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Untitled - D Ank Unlimited

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membrane cofactor of proteolysis (MCP or CD46) 488 membranous glomerulonephritis<br />

and 2, and factor H and C4-binding protein in plasma. MCP<br />

is also called CD46.<br />

membrane cofactor of proteolysis (MCP or CD46)<br />

A host cell membrane protein that functions in association<br />

with factor I to cleave C3b to its inactive derivative iC3b,<br />

thereby blocking formation of convertase.<br />

membrane complement receptors<br />

Receptors are expressed on blood cells and tissue macrophages<br />

of humans. They include Clq-R (Clq receptor),<br />

CR1 (C3b/C4b receptor; CD35), CR2 (C3d/Epstein–Barr<br />

virus [EBV] receptor; CD21), CR3 (iC3b receptor; CD11b/<br />

CD18), CR4 (C3bi receptor; CD11c/CD18), CR5 (C3dg-dimer<br />

receptor), fH-R (factor H receptor), C5a-R (C5a receptor),<br />

and C3a/C4a–R (C3a/C4a receptor). Ligands for C receptors<br />

generated by the classic or alternate pathway include fluid<br />

phase activation peptides of C3, C4, and C5 designated C3a,<br />

C4a, and C5a that are anaphylatoxins that interact with C3a/<br />

C4a–R or C5a–R and participate in inflammation. Other<br />

ligands for C receptors include soluble or particulate complement<br />

proteins deposited on immune complexes. Fixed C4<br />

and C3 fragments (C4b, C3b, C3bi, C3dg, and C3d), Clq, and<br />

a factor H constitute these ligands. These receptors play a<br />

major role in facilitating improved recognition of pathogenic<br />

substances. They aid the elimination of bacteria and soluble<br />

immune complexes. Neutrophils, monocytes, and macrophages<br />

express C3 receptors on their surface. Neutrophils<br />

and erythrocytes express immune adherence receptors<br />

(CR1s) on their surfaces. Four other receptors for C3 are designated<br />

CR2, CR3, CR4, and CR5. Additional receptors for<br />

complement components other than C3 and C3a are termed<br />

Clq receptor, C5a-R (C5a receptor), C3a-R (C3a receptor),<br />

and fH-R (factor H receptor).<br />

membrane immunofluorescence<br />

The reaction of a fluorochrome-labeled antibody with surface<br />

receptors of viable cells. This reaction of fluorescent<br />

antibody with surface antigens rather than internal antigens<br />

is the basis for many immunologic assays such as labeling<br />

of lymphocytes with such reagents for immunophenotyping<br />

by flow cytometry, patching, and capping and to detect<br />

changes in surface antigens through antigenic variation.<br />

Cytoplasm<br />

mlg<br />

Ig-α<br />

Ig-β<br />

Membrane immunoglobulin.<br />

membrane immunoglobulin<br />

Cell surface immunoglobulin that serves as an antigen receptor.<br />

Virgin B cells contain surface membrane IgM and IgD<br />

molecules. Following activation by antigen, the B cells differentiate<br />

into plasma cells that secrete IgM molecules. Whereas<br />

membrane-bound IgM is a four-polypeptide chain monomer,<br />

the secreted IgM is a pentameric molecule containing five<br />

four-chain unit monomers and one J chain. Other immunoglobulin<br />

classes have membrane and secreted types. IgG and<br />

IgA membrane immunoglobulins probably serve as memory<br />

B cell antigen receptors. The segment of the immunoglobulin<br />

introduced into the cell membrane is a hydrophobic<br />

heavy chain region in the vicinity of the carboxyl terminus.<br />

Within a particular isotype, the heavy chain is of greater<br />

length in the membrane form than in the secreted molecule.<br />

This greater length is at the carboxyl terminal end of the<br />

membrane form. Separate mRNA molecules from one gene<br />

encode the membrane and secreted forms of heavy chain.<br />

membrane nibbling<br />

Process whereby a dendritic cell acquires part of the membrane<br />

of an intact living whole cell.<br />

membranoproliferative glomerulonephritis (MPGN)<br />

A nephropathy in which the glomerular basement membrane<br />

is altered and glomerular cells proliferate, especially<br />

in mesangial areas, leading to the synonymous<br />

mesangiocapillary GN. Patients may present with hematuria<br />

and/or proteinuria. In type I MPGN, IgG-, Clq-,<br />

C4-, and C3-containing subendothelial electron-dense<br />

deposits are present in approximately 66% of cases, as<br />

revealed by immunofluorescence and electron microscopy.<br />

Conventional light microscopy reveals splitting of basement<br />

membranes. In type II MPGN, also called dense deposit<br />

disease, the lamina densa of the glomerular basement<br />

membrane appears as an electron-dense ribbon, on either<br />

side of which C3 can be detected by immunofluorescence.<br />

Complement is fixed only by the alternate pathway. Type<br />

II patients have C3 nephritic factor (C3NeF) in their sera<br />

which facilitates stabilization of alternate C3 convertase,<br />

thereby promoting C3 degradation and hypocomplementemia.<br />

Half of these patients develop chronic renal failure<br />

over a 10-year period.<br />

Types of glomerulonephritis.<br />

membranous glomerulonephritis<br />

A disease induced by deposition of electron-dense, immune<br />

(Ag–Ab) deposits in the glomerular basement membrane in<br />

a subepithelial location. This leads to progressive thickening<br />

of glomerular membranes. Most cases are idiopathic,<br />

but membranous glomerulonephritis may follow development<br />

of other diseases such as systemic lupus erythematosus<br />

(SLE), lung or colon carcinoma, and exposure to<br />

gold, mercury, penicillamine, or captopril. It can also be a<br />

sequela of certain infections (e.g., hepatitis B) or metabolic

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