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Percoll® 565 peripheral lymphoid organs<br />

Percoll®<br />

A density-gradient centrifugation medium used to isolate<br />

certain cell populations such as natural killer (NK) cells. It<br />

is a colloidal suspension.<br />

perforin<br />

Perforin from cytolytic T lymphocyte and natural killer<br />

(NK) cell granules produces target cell lysis. Perforin isolation<br />

and sequence determination through cDNA cloning<br />

made possible studies on perforin structure and function.<br />

Perforin is a 70-kDa glycoprotein. Granules containing<br />

perforin mediate lysis in a medium with calcium. A<br />

transmembrane polyperforin tubular channel is formed in<br />

the lipid bilayer of the membrane. Released perforin inserts<br />

into the membranes of target cells to produce 5- to 20-nm,<br />

doughnut-shaped, polymeric structures that serve as stable<br />

conduits for intracellular ions to escape to the outside extracellular<br />

environment, promoting cell death. Both murine and<br />

human perforin cDNAs have been cloned and sequenced.<br />

They share 67% homology, and each is 534 amino acids<br />

long. Perforin and C9 molecules appear to be related in a<br />

number of aspects. This is confirmed by sequence comparison,<br />

functional studies, and morphologic and immunologic<br />

comparisons. Whereas lysis of host cells by complement is<br />

carefully regulated, cytotoxic T lymphocytes lyse virusinfected<br />

host cells. Decay-accelerating factor (DAF) and<br />

homologous restriction factor (HRF) guard host cells against<br />

lysis by complement. By contrast, perforin is able to mediate<br />

lysis without such control factors. Using perforin cDNA as<br />

the hybridization probe, mRNA levels have been assayed for<br />

perforin expression. Thus far, all cytotoxic T lymphocytes<br />

have been shown to express the perforin message. Perforin<br />

expression is an in vitro phenomenon, but perforin expression<br />

has been shown in vivo. This was based upon cytotoxic<br />

CD8 + T cells containing perforin mRNA. Refer also to<br />

perforin–granzyme-mediated cytotoxicity.<br />

perforin–granzyme-mediated cytotoxicity<br />

A means whereby proteases (granzymes) and a poreforming<br />

protein (perforin) fatally injure target cells when<br />

these enzymes are released by degranulation from cytotoxic<br />

T lymphocytes, NK cells, or NKT cells. Following the<br />

uptake of these molecules by the target cells, perforin aids<br />

the release of granzyme from endosomes of target cells.<br />

Presynthesized perforin and granzyme are held in the cytoplasmic<br />

granules of the cells.<br />

periarteriolar lymphoid sheath (PALS)<br />

The thymus-dependent region in the splenic white pulp<br />

populated mainly by T cells. Lymphocyte cuffing of these<br />

small arterioles of the spleen adjacent to lymphoid follicles<br />

is observed. Two thirds of the PALS T cells are CD4 + and<br />

one third are CD8 + . During humoral immune responses<br />

against protein antigens, B cells are activated at the PALS<br />

and follicle interfaces and then migrate into the follicles<br />

to produce germinal centers. In addition to mature T cells<br />

and some B cells, PALS also contain plasma cells, macrophages,<br />

and interdigitating dendritic cells.<br />

periarteritis nodosa<br />

A synonym for polyarteritis nodosa.<br />

perinuclear antibodies<br />

Antibodies against perinuclear granules in buccal mucosal<br />

cells in humans. They are present in about 78% of patients<br />

with classical rheumatoid arthritis (RA) and in 40% of<br />

patients with RA who are IgM rheumatoid factor (RF)-<br />

negative. The presence of perinuclear antibodies portends<br />

a poor prognosis in the RF-negative group. Perinuclear<br />

antibodies may also be found in selected other rheumatic<br />

diseases and are often present in subjects infected with<br />

Epstein–Barr virus. They are also demonstrable in approximately<br />

one fourth of patients with primary biliary cirrhosis.<br />

perinuclear factor (profillagrin) autoantibodies<br />

Autoantibodies against perinuclear granules of human buccal<br />

mucosal cells, They are positive in 78% of patients with<br />

classical rheumatoid arthritis (RA) and in 40% of patients<br />

with RA who are IgM rheumatoid factor (RF)-negative.<br />

The presence of these antibodies in RF-negative individuals<br />

signals a poor prognosis. They are present in much higher<br />

titers in RA patients than in individuals with other rheumatic<br />

diseases. The principal target antigen is profillagrin,<br />

an insoluble protein rich in histidine.<br />

peripheral blood mononuclear cells<br />

Lymphocytes and monocytes in the peripheral blood that<br />

may be isolated by Ficoll-Hypaque density centrifugation.<br />

peripheral lymphoid organs<br />

Lymphoid organs that are not required for ontogeny of the<br />

immune response. They include the lymph nodes, spleen,<br />

tonsils, and mucosal-associated lymphoid tissues in which<br />

immune responses are induced, in contrast to the thymus, a<br />

central lymphoid organ in which lymphocytes develop.<br />

Tonsil<br />

Lymph nodes<br />

Peyer’s<br />

patches in<br />

GALT<br />

Peripheral lymphoid organs.<br />

Spleen<br />

Lymph nodes<br />

P

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