Heterophile

Abstract: 1. A cornerstone concept of ecological immunology is that immune function, interacting with various aspects of individual health state, plays a central role in the life-history trade-offs between conflicting demands of survival and reproduction. In order to develop this research, more knowledge about the applicability and usefulness of different health state assays is needed. 2. Eleven, mostly hemato-serological, health state indices are described and their suitability for sensing the condition of breeding Great Tits (Parus major L.) in terms of measurement precision, constancy in time, diurnal variation, and sex- and site-related differences, is examined. 3. Measurement errors for the plasma albumin content, residual body mass, heterophile/lymphocyte ratio and total plasma protein content were relatively small compared with the total variation, suggesting these indices to be most adequate for ecological research. Measurement precision was lowest for the heterophile count and ‘buffy coat’ layer height (relative amount of leucocytes in total blood volume). Buffy coat layer height correlated weakly (r=0·21) with total leucocyte count estimated from blood smears and therefore appeared inappropriate for estimation of the leucocyte number. 4. Body mass (residual in respect to size) and intensity of Haemoproteus blood parasite infection were the least variable state indices during the nestling period (for both, the correlation between the values measured on the 8th and 15th days of the nestling period=0·71). Haematocrit, heterophile count and albumin/globulin ratio showed no individual constancy across the nestling period, while other traits revealed moderate but statistically significant correlations between 8th- and 15th-day values. 5. Leucocyte (both lymphocyte and heterophile) counts were higher among females captured at night compared with those captured during the day. 6. Females had higher intensities of Haemoproteus infection, higher heterophile counts and higher heterophile/lymphocyte ratios than males. Contrary to published information, females had higher haematocrits than males. 7. Haematocrit values in both sexes, as well as total plasma protein and albumin concentrations in males, differed significantly between Great Tits breeding in urban habitat and rural woodlands, respectively.

Abstract: The Epstein-Barr virus (EBV) is the aetiological agent of classical infectious mononucleosis. This review article describes the antigenicity of the virus, the specific antibody response and the stimulated polyclonal heterophile antibody production in the host. The diagnostic tests for EBV infection are discussed, with particular attention drawn to the pitfalls of the Monospot test. Complications are listed and management strategies are outlined. The uses and complications of steroids are discussed. The importance of avoidance of contact sport and the association with splenic rupture is described.

Abstract: Human heterophile antibodies that agglutinate animal erythrocytes are known to detect the nonhuman sialic acid N-glycolylneuraminic acid (Neu5Gc). This monosaccharide cannot by itself fill the binding site (paratope) of an antibody and can also be modified and presented in various linkages, on diverse underlying glycans. Thus, we hypothesized that the human anti-Neu5Gc antibody response is diverse and polyclonal. Here, we use a novel set of natural and chemoenzymatically synthesized glycans to show that normal humans have an abundant and diverse spectrum of such anti-Neu5Gc antibodies, directed against a variety of Neu5Gc-containing epitopes. High sensitivity and specificity assays were achieved by using N-acetylneuraminic acid (Neu5Ac)-containing probes (differing from Neu5Gc by one less oxygen atom) as optimal background controls. The commonest anti-Neu5Gc antibodies are of the IgG class. Moreover, the range of reactivity and Ig classes of antibodies vary greatly amongst normal humans, with some individuals having remarkably large amounts, even surpassing levels of some well-known natural blood group and xenoreactive antibodies. We purified these anti-Neu5Gc antibodies from individual human sera using a newly developed affinity method and showed that they bind to wild-type but not Neu5Gc-deficient mouse tissues. Moreover, they bind back to human carcinomas that have accumulated Neu5Gc in vivo. As dietary Neu5Gc is primarily found in red meat and milk products, we suggest that this ongoing antigen-antibody reaction may generate chronic inflammation, possibly contributing to the high frequency of diet-related carcinomas and other diseases in humans.