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[呼吸器官结核患者与不同触珠蛋白表型的非特异性反应性]

[The nonspecific reactivity of patients with tuberculosis of the respiratory organs and different haptoglobin phenotypes].

作者信息

Platonova I L

出版信息

Lik Sprava. 1999 Jun(4):72-5.

Abstract

In patients with haptoglobin (Hp) 2-2, the incidence rate of tuberculosis of respiratory organs was found out to be 1.7 times as high as among patients with Hp 2-1 and 1-1; in those persons with aggravated heredity this parameter was 3.4 times as high. Based on the above data, in 414 first diagnosed cases with different phenotype pulmonary tuberculosis a comparative analysis has been done of certain factors of nonspecific bodily reactivity, which showed that in patients with Hp 2-2 versus Hp 2-1 blood levels of total haptoglobin, ceruloplasmin get decreased while total proteolytic activity is noted to be on the increase. The lysozyme concentration is significantly lower than in patients with Hp 2-1 and remains within the normal range. Poorly manifest reaction to the infectious agent of ceruloplasmin, total Hp, lysozyme which have distinct effects and are interrelated with mechanisms of immune defense creates a favourable background in subjects with Hp 2-2 for origination, development and progressing of the tuberculous process.

摘要

在触珠蛋白(Hp)2-2型患者中,发现呼吸器官结核的发病率是Hp 2-1型和1-1型患者的1.7倍;在那些遗传因素加重的人群中,这一参数是3.4倍。基于上述数据,对414例初诊的不同表型肺结核病例进行了某些非特异性身体反应因素的比较分析,结果表明,与Hp 2-1型患者相比,Hp 2-2型患者的总触珠蛋白、铜蓝蛋白血水平降低,而总蛋白水解活性增加。溶菌酶浓度明显低于Hp 2-1型患者,且仍在正常范围内。铜蓝蛋白、总Hp、溶菌酶对感染因子的反应表现不佳,它们具有不同的作用且与免疫防御机制相互关联,这为Hp 2-2型患者结核过程的发生、发展和进展创造了有利条件。

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