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Strongyloides immunity 670 superantigen<br />

Strongyloides immunity<br />

Immunoglobulin G (IgG), IgA, and IgE classes form in<br />

response to antigens of Strongyloides stercoralis filariform<br />

larvae. The principal humoral responses of the IgG 4<br />

subclass may be directed to more than 50 different 15- to<br />

100-kDa antigens. The remaining IgG subclasses recognize<br />

fewer than 20 antigens. Zinc endopeptidase together with<br />

31- and 28-kDa proteins are antigens that induce specific<br />

immune responses, but they are not protective against dissemination<br />

in the host. Patients without detectable humoral<br />

responses remain asymptomatic. Immunocompromised<br />

patients with disseminated infection may manifest high<br />

titers of parasite-specific antibodies. Impaired cellmediated<br />

immunity has been claimed by some to facilitate<br />

parasite dissemination, but this has not been proven,<br />

especially as patients with acquired immune deficiency<br />

syndrome (AIDS) have not developed this as an opportunistic<br />

infection.<br />

STS<br />

Abbreviation for serological test for syphilis.<br />

St. Vitus dance (chorea)<br />

Involuntary muscular twitching movements that may occur<br />

in acute rheumatic fever.<br />

subacute sclerosing panencephalitis<br />

A slow virus disease that occurs infrequently as a complication<br />

of measles and produces progressively destructive injury<br />

to the brain through slow replication of defective viruses.<br />

subexon<br />

A small exon possessing splice donor and acceptor sites that<br />

is spliced at the RNA level with other small subexons to<br />

produce a complete constant exon in the Igh locus.<br />

subset<br />

A subpopulation of cells such as T lymphocytes in samples<br />

of peripheral blood. Subsets are identified by immunophenotyping<br />

with monoclonal antibodies and by flow<br />

cytometry. The cells are separated based on their surface<br />

CD (cluster of differentiation) determinants, such as CD4,<br />

which identifies helper/inducer T lymphocytes, and CD8,<br />

which identifies suppressor/cytotoxic T lymphocytes.<br />

substance P (SP)<br />

A tachykinin that may induce joint inflammation when<br />

released at local sites. It facilitates synthesis by monocytes<br />

of interleukin-1 (IL1), IL6, and tumor necrosis factor α<br />

(TNF-α) and stimulates synovial cells to produce prostaglandins.<br />

Its receptor is designated NK1. Substance P is a<br />

principal component of the neuroimmune axis and axon<br />

reflex. It is a mediator of neurogenic inflammation, causing<br />

vasodilatation and plasma extravasation. It induces histamine<br />

release from mast cells; lymphocyte proliferation;<br />

immunoglobulin and cytokine secretion from B lymphocytes<br />

and monocytes, respectively; macrophage stimulation;<br />

immune complex formation; eosinophil peroxidase<br />

secretion; and chemotaxis in response to platelet-activating<br />

factor (PAF). SP induces polymorphonuclear leukocyte<br />

(PMNL) chemotaxis, phagocytosis, respiratory burst activity,<br />

exocytosis, and antibody-mediated cell cytotoxicity. It<br />

elevates superoxide production in PMNLs and facilitates<br />

TNF-dependent IL8 secretion. SP derived from primary<br />

afferent nerves has a proinflammatory effect on neutrophils,<br />

leading to increased adhesion to bronchial epithelial cells<br />

in acute and chronic bronchitis. SP levels are increased in<br />

the sputum of asthmatic and chronic bronchitis patients and<br />

those with nasal allergies. It increases PMNL infiltration<br />

into the skin in allergic contact dermatitis and enhances<br />

PGD 2 and leukotriene C4 release from human nasal mucosa<br />

and skin mast cells. In vessels, SP induces intercellular<br />

adhesion molecule 1 (ICAM-1) expression on vascular<br />

endothelial cells. It induces degranulation of mast cells and<br />

facilitates transendothelial migration.<br />

substrate adhesion molecules (SAMs)<br />

Extracellular molecules that share a variety of sequence<br />

motifs with other adhesion molecules. Most prominent are<br />

segments similar to the type III repeats of fibronectin and<br />

immunoglobulin-like domains. In contrast to other morphological<br />

regulatory molecules, SAMs do not have to be made<br />

by the cells that bind them. SAMs can link and influence<br />

the behavior of one another. Examples include glycoproteins,<br />

collagens, and proteoglycans.<br />

subunit vaccine<br />

An immunizing preparation comprised of a specific component<br />

of a pathogen, such as a viral protein or bacterial<br />

polysaccharide. The vaccine employs whole micromolecules<br />

or large macromolecular fragments that contain the<br />

protective epitopes.<br />

sugar cane worker’s lung<br />

Refer to bagassosis and farmer’s lung.<br />

suicide, immunological<br />

The use of an antigen deliberately labeled with high-dose<br />

radioisotope to kill a subpopulation of lymphocytes with<br />

receptors specific for that antigen following antigen binding.<br />

sulfite sensitivity<br />

Sulfites or sulfiting agents (such as sulfur dioxide, bisulfite<br />

salt, and metabisulfite salt) broadly used as food additives<br />

that can induce reactions marked by angioedema, laryngeal<br />

edema, asthma, and anaphylaxis. Sulfite reactions occur in<br />

atopic and selected nonatopic patients but are more commonly<br />

observed in chronic asthma. The hyperreactivity to<br />

sulfur dioxide generated from sulfites is believed to involve<br />

afferent cholinergic receptors in the tracheobronchial tree,<br />

IgE-mediated reactions in a few patients, and sulfite oxidase<br />

deficiency. Kinins are believed to play a role in mediation<br />

of bronchial constriction. Treatment includes cromolyn to<br />

stabilize mast cells; atropine to block cholinergic sensitivity;<br />

and cyanocobalamin to assist sulfite oxidation in sulfite<br />

oxidase-deficient patients. Diagnosing sulfite sensitivity is<br />

based on metabisulfite challenge.<br />

Sulzberger–Chase phenomenon<br />

The induction of immunological unresponsiveness to skinsensitizing<br />

chemicals such as picryl chloride by feeding an<br />

animal (e.g., guinea pig) the chemical in question prior to<br />

application to the skin. Intravenous administration of the<br />

chemical may also block the development of delayed-type<br />

hypersensitivity when the same chemical is later applied<br />

to the skin. Simple chemicals such as picryl chloride may<br />

induce contact hypersensitivity when applied to the skin<br />

of guinea pigs. The unresponsiveness may be abrogated by<br />

adoptive immunization of a tolerant guinea pig with lymphocytes<br />

from one that has been sensitized by application<br />

of the chemical to the skin without prior oral feeding.<br />

superantigen<br />

An antigen such as a bacterial toxin that is capable of stimulating<br />

multiple T lymphocytes, especially CD4 + T cells, leading<br />

to the release of relatively large quantities of cytokines.<br />

A protein that unites simultaneously with an invariant site

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