1. Antibodies are Y-shaped proteins produced by plasma cells that recognize and bind to specific antigens. They have antigen binding sites in the Fab region and can activate effector functions through the Fc region.
2. Antibody structure consists of two light chains and two heavy chains held together by disulfide bonds. The variable regions at the amino terminal end of each chain give antibodies their specificity for different antigens.
3. Antibodies exist in five classes - IgG, IgM, IgA, IgD, and IgE - that have different structures and functions in the immune response such as neutralizing pathogens, activating complement, and triggering allergic reactions.
Structure of antigens and receptors, Genetic control of immune response, Antigens processing by antigen presenting cell, Role of MHC and accessory molecules, Antigen-antibody interactions
Antigens are the substances which induce specific immune reactions in the body.
Antigens include molecules such as proteins, nucleoproteins, polysaccharides, lipoprotein and some glycolipids.
The ability of a molecule to function as an antigen depends on its size, structural complexity, chemical nature, and degree of foreignness to the host.
Types of antigens
Antigens are of two types:
1. Autoantigens or self antigens present on the body’s own cells such as ‘A’ antigen and ‘B’ antigen in RBCs.
2. Foreign antigen s or non-self antigens that enter the body from outside.
Following are non-self antigens:
1. Receptors on the cell membrane of microbial organisms such as bacteria, viruses and fungi.
2. Toxins from microbial organisms.
3. Materials from transplanted organs or incompatible blood cells.
4. Allergens or allergic substances like pollen grains.
Antigen
Antigen is a substance which binds specifically with the products (antibodies, T-cells) of the immune system.
Its ability to bind with antibodies is called antigenicity.
Immunogen
It is a substance which produces an immune response as well as binds to its products.
So, immunogen is an antigen as well but antigen need not be immunogen.
The property of producing an immune response is called immunogenicity.
Here are five things to know about coronavirus tests: PCR and antigen tests are the most common but they work differently. While antigen tests look for proteins ...
An antigen is any substance that causes your immune system to produce antibodies against it. This means your immune system does not recognize the substance, and is trying to fight it off. An antigen may be a substance from th
Structure of antigens and receptors, Genetic control of immune response, Antigens processing by antigen presenting cell, Role of MHC and accessory molecules, Antigen-antibody interactions
Antigens are the substances which induce specific immune reactions in the body.
Antigens include molecules such as proteins, nucleoproteins, polysaccharides, lipoprotein and some glycolipids.
The ability of a molecule to function as an antigen depends on its size, structural complexity, chemical nature, and degree of foreignness to the host.
Types of antigens
Antigens are of two types:
1. Autoantigens or self antigens present on the body’s own cells such as ‘A’ antigen and ‘B’ antigen in RBCs.
2. Foreign antigen s or non-self antigens that enter the body from outside.
Following are non-self antigens:
1. Receptors on the cell membrane of microbial organisms such as bacteria, viruses and fungi.
2. Toxins from microbial organisms.
3. Materials from transplanted organs or incompatible blood cells.
4. Allergens or allergic substances like pollen grains.
Antigen
Antigen is a substance which binds specifically with the products (antibodies, T-cells) of the immune system.
Its ability to bind with antibodies is called antigenicity.
Immunogen
It is a substance which produces an immune response as well as binds to its products.
So, immunogen is an antigen as well but antigen need not be immunogen.
The property of producing an immune response is called immunogenicity.
Here are five things to know about coronavirus tests: PCR and antigen tests are the most common but they work differently. While antigen tests look for proteins ...
An antigen is any substance that causes your immune system to produce antibodies against it. This means your immune system does not recognize the substance, and is trying to fight it off. An antigen may be a substance from th
Immune system; Antigens and antibodies; Epitopes, haptens and adjuvants; Complement system; Raising of anti-sera; Antigen-antibody reactions; Cellular antigens; ABO blood group system: A, B and H antigens; Bombay blood group; Rh blood group system; Blood transfusion; Transfusion reaction; Maternal reaction; Other blood groups: MN, Lewis, Lutheran, Kidd, Duffy and P systems; Secretor phenomenon; Origin testing.
immunity, types,Innate immunity and Adaptive Immunity, primary and secondary immune response, structure and functions of antibodies, immunoglobulins, hypergammaglobulinemia, multiple myeloma, bence jones protein, electrophoretic pattern of multiple myeloma.
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.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
- 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
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
2. Barriers of Invasion
1st line defence
Physical barriers
Physiological barriers
Cytokine barriers
Cellular barriers
P1
3rd line defence
2nd line defence
Cellular barriers
Humoral barriers
T-
lymphocyt
es cell
mediated
Antibody
(B-
lymphocyt
es
mediated)
