Page 217 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )
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CHAPTER 9  ■  Leukocytes: Lymphocytes and Plasma Cells                                   201




                                                                                                                                    C            mm                                                           -

                       TABLE         9.8        Characteristics of CD4 T Cells                                                               B         (            .  ). T                  -B        m   k


                                                                                                                                           :     m             x                                      (  D  ) m   k-

                                                                                Representative                                                : CD    , CD     ,                       mm     (CALLA

                       Subset Major Activities                                  Cytokines Produced                             [CD    ]).
                                                                                                                                    T               q                                            -B

                       Th1              Autoimmunity intracel- IFN-α, IL-2, IL-10                                                                        mm                                                          m.

                                        lular pathogen defense                                                                 Imm                                                                    m


                       Th2              Extracellular parasites  IL-4, IL-5, IL-10, IL-13,                                                         . T                         (µ)     I  M                z
                                        defense active in                       IL-25                                                               z               -B       . O       m  k                    D  ,


                                        asthma and allergic                                                                    CD    ,  CD    ,  CALLA,          HLA-DR.  P                    -BCR
                                        reactions                                                                                                                 k                           m         -B

                                                                                                                                                k  m   .
                       Th17             Autoimmunity extra-                     IL-10, IL-17a, IL-17f,

                                        cellular bacteria                       IL-21, IL-22                                        I             x               m              ,                     mm         B

                                        defense fungi defense                                                                                          m   ( I  )                   mm                    ( I  )
                                                                                                                                             m         m                                             m
                       iTreg            Regulation of immune                    IL-10, IL-35, TGFβ                             I  M. T               -           I  M                                        m

                                        responses immune                                                                              I  M  m                            m                                          m  .

                                        tolerance lymphocyte                                                                   R                       m     m                                F   (      m     ,

                                        homeostasis
                                                                                                                               c          z       )                           mm                     (I  G)

                       IFN-α, interferon gamma; TGFβ, transforming growth factor beta.                                                   . A

                                                                                                                               m        ,                            m           .

                                                                                                                                    T   m         B                                                       mm  -

                                                                                                                                              , I  M        I  D. W                     , B

                        T                               z                                                                                  x            ,

                                                    m                              ,                    x    -                    m                                   (            -                        ).  S  m

                                                          . S               .              mm                                                                  m   m  m                                     m

                                  m  j            CD             . T    m  j    mm                                             m         B-       m                                         ;

                                                                                                     CD  +                                 m                     -                     -                     ,

                            .                                                                                                       m         .





                   B Cells                                                                                                     Functional Testing of Lymphocytes

                   Af         m                                                                                                             -   m                          m           m                      -


                    f                                                                      -                                         . S           m             (cytokines)                          m      -
                      m                                    ,                                    m                                     ,    m             ,                      ,


                   m                I                                                                      B                              -   -           mm               . Im                   k

                                                                                         f      . I                                      :

                                           m                  B                        k z      , I   V                         .  Migration inhibition factor (MIF):            m                  m      -

                                                  m                        x    m                   .

                   M                I   V                                   m                m           .                      .  Interleukin 2  IL 2      cell growth  actor : m  j

                   B                                               m                                    f   -                          m              -

                                                            .                                                                   .  Chemotactic   actor:

                        A            -                                     B                 mm


                                                                                                                                .  Interleukin 1  IL 1 :                    m                                -


                   ■   P                                                        -                B
                           m   CD  +        CD  +                       . I  MHC II         k-

                             ,  m             x                                                                                  LYMPHOCY  ES, B LYMPHOCY  ES, AND

                         mm     z                        .                                                                     PLASMA CELL KINE  ICS


                   ■   P                           k                    m  k
                                                      mm                                                                       H                  –                  B-                                            -

                                  m                    mm              .                                                                  q                                                                       -


                   ■   A              mm      m                                          B-            -                       z                   B                m                              m                    .
                                                                       m                                                       T                      m               m

                        CD  +        CD  +                          ,                                  ,                                                                        ,                 B

                                                   x           -         m              .                                                                           .
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