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Along the last several decades, it has been progressively appreciated that immunology plays an overwhelming role in the physiology and pathophysiology of most organs, tissues, and biological systems in multicellular organisms. Accordingly, several immunological parameters are used in research and clinical laboratories with the purpose of investigating, diagnosing, and monitoring a variety of pathological conditions. The rapidly evolving field of laboratory testing in immunology poses several challenges to professionals working in research and clinical laboratories, medical practice, educational activities, in vitro diagnostic industry, and regulatory agencies. Regular analytes, such as albumin, glucose, and insulin, are homogeneous among individuals of the same species. This property represents an advantage when it comes to optimize the determination methods as well as to establish standardization and quality assessment strategies. In contrast, several immunologic analytes present tremendous variability across individuals in the same species. In fact, some are unique at the individual level. For example, the repertoire of immunoglobulins specific for a given pathogen (e.g., rubella) is specific for each individual in terms of the balance of targeted antigens and epitopes, immunoglobulin isotypes, antibody avidity, Fc glycosylation rate, and so on. As a corollary, the panel of anti-rubella antibodies is necessarily different from one to other individual. This also applies to autoantibodies and to IgE to allergens. Polymorphism is prevalent for other immunologic parameters, such as Complement components, cell receptors (cluster differentiation molecules - CD) and downstream signal transduction mediators.
Contemporary Practice in Clinical Chemistry, Fourth Edition, provides a clear and concise overview of important topics in the field. This new edition is useful for students, residents and fellows in clinical chemistry and pathology, presenting an introduction and overview of the field to assist readers as they in review and prepare for board certification examinations. For new medical technologists, the book provides context for understanding the clinical utility of tests that they perform or use in other areas in the clinical laboratory. For experienced laboratorians, this revision continues to provide an opportunity for exposure to more recent trends and developments in clinical chemistry. - Includes enhanced illustration and new and revised color figures - Provides improved self-assessment questions and end-of-chapter assessment questions
The explosion of basic and applied immunology in the first decades of the 21st century has brought forth new opportunities and challenges for immunology education at all academic levels, from professional to undergraduate, medical, graduate and post-graduate instruction. Moreover, developing methods and techniques for educating general audiences on the importance and benefits of immunology will be critical for increasing public awareness and support. One major immediate challenge consists in accommodating, within the confines of traditional immunology curricula, a body of knowledge that continues to grow exponentially in both size and complexity. Furthermore, the practical toolbox of immunological research has vastly expanded, and even in the present environment of highly interdisciplinary and collaborative science, future immunologists will likely need to be at least conversant in, for instance, computational, structural and system biology, nanotechnology and tissue engineering. At the same time, our perspective of the immune system has progressively developed from primarily a host defense mechanism to a fundamental homeostatic system with organism-wide physiological and clinical significance, and with potentially transformative biotechnological and therapeutic applications. As a consequence, in addition to stand-alone courses, immunology is increasingly integrated into other courses, or distributed longitudinally, throughout a multi-year curriculum. This necessitates inter-disciplinary approaches to reach an expanding range of disciplines, as diverse as neurobiology, cancer biology/ oncology, infectious diseases, pharmacology, orthopedics and bioengineering. Creative approaches and pedagogical flexibility will be needed to avoid the pitfall of “one-size-fits-all” instruction, and to tailor level- and discipline-appropriate content to different types of students using multiple teaching formats. Finally, like most other disciplines, immunology education is also under strong pressure to introduce new didactic strategies that are relevant and meaningful to a generation of students who are “digital natives”, comfortable with and expect on-demand and multi-modal learning, diversified sources, and active engagement. Thankfully, the dynamic and interactive behavior of immune system cells, now visualized with striking immediacy by in vivo imaging, has the ability to capture and hold the interest of even the most jaded learner. The need for an increasingly immunology-knowledgeable workforce – not just academic and industry scientists, but also clinical and research lab technicians, biomedical engineers, and physicians in a growing array of specialties - will also expand job opportunities for immunologists as educators, and for content creators dedicated to generating new didactic tools in this field. Acknowledgement: We acknowledge the initiation and support of this Research Topic by the International Union of Immunological Societies (IUIS).
