Menu Expand
Immunology & Serology in Laboratory Medicine - E-Book

Immunology & Serology in Laboratory Medicine - E-Book

Mary Louise Turgeon

(2013)

Additional Information

Book Details

Abstract

The 5th edition of this classic text sets the standard for comprehensive coverage of immunology. Building from a solid foundation of knowledge and skills, trusted author Mary Louise Turgeon takes you from basic immunologic mechanisms and serologic concepts to the theory behind the procedures you’ll perform in the lab. Immunology & Serology in Laboratory Medicine, Fifth Edition is the go-to resource for everything from mastering automated techniques to understanding immunoassay instrumentation and disorders of infectious and immunologic origin. Packed with learning objectives, review questions, step-by-step procedures, and case studies, this text is your key to succeeding in today’s modern laboratory environment.

  • Full-color, six-page insert of photomicrographs provide a better picture of what you’ll see in the laboratory.
  • Learning objectives at the beginning of each chapter offer a measurable outcome you can achieve by completing the material.
  • Chapter highlights at the end of each chapter provide a summary of the most important information covered in each chapter.
  • Review questions at the end of each chapter are tied to learning objectives further enhance your understanding.
  • Case studies challenge you to apply your knowledge and help strengthen your critical thinking skills.
  • Glossary at the end of the book provides quick access to key terms and definitions.
  • NEW! Expanded chapter on Vaccines as the importance of vaccines continues to become more evident.
  • NEW! Updated chapter on Molecular Techniques incorporates the newest technology specific to immunology.
  • NEW! Key terms at the beginning of each chapter help you learn the important vocabulary in immunology.
  • NEW! Case studies with added multiple-choice questions in addition to critical thinking questions will help you apply your knowledge and develop critical-thinking skills.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Evolve Page ii
Immunology & Serologyin Laboratory Medicine iii
Copyright iv
Dedication v
Reviewers vii
Contributors ix
Preface xi
Acknowledgments xiii
About The Author xiv
Contents xv
PART I - Basic Immunologic Mechanisms 1
Chapter 1 - An Overview of Immunology 1
HISTORY OF IMMUNOLOGY 2
WHAT IS IMMUNOLOGY? 2
CELLS OF THE IMMUNE SYSTEM 2
FUNCTION OF IMMUNOLOGY 3
