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Military Strategies for Sustainment of Nutrition and Immune Function in the Field (1999)
Institute of Medicine (IOM)

Page
535
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inflammatory reactions, neutrophils act by engulfing and destroying microbial invaders, cell debris, and particulate matter.

Nitric oxide.

A multifunctional molecule derived from arginine that has microbicidal and parasiticidal properties.

NK (natural killer) cells.

Specialized T-cells with the continuous task of identifying and eliminating cells recognized as being foreign or nonself. Large, granular NK-lymphocytes can mediate antibody-dependent cellular cytotoxity as well as lysing target cells (tumor cells and modified host cells.

Nonspecific immunity.

Resistance against disease threats produced by diverse physiological mechanisms that do not require the recognition of or response to specific antigens.

Null cells.

Lymphocytes lacking the surface CD markers of the principal lymphocyte subsets.

O

Opsonins.

Constituents of serum that bind to antigens, making invading microorganism more susceptible to the destructive action of phagocytes.

Opsinization.

The process of altering bacterial walls to increase susceptibility to phagocytosis.

Orosomucoid.

An acute-phase reactant plasma glycoprotein, α1-acid glycoprotein.

Oxidative burst.

Sudden uptake and utilization of oxygen by phagocytic cells (neutrophils, monocytes, macrophages) whenever they engulf a bacterium or other foreign particle. See Respiratory burst.

P

Phagocyte.

A blood cell that ingests and destroys foreign particles, bacteria, and cell debris.

Phagocytosis.

The process of engulfing particles, bacteria, and cell debris.

Phytohemagglutinin (PHA).

A plant mitogen that stimulates T-lymphocytes.

Plasma cells.

Antibody-producing cells that have matured from antigen-stimulated B-cells.

Pleiotropy.

Ability to exert multiple effects.

Polymorphonuclear leukocyte (also termed PMN or poly).

See Neutrophil.

Page
535
Front Matter (R1-R14)
Executive Summary (1-16)
I Committee Summary, Responses to Questions, Conclusions, and Recommendations (17-18)
1 A Review of the Role of Nutrition in Immune Function (19-98)
2 Committee Responses to Questions (99-124)
3 Committee Conclusions and Recommendations (125-135)
II Stage Setting: The Military Situation (137-138)
4 Why is the Army Interested in Nutrition and Immune Function? (139-162)
5 Physiological and Immunological Impact of U.S. Army Special Operations Training: A Model for the Assessment of Nutritional Intervention Effects on Temporary Immunosuppression (163-184)
6 Immune Function Studies During the Ranger Training Course of the Norwegian Military Academy (185-202)
III Introduction to Immune Function (203-204)
7 Nutrition and Immune Responses: What Do We Know? (205-220)
8 Cytokines and Nutritional Status: Possible Correlations and Investigations (221-232)
IV Assessment (233-234)
9 Methodological Issues in Assessment of Human Immune Function (235-248)
10 Application of Whole-Blood Cultures to Field Study Measurements (249-262)
V Nutrition (263-264)
11 Glutamine (265-278)
12 Vitamin A and Immune Function (279-288)
13 Vitamin E, Vitamin C, and Immune Response: Recent Advances (289-304)
14 Fatty Acids and Immune Functions (305-316)
15 Iron Metabolism, Microbial Virulence, and Host Defenses (317-336)
16 Trace Minerals, Immune Function, and Viral Evolution (337-359)
VI Health and Stress (361-362)
17 Exercise, Infection, and Immunity: Practial Applications (363-390)
18 Neuroendocrine Consequences of Systemic Inflammation (391-408)
19 Inflammatory Stress and the Immune System (409-436)
20 Chronobiology of the Immune System (437-496)
21 Conclusion: Militarily Important Issues Identified in this Report (497-508)
Appendixes (509-510)
Appendix A: Overview of the Immune System and Other Host Defense Mechanisms (511-526)
Appendix B: Glossary of Immunological Terms (527-536)
Appendix C: Overview of Immune Assessment Tests (537-542)
Appendix D: Emerging Infections, Nutritional Status, and Immunity (543-552)
Appendix E: Workshop Agenda (553-558)
Appendix F: Biographical Sketches (559-574)
Appendix G: Acronyms and Abbreviations (575-580)
Appendix H: Nutrition and Immune Function: A Selected Bibliography (581-656)
Index (657-708)