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Untitled - D Ank Unlimited

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N addition<br />

Appending nucleotides by terminal deoxynucleotidyl transferase<br />

during D–J joining or V to-D–J joining.<br />

naïve<br />

B and T lymphocytes that have not been exposed to antigen.<br />

Also called unprimed or virgin lymphocytes.<br />

naïve B cell<br />

A mature lymphocyte that has exited the bone marrow but<br />

has not yet come into contact with the antigen for which it<br />

is specific.<br />

naïve lymphocyte<br />

Mature T or B lymphocytes that have never been exposed to<br />

antigen and are not derived from antigen-stimulated mature<br />

lymphocytes. Exposure of naïve lymphocytes to antigen<br />

leads to their differentiation into effector lymphocytes such<br />

as antibody-secreting B cells or helper T cells and cytolytic<br />

T lymphocytes (CTLs). Lymphocytes that migrate from the<br />

central lymphoid organs are naïve (e.g., naïve T cells from<br />

the thymus and naïve B cells from the bone marrow). The<br />

surface markers and recirculation patterns of naïve lymphocytes<br />

differ from those of lymphocytes activated previously.<br />

Also termed unprimed or virgin lymphocytes.<br />

naïve T cell<br />

A mature T lymphocyte that has exited the thymus but has not<br />

yet come into contact with the antigen for which it is specific.<br />

naked DNA vaccine<br />

An immunizing preparation composed of an isolated DNA<br />

plasmid that encodes the vaccine antigen. Following introduction<br />

into the host body, the plasmid becomes incorporated<br />

into the host cells that form pathogen protein.<br />

NALT<br />

Abbreviation for nasopharynx-associated lymphoid tissue.<br />

Refer also to MALT.<br />

NANBH<br />

The principal cause of transfusion-related hepatitis. Risk<br />

factors include intravenous drug abuse (42%), unknown risk<br />

factors (40%), sexual contact (6%), blood transfusion (6%),<br />

household contact (3%), and health professional occupations<br />

(2%). Of the 150,000 cases per year in the United States, 30<br />

to 50% become chronic carriers, and one fifth develop cirrhosis.<br />

Parental NANBH is usually hepatitis C, and enteric<br />

NANBH is usually hepatitis E.<br />

NAP<br />

Neutrophil alkaline phosphatase.<br />

NAP-1<br />

Neutrophil attractant or activation protein-1. Refer to interleukin-8<br />

(IL8).<br />

NAP-2 (neutrophil activating protein 2)<br />

A chemokine of the α (CXC) family. NAP-2 is a proteolytic<br />

fragment of platelet basic protein (PBP) corresponding<br />

to amino acids 25 to 94. CTAP-III and LA-PF4 or β-TG<br />

released from activated platelets are inactive NAP-2 precursors.<br />

Leukocytes and leukocyte-derived proteases convert<br />

N<br />

the inactive precursors into NAP-2 by proteolytic cleavage<br />

at the N terminus. Platelets represent the tissue source.<br />

naprosyn<br />

A nonsteroidal anti-inflammatory drug (NSAID).<br />

naproxen (2-naphthaleneacetic acid, 6-methoxy-α-methyl)<br />

An anti-inflammatory drug used in the treatment of arthritis,<br />

especially rheumatoid arthritis of children and adults, as<br />

well as ankylosing spondylitis.<br />

nasopharyngeal-associated lymphoreticular tissue (NALT)<br />

Tissue that includes the palatine and nasopharyngeal tonsils<br />

(adenoids) that are mostly covered by squamous epithelium.<br />

The palatine tonsils usually contain 10 to 20 crypts<br />

that increase their surface area. The deeper regions of<br />

these crypts contain M cells that may take up encountered<br />

antigens. The tonsils contain all major classes of antigenpresenting<br />

cells, including dendritic and Langerhans’ cells,<br />

macrophages, class I-positive B cells, and antigen-retaining<br />

follicular dendritic cells in B cell germinal centers.<br />

Approximately one half of tonsillar cells are B lymphocytes<br />

situated mainly in follicles containing germinal<br />

centers. Immunoglobulin G (IgG) blasts are predominant<br />

in germinal centers; plasma cells, in the parafollicular area.<br />

Approximately 40% of tonsillar cells are T cells, and more<br />

than 98% express the αβ TCR. Higher CD4:CD8 ratios are<br />

found in tonsils compared with peripheral blood. The tonsils<br />

reveal not only features of mucosal inductive sites but<br />

also characteristics of effector sites with high numbers of<br />

plasma cells. The role of tonsils in host mucosal immunity<br />

following intranasal immunization remains to be determined.<br />

NALT also includes diffuse aggregates of lymphocytes<br />

in the upper respiratory epithelium.<br />

native immunity<br />

Genetically determined host responsiveness that prevents<br />

healthy humans from becoming infected under normal<br />

circumstances by selected microorganisms that usually<br />

infect animals. This may be altered in the case of profound<br />

immunosuppression of humans, as in the case of<br />

acquired immune deficiency syndrome (AIDS), in which<br />

humans become infected with microorganisms such as<br />

Mycobacterium avium intracellulare.<br />

natural antibody<br />

Polyreactive antibodies (principally IgM antibodies) found<br />

in the serum of an individual who has no known previous<br />

contact with that antigen such as by previous immunization<br />

or infection with a microorganism containing the antigen.<br />

The anti-A and anti-B antibodies related to the ABO blood<br />

group system are natural antibodies. Natural antibodies<br />

may be consequences of exposure to cross reacting antigens<br />

(e.g., ABO blood group antibodies resulting from exposure<br />

to bacterial antigens in the gut). Also refers to immunoglobulin<br />

M (IgM) antibodies produced by B-1 (CD5 + ) cells<br />

specific for microorganisms found in the environment and<br />

gastrointestinal tract. The two kinds of natural antibodies in<br />

523<br />

N

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