Question

In: Anatomy and Physiology

Daniel: Susan and Joe had a wonderful little boy named Daniel, but he had been having...

Daniel: Susan and Joe had a wonderful little boy named Daniel, but he had been having an awful lot of bacterial infections and he was barely a year old. It seemed that the antibiotics cleared up one bacterial respiratory infection only to have another follow shortly. The scary thing was that Daniel had just fought off a case of pneumonia caused by Pneumocystis carnii, a fungal infection that was usually found in people with HIV. Waiting for the test results of an HIV test for their little boy was one of the worst experiences ever. Thank goodness it came back negative. However, it seemed that their troubles were just beginning. After this last lung infection, the fungal one, and a negative HIV test, their doctor had ordered a number of other blood tests, including a genetic test that Susan didn’t fully understand. Apparently the doctor was worried about Daniel’s immune system functions. Susan had also met with a genetic counselor who collected a family history of any immune disorders. The details were vague, but Susan’s mother, Helen, knew that one of her three brothers had died young from an unexplained lung infection. Unfortunately, Grandma Ruth had passed away a few years ago, leaving them with numerous unanswered questions. Susan and Joe had an appointment with their doctor that afternoon to go over the results. When they arrived Dr. Dresdner led them into an office where Ms. Henchey, the genetic counselor, waited. This can’t be good, thought Susan. The doctor began by explaining that they had analyzed Daniel’s blood and found that while he had normal levels of B cells and T cells, his antibody levels were anything but normal. The levels of IgG, IgA, and IgE were very low, almost undetectable, and Daniel had abnormally high levels of IgM and IgD. It appears that his immune system failed to undergo immunoglobulin isotype switching due to a CD40 ligand mutation in Daniel's DNA. Diagram an antibody response graph for a normal 1st and 2nd exposure with the antibodies correctly labeled for each exposure. Then diagram what Daniel's graph would look like, based on his situation. Diagram and/or explain why IgG is low and what CD40's role is? Why is a mutation in that gene a problem? (There is no specific diagram I am looking for here, either diagram it or explain it, depending on which you prefer.)

Solutions

Expert Solution

Immunoglobulin isotype switching

There are five different antibody isotypes in placental mammals including humans.

They are ; IgA,IgM,IgD ,IgE and IgG.

These are antibody isotypes of B cells.

In the Ig represent immunoglobulin.

When an antigen exposes to immature B cell it undergoes maturation and it starts express IgM and IgD.They are membrane bound forms of antibody isotype.The activated B cells bind to antigen.Which encounters specific signalling molecules and start antibody class switching to produce IgA ,IgE,IgG from IgM and IgD.

If this biological system fails to proceeds then it cause high concentration of IgM and IgD antibody isotypes.

High levels of IgM and IgD occurs in X-linked immunodeficiency. It is one of the rare form of primary immunodeficiency disease caused by mutation in the gene that codes for ligand CD40.CD40 ligand is expressed on activated T lymphocytes is required for T cell and B cell to undergo immunoglobulin class switching from IgD to IgE and IgG and IgA.

In immune disorder there will be recurrent infections.

Immunoglobulins cause enhanced phagocytosis , neutralization of toxins, complement mediated lysis and virus neutralization.