BODY DEFENSES: RESISTANCE TO MICROBIAL DISEASE 3
COMPARISON OF INNATE AND ADAPTIVE IMMUNITY 5
?Identification of Leukocytes Related to Immune Function 7
CHAPTER HIGHLIGHTS 7
BIBLIOGRAPHY 9
Chapter 2 - Antigens and Antibodies 10
ANTIGEN CHARACTERISTICS 11
CHEMICAL NATURE OF ANTIGENS 13
PHYSICAL NATURE OF ANTIGENS 13
GENERAL CHARACTERISTICS OF ANTIBODIES 13
IMMUNOGLOBULIN (IG) CLASSES 14
ANTIBODY STRUCTURE 16
IMMUNOGLOBULIN VARIANTS 17
ANTIBODY SYNTHESIS 18
FUNCTIONS OF ANTIBODIES 20
ANTIGEN-ANTIBODY INTERACTION: SPECIFICITY AND CROSS-REACTIVITY 20
MOLECULAR BASIS OF ANTIGEN-ANTIBODY REACTIONS 22
MONOCLONAL ANTIBODIES 23
?ABO Blood Grouping (Forward Antigen Typing) 26
CHAPTER HIGHLIGHTS 26
BIBLIOGRAPHY 29
Chapter 3 - Cells and Cellular Activities of the Immune System: Granulocytes and Mononuclear Cells 30
ORIGIN AND DEVELOPMENT OF BLOOD CELLS 31
GRANULOCYTIC CELLS 31
PROCESS OF PHAGOCYTOSIS 32
MONOCYTES-MACROPHAGES 35
ACUTE INFLAMMATION 38
SEPSIS 39
CELL SURFACE RECEPTORS 39
DISORDERS OF NEUTROPHILS 40
MONOCYTE-MACROPHAGE DISORDERS 41
DISEASE STATES INVOLVING LEUKOCYTE INTEGRINS 42
CHAPTER HIGHLIGHTS 44
BIBLIOGRAPHY 47
Chapter 4 - Cells and Cellular Activities of the Immune System: Lymphocytes and Plasma Cells 48
LYMPHOCYTES AND PLASMA CELLS 49
LYMPHOID AND NONLYMPHOID SURFACE MEMBRANE MARKERS 49
VIRGIN OR NAÏVE LYMPHOCYTES 53
DEVELOPMENT OF T LYMPHOCYTES 53
NATURAL KILLER AND K-TYPE LYMPHOCYTES 62
DEVELOPMENT AND DIFFERENTIATION OF B LYMPHOCYTES 63
B LYMPHOCYTE SUBSETS 63
PLASMA CELL BIOLOGY 64
ALTERATIONS IN LYMPHOCYTE SUBSETS 64
EVALUATION OF IMMUNODEFICIENCY SYNDROMES 65
IMMUNOLOGIC DISORDERS 66
CHAPTER HIGHLIGHTS 73
BIBLIOGRAPHY 76
chapter 5 - Soluble Mediators of the Immune System 78
THE COMPLEMENT SYSTEM 79
CLASSIC PATHWAY 81
ALTERNATIVE PATHWAY 83
MANNOSE-BINDING LECTIN PATHWAY 83
BIOLOGICAL FUNCTIONS OF COMPLEMENT PROTEINS 83
DIAGNOSTIC EVALUATION 85
OTHER SOLUBLE IMMUNE RESPONSE MEDIATORS 86
HEMATOPOIETIC STIMULATORS 92
ACUTE-PHASE PROTEINS 93
?C-Reactive Protein Rapid Latex Agglutination Test 96
CHAPTER HIGHLIGHTS 98
BIBLIOGRAPHY 101
PART II - The Theory of Immunologicand Serologic Procedures 103
chapter 6 - Safety in the Immunology-Serology Laboratory 103
SAFETY STANDARDS AND AGENCIES 104
PREVENTION OF TRANSMISSION OF INFECTIOUS DISEASES 105
SAFE WORK PRACTICES FOR INFECTION CONTROL 105
PROTECTIVE TECHNIQUES FOR INFECTION CONTROL 106
HANDWASHING 106
SPECIMEN-PROCESSING PROTECTION 108
ADDITIONAL LABORATORY HAZARDS 108
DECONTAMINATION OF WORK SURFACES, EQUIPMENT, AND SPILLS 109
DISPOSAL OF INFECTIOUS LABORATORY WASTE 109
