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Untitled - D Ank Unlimited

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specific immune response to extracellular bacteria 663 spectratyping<br />

Opsonic–promote ingestion and killing by phagocytic<br />

cells (IgG)<br />

Block attachment (IgA)<br />

Neutralize toxins<br />

Agglutinate bacteria–may aid in clearing<br />

Render motile organisms nonmotile<br />

Abs only rarely affect metabolism or growth of bacteria<br />

(Mycoplasma)<br />

Abs, combining with antigens of the bacterial surface,<br />

activate the complement cascade, thus inducing an<br />

inflammatory response and bringing fresh phagocytes and<br />

serum Abs into the site<br />

Abs, combining with antigens of the bacterial surface,<br />

activate the complement cascade, and through the final<br />

sequences the membrane attack complex (MAC)<br />

is formed involving C5b–C9<br />

Antimicrobial actions of antibodies.<br />

Specific immune response to extracellular bacteria.<br />

smaller and fuses with phagosomes more quickly than does<br />

the azurophil granule.<br />

specific immune response to extracellular bacteria<br />

Antibodies are the primary agents that protect the body<br />

against extracellular bacteria. Microbial cell wall polysaccharides<br />

serve as thymus-independent antigens that stimulate<br />

specific immunoglobulin M (IgM) antibody responses.<br />

Cytokine production may even permit switching from IgM<br />

to IgG production. Protein antigens of extracellular bacteria<br />

primarily stimulate active CD4 + T cells. Toxins of extracellular<br />

bacteria may activate multiple CD4 + T lymphocytes.<br />

A bacterial toxin that stimulates an entire family of T lymphocytes<br />

that express products of a certain family of v beta T<br />

lymphocyte receptor genes is referred to as a superantigen.<br />

Immune stimulation of this type may lead to the production<br />

of abundant quantities of cytokines that lead to pathologic<br />

sequelae. The resistance mechanism against extracellular<br />

Spleen.<br />

bacteria regrettably may include two reactions that produce<br />

tissue injury: acute inflammation and endotoxin shock. In<br />

addition, late in the course of a bacterial infection, pathogenic<br />

antibodies may appear. The multiple lymphocyte<br />

clones stimulated by bacterial endotoxins or superantigens<br />

may lead to the production of autoimmunity through overriding<br />

specific T cell bypass mechanisms. Autoreactive<br />

lymphocytes may also be activated during this process.<br />

specific immunity<br />

An immune state in which antibodies or specifically sensitized<br />

or primed lymphocytes recognize an antigen and react<br />

with it. By contrast, immunologically competent cells may<br />

interact with antigens to produce specific immunosuppression<br />

referred to as immunologic tolerance.<br />

specificity<br />

Recognition by an antibody or lymphocyte receptor of a<br />

specific epitope in the presence of other epitopes for which<br />

the antigen-binding site of the antibody or lymphoid cell<br />

receptor is specific.<br />

speckled pattern<br />

A type of immunofluorescence produced when serum from<br />

a patient with one of several connective tissue diseases is<br />

placed in contact with the human epithelial cell line HEp-2<br />

and “stained” with fluorochrome-labeled goat or rabbit<br />

antisera against human immunoglobulin. The speckled<br />

pattern of fluorescence occurs in mixed connective tissue<br />

disease, lupus erythematosus, polymyositis, sicca syndrome,<br />

Sjögren’s syndrome, drug-induced immune reactions, and<br />

rheumatoid arthritis. It is the most frequent pattern and<br />

shows the greatest variations of immunofluorescent nuclear<br />

staining. The speckles are classified as (1) fine speckles<br />

associated with anticentromere antibody; (2) coarse<br />

speckles associated with antibodies against the nonhistone<br />

nuclear proteins Scl-70, nRNP, La/SSB, and Sm; and (3)<br />

large speckles that may be limited to 3 to 10 per nucleus,<br />

are seen in undifferentiated connective tissue disease, and<br />

represent IgM antibody against class H3 histones.<br />

spectratyping<br />

Selected types of DNA gene segments that give a repetitive<br />

spacing of three nucleotides or one codon.<br />

Red pulp<br />

Marginal sinus<br />

Mantle zone<br />

Germinal center<br />

White pulp<br />

Marginal zone<br />

S

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