This document discusses endocytosis and inflammation. It defines endocytosis as the process by which cells take in material from outside through membrane vesicles. There are four main types of endocytosis: phagocytosis, pinocytosis, receptor-mediated endocytosis, and caveolae. Phagocytosis specifically refers to the engulfing of large solid particles by immune cells, aided by opsonins and surface receptors like toll-like receptors. Inflammation is the immune response to infection or injury, marked by redness, swelling, heat and pain. Key events are the recruitment of phagocytes and the release of cytokines and acute phase proteins from the liver to combat pathogens and initiate healing. Fever occurs as part of inflammation and is induced by
Humoral immunity is defined as the immunity mediated by antibodies, which are secreted by B lymphocytes.
B lymphocytes secrete the antibodies into the blood and lymph
Humoral immunity is defined as the immunity mediated by antibodies, which are secreted by B lymphocytes.
B lymphocytes secrete the antibodies into the blood and lymph
Actin filaments, usually in association with myosin, are responsible for many types of cell movements. Myosin is the prototype of a molecular motor—a protein that converts chemical energy in the form of ATP to mechanical energy, thus generating force and movement. The most striking variety of such movement is muscle contraction, which has provided the model for understanding actin-myosin interactions and the motor activity of myosin molecules. However, interactions of actin and myosin are responsible not only for muscle contraction but also for a variety of movements of nonmuscle cells, including cell division, so these interactions play a central role in cell biology. Moreover, the actin cytoskeleton is responsible for the crawling movements of cells across a surface, which appear to be driven directly by actin polymerization as well as actin-myosin interactions.
This is a brief presentation on the topic Cell Mediated Immunity describing how our immune system gets activated in response to any xenobiotic which is different from the mechanism followed by humoral immunity.
A number of morphologically and functionally diverse organs and tissue organs and tissue contribute to the development of immune responses .
These organs can be distinguished by function as the primary and secondary lymphoid organs .
Adjuvant is an immunological agent which enhances the body's immune response to an antigen.
Adjuvants may be added to a vaccine to boost the immune response to produce more antibodies and longer-lasting immunity, thus minimizing the dose of antigen needed to the vaccine.
Adjuvants are used in combination with a specific antigen that produced a more robust immune response than the antigen can do alone.
Antigen processing and presentation by Dr K.Geetha, Associate Professor, Department of Biotechnology, Kamaraj College of Engineering & Technology, Near Virudhunagar, Madurai Dist.
LYMPHOID ORGANS,DEFINITION-The organs concerned with the production, maturation and proliferation of lymphocytes are called as lymphoid organs.1°(central) lymphoid organs,thymus and bone marrow.
Actin filaments, usually in association with myosin, are responsible for many types of cell movements. Myosin is the prototype of a molecular motor—a protein that converts chemical energy in the form of ATP to mechanical energy, thus generating force and movement. The most striking variety of such movement is muscle contraction, which has provided the model for understanding actin-myosin interactions and the motor activity of myosin molecules. However, interactions of actin and myosin are responsible not only for muscle contraction but also for a variety of movements of nonmuscle cells, including cell division, so these interactions play a central role in cell biology. Moreover, the actin cytoskeleton is responsible for the crawling movements of cells across a surface, which appear to be driven directly by actin polymerization as well as actin-myosin interactions.
This is a brief presentation on the topic Cell Mediated Immunity describing how our immune system gets activated in response to any xenobiotic which is different from the mechanism followed by humoral immunity.
A number of morphologically and functionally diverse organs and tissue organs and tissue contribute to the development of immune responses .
These organs can be distinguished by function as the primary and secondary lymphoid organs .
Adjuvant is an immunological agent which enhances the body's immune response to an antigen.
Adjuvants may be added to a vaccine to boost the immune response to produce more antibodies and longer-lasting immunity, thus minimizing the dose of antigen needed to the vaccine.
Adjuvants are used in combination with a specific antigen that produced a more robust immune response than the antigen can do alone.
Antigen processing and presentation by Dr K.Geetha, Associate Professor, Department of Biotechnology, Kamaraj College of Engineering & Technology, Near Virudhunagar, Madurai Dist.
LYMPHOID ORGANS,DEFINITION-The organs concerned with the production, maturation and proliferation of lymphocytes are called as lymphoid organs.1°(central) lymphoid organs,thymus and bone marrow.
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
2. Intracellular and Extracellular
Killing of Microorganisms
• Another hallmark of innate immunity is
– The ability of certain innate immune cells to sample
their environment by engulfing macroparticles
(endocytosis).