DISEASE PREVENTION 110
BASIC FIRST AID PROCEDURES 112
CHAPTER HIGHLIGHTS 113
BIBLIOGRAPHY 114
Chapter 7 - Quality Assurance and Quality Control 115
CLINICAL LABORATORY REGULATORY AND ACCREDITING ORGANIZATIONS 116
NONANALYTICAL FACTORS RELATED TO TESTING ACCURACY 116
ERRORS RELATED TO PHASE OF TESTING 117
QUALITY DESCRIPTORS 117
MONITORING QUALITY 118
REFERENCE RANGE STATISTICS 119
TESTING OUTCOMES 119
VALIDATING NEW PROCEDURES 120
CHAPTER HIGHLIGHTS 122
BIBLIOGRAPHY 124
Chapter 8 - Basic Serologic Laboratory Techniques 125
PROCEDURES MANUAL 126
BLOOD SPECIMEN PREPARATION 126
TYPES OF SPECIMENS TESTED 126
INACTIVATION OF COMPLEMENT 126
PIPETTES 126
PIPETTING TECHNIQUES 127
DILUTIONS 129
ANTIBODY TESTING 132
ANTIBODY TITER 132
CHAPTER HIGHLIGHTS 133
BIBLIOGRAPHY 134
Chapter 9 - Point-of-Care Testing 135
TESTING CATEGORIES 135
QUALITY CONTROL STANDARDS 135
NON–INSTRUMENT-BASED TESTING 136
CHAPTER HIGHLIGHTS 138
BIBLIOGRAPHY 138
Chapter 10 - Agglutination Methods 139
PRINCIPLES OF AGGLUTINATION 139
LATEX AGGLUTINATION 140
PREGNANCY TESTING 140
FLOCCULATION TESTS 142
DIRECT BACTERIAL AGGLUTINATION 142
HEMAGGLUTINATION 142
CHAPTER HIGHLIGHTS 148
BIBLIOGRAPHY 150
Chapter 11 - Electrophoresis Techniques 151
ELECTROPHORESIS 151
IMMUNOELECTROPHORESIS 152
IMMUNOFIXATION ELECTROPHORESIS 156
COMPARISON OF TECHNIQUES 156
CAPILLARY ELECTROPHORESIS 156
?Immunofixation Electrophoresis Procedure 158
CHAPTER HIGHLIGHTS 158
BIBLIOGRAPHY 159
Chapter 12 - Labeling Techniques in Immunoassay 160
IMMUNOASSAY FORMATS 160
TYPES OF LABELS 161
ENZYME IMMUNOASSAY 161
CHEMILUMINESCENCE 162
IMMUNOFLUORESCENCE 164
EMERGING LABELING TECHNOLOGIES 165
?Direct Fluorescent Antibody Test for Neisseria gonorrhoeae 168
CHAPTER HIGHLIGHTS 168
BIBLIOGRAPHY 169
Chapter 13 - Automated Procedures 170
CHARACTERISTICS OF AUTOMATED TESTING 170
NEPHELOMETRY 171
FLOW CELL CYTOMETRY 172
TRENDS IN IMMUNOASSAY AUTOMATION 178
CHAPTER HIGHLIGHTS 181
BIBLIOGRAPHY 182
Chapter 14 - Molecular Techniques 183
CHARACTERISTICS OF NUCLEIC ACIDS 183
AMPLICONS AND AMPLICON CONTROL MEASURES 186
AMPLIFICATION TECHNIQUES IN MOLECULAR BIOLOGY 186
ANALYSIS OF AMPLIFICATION PRODUCTS 187
NEXT GENERATION SEQUENCING TECHNOLOGY 191
FUTURE DIRECTIONS OF MOLECULAR DIAGNOSTIC TESTING 192
?Molecular Testing Procedure: Group A Streptococcus Direct Test 193
CHAPTER HIGHLIGHTS 193
BIBLIOGRAPHY 195
PART III -\rImmunologic Manifestations of Infectious Diseases 197
Chapter 15 - The Immune Response in Infectious Diseases 197
CHARACTERISTICS OF INFECTIOUS DISEASES 198
