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leukocyte culture 448 leukocytoclastic vasculitis<br />

ICAM-1 D1 D2<br />

ICAM-2<br />

LFA-3<br />

LFA-3<br />

CD2<br />

Key:<br />

LFA-1 LFA-1<br />

N-glycosylation site<br />

Cysteine<br />

ICAM-1<br />

T cell<br />

Adhesion to artificial membranes.<br />

LFA-1 LFA-1<br />

D3 D4 D5<br />

D1 D2<br />

D1 D2<br />

D1 D2<br />

D12 D2<br />

Immunoglobulin superfamily adhesion receptors.<br />

leukocyte culture<br />

In the past, mononuclear blood cells have been cultured in<br />

vitro in a medium containing serum to support growth; however,<br />

culture of cells to be used for patient reinfusion must be<br />

grown in a medium that is free of serum, endotoxin, and antibiotics.<br />

Tissue culture vessels for the large-scale expansion of<br />

leukocytes include polystyrene flasks that can be stacked on<br />

top of one another in an incubator; gas-permeable cell-culture<br />

bags (30 of which contain 1500 mL of cell culture each)<br />

that may be placed in an incubator; tissue-culture bioreactors<br />

that include the hollow-fiber cell culture bioreactors; and the<br />

rotary cell culture system, both of which provide a threedimensional<br />

growth environment. Clinical applications of<br />

leukocyte culture include (1) generation of lymphokine-activated<br />

killer (LAK) cells and tumor-infiltrating lymphocytes<br />

(TILs) for adoptive immunotherapy; (2) CD34 + cell culture<br />

and in vitro generation of hematopoietic precursors for bone<br />

marrow reconstitution; and (3) culture of dendritic cells for<br />

use in active immunization.<br />

leukocyte-function-associated antigens (LFAs)<br />

Cell adhesion molecules that include LFA-1, a β 2 integrin;<br />

LFA-2, an immunoglobulin superfamily member; and<br />

LFA-3, an immunoglobulin superfamily member now<br />

designated CD58. LFA-1 facilitates T cell adhesion to<br />

endothelial cells and antigen-presenting cells.<br />

leukocyte groups<br />

Leukocytes may be grouped according to their surface antigens<br />

such as major histocompatibility complex (MHC) class<br />

I and class II histocompatibility antigens. These surface<br />

antigens may be detected by several techniques including<br />

the microlymphotoxicity assay and DNA typing.<br />

leukocyte inhibitory factor (LIF)<br />

A lymphokine that prevents polymorphonuclear leukocyte<br />

migration. T lymphocytes activated in vitro may produce<br />

this lymphokine, which can interfere with the migration<br />

of polymorphonuclear neutrophils from a capillary tube,<br />

as observed in a special chamber devised for a laboratory<br />

demonstration. Serine esterase inhibitors inhibit LIF activity,<br />

although they do not have this effect on macrophage<br />

migration inhibitory factor (MIF). This inhibitor is released<br />

by normal lymphocytes stimulated with the concanavalin<br />

A lectin or by sensitized lymphocytes challenged with the<br />

specific antigen. LIF is a 65- to 70-kDa protein.<br />

leukocyte integrins<br />

Refer to leukocyte-function-associated antigens.<br />

leukocyte migration inhibitory factor<br />

Refer to leukocyte inhibitory factor.<br />

leukocyte sialoglycoprotein<br />

Refer to LGSP.<br />

leukocyte transfer<br />

Refer to adoptive transfer.<br />

leukocytoclastic vasculitis<br />

A type of vasculitis with karyorrhexis of inflammatory<br />

cell nuclei. Fragments of neutrophil nuclei and immune<br />

complexes are deposited in vessels. Direct immunofluorescence<br />

reveals IgM, C3, and fibrin in vessel walls. Nuclear<br />

dust, necrotic debris, and fibrin staining of the postcapillary<br />

venules are present. Leukocytoclastic vasculitis represents<br />

a type of allergic cutaneous arteriolitis or necrotizing angiitis.<br />

It is seen in a variety of diseases, including Henoch–<br />

Schönlein purpura, rheumatoid arthritis, polyarteritis<br />

nodosa, and Wegener’s granulomatosis, and other diseases.

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