governed by many factors,<br />

with both B and T cells contributing to it. Immunological<br />

memory depends upon interactions between memory T<br />

cells and memory B cells.<br />

immunological reaction<br />

In vivo or in vitro responses of lymphoid cells to an antigen<br />

they have not previously encountered or for which they are<br />

already primed or sensitized. An immunological reaction<br />

may consist of antibody formation, cell-mediated immunity,<br />

or immunological tolerance. The humoral antibody and cellmediated<br />

immune reactions may mediate either protective<br />

immunity or hypersensitivity, depending on various conditions.<br />

immunological rejection<br />

The destruction of an allograft or even a xenograft in a<br />

recipient host whose immune system has been activated to<br />

respond to the foreign tissue antigens.<br />

immunological suicide<br />

The use of an antigen deliberately labeled with high-dose<br />

radioisotope to kill a subpopulation of lymphocytes with<br />

receptors specific for that antigen following antigen binding.<br />

immunological synapse<br />

The nanometer-scale gap between a T cell and an antigenpresenting<br />

cell, which is the site of interaction between a T<br />

cell antigen receptor and major histocompatibility complex<br />

(MHC) molecule–peptide complex that initiates the adaptive<br />

immune response. Refer to SMAC (supramolecular<br />

activation complex).<br />

immunological unresponsiveness<br />

Failure to form antibodies or develop a lymphoid cellmediated<br />

response following exposure to immunogen<br />

(antigen). Immunosuppression that is specific for only<br />

one antigen, with no interference with the responses to<br />

all other antigens, is termed immunological tolerance.<br />

By contrast, the administration of powerful immunosuppressive<br />

agents such as azathioprine, cyclosporine, or<br />

total body irradiation causes generalized immunological<br />

unresponsiveness to essentially all immunogens to which<br />

the host is exposed.<br />

immunologically activated cell<br />

An immunologically competent cell following its interaction<br />

with antigen. This response may be expressed as lymphocyte<br />

transformation, immunological memory, cell-mediated<br />

immunity, immunologic tolerance, or antibody synthesis.<br />

immunologically competent cell<br />

A lymphocyte, such as a B cell or T cell, that can recognize<br />

and respond to a specific antigen.<br />

immunologically privileged sites<br />

Certain anatomical sites within the animal body provide<br />

an immunologically privileged environment that favors<br />

the prolonged survival of alien grafts. The potential for<br />

development of a blood and lymphatic vascular supply<br />

connecting graft and host may be a determining factor<br />

in the qualification of an anatomical site as an area<br />

that provides an environment favorable to the prolonged<br />

survival of a foreign graft. Immunologically privileged<br />

areas include (1) the anterior chamber of the eye, (2) the<br />

substantia propria of the cornea, (3) the meninges of the<br />

brain, (4) the testis, and (5) the cheek pouch of the Syrian<br />

hamster. Foreign grafts implanted in these sites show a<br />

diminished ability to induce transplantation immunity in<br />

the host. Immunologically privileged sites usually fail to<br />

protect alien grafts from the immune rejection mechanism<br />

in hosts previously or simultaneously sensitized<br />

with donor tissues. The capacity of cells expressing<br />

Fas ligand to cause deletion of activated lymphocytes<br />

provides a possible explanation for the phenomenon of<br />

immune privilege. Animals with a deficiency in either<br />

Fas ligand or the Fas receptor fail to manifest significant<br />

immune privilege. Both epithelial cells of the eye and

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