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Untitled - D Ank Unlimited

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naturally acquired immunity 526 Neisseria immunity<br />

naturally acquired immunity<br />

Immunity that develops as a consequence of unplanned and<br />

coincidental contact with an antigen, as contrasted with<br />

immunity acquired through deliberate immunization.<br />

NCR<br />

Refer to natural cytotoxicity receptor.<br />

necrosis<br />

Cell or tissue death caused by chemical or physical injury<br />

as opposed to apoptosis (biologically programmed cell<br />

death). Necrosis leaves extensive cellular debris that must<br />

be removed by phagocytes; apoptosis does not. “Danger signal”<br />

mediators that initiate inflammation may be released<br />

from necrotic cells.<br />

necrotaxis<br />

The attraction of leukocytes to dead or injured cells and<br />

tissues.<br />

Nef (HIV)<br />

A multifunctional protein in an HIV-infected cell that<br />

forces internalization of certain MHC class I, class II, and<br />

CD4 molecules mediated by clathrin, disturbs the proton<br />

pump needed for endosome acidification, activates intracellular<br />

signaling pathways to induce infected cells to promote<br />

viral DNA synthesis, upregulates FasL, activates caspase-3,<br />

and downregulates survival signaling.<br />

negative induction apoptosis<br />

Negative induction of apoptosis by loss of suppressor activity<br />

involves the mitochondria. Release of cytochrome c<br />

from the mitochondria into the cytosol serves as a trigger to<br />

activate caspases. Permeability of the mitochondrial outer<br />

membrane is essential to initiation of apoptosis through this<br />

pathway. Proteins belonging to the Bcl-2 family appear to<br />

regulate the membrane permeability to ions and possibly<br />

to cytochrome c as well. Although these proteins can form<br />

channels in membranes, the molecular mechanisms by<br />

which they regulate mitochondrial permeability and the<br />

solutes released are less clear. The Bcl-2 family is composed<br />

of a large group of anti-apoptosis members that when<br />

overexpressed prevent apoptosis and pro-apoptosis members<br />

that when overexpressed induce apoptosis. The balance<br />

between the anti- and pro-apoptotic Bcl-2 family members<br />

may be critical to determining whether a cell undergoes<br />

apoptosis. Thus, the suppressor activity of the anti-apoptotic<br />

Bcl-2 family appears to be negated by the pro-apoptotic<br />

members. Many members of the pro-apoptotic Bcl-2 family<br />

are present in cells at levels sufficient to induce apoptosis.<br />

However, these members do not induce apoptosis because<br />

their activity is maintained in a latent form. Bax is present<br />

in the cytosols of live cells. After an appropriate signal,<br />

Bax undergoes a conformational change and moves to the<br />

mitochondrial membrane where it causes release of mitochondrial<br />

cytochrome c into the cytosol. BID is also present<br />

in the cytosols of live cells. After cleavage by caspase-8,<br />

it moves to the mitochondria where it causes release of<br />

cytochrome c, possibly by altering the conformation of<br />

Bax. Similarly, BAK appears to undergo a conformational<br />

change that converts it from an inactive to an active state.<br />

Thus, understanding the molecular mechanisms responsible<br />

for regulating the Bcl-2 family activities creates the potential<br />

for pharmaceutical intervention to control apoptosis.<br />

The viability of many cells is dependent on a constant or<br />

intermittent supply of cytokines or growth factors. In the<br />

absence of an apoptosis-suppressing cytokine, cells may<br />

undergo apoptosis. BAD is a pro-apoptotic member of the<br />

Bcl-2 family and is sequestered in the cytosol when cytokines<br />

are present. Cytokine binding can activate PI3 kinase,<br />

which phosporylates Akt/PKB, which in turn phosphorylates<br />

BAD. Phosphorylated BAD is sequestered in the cytosol<br />

by the 14-3-3 protein. Removal of the cytokine turns the<br />

kinase pathway off, the phosphorylation state of BAD shifts<br />

to the dephosphorylated form, and dephosphorylated BAD<br />

causes release of cytochrome c from the mitochondria.<br />

negative phase<br />

The decrease in antibody titer immediately following injection<br />

of a second or booster dose of antigen to an animal<br />

previously given a primary injection of the same antigen.<br />

Following this initial drop of preformed antibody in the<br />

circulation, there is a rapid and pronounced rise in antibody<br />

titer, representing immunologic memory.<br />

negative selection<br />

The process whereby thymocytes that recognize self antigens<br />

in the context of self major histocompatibility complex<br />

(MHC) undergo clonal deletion (apoptosis) or clonal<br />

anergy (inactivation). The resulting cell population is self<br />

MHC-restricted and self antigen-tolerant (refer to positive<br />

selection). Developing thymocytes in the thymus, whose<br />

TCRs show high affinity/avidity for self-peptide complexed<br />

to self MHC presented by thymic epithelial cells, undergo<br />

apoptosis. Negative selection of NK T cells also occurs in<br />

the thymus. Autoreactive B cells undergo a similar process<br />

in the bone marrow. Autoreactive B cells, whose BCRs have<br />

high affinity/avidity for self antigens present on bone marrow<br />

stromal cells, are induced to undergo apoptosis.<br />

NEHJ pathway<br />

Refer to non-homologous end-joining pathway.<br />

Neisser–Wechsberg phenomenon<br />

The deviation of complement by antibody. Although complement<br />

does not react with antigen alone, it demonstrates<br />

weak affinity for unreacted antibody.<br />

Neisseria immunity<br />

Even though patients with gonococcal infection develop<br />

increased levels of serum and mucosal antibody of immunoglobulin<br />

G (IgG) and IgA classes reactive with gonococcal<br />

surface antigens, they are subject to repeated episodes<br />

of urogenital infections; thus, natural infection does not<br />

confer protective immunity. The surface antigens may be<br />

antigenically heterogeneous or this phenomenon may be<br />

attributable to the brevity of the mucosal antibody response<br />

and the lack of activity of serum antibody in the mucosal<br />

infection. Attachment and colonization of the mucosa with<br />

gonococci during their encounter with polymorphonuclear<br />

neutrophils (PMNs) play important roles. Protective<br />

immunity against meningococcal infection is associated<br />

with complement-dependent, bactericidal serum antibodies<br />

specific for capsular polysaccharide. Cell-mediated<br />

immunity does not appear to have a significant role. There<br />

is no successful gonococcal vaccine. Polysaccharide vaccines<br />

to protect against N. meningitidis of serogroups A and<br />

C induce protective bactericidal antibodies. The current<br />

vaccine contains polysaccharide from serogroups A, C, Y,<br />

and W-135. Polysaccharide A and C vaccine is conjugated<br />

to tetanus toxoid or another protein carrier to enhance<br />

immunogenicity in young children. Polysaccharide vaccines<br />

may not induce protection in serogroup B meningococcal<br />

disease. Protection against these strains may be linked to

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