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Untitled - D Ank Unlimited

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spliceosomal snRNP autoantibodies 665 spontaneous autoimmune thyroiditis (SAT)<br />

spliceosomal snRNP autoantibodies<br />

Sm autoantibodies are reactive with Sm core proteins (B, V,<br />

E) common to U1 snRNP, U2 snRNP, and other uridinerich<br />

snRNPs (U4/U6, U5, U7, and U11/U12). Use of the U1<br />

snRNP autoantibodies term should be restricted to autoantibodies<br />

reactive with non-Sm protein epitopes characteristic<br />

of individual snRNPs (70K, A, and C for U1; AN and<br />

BO for U2; 120-kDa/150-kDa for U4/U6). Sm autoantibodies<br />

occur in 20 to 30% of Caucasian adults and children<br />

with systemic lupus erythematosus (SLE) and in 30 to 40%<br />

of Asians and blacks with SLE. Mixed connective tissue<br />

disease (MCTD) is characterized by U1 snRNP (100%) and<br />

occasionally accompanied by U2 snRNP (approximately<br />

15%) autoantibodies.<br />

SS-A/Ro antibodies.<br />

splits<br />

Human leukocyte antigen (HLA) subtypes. For example,<br />

the base antigen HLA-B12 can be subdivided into splits<br />

HLA-B44 and HLA-B45. The split term designates an HLA<br />

initially believed to be a private antigen but later shown to<br />

be a public antigen. The former designation can be placed in<br />

parentheses following its new designation, e.g., HLA-B44(12).<br />

split thickness graft<br />

A skin graft that is only 0.25 to 0.35 mm thick and consists<br />

of epidermis and a small layer of dermis. These grafts<br />

vascularize rapidly and last longer than regular grafts. They<br />

are especially useful for burns, contaminated skin areas,<br />

and sites that are poorly vascularized. Thick split thickness<br />

grafts are further resistant to trauma, produce minimal<br />

contraction, and permit some sensation, but graft survival<br />

is poor.<br />

split tolerance<br />

(1) Specific immunological unresponsiveness (tolerance)<br />

affecting the B cell (antibody) limb or the T lymphocyte<br />

(cell-mediated) limb of the immune response. The unaffected<br />

limb is left intact to produce antibody or respond<br />

with cell-mediated immunity, depending on which limb<br />

has been rendered specifically unresponsive to the antigen<br />

in question. (2) The induction of immunologic tolerance<br />

to some epitopes of allogeneic cells, leaving the remaining<br />

epitopes capable of inducing an immune response<br />

characterized by antibody production and/or cell-mediated<br />

immunity. (3) T cell tolerance to a specific tolerogen may be<br />

induced, whereas B cell reactivity remains intact.<br />

sponges<br />

Even the most primitive invertebrates (marine sponges)<br />

can discriminate self from nonself, leading to rejection<br />

Splits<br />

Original Broad Specificities<br />

Splits and<br />

Associated Antigens<br />

A2 A203#, A210#<br />

A9 A23, A24, A2403#<br />

A10 A25, A26, A34, A66<br />

A19 A29, A30, A31, A32, A33, A74<br />

A28 A68, A69<br />

B5 B51, B52<br />

B7 B703#<br />

B12 B44, B45<br />

B14 B64, B65<br />

B15 B62, B63, B75, B76, B77<br />

B16 B38, B39, B3901#, B3902#<br />

B17 B57, B58<br />

B21 B49, B50, B4005#<br />

B22 B54, B55, B56<br />

B40 B60, B61<br />

B70 B71, B72<br />

Cw3 Cw9, Cw10<br />

DR1 DR103#<br />

DR2 DR15, DR16<br />

DR3 DR17, DR18<br />

DR5 DR11, DR12<br />

DR6 Dr13, DR14, DR1403#, DR1404#<br />

DQ1 DQ5, DQ6<br />

DQ3 DQ7, DQ8, DQ9<br />

Dw6 Dw18, Dw19<br />

Dw7 Dw11, Dw17<br />

of parabiosed fingers of different colonies in 7 to 9 days.<br />

Species-specific glycoproteins of sponge cells are used<br />

for identification of self and inhibition of hybrid colony<br />

formation. Placed in apposition to one another, nonidentical<br />

sponge colonies become necrotic at interfaces. Second<br />

grafts undergo accelerated rejection.<br />

spongiform encephalopathies<br />

Fatal prion diseases. The brain becomes sponge-like. This<br />

category includes variant Creutzfeldt-Jakob disease (vCJD)<br />

in humans, scrapie in sheep, and bovine spongiform encephalopathy<br />

(BSE, also known as mad cow disease) in cattle.<br />

spontaneous autoimmune thyroiditis (SAT)<br />

Spontaneous autoimmune thyroiditis (SAT) in the obese<br />

strain (OS) of chicken constitutes an animal model of<br />

Hashimoto’s thyroiditis in humans. Many mononuclear<br />

cells infiltrate the thyroid gland, leading to disruption of<br />

the follicular architecture. Immunodysregulation is critical<br />

in the etiopathogenesis of SAT. Endocrine abnormalities<br />

play a role in pathogenesis. Disturbances in communication<br />

between the immune and endocrine systems occur.<br />

Dysregulation leads to hyperreactivity of the immune<br />

system which, combined with a primary genetic defectinduced<br />

alteration of the thyroid gland, leads to autoimmune<br />

thyroiditis. Both T and B lymphocytes are significant<br />

in the pathogenesis of SAT. T cell effector mechanisms<br />

have greater influence than humoral factors in initiating the<br />

disease, and most lymphocytes infiltrating the autoimmune<br />

thyroid are mature cells. Autoantibodies play a minor role<br />

S

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