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everse transcriptase–polymerase chain reaction 622 rhesus antigen<br />

B Lymphocyte<br />

(Plasma cell)<br />

Antibody<br />

release<br />

Anti-Ig<br />

into host cell DNA. It also permits RNA sequences to be<br />

converted into complementary DNA (cDNA) and cloned.<br />

Problems in proofreading may lead to introduction of a considerable<br />

number of mutations into the DNA. It is encoded<br />

by human immunodeficiency virus (HIV), and the purified<br />

form is used to clone complementary DNAs encoding<br />

a gene of interest from messenger RNA. Inhibitors of the<br />

enzyme have been used as therapy for HIV-1 infection.<br />

reverse transcriptase–polymerase chain reaction<br />

(RT-PCR)<br />

A technique employed to amplify RNA sequences. Reverse<br />

transcriptase is used to convert an RNA sequence into a<br />

complementary DNA (cDNA) sequence that is amplified by<br />

PCR using gene-specific primers. This technique is a variation<br />

of the polymerase chain reaction employed to amplify a<br />

complementary cDNA of a gene of interest.<br />

reverse vaccinology<br />

Development of a vaccine antigen based on sequences in a<br />

pathogenic organism’s genome or proteome that are most<br />

likely to represent epitopes that T cells recognize. Also<br />

called epitope-driven vaccine design.<br />

RF<br />

Abbreviation for rheumatoid factor.<br />

RFLP (restriction fragment length polymorphism)<br />

Local DNA sequence variations of humans or other animals<br />

that may be revealed by the use of restriction endonucleases.<br />

These enzymes cut double-stranded DNA at points where they<br />

recognize a very specific oligonucleotide sequence, resulting<br />

in DNA fragments of different lengths that are unique to each<br />

individual. The fragments of different sizes are separated<br />

by electrophoresis. The technique is useful for a variety of<br />

purposes, such as identifying genes associated with neurologic<br />

diseases (e.g., myotonic dystrophy) that are inherited as<br />

autosomal-dominant genes or in documenting chimerism. The<br />

fragments may also be used as genetic markers to help identify<br />

the inheritance patterns of particular genes.<br />

rhabdovirus immunity<br />

Resistance to rabies is in part genetically controlled; in mice,<br />

it is controlled by one or two genes. Resistance is a dominant<br />

trait. Susceptibility to rabies virus infection varies among species.<br />

Immunity may be specific or nonspecific. Interferon plays<br />

a critical role. Rhabdoviruses are very susceptible to interferon<br />

action. In rabies, no serological evidence of infection is found<br />

prior to onset of the disease, which is usually fatal. Vaccination<br />

studies have yielded the most data concerning specific immunity.<br />

Vaccination during the incubation period, if not repeated,<br />

Antibody-coated<br />

erythrocyte<br />

Ig from<br />

B cell<br />

+<br />

Reverse plaque method.<br />

Complement<br />

Complement<br />

mediated red<br />

cell lysis, plaque<br />

formation<br />

can cause the “early death phenomenon.” Passively transferred<br />

specific antibodies can protect against rabies. The relative<br />

significance of cell-mediated immunity as a protective mechanism<br />

remains to be demonstrated, although antibody titers<br />

and protection are closely correlated. Protective mechanisms<br />

following post-exposure treatment of humans with rabies vaccine<br />

involve T lymphocytes. Rabies virus infection progresses<br />

silently in the nervous system without inducing any detectable<br />

humoral immune response. Use of anti-rabies vaccination must<br />

distinguish between preventive vaccination and post-exposure<br />

treatment. Several vaccine injections together with specific<br />

immunoglobulin inoculation are warranted in post-exposure<br />

treatment for humans. Preventive vaccination is usually carried<br />

out in veterinary medicine. Contemporary vaccines confer<br />

partial or no protection against selected rabies-related virus<br />

infections. Only inactivated vaccines are licensed for use in<br />

humans. Those previously used that contained nervous tissue<br />

were dangerous because their myelin content could have<br />

induced hypersensitivity reactions leading to paralysis. Most<br />

current vaccines are prepared from virus grown in cell culture.<br />

While attenuated virus vaccines have been used in domestic<br />

animals in the past, newer potent inactivated vaccines have<br />

replaced them. Recombinant vaccines make use of a vaccinia<br />

recombinant virus containing the rabies virus glycoprotein<br />

gene that induces production of virus glycoprotein in infected<br />

cells to induce rabies virus-neutralizing antibodies and protect<br />

susceptible hosts. It is active by oral administration.<br />

Rh antigens<br />

Refer to rhesus antigen and to rhesus blood group system.<br />

Rh disease<br />

Refer to erythroblastosis fetalis.<br />

Rh factor<br />

Erythrocyte antigen that determines the Rh blood group system.<br />

Refer to rhesus antigen and rhesus blood group system.<br />

Rhazes (Abu Bakr Muhammad ibn Zakariya, 865–932)<br />

Persian philosopher and alchemist who described measles<br />

and smallpox as different diseases. He was also a proponent<br />

of the theory that immunity is acquired and is often cited as<br />

the premier physician of Islam.<br />

rhesus antibody<br />

An antibody reactive with rhesus antigen, especially RhD.<br />

rhesus antigen<br />

Erythrocyte antigen of humans that shares epitopes in common<br />

with rhesus monkey red blood cells. Rhesus antigens<br />

are encoded by allelic genes. D antigen has the greatest clinical<br />

significance as it may stimulate antibodies in subjects

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