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Severe sepsis and septic shock are the most serious compli cations
of bacterial infections. Both gram-positive and gram negative
bacteria can trigger these extreme inflammatory re sponses and, by
so doing, cause substantial morbidity and mortality. In the United
States alone, over 400 000 patients suffer from septicaemia each
year, and approximately 100 000 of these patients die despite
optimal intensive care and modern antimicrobial therapy. These
dramatic figures have prompted intensive research to define the
bacterial and host factors involved in the septic response.
Scientists from many disciplines, including chem istry, physics,
biology, medical microbiology, immunology, and pharmacology, have
worked closely with clinicians to achieve rapid and profound
progress. To translate this newly acquired knowledge into clinical
practice, clinical trials have also been performed to evaluate
numerous new therapeutic drugs. The disappointing results from
these trials have underscored a major lesson, namely, that sepsis
constitutes an extremely complex syndrome and that basic and
clinical research must be greatly intensified in order to
illuminate its molecular mechan isms. At this stage, the editors of
the present volume of Current Topics in Microbiology and Immunology
considered it would be rewarding to compile a volume summarizing
our present basic and clinical knowledge on sepsis. Our particular
gratitude extends to those international experts who have followed
our invitation and elaborated on particular areas of the basic and
clinical aspects of this field."
Most lymphocytes recirculate throughout the body, migrating from
blood through organized lymphoid tissues such as lymph nodes (LN)
and Peyer's patches (PP), then to lymph and back to blood (GOWANS
and KNIGHT 1964). Smaller numbers of lymphocytes migrate from blood
to extranodal tissues such as pancreas and then through lymphatic
vessels to LN (MACKAY et al. 1990). An important feature of this
migration is the ability of lymphocytes to recognize and adhere to
the surface of blood vessel endothelial cells before migrating
through the vessel wall into surrounding tissue (CARLOS and HARLAN
1994; IMHOF and DUNON 1995; BUTCHER and PICKER 1996). Adhesion
interactions of vascular endothelium with lymphocytes under flow or
shear consist of at least four steps: (I) an initial transient
sticking or rolling; (2) if the lymphocytes encounter appropriate
activating or chemotactic factors in the local environment, rolling
may be followed by a lymphocyte activation step that then leads to;
(3) strong adhesion or sticking that may be followed by; (4) lym
phocyte diapedesis into tissue (BUTCHER 1991; SHIMUZU et al. 1992;
SPRINGER 1994; BARGATZE et al. 1995). Specific lymphocyte and
endothelial adhesion molecules (AM) are involved in each step of
this "adhesion cascade" (reviewed in CARLOS and HARLAN 1994; IMHOF
and DUNON 1995; BUTCHER and PICKER 1996). This allows lymphocyte
migration to be controlled at several different steps, leading to a
combinatorial increase in specificity and sensitivity."
Our current understanding of a/~ T cell receptor (TCR) ex pressing
T cells advanced from function and specificity to the molecular
organization ofthe TCR.We now know that the TCR a and ~ chains
together express specificity for (antigenic) peptides presented by
the "responder" M H C allele, thus explain ing the phenomenon of
MHC restriction at a molecular level. Surprisingly even though our
perception of the molecular organization of the y5 TCR is well
advanced, current knowledge of function and specificity of the y5 T
cell subset is poor. There fore it appeared rather timely to bring
together scientists pioneering research on y5 T cells forthe
International Workshop on Function and Specificity ofy5 Tcells,held
October11-14, 1990 at Schloss Elmau/Bavaria, FRG. Besides offering
a scientific forum for open discussions, it was also hoped that
such a workshop would be seminal for collaborative interactions and
personal relationships among scientists "addicted" to y 15 T cells.
On occasion, the innate immune system is referred to as the
"primitive" immune system. Perhaps this has dissuaded immu
nologists from analyzing it as energetically as they have analyzed
the adaptive immune system during the past two decades. But while
its phylogenetic origins are indeed ancient, and though it is "of
the first type", there is nothing crude, nothing unsophisti cated,
and nothing "inferior" about innate immunity. On the contrary, the
innate immune system has had time to achieve a level of refinement
that is nothing short of dazzling, and a modicum of respect is at
long last due. Any immune system has two cardinal functions. It
must destroy a broad range of pathogens, and it must spare the
host. The adaptive immune system has applied a modular solution to
these problems. Each cell of the adaptive immune system is
prescreened to eliminate those that would produce untoward
interactions with self; each cell is pre-programmed to recognize a
foreign epitope that the host might one day encounter. Hence, the
duties of each individual lymphocyte are quite circumscribed.
The international workshop on "Specificity and Function of Clonally
Developing T Cells" was held at SchloG Rei- sensburg (near UIm,
West Germany) on March 17-20, 1985. The meeting brought together
immunologists study- ing clonal T-cell development in man and mouse
in various in vitro systems at the cellular as well as molecular
level. It was an attempt to provide an overview of the current
research interests of groups working on (a) the developmen- tal
potential of in vitro expanding primary T-cell clones (investigated
using limiting dilution analysis) and cloned T -cell lines
established in long-term culture; (b) the signals required for the
expression of particular patterns of (func- tional and antigen
receptor) phenotypes by T cells which are either freshly explanted
in vitro, or maintained in vitro as cloned long-term lines; and (c)
the generation of an MHC-restricted T-cell repertoire. In the study
of thymocytes emphasis has shifted towards the presumably immature
adult/embryonic subset(s) which is (are) devoid of subset-specific
differentiation markers (L3T4, Lyt-2). Neither the signal
requirement(s) for clonal expansion in vitro of these cells, nor
their precursor role for any functional T -cell lineage are as yet
unambiguously established. The multiple modes of human T-cell
activation (e.g., via Tp44, T11, T3/Ti molecular complexes) were
em- phasized by a number of presentations and raised the ques- tion
of whether these different modes of activation induce different
functional activities in individual T-cell clones.
