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[接受冠状动脉搭桥手术患者的抗肺炎衣原体IgG、IgA和IgM抗体]

[Anti-C. pneumoniae IgG, IgA and IgM antibodies in patients undergoing coronary artery bypass grafting].

作者信息

Dyszkiewicz W, Paul M, Chylak J, Jemielity M

机构信息

Klinika Kardiochirurgii AM, Poznaniu.

出版信息

Pol Merkur Lekarski. 2002 Jan;12(67):11-4.

Abstract

The aim of the study was to analyse the prevalence of anti-C. pneumoniae specific IgG, IgA and IgM antibodies in patients undergoing coronary artery bypass engraftment. Sera of forty-six patients aged from 40 to 74 years (mean 57.3) were examined just before the time of operation. Serum samples taken from 21 young healthy blood donors aged from 19 to 28 years (mean 22.4) and 23 sera taken from older blood donors aged 44-60 years (mean 54.7), were used as controls. Specific IgG, IgA and IgM serum antibodies were tested by the enzyme immunoassay kits (Lab-systems, Helsinki). The prevalence of anti-C. pneumoniae IgG was determined within the studied groups, to be independent of their age. On the contrary, the level and seropositivity rate of specific IgA (63.0%), as well as a co-existence of IgA and IgG (60.9%) were significantly higher in coronary patients when compared to healthy blood donors. The presence of specific IgM (positive or borderline values) were detected in 23.9% of patients, whereas they were rarer found in healthy population. In the majority of coronary patients immunological markers of C. pneumoniae infection were found.

摘要

该研究的目的是分析接受冠状动脉搭桥术患者中抗肺炎衣原体特异性IgG、IgA和IgM抗体的流行情况。在手术前对46例年龄在40至74岁(平均57.3岁)的患者的血清进行了检测。从21名年龄在19至28岁(平均22.4岁)的年轻健康献血者和23名年龄在44至60岁(平均54.7岁)的老年献血者采集的血清样本用作对照。使用酶免疫分析试剂盒(芬兰赫尔辛基的Lab-systems公司)检测特异性IgG、IgA和IgM血清抗体。在所研究的组中,抗肺炎衣原体IgG的流行情况与年龄无关。相反,与健康献血者相比,冠心病患者中特异性IgA的水平和血清阳性率(63.0%)以及IgA和IgG共存的比例(60.9%)显著更高。23.9%的患者检测到特异性IgM(阳性或临界值),而在健康人群中较少见。在大多数冠心病患者中发现了肺炎衣原体感染的免疫标志物。

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