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OKT4 540 oncofetal antigens<br />

OKT4<br />

Refer to CD4.<br />

OKT8<br />

Refer to CD8.<br />

old tuberculin (OT)<br />

A broth culture, heat-concentrated filtrate of medium in<br />

which Mycobacterium tuberculosis microorganisms are<br />

grown. Robert Koch developed it for use in tuberculin skin<br />

tests nearly a century ago.<br />

+<br />

PT 1<br />

PT 2<br />

PT 3<br />

Cerebrospinal Fluid Electrophoresis<br />

= Oligoclonal IgG bands<br />

Oligoclonal bands.<br />

(gamma region)<br />

oligoclonal bands<br />

When the cerebrospinal fluids of some multiple sclerosis<br />

patients are electrophoresed in agarose gel, immunoglobulins<br />

with restricted electrophoretic mobility may appear as<br />

multiple distinct bands in the γ region. Although nonspecific,<br />

90 to 95% of multiple sclerosis patients show this<br />

banding. The bands may appear in selected other central<br />

nervous system diseases such as herpetic encephalitis,<br />

bacterial or viral meningitis, carcinomatosis, toxoplasmosis,<br />

neurosyphilis, progressive multifocal leukoencephalopathy,<br />

and subacute sclerosing panencephalitis, and may appear<br />

briefly during the course of Guillain-Barré disease, lupus<br />

erythematosus vasculitis, spinal cord compression, diabetes,<br />

and amyotrophic lateral sclerosis.<br />

oligoclonal response<br />

An immune response characterized by only a few separate<br />

clones of immunocompetent cells responding to yield a<br />

small number of immunoglobulin bands in agarose gel<br />

electrophoresis.<br />

oligomorphic<br />

Genes that possess only a relatively small number of different<br />

alleles in the population.<br />

oligosaccharide determinant<br />

An epitope or antigenic determinant of a polysaccharide<br />

hapten that consists of relatively few (two to seven) pentoses,<br />

hexoses, or heptoses united by glycoside linkages.<br />

–<br />

Omenn’s syndrome<br />

A severe immunodeficiency characterized by the development<br />

soon after birth of a generalized erythroderma<br />

desquamation, failure to thrive, protracted diarrhea,<br />

hepatosplenomegaly, hypereosinophilia, and markedly<br />

elevated serum immunoglobulin E (IgE) levels. It has been<br />

observed in association with neonatal minimal-change<br />

nephritic syndrome. Circulating and tissue-infiltrating<br />

activated T lymphocytes that do not respond normally to<br />

mitogens or antigen in vitro are increased. These T cells<br />

are both oligoclonal and polyclonal. Circulating B cells<br />

are not found, and the only hypogammaglobulinemia is<br />

for IgE. Superficial lymph node architecture is grossly<br />

abnormal due to a proliferation of interdigitating, S-100,<br />

protein-positive, nonphagocytic reticulum cells and a<br />

depletion of B lymphocytes. This is believed to be a Th2mediated<br />

condition, even though the fundamental defect<br />

has not been discovered. This form of severe combined<br />

immunodeficiency is induced by amino acid substitution<br />

mutations in the RAG genes that significantly diminish<br />

the activity of the corresponding proteins to 1 to 25% of<br />

normal. The condition is fatal in the first 5 months of life<br />

unless corrected by bone marrow transplantation following<br />

chemoablation.<br />

Onchocerca volvulus immunity<br />

This filarial parasite that can induce dermal and ocular<br />

complications contains antigens that induce antigen-specific<br />

immunoglobulin G (IgG), IgM, IgE, and IgA antibodies in<br />

addition to polyclonal stimulation. Humoral immunity develops<br />

early in chimpanzees, but the exact role of antibodies<br />

in protection remains to be determined. Antibodies against<br />

microfilariae facilitate adherence of granulocytes in vitro,<br />

and eosinophils and neutrophils mediate antibody-dependent<br />

killing. Massive eosinophil degranulation may lead to tissue<br />

injury. Infected subjects develop elevated IgE that may<br />

worsen ocular lesions by contributing to acute inflammation.<br />

Much of the IgE antibody is O. volvulus antigen-specific.<br />

Immune complexes may also contribute to acute inflammation.<br />

Cell-mediated immunity is downregulated to antigens<br />

that are specific and nonspecific for the infectious agent.<br />

Onchocerciasis is marked by predominant Th2 cytokine<br />

responses in subjects with ocular pathologies, whereas a Th1<br />

response is associated with immunity. Thus, the host immune<br />

response is significant in both pathology and protection in<br />

onchocerciasis. The HLA-D allele influences the pathogenesis<br />

of O. volvulus infection. Ocular pathology is the most<br />

serious result, affecting both anterior and posterior segments<br />

of the eye. Protection against onchocerciasis has been<br />

directed to vector control, but development of a protective<br />

vaccine would be a better solution. Larval antigens are the<br />

best targets for a prophylactic vaccine.<br />

oncofetal antigens<br />

Markers or epitopes present in fetal tissues during development<br />

and not present or found only in minute quantities in<br />

adult tissues. These cell-coded antigens may reappear in<br />

certain neoplasms of adults due to derepression of the gene<br />

responsible for their formation. Examples include carcinoembryonic<br />

antigen (CEA) found in the liver, intestine,<br />

and pancreas of the fetus and also in both malignant and<br />

benign gastrointestinal conditions. It is still useful to detect<br />

the recurrence of adenocarcinoma of the colon based on<br />

demonstration of CEA in the patient’s serum; α-fetoprotein

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