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[急性胆囊炎患者局部免疫反应的特征]

[The characteristics of the local immune reactions in patients with acute cholecystitis].

作者信息

Hnatiuk M S

出版信息

Klin Khir. 1998(9-10):12-3.

Abstract

Among the investigated 27 gallbladders (GB) using immunofluorescent and histological methods 9 were nonaffected, 7--excised for an acute calculous cholecystitis and 11--for the destructive one. It was established, that the plasmocytes, producing immunoglobulins of main classes, play an important role in the immune defense of the GB mucosa. The stress and hyperfunctioning of the local immune homeostasis mechanisms were revealed in the acute calculous cholecystitis; in the destructive one--the local immune defense disorder, showing the essential lowering of the secretory immunoglobulin A (SIgA) level and the immunocytes-producers IgA quantity, the ratio between plasmocytes and immune complexes, which appear in the vessels wall and perivasal stroma of GB.

摘要

在采用免疫荧光和组织学方法研究的27个胆囊(GB)中,9个未受影响,7个因急性结石性胆囊炎而切除,11个因坏疽性胆囊炎而切除。已确定,产生主要类别免疫球蛋白的浆细胞在胆囊黏膜的免疫防御中起重要作用。在急性结石性胆囊炎中发现了局部免疫稳态机制的应激和功能亢进;在坏疽性胆囊炎中——局部免疫防御紊乱,表现为分泌型免疫球蛋白A(SIgA)水平和产生IgA的免疫细胞数量显著降低,浆细胞与免疫复合物之间的比例发生变化,这些免疫复合物出现在胆囊血管壁和血管周围基质中。

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