– Endocytosis: the process by which a cell moves
large amounts of material, or non-dissolved particles
into its cytoplasm from the outside environment.
– The word ‘endocytosis’ is derived from the Greek
words: ‘endon’= meaning ‘within’
– ‘kytos’= meaning ‘cell’,
– ‘-osis’= meaning ‘process’.
3. Endocytosis
• Ingestion of the foreign macromolecules generates
endocytic vesicles filled with the foreign material.
• Which then fuse with acidic compartments called
endosomes.
• Edosomes then fuse with lysosomes to form
endolysosomes.
– containing degradative enzymes (e.g., nucleases, lipases,
proteases) to reduce the ingested macromolecules to small
breakdown products, including nucleotides, sugars, and peptides.
– Nucleases: enzyme that cleaves nucleic acids
– Lipases: are a family of enzymes that break down triglycerides
into free fatty acids and glycerol.
– Proteases: enzymes that break down protein
7. Phagocytosis
• is the process of engulfment and destruction of solid particles
– such as bacteria, dead tissues and foreign particles by the cells.
• Cells performing phagocytosis are called phagocytes
• Cells types are:
– neutrophils, monocytes and macrophages
• Many microorganisms release substances that attract phagocytic cells
• Phagocytosis may be enhanced by a variety of factors that make the
foreign particle an easier target. These factors, collectively referred to as
opsonins
– (Greek word meaning “prepare food for”), consist of antibodies and various
serum components of complement.
• After ingestion, the foreign particle is entrapped in a phagocytic vacuole
(phagosome), which fuses with lysosomes, forming the phagolysosome.
• The latter release their powerful enzymes, which digest the particle.
8.
9.
10. Phagocytosis
• The process of phagocytosis often happens
when the cell is trying to destroy something
like:
– a virus or an infected cell
• Phagocytosis differs from other methods of
endocytosis because:
– It is very specific
– Depends on the cell being able to bind to the item
it wants to engulf by way of cell surface receptors.
11. Cell Surface Receptors used for
Phagocytosis
• The cell surface receptors used for phagocytosis
depends on the
• Type of cell that is doing the phagocytizing.
• These are the most common ones:
1. Opsonin receptors
2. Scavenger receptors
3. Toll-like receptors
4. Antibodies
12. Opsonin Receptors
• are G-protein-coupled receptors (GPCRs).
• used to bind bacteria or other particles that
have been coated with immunoglobulin G (or
“IgG”) antibodies by the immune system.
13. Scavenger receptors
• heterogeneous family of surface receptors
• bind to molecules that are produced by bacteria.
• Most bacteria and other cellular species produce a
matrix of proteins surrounding themselves (called
an “extracellular matrix”).
– This matrix is a perfect way for the immune system to
identify foreign species in the body, because human
cells do not produce the same protein matrix.
14. Toll-like receptor
• bind to specific molecules produced by
bacteria.
• key part of the innate immune system because,
– once bound to a bacterial pathogen, they recognize
the specific bacteria and activate the immune
response
15. Antibodies
• immune cells make antibodies that can bind to
specific antigens.
• This is a process similar to how toll-like
receptors recognize and identify what type of
bacteria is infecting the host.
16. Phagocytosis
• Phagocytes can also damage invading
pathogens through the generation of toxic
products in a process known as the
respiratory burst.
• Production of these toxic metabolites is
induced during phagocytosis of pathogens
such as bacteria and catalyzed by a set of
interrelated enzyme pathways.
17. Toxic Metabolites
1. Oxygen Radicals: are highly reactive molecules
that react with proteins, lipids and other
biological molecules.
1. During physiological stress, the amount of oxygen
radicals in a cell can increase dramatically, causing
oxidative stress, which can destroy cell structures.
2. Nitric Oxide: is a reactive substance, similar to
oxygen radicals.
1. Reacts with superoxide to create further molecules
that damage various biological molecules.
18. Toxic Metabolites
3. Antimicrobial Proteins: are proteins that
specifically damage or kill bacteria.
1. Examples of antimicrobial proteins include:
1. Proteases, which kill various bacteria by destroying
essential proteins
2. Lysozyme, which attacks the cell walls of gram positive
bacteria.
4. Antimicrobial Peptides: similar to antimicrobial
proteins
1. Attack and kill bacteria, like defensins, attack
bacterial cell membranes.
19. Pinocytosis (cellular drinking)
• Steps of the Process
• The basic steps of pinocytosis are described below:
• Step 1 – Initiation: In the initial stage, an inducer molecule, such as sugar, protein,
or ion, comes in contact with the plasma membrane. As a result, an ionic interaction
occurs between the positively charged inducer and the negatively charged cell
membrane. This phenomenon triggers the binding of the molecule to the membrane.
