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黏多糖贮积症的治疗:与Hurler综合征和Scheie综合征患者血浆输注相比,白细胞输注的临床和生化方面

Treatment of mucopolysaccharidosis: clinical and biochemical aspects of leucocyte transfusion as compared with plasma infusion in patients with Hurler's and Scheie's syndromes.

作者信息

Nishioka J, Mizushima T, Ono K

出版信息

Clin Orthop Relat Res. 1979 May(140):194-203.

PMID:113157
Abstract

The therapeutic effectiveness of leucocyte transfusion (LT) was compared with that of plasma infusion (PI) clinically by range of motion (ROM) of joints and biochemically from the standpoint of alpha-L-iduronidase activity and urinary excretion of acid mucopolysaccharides (AMPS) in 2 patients with Hurler's and Scheie's syndromes. Both syndromes are considered to be due to the lack of alpha-L-iduronidase activity, a congenital metabolic disorder. As a result, leukocyte transfusion surpasses plasma infusion with respect to enzyme content, the grade and duration of clinical improvement in the stiffness of joints. Clinical improvement in the stiffness of joints was correlated with the degradation of AMPS when the ratio of urinary AMPS fragments to the total large molecule AMPS has become 50% or more after the leucocyte transfusion and plasma infusion.

摘要

从关节活动范围(ROM)方面进行临床比较,并从α-L-艾杜糖醛酸酶活性以及酸性粘多糖(AMPS)尿排泄量方面进行生化比较,研究白细胞输注(LT)与血浆输注(PI)对2例Hurler综合征和Scheie综合征患者的治疗效果。这两种综合征均被认为是由于缺乏α-L-艾杜糖醛酸酶活性所致的先天性代谢紊乱。结果表明,在酶含量、关节僵硬临床改善的程度和持续时间方面,白细胞输注优于血浆输注。当白细胞输注和血浆输注后尿AMPS片段与总大分子AMPS的比例达到50%或更高时,关节僵硬的临床改善与AMPS的降解相关。

相似文献

1
Treatment of mucopolysaccharidosis: clinical and biochemical aspects of leucocyte transfusion as compared with plasma infusion in patients with Hurler's and Scheie's syndromes.黏多糖贮积症的治疗:与Hurler综合征和Scheie综合征患者血浆输注相比,白细胞输注的临床和生化方面
Clin Orthop Relat Res. 1979 May(140):194-203.
2
[Compound Hurler-Scheie disease in 3 siblings].[3名兄弟姐妹患复合型胡尔勒-谢伊综合征]
Klin Monbl Augenheilkd. 1985 Aug;187(2):120-3. doi: 10.1055/s-2008-1051001.
3
[Fluorometric determination of alpha-L-iduronidase activity in leukocytes and blood plasma in Hurler's disease].
Lab Delo. 1988(7):46-9.
4
[Treatment of cases of Sanfilippo's syndrome and Hurler's syndrome with plasma infusions].[采用血浆输注治疗桑菲利波综合征和胡勒综合征病例]
Minerva Pediatr. 1975 Mar 10;27(8):481-2.
5
[Ocular Manifestation of Mucopolysaccharidosis I-S (Scheie's Syndrome)].
Klin Monbl Augenheilkd. 2002 Oct;219(10):745-8. doi: 10.1055/s-2002-35688.
6
Transplantation of amniotic epithelial membranes in patients with mucopolysaccharidoses.黏多糖贮积症患者羊膜上皮膜移植
Exp Clin Immunogenet. 1985;2(1):43-8.
7
[Mucopolysaccharidosis V (Ullrich-Scheie syndrome) (author's transl)].黏多糖贮积症Ⅴ型(乌尔里希-谢伊综合征)(作者译)
Wien Klin Wochenschr. 1978 Dec 8;90(23):839-44.
8
[Mucopolysaccharidosis IS: Scheie's syndrome. A report of 2 brothers].
Pediatr Med Chir. 1991 Nov-Dec;13(6):631-6.
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Effect of plasma perfusion on clinical evolution and urinary glycosaminoglycans composition in mucopolysaccharidosis.血浆灌注对黏多糖贮积症临床进展及尿糖胺聚糖成分的影响
Birth Defects Orig Artic Ser. 1974;10(12):226-9.
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[Psychotic symptoms during the evolution of dementia in muco- polysaccharidosis of Hurler-Scheie phenotype].[黏多糖贮积症Hurler-Scheie表型痴呆进展过程中的精神病性症状]
Arch Fr Pediatr. 1985 May;42(5):373-5.

引用本文的文献

1
Mucopolysacccharidoses: From understanding to treatment, a century of discoveries.黏多糖贮积症:从认识到治疗,一个世纪的探索。
Genet Mol Biol. 2012 Dec;35(4 (suppl)):924-31. doi: 10.1590/s1415-47572012000600006. Epub 2012 Dec 18.
2
A clinical trial of fibroblast transplantation for the treatment of mucopolysaccharidoses.成纤维细胞移植治疗黏多糖贮积症的临床试验。
J Inherit Metab Dis. 1983;6(2):62-81. doi: 10.1007/BF02338973.