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  • 1
    ISSN: 1432-2277
    Keywords: Key words Donor-specific immunological non-responsiveness ; Cytotoxic T cells ; Mixed lymphocyte culture ; Liver transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Since the rate of immunological losses of liver allograft after the immediate posttransplant period is much lower than in other organs, we studied the immune responses against donor HLA antigens in 18 patients with a good long-term outcome to determine whether the development of a state of immunological non-responsiveness to donor antigens might account for this favorable outcome. The reactivity against donor spleen cells was measured before and 2 years after transplantation. The reactivity in mixed lymphocyte culture (MLC) and the frequencies of cytotoxic T cell precursors (CTLp) were determined. Responses against third-party spleen cells were determined concurrently to exclude a generalized reduction of immunocompetence due to chronic immunosuppressive treatment. Before orthotopic liver transplantation, the majority of patients had normal T cell responses against donor antigens that were comparable to those against third-party antigens. Two years after transplantation, donor-specific MLC non-reactivity had developed in 10 of the 18 (56 %) patients. In addition, 15 of 18 (83 %) patients had developed donor-specific cytotoxic T cell (CTL) non-responsiveness; 2 had reduced numbers of CTLp against both donor and third-party cells, while the remaining patient had maintained reactivity against donor antigens. In conclusion, donor-specific non-responsiveness is present in the majority of patients 2 years after successful liver transplantation, but occurs predominantly at the CTL level.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1459
    Keywords: Fatigue ; Sleep ; Circadian rhythm ; Multiple sclerosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to investigate whether fatigue and sleep disturbances in multiple sclerosis (MS) patients might be due to disrupted circadian sleep wake regulation. Actigraphy and a multiple sleep latency test (MSLT) were performed in 16 MS patients with both prominent sleep complaints and fatigue. Actigraphy scores did not differ from control values, whereas sleep onset latency values were altered in subgroups of MS patients. No evidence was found for a generalized circadian disturbance in MS patients.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1211
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Immunogenetics 26 (1987), S. 211-215 
    ISSN: 1432-1211
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Abstract In the present study, we show, on the basis of serology, absorption experiments, and one-dimensional isoelectric focusing, that the well-defined HLA-Aw33 antigen can be separated into two subtypes, provisionally called Aw33.1 and Aw33.2, which differ in race distribution and linkage disequilibrium.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-1211
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Abstract The fine specificity of cytotoxic T lymphocytes (CTL) directed againstH-2L d was analyzed by studying the lytic activity of BALB/cH- 2dm2 (H-2L d loss mutant) anti-BALB/c-H-2 d CTL, generated in secondary mixed lymphocyte culture (MLC) against a panel of target cells of differentH-2 haplotypes. Target cells of allH-2 haplotypes tested, except that of the MLC responder, were lysed by anti-Ld CTL, although to a widely varying extent. The genes coding for antigens detected by anti-L d CTL were mapped to distinct regions in theH-2 d ,H- 2dm1,H-2 q ,H-2 k , andH-2 b haplotypes. The sequence of lysis intensity against the variousH-2 haplotypes and theH-2 regions involved were as follows:L d ,D q L q ,D dm1 Ldm1,K k ,D b L b ,r, p, f, s, C3H.OH (K d D k L k ), strong lysis occurring againstL d and weak lysis againstH-2 s and C3H.OH. By monolayer adsorption and cold target inhibition experiments, it was shown that anti-L d CTL contained a CTL subset directed against a private Ld specificity, hitherto undetected by anti-L d antibodies. This subset of CTL was separate from the CTL subsets reacting againstH-2 q and against the mutant haplotypeH- 2dm1. The reactions against the latter two haplotypes were also mediated by separate CTL subsets. It is concluded that the Ld molecule, to a varying extent, shares target antigens for CTL with K- and/or D-end H-2 molecules of all haplotypes tested. These antigens are detected by multiple subsets of anti-L d CTL. One CTL subset is directed against a target structure unique forL d (Ld private specificity).
    Type of Medium: Electronic Resource
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