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Untitled - D Ank Unlimited

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agarose 25 agranulocytosis<br />

agarose<br />

A neutral polygalactoside consisting of alternating d-galactose<br />

and 3,6-anhydrogalactose linear polymer, the principal<br />

constituent of agar. Gels made from agarose are used for<br />

the hemolytic plaque assay and for leukocyte chemotaxis<br />

assays, as well as for immunodiffusion and nucleic acid/<br />

protein electrophoresis.<br />

Clusters of<br />

bacteria<br />

(agglutination)<br />

Antigen<br />

Antibody<br />

Free<br />

bacteria<br />

in vitro<br />

(agglutinogen)<br />

Antibodies<br />

(agglutinin)<br />

Aggulated<br />

bacteria<br />

agglutination<br />

The combination of soluble antibody with particulate antigens<br />

in an aqueous medium containing electrolyte, such as<br />

erythrocytes, latex particles bearing antigen, or bacterial cells,<br />

to form an aggregate that may be viewed microscopically or<br />

macroscopically. If antibody is linked to insoluble beads or<br />

particles, they may be agglutinated by soluble antigen through<br />

reverse agglutination. Agglutination is the basis for multiple<br />

serological reactions, including blood grouping, diagnosis of<br />

infectious diseases, rheumatoid arthritis (RA) testing, etc. To<br />

carry out an agglutination reaction, serial dilutions of antibody<br />

are prepared, and a constant quantity of particulate antigen is<br />

added to each antibody dilution. Red blood cells may serve as<br />

carriers for adsorbed antigen (e.g., the tanned red cell or bisdiazotized<br />

red cell technique). Like precipitation, agglutination<br />

is a secondary manifestation of antigen–antibody interaction.<br />

As specific antibody crosslinks particulate antigens, aggregates<br />

that form become macroscopically visible and settle out of<br />

suspension. Thus, the agglutination reaction has a sensitivity 10<br />

to 500 times greater than that of the precipitin test with respect<br />

to antibody detection.<br />

agglutination inhibition<br />

Diminished clumping of particles bearing antigen on their<br />

surfaces by the addition of soluble antigen that interacts<br />

with and blocks the agglutinating antibody.<br />

agglutination titer<br />

The highest dilution of a serum that causes clumping of particles<br />

such as bacteria. Titer is an approximation of the antibody<br />

activity in each unit volume of a serum sample. The term is<br />

used in serological reactions and is determined by preparing<br />

+<br />

Agglutination.<br />

Coulombic<br />

forces<br />

+<br />

Ab Ag<br />

+ –<br />

––<br />

+<br />

– – –<br />

+<br />

–<br />

–<br />

–<br />

+<br />

––– – + + + +<br />

+<br />

+<br />

+<br />

+<br />

–– –<br />

––<br />

–<br />

Antigen-antibody complex. Role of positive and negative charges in agglutination<br />

of antigen by antibody.<br />

serial dilutions of antibody to which a constant amount of antigen<br />

is added. The end point is the highest dilution of antiserum<br />

in which a visible reaction with antigen, e.g., agglutination, can<br />

be detected. The titer is expressed as the reciprocal of the serum<br />

dilution that defines the endpoint. If agglutination occurs in the<br />

tube containing a 1:240 dilution, the antibody titer is said to be<br />

240. Thus, the serum would contain approximately 240 units of<br />

antibody per milliliter of antiserum. The titer provides only an<br />

estimate of antibody activity. For absolute amounts of antibody,<br />

quantitative precipitation or other methods must be employed.<br />

agglutinin<br />

An antibody that interacts with antigen on the surfaces<br />

of particles such as erythrocytes, bacteria, or latex cubes<br />

to cause their aggregation or agglutination in an aqueous<br />

environment containing electrolyte. Substances other than<br />

agglutinin antibody that cause agglutination or aggregation<br />

of certain specificities of red blood cells include hemagglutinating<br />

viruses and lectins.<br />

agglutinogen<br />

Antigens on the surfaces of particles such as red blood cells<br />

that react with the antibody known as agglutinin to produce<br />

aggregation or agglutination. The most widely known agglutinogens<br />

are those of the ABO and related blood group systems.<br />

aggregate anaphylaxis<br />

Form of anaphylaxis caused by aggregates of antigen and<br />

antibody in the fluid phase. The aggregates bind complement-liberating<br />

complement fragments C3a, C5a, and C4a,<br />

also called anaphylatoxins that induce the release of mediators.<br />

Preformed aggregates of antigen–antibody complexes<br />

in the fluid phase fix complement. Fragments of complement<br />

components, the anaphylatoxins, may induce the<br />

release of mediators from mast cells. There is no evidence<br />

that these components play a role in anaphylactic reactions<br />

in vivo. Aggregates of antigen–IgG antibody, however, may<br />

induce anaphylaxis, the manifestations of which are different<br />

in the various species.<br />

aging and immunity<br />

Aging is accompanied by many changes in the immune<br />

system. The involution of the thymus gland sets the pace<br />

for immune senescence. There are changes in the distribution<br />

and function of both T and B lymphocytes. A striking<br />

feature of immune senescence is the increased frequency of<br />

autoimmune reactions in both humans and experimental animals.<br />

There is also an increased instance of neoplasia with<br />

increasing age as immune surveillance mechanisms falter.<br />

agonist<br />

A molecule that combines with a receptor and enables it to<br />

function.<br />

agonist ligand<br />

A molecule that unites with a receptor for antigen and<br />

exerts a positive influence on downstream signaling and<br />

cellular function.<br />

agonist peptides<br />

Peptide antigens that activate specific lymphocytes,<br />

enabling them to synthesize cytokines and to proliferate.<br />

agranulocytosis<br />

A striking decrease in circulating granulocytes including<br />

neutrophils, eosinophils, and basophils as a consequence of<br />

suppressed myelopoiesis. The deficiency of polymorphonuclear<br />

leukocytes leads to decreased resistance and increased<br />

susceptibility to microbial infection. Patients may present<br />

with pharyngitis. The etiology may be unknown or follow<br />

A

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