Shirinskiĭ V S, Kirikova S F
Ter Arkh. 1992;64(5):14-7.
The authors present the current data on the disorders of immune functions in patients suffering from rheumatoid arthritis (RA). Provide evidence for the pathogenetic heterogeneity of the known clinical patterns of RA, mainly seronegative and seropositive varieties, with special reference to the differences in the lowering of the activity of nonspecific T suppressors, to the influence of the factor of necrosis of alpha-tumor and alpha- and beta-interferons on B lymphocyte proliferation, and to the effects of synovial exudate from seropositive and seronegative patients. Demonstrate the results of integral estimation of the disorders of several characteristics of the immune system in RA patients with the use of the image recognition program. It is concluded that the clinical polymorphism of RA is specified by the pathogenetic heterogeneity of the disease based on varieties of combined normal and altered functions of different components of the immune system.
作者展示了类风湿性关节炎(RA)患者免疫功能紊乱的当前数据。为RA已知临床模式(主要是血清阴性和血清阳性类型)的发病机制异质性提供证据,特别提及非特异性T抑制因子活性降低的差异、α-肿瘤坏死因子以及α和β干扰素对B淋巴细胞增殖的影响,以及血清阳性和血清阴性患者滑膜渗出液的作用。展示了使用图像识别程序对RA患者免疫系统多个特征紊乱进行综合评估的结果。得出结论:RA的临床多态性是由基于免疫系统不同成分正常和改变功能组合的疾病发病机制异质性所决定的。