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[麻风病患者米田试验与人类白细胞抗原的对比研究]

[Comparative study between the Mitsuda test and the human leukocyte antigens in leprosy patients].

作者信息

de Souza Fabiana Covolo, Marcos Elaine Valim Camarinha, Ura Somei, Opromolla Paula Araújo, Nogueira Maria Esther Salles

机构信息

Instituto Lauro de Souza Lima, Bauru, SP.

出版信息

Rev Soc Bras Med Trop. 2007 Mar-Apr;40(2):188-91. doi: 10.1590/s0037-86822007000200008.

Abstract

In this study, we aimed to compare the Mitsuda skin test with the alleles HLA-DR2/HLA-DR3 and HLA-DQ1, in relation to the clinical forms of leprosy in 176 patients (50 TT, 50 LL and 76 B). The results obtained did not reveal any association between the Mitsuda reaction and the HLA alleles in the clinical forms isolated. However, when analyzed according to Mitsuda test response, a significant association was found between patients with negative Mitsuda reaction and HLA-DQ1 (p=0.002). No association was observed between positive Mitsuda reaction and the HLA-DR2/DR3 alleles. We concluded that the allele HLA-DQ1 has an important participation when there is no response to the Mitsuda test. We suggest that more specific studies should be developed on this allele.

摘要

在本研究中,我们旨在比较176例患者(50例结核样型、50例瘤型和76例界线类)麻风临床类型与HLA - DR2/HLA - DR3和HLA - DQ1等位基因的米氏皮肤试验结果。所得结果未显示在分离出的临床类型中米氏反应与HLA等位基因之间存在任何关联。然而,根据米氏试验反应进行分析时,发现米氏反应阴性的患者与HLA - DQ1之间存在显著关联(p = 0.002)。未观察到米氏反应阳性与HLA - DR2/DR3等位基因之间存在关联。我们得出结论,当对米氏试验无反应时,HLA - DQ1等位基因具有重要作用。我们建议针对该等位基因开展更具针对性的研究。

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