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INTRO Pernicious Anaemia (PA) is an autoimmune disease that’s also known as macrocytic anaemia due to vitamin B deficiency ( 1). It is considered an autoimmune disorder as a result of intrinsic factors and parietal cells both being targeted by gastric autoantibodies. This also occurs due to the abundance presence of gastric autoantibodies ( 2). -Vitamin B12 deficiency -Diagnosis -End stage of chronic atrophic gastritis -vitamin b12 obtained primarily from diet -b12 is a fermentation product produced by microorganisms -b12 bind to secretery product called intrinsic factor -Intrinisc cells produced by parietal cells found on the lining of the stomach -vitamin b12 can only absorbed when binded to intrinsic factor only occurs with the special receptor that is located in the terminal ileum (last part of small intenstine) -Type A gastritis is associated with pernicious anaemia -Type A gastritis, that leads to pernicious anaemia, involves the fundus and body areas of the stomach -Type A chronic atrophic gastritis take approximately 20- 30 years to progress to gastric atrophy and pernicious anaemia - Method xxxxxxxxxxxxxxxxxx Result 400 words roughly Figure legends required too You need to draw only 2 drawings of the H&E staining, one at low magnification 100x and one at high magnification 400x (there are 2 to choose from). The H&E stomach tissue images that you need to draw from are in prac 2 folder (label the features as stated in prac manual p. 17)

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INTRO

Pernicious Anaemia (PA) is an autoimmune disease that’s also known as macrocytic anaemia due to vitamin B deficiency (1). It is considered an autoimmune disorder as a result of intrinsic factors and parietal cells both being targeted by gastric autoantibodies. This also occurs due to the abundance presence of gastric autoantibodies (2).

-Vitamin B12 deficiency

-Diagnosis

-End stage of chronic atrophic gastritis

-vitamin b12 obtained primarily from diet

-b12 is a fermentation product produced by microorganisms

-b12 bind to secretery product called intrinsic factor

-Intrinisc cells produced by parietal cells found on the lining of the stomach

-vitamin b12 can only absorbed when binded to intrinsic factor only occurs with the special receptor that is located in the terminal ileum (last part of small intenstine)

-Type A gastritis is associated with pernicious anaemia

-Type A gastritis, that leads to pernicious anaemia, involves the fundus and body areas of the stomach

-Type A chronic atrophic gastritis take approximately 20-30 years to progress to gastric atrophy and pernicious anaemia

-

Method

xxxxxxxxxxxxxxxxxx

Result 400 words roughly

Figure legends required too

You need to draw only 2 drawings of the H&E staining, one at low magnification 100x and one at high magnification 400x (there are 2 to choose from). The H&E stomach tissue images that you need to draw from are in prac 2 folder (label the features as stated in prac manual p. 17)

Immunoperoxidase results need to be place in your report as images (no drawings). You can select one of each images for -ve, +ve, P1 and P2 (there are 4 different magnifications for each sample in PowerPoint presentation - prac 3 folder)

Overall in your report's Result-figures you should have:

· 2 H&E drawings

· 1 WB

· 4 immunoperoxidase images

· Summary table (table is not compulsory to have)

Marker lane has to be labelled with size of protein bands

·

Those 3 bands are 100kda and goes down 75kda and 50kda

(Bio-Rad #161-0318) Marker used

That’s an example result for western blot are under

These 2 require the H&E drawings I have attached the manual for the prac also a pdf showing what sort of drawing is wanted and how drawings need to be labelled and have a figure legend

Discussion 800words roughly

References

Appendix 250-300words

a)  What is the expected size of the protein being detected by the sera from pernicious anaemia patients?

b)  Which subunit of the proton pump does this correspond to?

c)  Describe another method that could be used to detect and quantitate the levels of anti- proton pump antibodies in patient’s sera?

d) The secondary antibody that was used in the Western and immuno-histochemistry was a sheep anti-human Ig-HRP conjugate. What is the antigen that this antibody is specific for? What animal was this antibody raised in? What is the enzyme that is conjugated to the antibody?