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[关于类风湿性关节炎中免疫球蛋白行为的关键考量]

[Critical considerations on the behavior of immunoglobulins in rheumatoid arthritis].

作者信息

Troise W, Riccardi L, Bulgarelli G, Sesenna G, Ambanelli U

出版信息

Ateneo Parmense Acta Biomed. 1975 May-Jun;46(3):149-61.

PMID:1156463
Abstract

Critical evaluation of immunoglobulins in Rheumatoid Arthritis. It has been studied the behavior of the serum and synovial immunoglobulins of 62 patients afftected arthritis reheumatoid in various clinic stages; the valued have been expressed in mg% and mg/g of proteins. The serum levels of the IgG and IgA are higher in the cases of R.A. than in normals. The synovial concentrations of the IgA and IgM are lower than the respective serum values, while the phenomenon is less evident for the IgG probably because the last are synthetised in the synovial means. It exists, however, a interdipendence between the concentration of the serum and synovial immunoglobulins. The concentrations of the immunoglobulines, both serum and synovial, are not in relation with the most usual humoral phlogosis-tests, as well as they are not correlable with the values of the naturals antiproteases and with some fractions of the complement (both of the classic and alternative pathway). The variations of the immunoglobulins are, in the R.A., aspecific and of different intensity therefore their determination is not proposable neither as test of measure of the phlogosis nor as index of disease.

摘要

类风湿关节炎中免疫球蛋白的批判性评估。研究了62例处于不同临床阶段的类风湿关节炎患者血清和滑膜免疫球蛋白的行为;数值以毫克百分比和每克蛋白质毫克数表示。类风湿关节炎患者的血清IgG和IgA水平高于正常人。滑膜中IgA和IgM的浓度低于各自的血清值,而IgG的这种现象可能不太明显,因为后者是在滑膜组织中合成的。然而,血清和滑膜免疫球蛋白的浓度之间存在相互依存关系。血清和滑膜免疫球蛋白的浓度与最常见的体液炎症检测无关,也与天然抗蛋白酶的值以及补体的某些组分(经典途径和替代途径)无关。在类风湿关节炎中,免疫球蛋白的变化是非特异性的且强度不同,因此它们的测定既不能作为炎症测量试验,也不能作为疾病指标。

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