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Untitled - D Ank Unlimited

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Jerne network theory 425 Jo-1 syndrome<br />

Epitope on<br />

antigen<br />

Anti-idiotype 1<br />

antibody<br />

B<br />

B<br />

Paratope<br />

Jerne network theory.<br />

Jerne network theory<br />

Niels Jerne’s hypothesis that antibodies produced in<br />

response to a specific antigen would induce a second group<br />

of antibodies that in turn would downregulate the original<br />

antibody-producing cells. The second antigen (Ab-2)<br />

would recognize epitopes of the antibody-binding region of<br />

antibody 1. These would be anti-idiotypic antibodies that<br />

would also be reactive with the antigen-binding regions of T<br />

cell receptors for which they were specific. Thus, a network<br />

of antiantibodies would produce a homeostatic effect on<br />

the immune response to a particular antigen. This theory<br />

was subsequently proven and confirmed by numerous<br />

investigators.<br />

Niels Kaj Jerne.<br />

Jerne, Niels Kaj (1911–1994)<br />

Immunologist born in London and educated at Leiden<br />

and Copenhagen who shared the Nobel Prize in 1984 with<br />

Kohler and Millstein for his contributions to immune system<br />

theory. These include his selective theory of antibody<br />

formation, the functional network of interacting antibodies<br />

and lymphocytes, and distinction of self from nonself by<br />

B<br />

Idiotope<br />

Anti-idiotype 2<br />

antibody<br />

T lymphocytes. He studied antibody synthesis and avidity,<br />

perfected the hemolytic plaque assay, developed the natural<br />

selection theory of antibody formation, and formulated the<br />

idiotypic network theory. He was the director of the Paul<br />

Ehrlich Institute in Frankfurt-am-Main, 1966, and director<br />

of the Basel Institute for Immunology, 1969.<br />

Complement<br />

Agar with spleen<br />

cells and sheep RBC<br />

Immunized animal<br />

Coating agar<br />

Glass<br />

slide<br />

Spleen<br />

Jerne plaque assay.<br />

Jerne plaque assay<br />

Refer to hemolytic plaque assay.<br />

Jo-1 autoantibodies.<br />

Plaques form<br />

on glass slide<br />

Plaqueforming<br />

cell<br />

Sheep<br />

RBCs<br />

Jo-1 autoantibodies<br />

Thirty percent of adult patients with myositis (including<br />

polymyositis, dermatomyositis, and combination<br />

syndromes) form autoantibodies against the Jo-1 antigen<br />

(histidyl-tRNA synthetase). These antibodies against Jo-1<br />

occur in approximately 60% of patients with both myositis<br />

and interstitial lung disease. Jo-1 antibodies are most<br />

often found in addition to other aminoacyl synthetases in<br />

individuals with antisynthetase syndrome, which is marked<br />

by acute onset, steroid-responsive myositis with interstitial<br />

lung disease, fever, symmetrical arthritis, Raynaud’s<br />

phenomenon, and mechanic’s hands. Jo-1 autoantibodies in<br />

patients with idiopathic polymyositis are usually associated<br />

with severe relapse and poor prognosis.<br />

Jo-1 syndrome<br />

A clinical condition in which anti-Jo-1 antigen (histidyltRNA<br />

synthetase) antibodies are produced. Arthritis,<br />

myositis, and interstitial lung disease, may be present.<br />

One quarter of myositis patients may manifest anti-Jo-1<br />

antibodies.<br />

J

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