Related Solutions

Case Studies Tasks: Susan and Joe had a wonderful little boy named Daniel, but he had...
Case Studies Tasks: Susan and Joe had a wonderful little boy named Daniel, but he had been having an awful lot of bacterial infections and he was barely a year old. It seemed that the antibiotics cleared up one bacterial respiratory infection only to have another follow shortly. The scary thing was that Daniel had just fought off a case of pneumonia caused by Pneumocystis carnii, a fungal infection that was usually found in people with HIV. Waiting for the...
Susan and Joe were worried. Their little boy, Daniel, had been having an awful lot of...
Susan and Joe were worried. Their little boy, Daniel, had been having an awful lot of bacterial infections and he was barely a year old. It seemed that the antibiotics cleared up one bacterial respiratory infection only to have another follow shortly. The scary thing was that Daniel had just fought off a case of pneumonia caused by Pneumocystis carnii, a fungal infection that was usually found in people with HIV. Waiting for the test results of an HIV test...
Daniel is a 16 year old boy who is an identical twin. He and his brother...
Daniel is a 16 year old boy who is an identical twin. He and his brother Jeff are very close and do most things together. While Daniel excels at sports he believe his brother is much better at most everything. Daniel, his brother, and their two sisters live with their parents in the Midwest. Recently Daniel has been feeling more tired than usual. He thought it was because of his schedule and school work, which he is fairly good at....
Mark felt like he had little choice but to work with Randy as he is “family”...
Mark felt like he had little choice but to work with Randy as he is “family” and that while he had some concerns the extra injection of capital would help. As Mark suspected it was hard work getting Randy to make a real contribution, and even turning up was an issue at times but despite this the business managed to generate a reasonable profit of $63,000. Mark has asked you to help him work out how this profit should be...
Daniel is a scientific chemist. In his spare time, he has been trying to grow a...
Daniel is a scientific chemist. In his spare time, he has been trying to grow a vegetable garden. One evening after work, Daniel buries some organic chemical waste in his backyard. Within weeks, his garden is overgrown with vegetables. Daniel is particularly proud of his pumpkin crop, which has produced exceptionally sweet pumpkins. He claims that the sweetness comes from pouring honey in the soil around the pumpkins every morning. Further experiments indicate that a particular mixture of chemicals stimulates...
Tristan is a lively little boy who attends daily day-care. He has severe allergies so his...
Tristan is a lively little boy who attends daily day-care. He has severe allergies so his parents have not allo to receive the usual childhood vaccination series for fear of a severe reaction. For the last few days he has ha & swollen throat, fever & won't eat. Inside his mouth a greyish slime, a type of membrane, can be seen at the his throat . His parents take him to Urgent Care . 1. What's your disease diagnosis ?...
Jordan is a 9-year-old boy who is a direct admit for observation. He has had a...
Jordan is a 9-year-old boy who is a direct admit for observation. He has had a history of vomiting and diarrhea for 48 hours. Subjective Data Has a history of nausea and vomiting for 24 hours. Has not voided today. Is unable to tolerate oral fluids. Objective Data Vital signs: temp, 37.8º C; pulse, 120 bpm; resp, 24 breaths/min; blood pressure, 110/60 mm Hg Weight: 34 kg Hyperactive bowel sounds to auscultation Questions: When should the discharge teaching begin for...
Jordan is a 9-year-old boy who is a direct admit for observation. He has had a...
Jordan is a 9-year-old boy who is a direct admit for observation. He has had a history of vomiting and diarrhea for 48 hours. Subjective Data Has a history of nausea and vomiting for 24 hours. Has not voided today. Is unable to tolerate oral fluids. Objective Data Vital signs: temp, 37.8º C; pulse, 120 bpm; resp, 24 breaths/min; blood pressure, 110/60 mm Hg Weight: 34 kg Hyperactive bowel sounds to auscultation Questions: When should the discharge teaching begin for...
Daniel Fowler, senior vintner at Napa Winery, had been put in charge of developing an optimal...
Daniel Fowler, senior vintner at Napa Winery, had been put in charge of developing an optimal blending plan for the upcoming season. This assignment was the result of a recent Napa Winery board meeting where the CEO had presented her ideas regarding the use of analytics for enhancing profits while at the same time not affecting quality. Industry reports indicated that a growing number of the major wineries were using analytics to assist in the wine-blending process. The board meeting...
Joe mason acquired land on which he will construct a new restaurant. A chemical plan had...
Joe mason acquired land on which he will construct a new restaurant. A chemical plan had once occupied the site. Government regulations require Mason to clean up the chemical residue before building. The cost of clean-up is material. Required: a. Under current US GAAP, an asset is charged with historical cost, which includes the purchase price and all costs incident to getting the asset ready for its intended use. Defend the historical cost principles. Use the conceptual framework concepts and...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT