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FcGAMMA RECEPTOR MEDIATED CELLULAR FUNCTION

                   Fcgamma receptors (FcgammaR) are a group of partially polymorphic cell surface receptors on a variety of immuno competent cells. After contact with complexed (or monomeric) IgG the FcgammaR induce cellular functions such as phagocytosis, antibody mediated cellular cytotoxicity (ADCC), generation of reactive oxygen species etc. Experimentally the receptors may be detected by blotting methods or functionally by phagocytosis of specific target cells. The allogenic FcgammaR forms are demonstrated by serology (indirect immunofluorescence, granulocyte aggregation) or by allele specific PCR. Immunophagocytosis as one example of FcgammaR mediated cellular functions is  inhibited in vitro by antibodies of different specificities, e.g. antibody against FcgammaRI, II and III and HLA antigens. Thus it is possible to determine which of the different FcgammaR is involved in phagocytosis of specific immunologic targets. On the other hand inhibition of monocyte immune phagocytosis enables the detection of antibodies specific for HLA class I and II antibodies which play an important role in graft rejection. The underlying mechanism is the simultaneous binding of the Fab’ portion of an HLA antibody to its corresponding antigen on the monocyte and binding of the Fc portion of the same antibody molecule to a FcgammaR on the same cell. Subsequently, the blocked FcgammaR is unable to induce phagocytosis of immunoglobulin coated red blood cells which act as an indicator for the process (Prof. Dr. med. J. Neppert, Dr. rer. Nat. B. Flesch, ref. 1-3, 7-12).

 

POLYMERASE CHAIN REACTION (PCR)

                      The rapid production of large quantities of specific DNA sequence took a leap forward with the development of the polymerase chain reaction (PCR). The PCR requires two nucleotide oligomers that hybridize to the complementary DNA strands in a region of interest. The oligomers serve as primers for a DNA polymerase that extends each strand. Repeated cycling of the PCR yields large amounts of each DNA molecule of interest in a matter of hours as opposed to days and weeks associated with cloning techniques.

                      The PCR amplification of a specific DNA sequence can be accomplished with a purified DNA sample or a small region within a complex mixture of DNA. The nucleotide sequence of the DNA to be amplified must be known or it must be cloned in a vector where the sequence of the flanking DNA has been established. The product of PCR is a double-stranded DNA molecule and the reaction is completed in each cycle when all of the template molecules have been copied. In order to initiate a new round of replication the sample is heated to melt the double-stranded DNA and, in the presence of excess oligonucleotide primers, cooled to permit hybridization of the single-stranded template with free oligomers. A new cycle of DNA replication will initiate in the presence of DNA polymerase and all four dNTPs. Heating to about 95°C as required for melting DNA inactivates most polymerases, but a heat stable polymerase, termed Taq DNA polymerase isolated from Thermus aquaticus, is now employed, obviating the need for fresh polymerase after each cycle. This has permitted the automation of PCR with each DNA molecule capable of being amplified one million-fold.

                      When the DNA to be amplified is present in very low concentrations relative to the total DNA in the sample, it is possible to amplify the DNA region of interest along with other spurious sequences. In this situation the specificity of the amplification reaction can be enhanced by nested PCR. After conducting the first PCR with one set of primers for 10-20 cycles, a small aliquot is removed for the second PCR. However, the second PCR is conducted with a new set of primers that the complementary to the template DNA just downstream of the first set of primers, or nested between the original set of primers. This process amplifies the DNA region of interest twice with greatly enhanced specificity.

                      PCR has many applications including gene diagnosis, forensic investigations where only a drop of dried blood or a single hair is available and evolutionary studies with preserved biological material (Textbook of Biochemistry with Clinical Correlations, Thomas M. Devlin 1997).

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