Tomaszewski M, Zukowska-Szczechowska E, Grzeszczak W
Katedra i Klinika Chorób Wewnetrznych i Diabetologii w Zabrzu Slaskiej AM w Katowicach.
Pol Arch Med Wewn. 2000 May-Jun;103(5-6):247-51.
The aim of the study was to determine serum concentration of complement component C4 and IgA, IgG, IgM immunoglobulins in hypertensive patients and healthy controls as well as to assess the interrelationships regarding some immunological and clinical data in the study group. The study group consisted of 81 hypertensive patients (with secondary forms of hypertension excluded), 44 females and 37 males (mean age 51.2 +/- 14.5 years). The control group comprised 34 healthy volunteers, 19 females and 15 males (mean age 47.5 +/- 15.3 years). C4, IgA, IgG, IgM serum concentrations were evaluated with turbidymetry. C4 serum concentration was significantly higher in hypertensive patients when compared to the controls. No significant differences in IgA, IgG, IgM serum concentrations existed between the groups. The duration of hypertension correlated positively with C4 serum concentration. Elevated C4 serum concentration may be one of the markers of immunological disturbances existing in hypertensive patients. IgA, IgG, IgM immunoglobulins do not seem to be directly associated with essential hypertension.
本研究的目的是测定高血压患者和健康对照者血清补体成分C4以及IgA、IgG、IgM免疫球蛋白的浓度,并评估研究组中一些免疫学和临床数据之间的相互关系。研究组由81例高血压患者(排除继发性高血压形式)组成,其中44例女性,37例男性(平均年龄51.2±14.5岁)。对照组由34名健康志愿者组成,其中19例女性,15例男性(平均年龄47.5±15.3岁)。采用比浊法评估C4、IgA、IgG、IgM血清浓度。与对照组相比,高血压患者的C4血清浓度显著更高。两组之间IgA、IgG、IgM血清浓度无显著差异。高血压病程与C4血清浓度呈正相关。C4血清浓度升高可能是高血压患者存在免疫紊乱的标志物之一。IgA、IgG、IgM免疫球蛋白似乎与原发性高血压无直接关联。