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Untitled - D Ank Unlimited

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spectrotype 664 splenic cords<br />

spectrotype<br />

In isoelectric focusing analysis, the arrangement of bands<br />

in a gel that is characteristic for a single protein or category<br />

of proteins. An antibody spectrotype on an isoelectric<br />

focusing gel may signify that it is the product of a particular<br />

antibody-synthesizing clone.<br />

sperm antibodies<br />

Antibodies specific for the heads or tails of sperm. These<br />

antibodies are synthesized by 3% of infertile males and 2 to<br />

9% of infertile females. The titer of antibody against sperm<br />

and infertility are positively correlated. Treatment includes<br />

corticosteroid therapy or the use of a condom to permit<br />

waning of immunologic memory in the female or washing<br />

of sperm prior to insemination.<br />

sperm autoantibodies<br />

Antibodies against human sperm can be formed in both<br />

sexes and play a role in infertility. Not all antibodies against<br />

spermatozoa interfere with sperm function and fertilization.<br />

Antibodies in cervical mucus or on sperm are associated<br />

with a reduction in cervical mucus penetration. Vasectomy<br />

causes the production of sperm autoantibodies. In vasectomized<br />

men, immunoglobulin A (IgA) sperm antibodies<br />

on all sperm and a heightened immune response (antibody<br />

titer >1:256) are associated with conception failure. Assays<br />

for circulating sperm antibodies vary in sensitivity and<br />

specificity. The variables to be considered include class of<br />

immunoglobulin and different sperm antigens, among others.<br />

Of the various methods to measure sperm antibodies,<br />

the direct immunobead test (dIBT) is the method of choice.<br />

It is based on rosette formation by viable sperm and plastic<br />

beads coated with antiserum to human immunoglobulins<br />

and allows measurement of class-specific antibodies (IgG,<br />

IgM, or IgA) and antibody attachment sites (heads or tails).<br />

Antibodies can be measured in cervical mucus, seminal<br />

plasma, serum, and in an antibody complex on the surfaces<br />

of donor sperm. The measurement of sperm antibodies on<br />

sperm is the preferred technique. Three major sperm surface<br />

glycoproteins have been identified. Sperm antibodies<br />

include those reactive with galactosyl transferase.<br />

spheroplast<br />

A Gram-negative bacterial protoplast that contains outer<br />

membrane remains.<br />

spherulin<br />

An antigen derived from spherules of Coccidioides<br />

immitis used for the delayed-type hypersensitivity skin<br />

test for coccidioidomycosis.<br />

Spleen, gross specimen.<br />

Spleen follicle with central follicular artery.<br />

spleen<br />

An encapsulated organ in the abdominal cavity that has<br />

important immunologic and nonimmunologic functions.<br />

Vessels and nerves enter the spleen at the hilum, as in<br />

lymph nodes, and travel part of their course within the<br />

fibrous trabeculae that emerge from the capsule. The<br />

splenic parenchyma has two regions that are functionally<br />

and histologically distinct. The white pulp consists of a<br />

thick layer of lymphocytes surrounding the arteries that<br />

have left the trabeculae. They form periarterial sheaths<br />

that contain mainly T cells. The sheaths then expand along<br />

their course to form well developed lymphoid nodules<br />

called malpighian corpuscles. The red pulp consists of a<br />

mesh of reticular fibers, continuous with the collagen fibers<br />

of the trabeculae. These fibers enclose an open system<br />

of sinusoids that drain into small veins and are lined by<br />

endothelial cells with reticular properties. The endothelium<br />

is discontinuous, leaving small slits through which cells<br />

must pass during transit. Within the sinusoidal mesh are<br />

red blood cells, macrophages, lymphocytes, and plasma<br />

cells. The red pulp between adjacent sinusoids forms<br />

pulp cords, sometimes called the cords of Billroth. The<br />

marginal zone consists of a poorly defined area between<br />

the white and red pulp where the periarterial sheath and<br />

lymphoid nodules merge. The blood vessels branch, and at<br />

the periphery of the marginal zone the blood empties into<br />

the pulp. Lymphocytes of the marginal zone are mainly<br />

T cells. They surround the periphery of the lymphoid<br />

nodules that comprise B cells. In this marginal region, the<br />

T and B cells contact each other. Some B cells may convert<br />

into immunoblasts. Further maturation to plasma cells<br />

occurs in the red pulp. Active follicles contain germinal<br />

centers in which lymphoblasts may be generated. They are<br />

discharged into sinusoids, and plasma cells may form. The<br />

spleen also contains dendritic cells that have long cytoplasmic<br />

extensions and serve as antigen-presenting cells, interacting<br />

with lymphocytes. The spleen filters blood as the<br />

lymph nodes filter the lymph. The spleen is active in the<br />

formation of antibodies against intravenously administered<br />

particulate antigens. It has numerous additional functions,<br />

including the sequestration and destruction of senescent<br />

red blood cells, platelets, and lymphocytes.<br />

splenic cords<br />

A network of collagen that encircles accumulations of<br />

erythrocytes, reticular cells, fibroblasts, macrophages, and<br />

lymphocytes in the spleen.

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