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Untitled - D Ank Unlimited

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antinucleosome antibodies 66 antipancreatic polypeptide (PP) antibody<br />

ANA peripheral pattern.<br />

ANA speckled pattern.<br />

ANA nucleolar pattern.<br />

antibodies, the patient’s serum is incubated with Hep-2 cells<br />

and the pattern of nuclear staining is determined by fluorescence<br />

microscopy. The homogeneous pattern of staining represents<br />

the morphologic expression of antinuclear antibodies<br />

specific for ribonucleoprotein, which is positive in more than<br />

95% of cases of systemic lupus erythematosus (SLE) and druginduced<br />

lupus erythematosus and 70 to 90% of cases of diffuse<br />

systemic sclerosis and limited scleroderma (CREST) cases. It<br />

is also positive in 50 to 80% of Sjögren’s syndrome and in 40<br />

to 60% of inflammatory myopathies. The test is also positive in<br />

progressive systemic sclerosis, rheumatoid arthritis, and other<br />

connective tissue disorders. Peripheral nuclear staining represents<br />

the morphologic expression of DNA antibodies associated<br />

with SLE. Nucleolar fluorescence signifies anti-RNA<br />

antibodies of the type that occurs in progressive systemic sclerosis<br />

(scleroderma). The speckled pattern of staining is seen in<br />

several connective tissue diseases. When antinuclear antibodies<br />

(ANAs) reach elevated titers significantly above the normal<br />

serum level, ANA tests are considered positive. The indirect<br />

immunofluorescence technique (IFT) is used as a screening<br />

technique before more specific methods are used. Most ANAs<br />

are specific for nucleic acids or proteins associated with nucleic<br />

acids. Only nucleoli in centromeres of chromosomes can be<br />

distinguished by IFT as separate antigens. Nucleosomes are<br />

irrelevant autoantigens for the formation of antibodies against<br />

nucleosomes, histones, and DNA. Antibodies against specific<br />

nuclear antigens are listed individually.<br />

antinucleosome antibodies<br />

Antibodies specific for nucleosomes or subnucleosomal<br />

structures that consist of DNA plus core histones. These<br />

autoantibodies were the first to be associated with systemic<br />

lupus erythematosus (SLE) and were formerly referred to as<br />

LE factors responsible for the so-called LE cell phenomenon.<br />

antioxidants and immunity<br />

Immune function depends on a balance between the free<br />

radical and antioxidant status of the body. Exposure of<br />

healthy adults to high levels of oxidants leads to diminished<br />

immune responses. Exposure to low levels of dietary antioxidants<br />

also decreases immune responses such as delayed-type<br />

hypersensitivity. Increased oxidative stress and immune<br />

dysfunction result from rheumatoid arthritis, aging, and cigarette<br />

smoking, leading to damage to lipids and other cellular<br />

components by free radicals. Antioxidant status is reduced<br />

in arthritic patients and smokers compared with controls.<br />

Thus, supplemental antioxidants are useful for diminishing<br />

oxidative stress and improving immune function. Increased<br />

levels of antioxidants may be needed for elderly individuals<br />

to maintain delayed-type hypersensitivity responses.<br />

anti-p24 antibodies<br />

Antibodies against the viral core protein p24 appear<br />

within weeks of acute human immunodeficiency virus<br />

(HIV) infection and may have a role in the decrease in<br />

plasma viremia associated with primary infection. The<br />

decline in anti-p24 antibodies is linked to HIV disease<br />

progression.<br />

anti-p53 primary antibody (clone Bp53-11)<br />

A mouse monoclonal antibody directed against both the<br />

mutant and wild-type of the p53 nuclear phosphoprotein.<br />

Normal cells very rarely express p53, but alterations in the<br />

p53 suppressor gene result in an overproduction of this protein<br />

in malignancies. This reagent may be used to aid in the<br />

identification of abnormally proliferating cells in neoplastic<br />

cell populations. It is intended for qualitative staining in<br />

sections of formalin-fixed, paraffin-embedded tissue on a<br />

Ventana automated slide staining device. Some form of antigen<br />

enhancement is required for paraffin-embedded samples.<br />

The p53 antibody specifically binds to nuclear antigen(s)<br />

associated with the normal downregulation of cell division.<br />

Increased expression of p53 in actively dividing cells is an<br />

indication of loss of function due to mutation of the p53 gene.<br />

antipancreatic polypeptide (PP) antibody<br />

A polyclonal antibody that detects pancreatic polypeptide in<br />

routinely fixed, paraffin-embedded or frozen tissue sections.<br />

Hyperplasia of pancreatic polypeptide-containing cells (PP<br />

cells) is often seen in patients with juvenile diabetes, chronic<br />

pancreatitis, and islet cell tumors. Hyperplasia of PP cells<br />

(greater than 10% of the islet cell population) in the nontumoral<br />

pancreas has been observed in nearly 50% of islet cell<br />

tumors. Demonstration of increased numbers of cells secreting<br />

PP found both within the islets and between the islets is characteristic<br />

of type II hyperplasia of pancreatic islets.

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