• Step 2 – Folding of the Membrane: Following binding, the cell membrane gets
stimulated to fold inwards and form a small open-ended pocket, or invagination,
around the fluid containing the molecule.
• Step 3 – Invagination and Engulfment of the Fluid: The cell membrane continues
to fold inwards with the fluid and dissolved solutes in small pockets. Later, they start
to reconnect at the open end of the invagination to enclose the fluid and solutes.
• Step 4 – Detachment of the Pocket: This is the final stage when both ends of the
invagination meet. It gives rise to a vesicular structure called a pinosome that
contains extracellular fluid and dissolved solutes. Afterward, this pouch gets
detached or pinches off from the cell membrane. The molecules present inside the
vesicle are eventually released to be used by other parts of the cell, thus completing
the process.
20.
21. Receptor mediated endocytosis
• Receptor-mediated endocytosis (RME), also
called clathrin-mediated endocytosis.
• Is a process by which cells absorb
– metabolites, hormones, proteins – and in some
cases viruses – by the inward budding of the plasma
membrane (invagination).
• This process forms vesicles containing the
absorbed substances and is strictly mediated
by receptors on the surface of the cell.
• Only the receptor-specific substances can enter
the cell through this process.
22.
23.
24. INFLAMMATION
• The word “inflammation” comes from the Latin
inflammare (to set on fire).
• Function of phagocytic cells is their participation in
inflammatory reactions.
• As a physiologic process, inflammation
• is typically initiated:
– by tissue damage caused by endogenous factors (such as
tissue necrosis or bone fracture)
– by exogenous factors.
– The latter includes various types of damage,
• such as mechanical injury (e.g., cuts), physical injury (e.g., burns),
chemical injury (e.g., exposure to corrosive chemicals),
immunologic injury (e.g., hypersensitivity reactions
25. Causes of Inflammation
• Infective agents like bacteria, viruses and
their toxins, fungi.
• Immunological agents like cell-mediated and
antigen antibody reactions.
• Physical agents like heat, cold, radiation.
• Chemical agents like organic and inorganic
poison
• Inert materials foreign bodies
26. INFLAMMATION
• Most of the cells involved in inflammatory responses are
phagocytic cells,
– consisting mainly of the polymorphonuclear leukocytes that
accumulate within 30 to 60 minutes, phagocytize the intruder or
damaged tissue, and release their lysosomal enzymes in an
attempt to destroy the intruder.
• If the cause of the inflammatory response persists beyond
this point, within 4 to 6 hours, the area harboring the
invading microorganism or foreign substance will be
infiltrated by macrophages and lymphocytes.
• The macrophages supplement the phagocytic activity of the
Polymorphonuclear cells, thus adding to the defense of the
area.
27. Within minutes after injury, the
inflammatory process begins with
activation of innate immune cells
responding to microbes expressing
PAMPs.
activation is stimulated by
ligation of PRRs and results in the
release of proinflammatory
cytokines such as IL-1, IL-6, and
tumor necrosis factor-α (TNF-α)
These cytokines travel through
the blood and stimulate
hepatocytes in the liver to secrete
acute phase proteins
28. Acute phase proteins
are defined as those
proteins whose serum
concentrations
increase or decrease
by at least 25 percent
during inflammatory
states .
These are of 2 types
1. Positive APP
2. Negative APP
29.
30.
31.
32. FEVER
• Induced by pyrogens
• Pyrogen is a polypeptide or polysaccharide which induces
fever when released into circulation.
• 2 types of pyrogens
• Exogenous pyrogens are molecules found outside of the
body, such as endotoxins from gram-negative bacteria.
• Some bacteria produce pyrogens that are known as
endotoxins and exotoxins.
– Endotoxins are found in the cell wall of Gram-
negative bacteria (LPS)
– Exotoxins are molecules that some bacteria
make internally and secrete to the outside.
33. FEVER
• Exposure of innate immune cells (monocytes
and macrophages) to LPS causes their release
of cytokines called endogenous pyrogens
• IL-1
• TNF ALPHA
• IL-6
34. FEVER
• For example, the keratinocytes present in skin
contain IL-1.
• when the skin is overexposed to the ultraviolet
rays of the sun (sunburn), keratinocytes are
physically damaged, causing them to release their
contents, including IL-1.
• Within a few hours, IL-1 induces the
hypothalamus to raise body temperature (fever)—
a phenomenon many have experienced after a
summer day at the beach, with accompanying
chills and malaise.