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Untitled - D Ank Unlimited

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persistent generalized lymphadenopathy (PGL) 567 PF-4 (platelet factor 4)<br />

molecules to tissues containing collagen. Thereafter, the<br />

primary rabbit antibody against the antigen to be identified<br />

is reacted with the tissue section. Unbound primary<br />

antibody is removed by rinsing the sections that are then<br />

covered with swine antibody against rabbit immunoglobulin.<br />

This so-called linking antibody will combine with any<br />

primary rabbit antibody in the tissue. It is added in excess.<br />

As a result, one of its antigen-binding sites remains free.<br />

After washing, the PAP is placed on the section, and the<br />

antibody portion of this complex raised in rabbits will<br />

be bound to the free antigen-binding site of the linking<br />

antibody on the sections. The inbound PAP complex is<br />

then washed away by rinsing. To read the sections microscopically<br />

it is necessary to add a substrate of hydrogen<br />

peroxide and aminoethylcarbazole (AEC) that permits<br />

formation of a visible product that may be detected with a<br />

light microscope. The AEC is oxidized to produce a<br />

reddish-brown pigment that is not water-soluble.<br />

Peroxidase catalyzes the reaction. Because peroxidase<br />

occurs only at sites where the PAP is bound via linking<br />

antibody and primary antibody to antigen molecules, the<br />

antigen is identified by the reddish-brown pigment. The<br />

tissue section can then be counterstained with hematoxylin<br />

or other suitable dye, covered with mounting medium<br />

and cover slips, and read by conventional light microscopy.<br />

The PAP technique has been replaced, in part, by<br />

the avidin–biotin complex (ABC) technique.<br />

persistent generalized lymphadenopathy (PGL)<br />

A clinical stage of HIV infection.<br />

persistent infection<br />

The prolonged existence of a pathogenic microorganism in<br />

the host body, which may be throughout life. Infections of<br />

this type may be latent or induced chronic diseases.<br />

pertussis adjuvant<br />

Killed Bordetella pertussis microorganisms mixed with<br />

antigen to enhance antibody production. Pertussis adjuvant<br />

particularly facilitates immunoglobulin E (IgE) synthesis<br />

in rats and other animals. When used as a component in<br />

the triple vaccine (diphtheria–pertussis–tetanus [DPT])<br />

preparation used for childhood immunization, the killed B.<br />

pertussis microorganisms stimulate antibodies that protect<br />

against whooping cough and also facilitate antibody synthesis<br />

against both the diphtheria and tetanus toxoid preparations,<br />

thereby serving as an immunologic adjuvant.<br />

Pertussis Vaccine<br />

Risk of Occurrence After<br />

Problem Vaccination Disease<br />

Seizure 1:1750 1:25–1:50<br />

Encephalitis 1:100,000 1:1000–1:4000<br />

Severe brain damage 1:310,000 1:2000–1:8000<br />

Death 1:1,000,000 1:200–1:1000<br />

pertussis vaccine<br />

A preparation used for prophylactic immunization against<br />

whooping cough in children. It consists of virulent<br />

Bordetella pertussis microorganisms killed by treatment<br />

with formalin. It is administered in conjunction with<br />

diphtheria toxoid and tetanus toxoid as a so-called triple<br />

vaccine. In addition to stimulating protective immunity<br />

against pertussis, the killed B. pertussis microorganisms act<br />

as an adjuvant and facilitate antibody production against the<br />

diphtheria and tetanus toxoid components in vaccine. Rarely<br />

does a hypersensitivity reaction occur. To reduce the toxic<br />

effects of the vaccine, an acellular product is now in use.<br />

Mucosa of ileum with Peyer’s patch.<br />

Peyer’s patch.<br />

Peyer’s patches<br />

Secondary gut-associated lymphoid tissue in the small<br />

intestinal wall, particularly the ileum. Sites where immune<br />

responses to ingested antigens may be induced. They are<br />

composed of lymphocytes, plasma cells, germinal centers,<br />

and thymus-dependent areas.<br />

PF-4 (platelet factor 4)<br />

Platelet factor 4 is a chemokine of the α (CXC) family. It is<br />

a heat-stable, heparin-binding protein stored with fibronectin,<br />

fibrinogen, thrombospondin, von Willebrand factor, and<br />

β-thromboglobulin (β-TG) in the α granules of platelets. PF-4<br />

is secreted from stimulated and aggregated platelets. It is a<br />

megakaryocyte differentiation marker and a negative autocrine<br />

regulator of human megakaryocytopoiesis. A related protein<br />

called low affinity platelet factor 4 (LAPF-4) shares 50%<br />

homology with PF-4 but, unlike PF-4, is an active mitogenic<br />

and chemotactic agent that fails to bind heparin. PF4 interacts<br />

with a carrier molecule, a 53-kDa proteoglycan, in vivo.<br />

P

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