Serot J M, Béné M C, Gobert B, Christmann D, Leheup B, Faure G C
Hôtel Dieu, Mont Saint Martin, France.
J Clin Pathol. 1992 Sep;45(9):781-3. doi: 10.1136/jcp.45.9.781.
To investigate whether autoantibodies to choroid plexus are present in human senile dementia.
Serum samples from 40 elderly people presenting with characteristic, diagnostic criteria of senile dementia of Alzheimer's type and 20 age matched healthy controls were tested by indirect immunofluorescence for the presence of autoantibodies to choroid plexuses, using frozen sections of rat or human fetal brain tissue.
Significant labelling of choroid plexus basement membrane was observed in 17 of the 40 samples from patients with senile dementia; in the control series one sample of rat but not human plexus labelled positively (p < 0.01).
The antibodies identified in this series of patients with Alzheimer's disease suggest that autoimmune mechanisms might be responsible for some of the changes in cerebrospinal fluid production described in this disorder.
研究人类老年性痴呆患者是否存在脉络丛自身抗体。
采用间接免疫荧光法,以大鼠或人类胎儿脑组织冰冻切片为抗原,检测40例符合阿尔茨海默型老年性痴呆特征性诊断标准的老年人血清样本及20例年龄匹配的健康对照血清中脉络丛自身抗体的存在情况。
在40例老年性痴呆患者的样本中,有17例观察到脉络丛基底膜有明显标记;在对照组中,一份大鼠脉络丛样本呈阳性标记,而人类脉络丛样本均未呈阳性标记(p<0.01)。
在这组阿尔茨海默病患者中鉴定出的抗体表明,自身免疫机制可能是该疾病中描述的脑脊液生成某些变化的原因。