DEVELOPMENT OF INFECTIOUS DISEASES 198
BACTERIAL DISEASES 198
PARASITIC DISEASES 198
FUNGAL DISEASES 199
VIRAL, RICKETTSIAL, AND MYCOPLASMAL DISEASES 201
LABORATORY DETECTION OF IMMUNOLOGIC RESPONSES 203
?Latex-Cryptococcus Antigen Detection System 205
CHAPTER HIGHLIGHTS 205
BIBLIOGRAPHY 207
Chapter 16 - A Primer on Vaccines 208
WHAT IS A VACCINE? 208
CHARACTERISTICS OF A VACCINE 208
HOST RESPONSE TO VACCINATION 209
HISTORY OF VACCINES 209
APPLICATIONS OF VACCINES 209
VACCINE APPROVAL 210
CONCERNS ABOUT VACCINES 214
REPRESENTATIVE VACCINES 214
VACCINES IN BIODEFENSE 219
CHAPTER HIGHLIGHTS 221
BIBLIOGRAPHY 222
Chapter 17 - Streptococcal Infections 223
ETIOLOGY 223
EPIDEMIOLOGY 225
SIGNS AND SYMPTOMS 225
IMMUNOLOGIC MANIFESTATIONS 226
DIAGNOSTIC EVALUATION 227
STREPTOCOCCAL TOXIC SHOCK SYNDROME 227
GROUP B STREPTOCOCCAL DISEASE 228
CHAPTER HIGHLIGHTS 229
BIBLIOGRAPHY 231
Chapter 18 - Syphilis 232
ETIOLOGY 232
EPIDEMIOLOGY 233
SIGNS AND SYMPTOMS 233
IMMUNOLOGIC MANIFESTATIONS 237
DIAGNOSTIC EVALUATION 237
?Classic VDRL Procedure: VDRL Qualitative Slide Test 242
?Fluorescent Treponemal Antibody Absorption Test 243
CHAPTER HIGHLIGHTS 243
BIBLIOGRAPHY 244
Chapter 19 - Vector-Borne Diseases 246
LYME DISEASE 248
HUMAN EHRLICHIOSIS 254
ROCKY MOUNTAIN SPOTTED FEVER 255
BABESIOSIS 256
WEST NILE VIRUS 257
?Rapid Borrelia burgdorferi Antibody Detection Assay 260
CHAPTER HIGHLIGHTS 260
BIBLIOGRAPHY 263
Chapter 20 - Toxoplasmosis 264
ETIOLOGY 264
EPIDEMIOLOGY 264
SIGNS AND SYMPTOMS 266
IMMUNOLOGIC MANIFESTATIONS 267
DIAGNOSTIC EVALUATION 267
CHAPTER HIGHLIGHTS 269
BIBLIOGRAPHY 270
Chapter 21 - Cytomegalovirus 271
ETIOLOGY 271
EPIDEMIOLOGY 271
SIGNS AND SYMPTOMS 272
IMMUNOLOGIC MANIFESTATIONS 273
LABORATORY EVALUATION 274
?Passive Latex Agglutination for Detection of Antibodies to Cytomegalovirus 275
CHAPTER HIGHLIGHTS 276
BIBLIOGRAPHY 278
Chapter 22 - Infectious Mononucleosis 279
ETIOLOGY 279
EPIDEMIOLOGY 279
SIGNS AND SYMPTOMS 280
LABORATORY DIAGNOSTIC EVALUATION 280
IMMUNOLOGIC MANIFESTATIONS 280
CHAPTER HIGHLIGHTS 285
BIBLIOGRAPHY 286
Chapter 23 - Viral Hepatitis 287
GENERAL CHARACTERISTICS OF HEPATITIS 288
HEPATITIS A 288
HEPATITIS B 292
HEPATITIS D 299
HEPATITIS C 300
HEPATITIS E 307
HEPATITIS G 308
TRANFUSION-TRANSMITTED VIRUS 309
CHAPTER HIGHLIGHTS 311
BIBLIOGRAPHY 313
Chapter 24 - Rubella and Rubeola Infections 315
RUBELLA 315
RUBEOLA (MEASLES) 319
CHAPTER HIGHLIGHTS 320
BIBLIOGRAPHY 321
Chapter 25 - Acquired Immunodeficiency Syndrome 322
ETIOLOGY 322
EPIDEMIOLOGY 325
SIGNS AND SYMPTOMS 330