Dieses Lern-und UEbungsbuch vermittelt das grundlegende Wissen uber
die Funk- tionsprinzipien der Stroemungs- und Kolbenmaschinen. Dies
geschieht so einfach und verstandlich wie moeglich, insbesondere
unter Verzicht auf Methoden der hoeheren Mathematik, jedoch ohne
unzulassige Vereinfachungen vorzunehmen. Die Bearbeitung der Themen
erfolgte unter Beachtung der folgenden Prinzipien: - Verdeutlichung
der in der Maschine zur Anwendung kommenden physika- lischen
Gesetzmassigkeiten, - Erlauterung der Maschine als Instrument zur
Umsetzung dieser physikalischen Gesetzmassigkeiten fur die
praktische Nutzung, - Festlegung der Kriterien fur die Beurteilung
einer Maschine und ihr r moeglichen Einsatzbereiche. Aus diesem
Grund wurden die fur die Wirkungsweise der Maschinen wichtigsten
Erfahrungssatze in den Grundlagenkapiteln eingehend erlautert,
insbesondere 1. der Satz von der Erhaltung der Masse, 2. der Satz
von der Erhaltung der Energie, 3. der Satz uber die
Richtungsabhangigkeit von Energieumwandlungen und 4. der Satz uber
die Erhaltung des Impulses und des Drehimpulses. Alle Gleichungen
sind Groessengleichungen, zu deren Anwendung gute Kenntnisse der
Elementarmathematik ausreichen. Alle Einheiten entstammen dem
Internatio- nalen Einheitensystem (SI), ausser wenn das Umrechnen
von Einheiten speziell geubt werden soll. Insbesondere wurde die
nicht mehr zulassige Druckeinheit bar (1 bar = 100 kPa) durch
Pascal ersetzt. Alle Arbeitsunterlagen sind in einem Anhang
zusammengefasst. Im Sinne der padagogischen Forderung nach soforter
sicherer Anwendung des Gelernten soll der Studierende mit diesem
Anhang zunachst die ausfuhrlich durchgerechneten Beispiele
durcharbeiten und dann seine Kenntnisse und Fertigkeiten durch
moeglichst selbstandiges Loesen der UEbungsaufgaben anwenden. Zur
Kontrolle sind die Loesungen am Schluss des Buches angegeben.
Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer
Book Archives mit Publikationen, die seit den Anfangen des Verlags
von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv
Quellen fur die historische wie auch die disziplingeschichtliche
Forschung zur Verfugung, die jeweils im historischen Kontext
betrachtet werden mussen. Dieser Titel erschien in der Zeit vor
1945 und wird daher in seiner zeittypischen politisch-ideologischen
Ausrichtung vom Verlag nicht beworben.
Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer
Book Archives mit Publikationen, die seit den Anfangen des Verlags
von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv
Quellen fur die historische wie auch die disziplingeschichtliche
Forschung zur Verfugung, die jeweils im historischen Kontext
betrachtet werden mussen. Dieser Titel erschien in der Zeit vor
1945 und wird daher in seiner zeittypischen politisch-ideologischen
Ausrichtung vom Verlag nicht beworben.
This is a reproduction of a book published before 1923. This book
may have occasional imperfections such as missing or blurred pages,
poor pictures, errant marks, etc. that were either part of the
original artifact, or were introduced by the scanning process. We
believe this work is culturally important, and despite the
imperfections, have elected to bring it back into print as part of
our continuing commitment to the preservation of printed works
worldwide. We appreciate your understanding of the imperfections in
the preservation process, and hope you enjoy this valuable book.
This is an EXACT reproduction of a book published before 1923. This
IS NOT an OCR'd book with strange characters, introduced
typographical errors, and jumbled words. This book may have
occasional imperfections such as missing or blurred pages, poor
pictures, errant marks, etc. that were either part of the original
artifact, or were introduced by the scanning process. We believe
this work is culturally important, and despite the imperfections,
have elected to bring it back into print as part of our continuing
commitment to the preservation of printed works worldwide. We
appreciate your understanding of the imperfections in the
preservation process, and hope you enjoy this valuable book.
This is a reproduction of a book published before 1923. This book
may have occasional imperfections such as missing or blurred pages,
poor pictures, errant marks, etc. that were either part of the
original artifact, or were introduced by the scanning process. We
believe this work is culturally important, and despite the
imperfections, have elected to bring it back into print as part of
our continuing commitment to the preservation of printed works
worldwide. We appreciate your understanding of the imperfections in
the preservation process, and hope you enjoy this valuable book.
++++ The below data was compiled from various identification fields
in the bibliographic record of this title. This data is provided as
an additional tool in helping to ensure edition identification:
++++ Entdeckungsreisen In Stadt Und Land: Streifzuge In
Mitteldeutschland, Mit Seinen Jungen Freunden Unternommen 4 Hermann
Wagner O. Spamer, 1892 Nature; General; Natural history; Nature /
General
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