Scientific Foundations of Ophthalmology focuses on scientific grounds of ophthalmology, including anatomy, genetics, pathology, and epidemiology of blindness and blinding diseases. The selection first offers information on aqueous outflow pathway in vertebrate eyes; retinal receptors and pigment epithelium; and vascular supply of the optic disc. Discussions focus on glaucomatous cupping of the optic disc, venous drainage, receptor synapses, outer plexiform layer, primates, and lower mammals. The book then ponders on anatomical and neurophysiological review of cerebral control of ocular movements and the structure and transparency of the cornea. The publication elaborates on the biochemistry of lens, regulation of retinal blood flow, and biochemical basis of toxic amblyopias. The text also takes a look at the hereditary aspects of glaucoma, inborn errors of metabolism, retinal dystrophies, and gyrate atrophy of the choroid and retina with hyperornithinaemia. Vitreoretinal degenerations in myopia, retinitis pigmentosa, albinism, lens dislocation, and storage disorders involving complex lipids and carbohydrates are discussed. The selection is highly recommended for ophthalmologists and readers interested in ophthalmology.
THE authoritative guide for clinical laboratory immunology For over 40 years the Manual of Molecular and Clinical Laboratory Immunology has served as the premier guide for the clinical immunology laboratory. From basic serology testing to the present wide range of molecular analyses, the Manual has reflected the exponential growth in the field of immunology over the past decades. This eighth edition reflects the latest advances and developments in the diagnosis and treatment of patients with infectious and immune-mediated disorders. The Manual features detailed descriptions of general and specific methodologies, placing special focus on the interpretation of laboratory findings, and covers the immunology of infectious diseases, including specific pathogens, as well as the full range of autoimmune and immunodeficiency diseases, cancer, and transplantation. Written to guide the laboratory director, the Manual will also appeal to other laboratory scientists, especially those working in clinical immunology laboratories, and pathologists. It is also a useful reference for physicians, mid-level providers, medical students, and allied health students with an interest in the role that immunology plays in the clinical laboratory.
Improving and Accelerating Therapeutic Development for Nervous System Disorders is the summary of a workshop convened by the IOM Forum on Neuroscience and Nervous System Disorders to examine opportunities to accelerate early phases of drug development for nervous system drug discovery. Workshop participants discussed challenges in neuroscience research for enabling faster entry of potential treatments into first-in-human trials, explored how new and emerging tools and technologies may improve the efficiency of research, and considered mechanisms to facilitate a more effective and efficient development pipeline. There are several challenges to the current drug development pipeline for nervous system disorders. The fundamental etiology and pathophysiology of many nervous system disorders are unknown and the brain is inaccessible to study, making it difficult to develop accurate models. Patient heterogeneity is high, disease pathology can occur years to decades before becoming clinically apparent, and diagnostic and treatment biomarkers are lacking. In addition, the lack of validated targets, limitations related to the predictive validity of animal models - the extent to which the model predicts clinical efficacy - and regulatory barriers can also impede translation and drug development for nervous system disorders. Improving and Accelerating Therapeutic Development for Nervous System Disorders identifies avenues for moving directly from cellular models to human trials, minimizing the need for animal models to test efficacy, and discusses the potential benefits and risks of such an approach. This report is a timely discussion of opportunities to improve early drug development with a focus toward preclinical trials.
Current Protocols in Immunology is a three-volume looseleaf manual that provides comprehensive coverage of immunological methods from classic to the most cutting edge, including antibody detection and preparation, assays for functional activities of mouse and human cells involved in immune responses, assays for cytokines and their receptors, isolation and analysis of proteins and peptides, biochemistry of cell activation, molecular immunology, and animal models of autoimmune and inflammatory diseases. Carefully edited, step-by-step protocols replete with material lists, expert commentaries, and safety and troubleshooting tips ensure that you can duplicate the experimental results in your own laboratory. Bimonthly updates, which are filed into the looseleaf, keep the set current with the latest developments in immunology methods. The initial purchase includes one year of updates and then subscribers may renew their annual subscriptions. Current Protocols publishes a family of laboratory manuals for bioscientists, including Molecular Biology, Human Genetics, Protein Science, Cytometry, Cell Biology, Neuroscience, Pharmacology, and Toxicology.