IMMUNOLOGIC MANIFESTATIONS 332
DIAGNOSTIC EVALUATION AND MONITORING 333
TESTING METHODS 333
PREVENTION 337
TREATMENT 338
CHAPTER HIGHLIGHTS 343
BIBLIOGRAPHY 344
PART IV -\rImmune Disorders 347
Chapter 26 - Hypersensitivity Reactions 347
WHAT IS HYPERSENSITIVITY? 348
WHAT IS AN ALLERGY? 348
TYPES OF ANTIGENS AND REACTIONS 348
TYPES OF HYPERSENSITIVITY REACTIONS 348
CHAPTER HIGHLIGHTS 363
BIBLIOGRAPHY 364
Chapter 27 - Immunoproliferative Disorders 366
GENERAL CHARACTERISTICS OF GAMMOPATHIES 367
MULTIPLE MYELOMA 367
WALDENSTRÖM’S PRIMARY MACROGLOBULINEMIA 375
OTHER MONOCLONAL DISORDERS 377
CHAPTER HIGHLIGHTS 379
BIBLIOGRAPHY 381
Chapter 28 - Autoimmune Disorders 382
WHAT IS AUTOIMMUNITY? 382
SPECTRUM OF AUTOIMMUNE DISORDERS 383
FACTORS INFLUENCING DEVELOPMENT OF AUTOIMMUNITY 383
IMMUNOPATHOGENIC MECHANISMS 383
SELF-RECOGNITION (TOLERANCE) 385
MAJOR AUTOANTIBODIES 386
ORGAN-SPECIFIC AND MIDSPECTRUM DISORDERS 386
CHAPTER HIGHLIGHTS 403
BIBLIOGRAPHY 406
Chapter 29 - Systemic Lupus Erythematosus 407
DIFFERENT FORMS OF LUPUS 407
ETIOLOGY 409
EPIDEMIOLOGY 409
SIGNS AND SYMPTOMS 410
IMMUNOLOGIC MANIFESTATIONS 412
DIAGNOSTIC EVALUATION 414
TREATMENT 418
?Autoimmune Enzyme Immunoassay ANA Screening Test 421
CHAPTER HIGHLIGHTS 422
BIBLIOGRAPHY 423
Chapter 30 - Rheumatoid Arthritis 424
ETIOLOGY 424
EPIDEMIOLOGY 425
SIGNS AND SYMPTOMS 425
ANATOMY AND PHYSIOLOGY OF JOINTS 426
IMMUNOLOGIC MANIFESTATIONS 426
DIAGNOSTIC EVALUATION 428
JUVENILE IDIOPATHIC ARTHRITIS 429
TREATMENT 430
DIAGNOSTIC PROCEDURES 432
CHAPTER HIGHLIGHTS 434
BIBLIOGRAPHY 435
Chapter 31 - Solid Organ Transplantation 436
HISTOCOMPATIBILITY ANTIGENS 437
FACTS ABOUT SOLID ORGAN TRANSPLANTATION 442
TRANSPLANTATION TERMINOLOGY 443
TYPES OF TRANSPLANTS 443
GRAFT-VERSUS-HOST DISEASE 446
GRAFT REJECTION 449
MECHANISMS OF REJECTION 451
BIOMARKERS FOR REJECTION 456
FOXP3 MRNA 456
?Longitudinal Assessment of Posttransplant Immune Status 457
CHAPTER HIGHLIGHTS 458
BIBLIOGRAPHY 459
Chapter 32 - Bone Marrow Transplantation 461
CANCERS TREATED WITH PROGENITOR CELL TRANSPLANTS 461
WHAT ARE PROGENITOR BLOOD CELLS? 462
TYPES OF TRANSPLANTS 463
TRADITIONAL TREATMENT OPTIONS 463
EVALUATION OF CANDIDATES FOR PERIPHERAL BLOOD STEM CELL AND BONE MARROW TRANSPLANTATION 464
OBTAINING CELLS FOR TRANSPLANTATION 464
TRANSPLANTATION 467
TRANSPLANTS FROM UNRELATED DONORS 469
CURRENT DIRECTIONS 469
CHAPTER HIGHLIGHTS 471
BIBLIOGRAPHY 473
Chapter 33 - Tumor Immunology 474
CANCER STEM CELLS 475
TYPES OF TUMORS 475
EPIDEMIOLOGY 476
CAUSATIVE FACTORS IN HUMAN CANCER 477
