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mesangial phagocytes 490 methotrexate (N-[p-{(2,4-diamino-6-pteridinyl<br />

the reproductive system. It has been postulated to have a<br />

carcinogenic effect. Mercury is allergenic, affects immunoglobulin<br />

synthesis, and induces multispecific antibodies and<br />

autoimmune reactions. Mercuric chloride serves as a polyclonal<br />

activator of both B and T lymphocytes. Mercury’s<br />

immunological effects are under genetic influence.<br />

mesangial phagocytes<br />

Renal macrophages.<br />

metaproterenol (dl--[3,5-dihydroxyphenyl]-αisopropylamino-ethanol)<br />

A β-adrenergic amine that induces smooth muscle relaxation,<br />

especially in the bronchi, and is used to treat asthma.<br />

metastases<br />

Secondary tumors that arise from daughter cells released by<br />

spread from a primary tumor to other anatomical sites.<br />

metastasis<br />

The transfer of disease from one organ or part to another<br />

not directly connected with it. For example, malignant<br />

tumors may seed anatomical sites distant from the site of<br />

origin of the primary tumor, leading to the establishment of<br />

secondary tumors.<br />

metatype autoantibodies<br />

Anti-immunoglobulin antibodies that recognize an antibody-liganded<br />

active site but are not specific for the ligand<br />

or idiotype alone. Metatype antibody interactions with<br />

anti-metatype–metatype immunoglobulins serve as models<br />

for T cell receptor and antigen–MHC complex interactions<br />

that could be considered as metatype immunoglobulins and<br />

liganded antibody, respectively.<br />

Elie (Ilya) Metchnikoff.<br />

Metchnikoff, Elie (1845–1916)<br />

Elie (Ilya) Metchnikoff (also spelled Mechnikov) was born<br />

in Avanovska, Ukraine. He showed an interest in natural<br />

sciences from childhood and completed his 4-year university<br />

studies in 2 years at the University of Kharkov, graduating<br />

in 1864. He received a Ph.D. degree at the University<br />

of Odessa. He studied with several researchers in Germany<br />

and Italy and began publishing original observations at<br />

H 2 N<br />

N<br />

N<br />

NH 2<br />

N<br />

N<br />

H C<br />

H<br />

CH 3<br />

N<br />

a young age. He returned to Russia in 1867 as professor<br />

of zoology and comparative anatomy at the University of<br />

Odessa. He was plagued with eye trouble and depression,<br />

and lost his young wife to tuberculosis despite his devoted<br />

efforts to save her life. His second marriage to a neighbor<br />

was happy and the world is indebted to her for writing his<br />

biography. Metchnikoff was not temperamentally suited<br />

to teaching and left to pursue private studies in Messina.<br />

He first studied phagocytes, examining the transparent<br />

larvae of starfish. He observed that cells surrounded and<br />

engulfed foreign particles introduced into the larvae. He<br />

also discovered that special amoeba-like cells surrounded<br />

bacteria introduced into starfish larvae and fungal spores<br />

introduced into water fleas (Daphnia) and engulfed them.<br />

He observed the digestive powers of the mesodermal<br />

cells in starfish larvae and connected the process with the<br />

cause of immunity against infectious disease. He returned<br />

to Odessa and continued studies of parasite infection of<br />

Daphnia, from which he built a theory of cellular immunity<br />

involving phagocytosis. He was appointed director of the<br />

Bacteriological Institute in Odessa. He was unhappy in that<br />

position and visited the Hygiene Institute of Robert Koch,<br />

who showed no interest in his research. When Metchnikoff<br />

visited Pasteur in Paris, he was invited to remain, and<br />

spent the rest of his life at Institut Pasteur. He found that<br />

many white blood cells or leukocytes are phagocytic,<br />

defending the body against acute infection by engulfing<br />

invading microorganisms. After discovering the role of<br />

phagocytes in host defense, he devoted much of his later<br />

career to elaborating and championing his cellular theory of<br />

immunity. He attracted a number of students including Jules<br />

Bordet and published many papers, a series of Lectures on<br />

the Comparative Pathology of Inflammation and a thorough<br />

and balanced review of the entire field of comparative<br />

and human immunity titled L’immunité dans les maladies<br />

infectieuses. He was a colorful and influential personality.<br />

He shared the Nobel Prize in Medicine or Physiology for<br />

1908 with Paul Ehrlich for his work in immunology and<br />

made many more contributions to immunity and bacteriology.<br />

Metchnikoff became interested in longevity and aging<br />

in his later years, and advocated the consumption of yogurt.<br />

He believed that lactic acid-producing bacteria in the gut<br />

prolonged life span.<br />

methotrexate (N-[p-{(2,4-diamino-6-pteridinylmethyl)<br />

methylamino} benzoyl] glutamic acid)<br />

A drug that blocks synthesis of DNA and thymidine in<br />

addition to its well known use as a chemotherapeutic agent<br />

against neoplasia. It blocks dihydrofolate reductase, the<br />

enzyme required for folic acid conversion to tetrahydrofolate.<br />

Methotrexate has been used to treat cancer, psoriasis,<br />

rheumatoid arthritis, polymyositis, Reiter’s syndrome, graftvs.-host<br />

disease, and steroid-dependent bronchial asthma. It<br />

inhibits both humoral and cell-mediated immune responses.<br />

Its major toxicity is hepatic fibrosis, which is dose-related. It<br />

may also produce hypersensitivity pneumonitis and<br />

O<br />

C<br />

N<br />

H<br />

CH<br />

Structure of methotrexate.<br />

COOH<br />

CH 2 CH 2<br />

COOH

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