Kamanin E I, Panova N V
Vestn Otorinolaringol. 2003(1):42-4.
The aim of the study was to examine blood serum and oral liquid of patients with chronic pharyngitis (CF) for autoimmune reaction, i.e. the presence of pharynx-specific antigen (FSA), antibodies to it and complexes antigen-antibody. A total of 29 CF patients were examined and 18 healthy controls. Before the treatment, FSA was detected in the blood and oral liquid in 24.1 and 89.6%, respectively. The indices of the blood and oral liquid correlated. 30 days after conservative treatment the rate of the antigen detection was not less, while after cryosurgical treatment the antigen was not found. Autoantibodies to FSA occurred in the blood of the patients in 86.2%, in the oral liquid in 34.5%. Conservative treatment failed to reduce the antibodies frequency though cryosurgical treatment lowered this frequency to 5.9 and 17.6%, respectively. Immune complexes in the blood of CF patients were registered before the treatment in 10.3%, after conservative treatment in 9.1%, after cryosurgical treatment they were not found. The emergence of autoantibodies and immune complexes may be a normal reaction to introduction of tissue antigen of the affected organ. Detection of the antigen in the blood and oral liquid indicates destruction of the tissue and the test can be used for assessment of the destruction degree.
本研究旨在检测慢性咽炎(CF)患者的血清和口服液,以确定是否存在自身免疫反应,即咽特异性抗原(FSA)、其抗体以及抗原 - 抗体复合物。共检测了29例CF患者和18例健康对照者。治疗前,血液和口服液中FSA的检出率分别为24.1%和89.6%。血液和口服液中的指标具有相关性。保守治疗30天后,抗原检测率并未降低,而冷冻手术治疗后未检测到抗原。患者血液中FSA自身抗体的出现率为86.2%,口服液中为34.5%。保守治疗未能降低抗体频率,而冷冻手术治疗后该频率分别降至5.9%和17.6%。CF患者治疗前血液中免疫复合物的检出率为10.3%,保守治疗后为9.1%,冷冻手术治疗后未检测到。自身抗体和免疫复合物的出现可能是对受累器官组织抗原引入的正常反应。血液和口服液中抗原的检测表明组织遭到破坏,该检测可用于评估破坏程度。