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Biomedical subjects

Yuliya M. Zaretskaya

Publications and source records attributed to Yuliya M. Zaretskaya.

3 recordsLinked to original sources

Major Histocompatibility Complex.

At the 2nd Congress of Russian Immunologists, which is holding at the boundary not only two centuries, but and millennia, we had to present views, how the knowledge about major histocompatibility system has been changed (better to say has been progressed) for the brief historical period (50-60 years). 1. Having started from two, and then three component genetic HLA structure, the further studies gave image about multicomponent genetic composition of HLA, which is still not clarified up till now. At present, HLA accounts more than 10 structural units (subloci), some of which have only recently received the names. 2. The role of MHC in "cascading" of immune reactions is indeed global. Now, the view that immune reaction is developing by "cascade" type is not argued, and all the "cascade" is mediated through MHC. 3. The studies in the field of "HLA and diseases" are looking now in new light: the leitmotif of HLA C began to sound. 4. The structure of this system is indeed unique. Now discovered subunits in DRB1 locus, where each gene appeared to be in several subvariants (forms), not seldom differing only by single amino acid, pose classical genetics in difficult situation: what can be called with gene, allele, subgene, subvariant, suballele. 5. At last, the prospective is opened for HLA using in practical purposes, which earlier was not seen, namely: the transfusion of HLA typed platelets, leukocytes, lymphocytes for increasing not only therapeutic, but economical efficiency of such procedures.

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Transplantation Immunity. Contemporary Views.

"Transplantation immunity in Cyclosporin era" is a special chapter in science under name transplantation immunity. Nowadays, practically all the organs can be grafted: kidney, heart, lung, liver, pancreas both as organ, and as islet cells, bone marrow from relative and unrelative donors. The broad spectrum of grafted organs gave one more surprising peculiarity of transplantation immunity: it operates with different strength after transplantation of various organs. If the decreasing gradient of transplantation immunity could be composed, then it appeared to be approximately in the following order: bone marrow - skin - kidney - heart - lung. The most complicated operating activity of transplantation immunity is occurring after bone marrow transplantation, especially from unrelative donor, because in bone marrow transplantation immunological process develops in both directions. Therefore now, bone marrow is the only organ (tissue), when the complete compatibility between donor and recipient is required after its transplantation; especially in cases with unrelative donors.

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Interrelations between Immunogenetic Factors (HLA antigens) and Lymphocyte Subset Quantitative Rearrangements in Hodgkin's Disease Patients.

In this report we analyzed interrelations between cell quantity in lymphocyte subsets and lymphocyte immunogenetic (HLA) markers in 30 untreated patients with Hodgkin's disease (HD). We defined percentage and the absolute number of peripheral blood lymphocyte subsets expressing CD3, CD4, CD8, CD16, CD25 and CD72 markers for HD patients referring to their HLA phenotype (A, B, Cw loci and DRB1). HD patients had decreased absolute number of all the lymphocyte subsets. This was apparently associated with reduced number of peripheral blood lymphocytes, since their subset shares remained similar to those of healthy volunteers. HD patients had different HLA repertoire: some displayed simultaneous exertion of four antigens in A and B loci ("full house" patients) and others - reduced HLA repertoire ("non-full house" patients). Simultaneous analysis of lymphocyte subset rearrangements and HLA expression revealed that "full house" patients had no significant rearrangements in lymphocyte subsets, except reduced CD4(+) and increased CD25(+) lymphocytes. The reduction of expressed HLA alleles interrelated with reliable decrease of CD3(+), CD4(+), CD16(+) cells. Expression of such HLA alleles as A1, A2, B13, B16, B17, B21, B27, DR2 and DR4 also interrelated with significant decrease in some lymphocyte subsets, of which CD4(+) cells prevailed. The most distinct reduction of lymphocyte subsets interrelated with expression of B17 and DR2 HLA loci. Hence, in HD patients pathological rearrangements of lymphocyte subsets are strictly associated with their HLA expression.

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