USMLE Step 2 CK Lecture Notes: Surgery by Kaplan

By Kaplan

The official Kaplan Lecture Notes for USMLE Step 2 CK disguise the excellent details you must ace the USMLE Step 2 and fit into the residency of your choice.

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Academic Press, London. ) Grawunder, U. & Harfst, E. (2001) How to make ends meet in V(D)J recombination. Current Opinion in Immunology, 13, 186–94. B. R. (1998) Antigen receptor gene rearrangement. Current Opinion in Immunology, 10, 172–80. Kinet, J-P. (1999) The high-affinity IgE receptor (FceRI): from physiology to pathology. Annual Review of Immunology, 17, 931–72. V. & Bolland, S. (2001) IgG Fc receptors. Annual Review of Immunology, 19, 275–90. CHAPTER 4 Membrane receptors for antigen The B-cell surface receptor for antigen, 41 The B-cell inserts a transmembrane immunoglobulin (Ig) into its surface, 41 The surface immunoglobulin (sIg) is complexed with associated membrane proteins, 41 The T-cell surface receptor for antigen, 41 The receptor for antigen is a transmembrane heterodimer, 41 There are two classes of TCRs, 42 The encoding of TCRs is similar to that of Igs, 42 The CD3 complex is an integral part of the TCR, 42 The generation of diversity for antigen recognition, 43 THE B-CELL SURFACE RECEPTOR FOR ANTIGEN The B-cell inserts a transmembrane immunoglobulin (Ig) into its surface In Chapter 2 we discussed the cunning system by which an antigen can be led inexorably to its doom by selecting the lymphocytes capable of making antibodies complementary in shape to itself through its ability to combine with a copy of the antibody molecule on the lymphocyte surface.

2 Physical properties of major human immunoglobulin (Ig) classes. 33 DESIGNATION IgG IgA IgM IgD IgE Sedimentation coefficient Molecular weight 7S 7S,9S,11S * 19S 7S 8S 150 000 160 000 and dimer 1,2* 970 000 175 000 190 000 5 1 1 1 Number of basic four-peptide units Heavy chains g ␣ m d e k or l k or l k or l k or l k or l Molecular formula† g 2k2,g 2l2 (a2k2)1-2 (a2l2)1-2 (a2k2)2S* (a2l2)2S* (m 2k2)5 (m 2l2)5 d2k2 d2l2? 002 *7S monomer, 9S dimer, and 11S dimer in external secretions which carries the secretory component (S).

This maternal IgG also provides protection for the neonate, because it takes some weeks following birth before the transferred IgG is eventually all catabolized. into the external body fluids after cleavage of the polyIg receptor peptide chain. 10). The function of the secretory component may be to protect the IgA hinge from bacterial proteases. It may also serve to anchor IgA to the soluble mucus acting as molecular Teflon to inhibit the adherence of coated microorganisms to the surface of mucosal cells, thereby preventing entry into the body tissues.

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