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Untitled - D Ank Unlimited

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nuclear matrix protein 537 nutrition and immunity<br />

from the cytosol to the nucleus following cleavage of the<br />

phosphate residues by calcineurin, a serine/threonine protein<br />

phosphatase.<br />

nuclear matrix protein<br />

A marker expressed preferentially by malignant cells<br />

rather than by normal cells; demonstrated by immunoperoxidase<br />

staining.<br />

nuclear matrix proteins (NMPs)<br />

Substances that organize nuclear chromatin. They are<br />

associated with DNA replication, RNA synthesis, and<br />

hormone receptor binding. Antibodies against NMPs react<br />

with nuclear mitotic apparatus protein. Thus, much of the<br />

nuclear matrix is devoted to formation of the mitotic apparatus<br />

(MA). NMPs participate in cellular events that result<br />

in programmed cell death (apoptosis).<br />

nucleolar autoantibodies<br />

Antibodies associated with systemic sclerosis (SSc) include<br />

autoantibodies to nucleolar 7-2 RNA, present in only a<br />

small percentage of patients with SSc; RNA polymerase I,<br />

found in 4% of patients with SSc; the fibrillarin component<br />

of U3 RNP, found in 6% of patients with SSc; and PM-Scl<br />

autoantibodies, found in 3% of polymyositis–scleroderma<br />

overlap syndrome cases. Nucleolar autoantibodies have also<br />

been observed in chronic graft-vs.-host disease following<br />

bone marrow transplantation. Indirect immunofluorescence<br />

is used to demonstrate nucleolar staining patterns that<br />

include speckled or punctuate (RNA polymerase I specificity),<br />

homogeneous (PM-Scl specificity), and clumpy (U3<br />

RNP specificity). Hep-2 cells are useful as a substrate to<br />

detect nucleolar autoantibodies.<br />

nucleoside phosphorylase<br />

An enzyme that is only seldom decreased in immunodeficiency<br />

patients. It catalyzes inosine conversion into<br />

hypoxanthine.<br />

nucleotide excision pathway (NER)<br />

A DNA repair pathway with participation by products of<br />

the XPA-XPG genes capable of excising nucleotides injured<br />

by UV irradiation.<br />

nude mouse<br />

A strain of hairless mouse that has a congenital absence of<br />

the thymus and of T lymphocyte function. An autosomalrecessive<br />

mutation that inhibits hair follicle development<br />

and prevents or greatly diminishes thymus development.<br />

The mice are hairless and lack T cells and serve as highly<br />

effective animal models to investigate the immunologic<br />

consequences of the absence of a thymus. The mice fail to<br />

develop cell-mediated (T-lymphocyte-mediated) immunity,<br />

are unable to reject allografts, and cannot synthesize<br />

antibodies against the majority of antigens. Their B lymphocytes<br />

and natural killer cells are normal even though T<br />

lymphocytes are missing. Also called nu/nu mice. Valuable<br />

in the investigation of graft-vs.-host disease. Partial model<br />

for DiGeorge syndrome in humans.<br />

null cell<br />

A lymphocyte that does not manifest any markers of T or<br />

B cells, including cluster of differentiation (CD) antigens<br />

or surface immunoglobulins. Approximately 20% of<br />

peripheral lymphocytes are null cells. They play a role in<br />

antibody-dependent cell-mediated cytotoxicity (ADCC) and<br />

may be the principal cells in certain malignancies such as<br />

acute lymphocytic leukemia of children. The three types of<br />

null cells include (1) undifferentiated stem cells that may<br />

mature into T or B lymphocytes, (2) cells with labile immunoglobulin<br />

G (IgG) and high affinity Fc receptors that are<br />

resistant to trypsin, and (3) large granular lymphocytes that<br />

constitute natural killer (NK) and killer (K) cells.<br />

null cell compartment<br />

Null cells constitute 37% of the bone marrow lymphocytes<br />

(i.e., they do not have any markers characteristic of B or<br />

T cell lineage). They may differentiate into B or T cells<br />

upon appropriate induction, the mechanism of which is<br />

unknown. Some null cells differentiate into killer (K) cells<br />

by developing Fc and complement receptors. Natural killer<br />

(NK) cells are also present in this cell population. Null, K,<br />

and NK cells, like committed lymphocytes, also migrate to<br />

the peripheral lymphoid organs such as spleen and lymph<br />

nodes, or the thymus, but they represent only a very small<br />

fraction of the total cells present there. At all locations, the<br />

null cells are part of the rapidly renewed pool of immature<br />

cells with short lifespans (5 to 6 days). The null cells committed<br />

to T cell lineage migrate to the thymus to continue<br />

their differentiation.<br />

null phenotype<br />

The failure to express protein because the gene that encodes<br />

it is either defective or absent on both inherited haplotypes.<br />

Most of these involve erythrocytes, but they are quite rare.<br />

nurse cell<br />

Refer to thymus.<br />

nutrition and immunity<br />

The most frequent cause of immunodeficiency worldwide<br />

is malnutrition. Protein energy malnutrition has an adverse<br />

effect on immunity, increases the frequency of opportunistic<br />

infections, and leads to lymphoid tissue atrophy with<br />

reduction in size of the thymus, depletion of lymphoid<br />

cells in thymus-dependent areas of lymph nodes, and a<br />

loss of lymphoid cells around small vessels in the spleen.<br />

It leads to delayed hypersensitivity responses in the skin to<br />

both new and recall antigens. The helper/suppressor ratio<br />

is significantly decreased, and lymphocyte proliferation<br />

and synthesis of DNA are diminished. Serum antibody<br />

responses are usually unaffected. Phagocytosis is affected<br />

as a consequence of decreased complement, component<br />

C3, factor B, and total hemolytic activity. Ingestion by<br />

phagocytes is intact. Metabolic destruction of microorganisms<br />

is decreased, as is synthesis of various cytokines,<br />

including interleukin-2 (IL2) and interferon-γ (IFN-γ).<br />

Deficiency of pyridoxine, folic acid, vitamin A, vitamin C,<br />

and vitamin E leads to impaired cell-mediated immunity<br />

and diminished antibody responses. Vitamin B 6 deficiency<br />

leads to decreased lymphocyte stimulation responses to<br />

mitogens. A moderate increase in vitamin A enhances<br />

immune responses. Zinc deficiency leads to lymphoid<br />

atrophy, decreased cutaneous delayed hypersensitivity<br />

responses and allograft rejection, and diminished thymic<br />

hormone activity. Iron deficiency, the most common nutritional<br />

problem worldwide, leads to impaired lymphocyte<br />

proliferation in response to mitogens and antigens and a<br />

low response to tetanus toxoid and herpes simplex antigens.<br />

Copper-deficient animals have fewer antibody-forming<br />

cells compared to healthy controls. Dietary deficiencies of<br />

selected amino acids diminish antibody responses but in<br />

other states an amino acid imbalance may enhance selected<br />

antibody responses, perhaps reflecting alterations in suppressor<br />

cells.<br />

N

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