3. What is an antibody?
• Produced by Plasma cell (B-lymphocytes producing Ab)
• Essential part of adaptive immunity
• Specifically bind a unique antigenic epitope (also called an
antigenic determinant)
• Possesses antigen binding sites
• Members of the class of proteins called immunoglobulins
5. Antibody Structure
• Antibodies Are Made Up Of:
• 2 Light Chains (identical) ~25 KDa
• 2 Heavy Chains (identical) ~50 KDa
• Each Light Chain Bound To Heavy Chain By Disulfide (H-L)
• Heavy Chain Bound to Heavy Chain (H-H)
• First 100 a/a Of Amino Terminal Vary of Both H and L Chain Are
Variable
• Referred To As VL , VH, CH And CL
• CDR (Complementarity Determining Regions) Are What Bind Ag
• Remaining Regions Are Very Similar Within Same Class
6. Fab – fragment
antigen binding
Specificity of antigen
binding determined by
VH and VL
Fc- Fragment constant
Can bind cell receptors
and complement
proteins
Antibody
7. • Six loops of the VH (H1, H2 and H3) and VL
(L1, L2 and L3) domains create a great variety
of surfaces
• Deep binding cavities: such as those seen in
some antibody-hapten complexes
• Wide pockets : seen in certain antibody-peptide
complexes
• Flat surfaces : seen in antibody-protein
interactions
• H3 is the most variable of the loops and in all
crystallographically solved antibody-antigen
complexes makes several contacts with antigen
The Complementarity Determining Regions
9. • Epitope: the portion of an antigen that is recognized and bound by an
antibody (Ab) or a T-cell receptor (TCR)
• epitope = antigenic determinant
Epitope
10. •Epitope: the portion of an antigen that is recognized and bound by an Ab or a T Cell receptor
One protein may have multiple antigenic determinant
Epitope
11. • B-cell Epitopes – recognized by B-cells
• T-cell Epitopes – recognized by T cells
Epitope
12. • Antibodies occur in 2 forms
• Soluble Ag: secreted in blood and tissue
• Membrane-bound Ag: found on surface of B-cell, also known
as a B-cell receptor (BCR)
Antibodies exist in two forms
13. • IgG
• IgM
• IgA
• IgD
• IgE
Five kinds of antibodies
14.
15. IgG = IgG1,2,3,4
• Most abundant immunoglobin 80% of serum
• IgG1, IgG3 and IgG4 cross placenta
• IgG3 Most effective complement activator
• IgG1 and IgG3 High affinity for FcR on phagocytic cells, good for
opsonization
• neutralize microbes and toxins
• opsonize antigens for phagocytosis
• activate the complement
• protect the newborn
•
16. IgM
• Secreted initially during primary infection
• Cannot cross the placenta
• secreted first during primary
exposure
• activates the complement
• used as a marker of recent
infection
•Presence in
newborn means
infection
•Single positive
sample in
serum or CSF
indicates recent
or active
infection
•Used to detect
early phase of
infection
17. IgA
• Monomeric in serum
• Dimeric with secretory component in the lumen of the
gastro-intestinal tract and in the respiratory tract
• neutralizes microbes and toxins
• Help’s in secretion such as Saliva and Milk
•Sero-
diagnosis
of
tuberculo
sis
•Synthici
al
respirator
y virus
tests
18. IgD
• Monomeric
• present on the surface of B lymphocytes
• functions as membrane receptor
• role unclear
• has a role in antigen stimulated lymphocyte
differentiation (B cell activation)
•B cell
activati
on
•Can’t
cross
placent
a
19. Serodiagnosis
of infectious
and non
infectious
allergies
(e.g., allergic
bronchopulmo
nary
aspergillosis,
parasitic
diseases)
IgE
• Mediates type I hypersensitivity
• Monomeric
• Major functions / applications
• associated with anaphylaxis
• plays a role in immunity to
helminthic parasites
• Responsible for allergic reaction
20.
21. Antibodies as Receptors
• Antibodies can attach
to B cells, and serve
to recognize foreign
antigens.
22. Antigens as Effectors
• Free antibodies can
bind to antigens,
which “tags” the
antigen for the
immune system to
attack and destroy.
23. What Do Antibodies Recognize?
1. Proteins (conformational determinants, denatured or
proteolyzed determinants)
2. Nucleic acids
3. Polysaccharides
4. Some lipids
5. Small chemicals (haptens)
24. • Antibodies bind to antigens by
recognizing a large surface, and
through surface complementarity.
• Thus, these complexes have a very
high affinity for each other.
Antigen:Antibody complex
25. Quantitating antibody-antigen interactions:
Strength is determined by the sum of multiple non-covalent bonds.
Strength of interaction between a single epitope and
antigen binding site is called its affinity. Each antibody-antigen interaction
has a distinct affinity.
28. • Haptens, having a limited total surface area, deeply embed themselves into the VL/VH
dimer interface
• Hapten binding antibodies frequently show a deep central cavity, long CDR L1 loops and a
CDR H3 loop with an "open" conformation, allowing the hapten to bind as much as 80%
of its total surface in the interaction.
Antibody-Hapten Complex
31. • In contrast, proteins preferentially to a relatively flat binding surface
• In a "closed" CDR H3 conformation, the CDR H3 loop packs down onto the central
cavity, and the protein antigen binds on top of it.
Protein Antibody Complex
32. The Fc-Fc Receptor complex
• FcR plays important role in antibody mediated immune responses
• Ig and FcR binding activates effector functions
• Fc Receptor interacts with the CH2 and CH3 domains of Immunoglobulins
