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Untitled - D Ank Unlimited

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memory 489 mercury and immunity<br />

disorders (e.g., diabetes mellitus). Clinically, it is a principal<br />

cause of nephrotic syndrome in adults. The subepithelial<br />

immune deposits are shown by immunofluorescence to contain<br />

both immunoglobulins and complement. Proteinuria<br />

persists in 70 to 90% of cases, and half of the patients<br />

develop renal insufficiency over a period of years. A less<br />

severe course appears in 10 to 30% of cases.<br />

memory<br />

The capacity of the adaptive immune system to respond<br />

more rapidly, more effectively, and with greater magnitude<br />

to a second (or subsequent) exposure to an immunogen<br />

compared to its response to the primary exposure. Refer to<br />

immunological memory.<br />

memory B cells<br />

Long-lived antigen-specific B cells generated during exposure<br />

of naïve B lymphocytes to antigen in a primary immune<br />

response. Subsequent exposure to the antigen for which they<br />

are specific leads to reactivation and differentiation into<br />

plasma cells as a secondary or subsequent immune response.<br />

memory cells<br />

Immunocompetent T and B lymphocytes generated during<br />

a primary immune response. They have the ability to<br />

mount an accentuated response to antigen, compared with<br />

that of virgin immunocompetent cells, because of their<br />

previous exposure to the antigen through immunization or<br />

infection. Activated memory cells yield effector cells more<br />

rapidly and with less costimulation than naïve lymphocytes.<br />

Homing and chemokine receptors of memory cells direct<br />

them to sites where they were first exposed to antigen.<br />

Memory cells are responsible for immunological memory<br />

and protective immunity.<br />

memory lymphocytes<br />

Lymphocytes of the B or T type that respond rapidly with an<br />

enhanced memory or recall response to second or subsequent<br />

exposure to an antigen to which they were primed previously.<br />

Antigen stimulation of naïve lymphocytes leads to the production<br />

of memory B and T cells that persist in a functionally<br />

dormant state years following antigen elimination.<br />

memory response<br />

Refer to immunological memory.<br />

memory T cells<br />

Long-lived antigen-specific T lymphocytes that are activated<br />

in secondary and subsequent immune responses to antigen<br />

and respond in an immediate and exaggerated manner to<br />

induce a heightened immune response to a specific antigen.<br />

meningococcal D (Groups A,C,Y, and W-135)polysaccharide<br />

diphtheria toxoid conjugate vaccine<br />

Bactericidal anticapsular meningococcal antibodies are<br />

associated with protection from invasive meningococci.<br />

Meningococcal polysaccharide diphtheria toxoid conjugate<br />

vaccine induces synthesis of bactericidal antibodies specific<br />

for the capsular polysaccharides of serogroups A, C, Y, and<br />

W-135. Immunogenicity and clinical efficacy of serogroups<br />

A and C meningococcal vaccines are well established. The<br />

serogroup A polysaccharide induces antibodies in children<br />

as young as 3 months of age, although a response comparable<br />

with that among adults is not achieved until 3 to 5 years<br />

of age; the serogroup C component is weakly immunogenic<br />

in recipients who are younger than 18 to 24 months of age.<br />

The serogroups A and C vaccines have clinical efficacies of<br />

85 to 100% in older children and adults and are used to control<br />

epidemics. Serogroups Y and W-135 polysaccharides<br />

are safe and immunogenic in adults and in children above<br />

2 years of age. In the first 3 years following a single dose<br />

of vaccine, the measurable levels of antibodies against<br />

groups A and C polysaccharides decrease significantly. This<br />

decrease in antibody occurs more rapidly in infants and<br />

younger children than in adults. Vaccine-induced clinical<br />

protection probably persists in school children and adults<br />

for at least 3 years.<br />

meningococcal vaccine<br />

An immunizing preparation that contains bacterial<br />

polysaccharides from certain types of meningococci.<br />

Meningococcal polysaccharide vaccines A, C, Y, and<br />

W-135 are available for preventing diseases induced by<br />

those serogroups. There is no vaccine for meningococcal<br />

serogroup B.<br />

H<br />

H<br />

C C<br />

H H<br />

OH<br />

2-mercaptoethanol agglutination test<br />

A simple test to determine whether an agglutinating<br />

antibody is of the immunoglobulin M (IgM) class. If treatment<br />

of an antibody preparation such as a serum sample<br />

with 2-mercaptoethanol can abolish the ability of the<br />

serum to agglutinate cells, then agglutination was due to<br />

IgM antibody. Agglutination induced by IgG antibody is<br />

unaffected by 2-mercaptoethanol treatment and is just as<br />

effective after the treatment as it was before. Dithiothreitol<br />

(DTT) produces the same effect as 2-mercaptoethanol in<br />

this test.<br />

6-mercaptopurine (6-MP)<br />

A powerful immunosuppressive drug used prior to the<br />

introduction of cyclosporine in organ transplantation. It<br />

is also an effective chemotherapeutic agent for the treatment<br />

of acute leukemia of childhood and other neoplastic<br />

conditions. 6-MP is a purine analog in which a thiol group<br />

replaces the 6-hydroxyl group. Hypoxanthine–guanine<br />

phosphoribosyl transferase (HGPRT) transforms 6-MP to<br />

6-thioinosine-5′-phosphate. This reaction product blocks<br />

various critical purine metabolic reactions. 6-MP is also<br />

incorporated into DNA as thioguanine.<br />

mercury and immunity<br />

Mercury does not have any known physiologic function in<br />

humans. This highly toxic metal affects enzyme function<br />

and calcium ion channels. It is especially toxic for the<br />

kidneys and the central nervous system and may affect<br />

SH<br />

2-Mercaptoethanol agglutination test.<br />

N<br />

SH<br />

N<br />

Structure of 6-mercaptopurine (6-MP).<br />

N<br />

N<br />

H<br />

M

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