STAGES OF CARCINOGENESIS 478
CANCER-PREDISPOSING GENES 478
PROTO-ONCOGENES 479
ROLE OF ONCOGENES 479
BODY DEFENSES AGAINST CANCER 480
TUMOR MARKERS 481
DNA MICROARRAY TECHNOLOGY 486
WHAT’S NEW IN CANCER DIAGNOSTIC TESTING? 487
MODALITIES FOR TREATING CANCER 487
CHAPTER HIGHLIGHTS 491
BIBLIOGRAPHY 493
APPENDIX A - ANSWERS TO CASE STUDY MULTIPLE CHOICE QUESTIONS 495
CHAPTER 1: AN OVERVIEW OF IMMUNOLOGY 495
CHAPTER 2: ANTIGENS AND ANTIBODIES 495
CHAPTER 3: CELLS AND CELLULAR ACTIVITIES OF THE IMMUNE SYSTEM: GRANULOCYTES AND MONONUCLEAR CELLS 495
CHAPTER 4: CELLS AND CELLULAR ACTIVITIES OF THE IMMUNE SYSTEM: LYMPHOCYTES AND PLASMA CELLS 495
CHAPTER 5: SOLUBLE MEDIATORS OF THE IMMUNE SYSTEM 495
CHAPTER 6: SAFETY IN THE IMMUNOLOGY-SEROLOGY LABORATORY 495
CHAPTER 7: QUALITY ASSURANCE AND QUALITY CONTROL 495
CHAPTER 8: BASIC SEROLOGIC LABORATORY TECHNIQUES 495
CHAPTER 9: POINT-OF-CARE TESTING 495
CHAPTER 10: AGGLUTINATION METHODS 495
CHAPTER 11: ELECTROPHORESIS TECHNIQUES 495
CHAPTER 12: LABELING TECHNIQUES IN IMMUNOASSAY 495
CHAPTER 13: AUTOMATED PROCEDURES 495
CHAPTER 14: MOLECULAR TECHNIQUES 495
CHAPTER 15: THE IMMUNE RESPONSE IN INFECTIOUS DISEASES 495
CHAPTER 16: A PRIMER ON VACCINES 495
CHAPTER 17: STREPTOCOCCAL INFECTIONS 495
CHAPTER 18: SYPHILIS 495
CHAPTER 19: VECTOR-BORNE DISEASES 496
CHAPTER 20: TOXOPLASMOSIS 496
CHAPTER 21: CYTOMEGALOVIRUS 496
CHAPTER 22: INFECTIOUS MONONUCLEOSIS 496
CHAPTER 23: VIRAL HEPATITIS 496
CHAPTER 24: RUBELLA INFECTION 496
CHAPTER 25: ACQUIRED IMMUNODEFICIENCY SYNDROME 496
CHAPTER 26: HYPERSENSITIVITY REACTIONS 496
CHAPTER 27: IMMUNOPROLIFERATIVE DISORDERS 496
CHAPTER 28: AUTOIMMUNE DISORDERS 496
CHAPTER 29: SYSTEMIC LUPUS ERYTHEMATOSUS 496
CHAPTER 30: RHEUMATOID ARTHRITIS 496
CHAPTER 31: SOLID ORGAN TRANSPLANTATION 497
CHAPTER 32: BONE MARROW TRANSPLANTATION 497
CHAPTER 33: TUMOR IMMUNOLOGY 497
Appendix B - Answers to Review Questions 498
CHAPTER 1: AN OVERVIEW OF IMMUNOLOGY 498
CHAPTER 2: ANTIGENS AND ANTIBODIES 498
CHAPTER 3: CELLS AND CELLULAR ACTIVITIES OF THE IMMUNE SYSTEM: GRANULOCYTES AND MONONUCLEAR CELLS 498
CHAPTER 4: CELLS AND CELLULAR ACTIVITIES OF THE IMMUNE SYSTEM: LYMPHOCYTES AND PLASMA CELLS 498
CHAPTER 5: SOLUBLE MEDIATORS OF THE IMMUNE SYSTEM 498
CHAPTER 6: SAFETY IN THE IMMUNOLOGY-SEROLOGY LABORATORY 499
CHAPTER 17: STREPTOCOCCAL INFECTIONS 500
CHAPTER 28: AUTOIMMUNE DISORDERS 501
APPENDIX C - REPRESENTATIVE DIAGNOSTIC ASSAYS IN MEDICAL LABORATORY IMMUNOLOGY 502
BIBLIOGRAPHY 509
Glossary 511
Index 537
Turgeon Color Plates legends 569