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Modulation of MHC Antigen Expression and Disease

1996, BMJ

The book is remarkably well written and stimulates J. CHAYEN thought.

BOOK REVIEWS zyxwvutsrqponm 223 The book is remarkably well written and stimulates thought. J. CHAYEN helper T cells, so called because of the help they provide to those cells which produce specific antibodies. The MHC is therefore an essential constituent of the immunological system, and variations in its quantity and quality must seriously affect the animal’s responses both to foreign antigens such as infecting agents and to self antigens as in autoimmunity and neoplasia. The present volume as indicated in its title, presents in considerable detail the results of a large body of work directed at elucidating those factors which modulate MHC expression and how this can influence immune reactivity and disease manifestation. The material is very well presented. After two introductory chapters on the organisation of the MHC are two on its control, followed by several on its modulation by a range of viruses including, amongst other, retroviruses, human papilloma virus with especial reference to cancer of the cervix, hepatitis virus and Epstein-Barr virus. Finally three chapters are devoted to human diseases of putative autoimmune pathogenesis, namely diabetes, rheumatoid arthritis and multiple sclerosis. Each chapter is copiously referenced, clearly illustrated and commendably up to date. This is an invaluable contribution to a subject of growing importance with major clinical implications. My only adverse criticism is the inordinate use of abbreviations. Despite the provision of four pages devoted to them several in the text remain unexplained. zyxwvutsrq MODULATION OF MHC ANTIGEN EXPRESSION AND DISEASE G. E. Blair, C . R. Pringle and D. J. Maudsley (Eds.). Cambridge University Press, Cambridge, U.K. 440 pages, E50.00, US$79.95 (1995). zyxwvutsr The MHC consists of a group of antigens so named because they were first associated with the rejection of transplants between individuals of the same species. It seemed however extremely unlikely that this complex system, involving in humans some 75 or more genes, had evolved purely for the frustration of transplant surgeons. The seminal work of Doherty and Zinkernagel showed, however, that the true function of these antigens was in the presentation of peptides to the specific receptors on appropriate T cells and that a response would only occur when both the presenting cell and the T cell revealed, on their surface, proteins of the same MHC. The antigens of the MHC occur in two classes with distinct functions: Class I presenting their associated peptides to those T cells capable of exerting a cytotoxic effect; Class I1 presenting their peptides to so called L. E. GLYNN