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                 552
                       PART VII  Immunology
                                                         Paper
                                  gp120

                                   gp41





                                                                            mebooksfree.com
 mebooksfree.com  mebooksfree.com   p17     mebooksfree.com           Patient’s serum  Enzyme-labeled       mebooksfree.com                mebooksfree.com
                                                      Viral proteins
                                     Viral proteins
                                                      are transferred
                                     from HIV are
                                                                      is added, and
                                                                                     antibody to human
                                                                      HIV antibodies
                                                                                     IgG is added. The
                                     separated by
                                                      (“blotted”) from
                                                      the gel onto
                                                                                     enzyme substrate
                                     acrylamide gel
                                                                      bind to the
                                                                                     is then added, and
                                                                      viral proteins
                                     electrophoresis
                                                      paper
                                                                                     colored bands appear
                                                                                     at the location of the
                                                                                     viral proteins
                 FIGURE 64–9
                                Western blot (immunoblot test). In this test, microbial or viral proteins are separated on an acrylamide gel and then trans-
                 ferred (blotted) onto paper. The patient’s serum then interacts with the separated proteins. If antibodies are present in the patient’s serum, they
                 bind to the proteins. The patient’s antibodies are then detected by using labeled antibody to human IgG.
                    The ABO Blood Groups & Transfusion
                                                                        The A and B genes encode enzymes that add specific
 mebooksfree.com  mebooksfree.com           mebooksfree.com          sugars to the end of a polysaccharide chain on the surface            mebooksfree.com
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                    Reactions
                                                                     of many cells, including red cells (Figure 64–11). People
                    All human erythrocytes contain alloantigens (i.e., antigens
                                                                     who inherit neither gene are type O. The genes are codomi-
                    that vary among individual members of a species) of the
                                                                     nant, so people who inherit both genes are type AB. People
                    ABO group. A person’s ABO blood group is a very impor-
                    tant determinant of the success of both blood transfusions
                    and organ transplants.
                                                                                                      Gal
                                                                                                              Gal
                                                                                              Glu
                                 F
                                                                                                            NAc
                                                                                            NAc
                                                                         A
                                                                                                    Fuc
 mebooksfree.com  mebooksfree.com         Optical sensor                 B  mebooksfree.com         Fuc Gal mebooksfree.com                mebooksfree.com
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                                 F
                     Ultraviolet
                                                                                              Glu
                                                                                                              Gal
                                          counts number
                     light
                                          of fluorescing cells
                                                                                            NAc
                                 F
                                          Charging collar
                                          puts a positive or negative
                                          charge on fluorescing cells
                                                                                                      Gal
                                                                                              Glu
                                          Deflection plates cause
                                          cells with a positive charge
                                F F +
                               –
                                          to move into a different
                                                                                            NAc
                                                                         H
                                          tube from cells with a
                                                                                                    Fuc
                                          negative charge
                              –
                                   F +
                               F
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 mebooksfree.com  mebooksfree.com           mebooksfree.com          FIGURE 64–11     ABO blood groups. Structures of the terminal         mebooksfree.com
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                                                                     sugars that determine ABO blood groups are shown. Blood group O
                 FIGURE 64–10
                                 Flow cytometry. At the top of the figure, a cell
                                                                     cells have H antigen on their surface; blood group A cells have
                 has interacted with monoclonal antibody labeled with a fluorescent
                                                                     N-acetylgalactosamine added to the end of the H antigen; and blood
                 dye. As the cell passes down the tube, ultraviolet light causes the dye
                                                                     group B cells have galactosamine added to the end of the H antigen.
                 to fluoresce and a sensor counts the cell. Farther down the tube, an
                                                                     (Reproduced with permission from Stites DP, Stobo JD, Wells JV, eds. Basic & Clinical
                 electrical charge can be put on the cell, which allows it to be
                                                                     Immunology. 6th ed. Originally published by Appleton & Lange. Copyright 1987
                 deflected into a test tube and subjected to additional analysis.
                                                                     McGraw-Hill.)
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