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[支气管哮喘患儿血清中支原体抗原及免疫复合物的检测]

[Detection of mycoplasma antigens and immune complexes in sera of the children with bronchial asthma].

作者信息

Gorina L G, Goncharova S A, Rakovskaia I V, Shershneva N N, Kuz'menko L G

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 2006 Jul-Aug(4):85-8.

Abstract

The study was targeted at revealing Mycoplasma pneumoniae (M.p.) and Mycoplasma hominis (M.h.) antigens in blood samples of children with bronchial asthma (BA),both in a free state and those included in circulating immune complexes (CIC). The mycoplasma antigens of one or both species have been detected in one third out of 62 patients with BA. In this group of patients the frequency of detection of specific antibodies twice exceeded that of mycoplasma antigens. Testing paired blood samples of children with BA (n=26) showed, that at receipt in a hospital and a month after primary examination the mycoplasma antigens were detected in 16 and 12 patients, respectively, the association of M.p. and M.h. antigens being more frequent. Data on distribution of antibodies according to immunoglobulin classes testify that basically two (M, G), or four (M, G, A, E) classes were registered in children, the M class antibodies in high percentage of cases (from 36.6 up to 50.0%)being detected in every term of examination. These data indirectly testify that the antigens can be partly included in the CIC structure. The level of the total CIC content in BA children's blood sera one month after hospitalization twice exceeded the value detected at primary examination. Three months later later this parameter decreased not reaching the control value. The differential analysis of the precipitated CIC within the whole period of examination showed that mycoplasma antigens were present in the CIC structure in 87.4 - 65.0% of cases. The data obtained precondition future studies on the role of mycoplasma and M.p. and M.h. antigens included in the CIC in the pathogenesis of BA.

摘要

该研究旨在揭示支气管哮喘(BA)患儿血液样本中肺炎支原体(M.p.)和人型支原体(M.h.)抗原,包括游离状态以及循环免疫复合物(CIC)中的抗原。在62例BA患者中,三分之一检测到一种或两种支原体抗原。在这组患者中,特异性抗体的检测频率两倍于支原体抗原。对26例BA患儿的配对血液样本检测显示,入院时和初次检查后一个月,分别有16例和12例检测到支原体抗原,M.p.和M.h.抗原的联合检出更为常见。根据免疫球蛋白类别分布的抗体数据表明,患儿体内基本检测到两种(M、G)或四种(M、G、A、E)免疫球蛋白类别,每次检查中M类抗体的检出率较高(从36.6%到50.0%)。这些数据间接证明抗原可部分包含在CIC结构中。住院一个月后,BA患儿血清中总CIC含量水平两倍于初次检查时的值。三个月后该参数下降,但未达到对照值。在整个检查期间对沉淀的CIC进行差异分析表明,87.4% - 65.0%的病例中CIC结构存在支原体抗原。所获数据为未来研究支原体以及CIC中包含的M.p.和M.h.抗原在BA发病机制中的作用奠定了基础。

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