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霍奇金病患者的带状疱疹及对水痘-带状疱疹病毒的细胞相关免疫受损

Herpes zoster and impaired cell-associated immunity to the varicella-zoster virus in patients with Hodgkin's disease.

作者信息

Ruckdeschel J C, Schimpff S C, Smyth A C, Mardiney M R

出版信息

Am J Med. 1977 Jan;62(1):77-85. doi: 10.1016/0002-9343(77)90352-7.

DOI:10.1016/0002-9343(77)90352-7
PMID:189604
Abstract

Thirty-two patients with Hodgkin's disease and 12 normal donors were studied for their in vitro lymphocyte responsiveness to a membrane-associated varicella-zoster (VZ) antigen. When compared to the normal donors, patients with Hodgkin's disease in whom radiotherapy was recently completed and those with active, recurrent disease had markedly impaired cell-associated immunity to VZ antigen. In addition, there was a suggestion that patients in long-term remission who had received primary combined modality therapy (radiotherapy plus chemotherapy) had an impaired response when compared to normal persons or to patients who had received single modality therapy. Newly diagnosed, untreated patients with Hodgkin's disease did not differ significantly from normal persons as a group but two of six were unresponsive to the VZ antigen whereas all normal subjects were responsive. Most patients in remission for at least one year following therapy had normal in vitro responsiveness. In two patients herpes zoster developed after the demonstration of absent in vitro lymphocyte reactivity to the VZ antigen.

摘要

对32例霍奇金病患者和12名正常供者进行了研究,观察他们的体外淋巴细胞对膜相关水痘-带状疱疹(VZ)抗原的反应性。与正常供者相比,近期完成放疗的霍奇金病患者以及患有活动性复发性疾病的患者对VZ抗原的细胞相关免疫明显受损。此外,有迹象表明,接受过原发性综合治疗(放疗加化疗)的长期缓解患者与正常人和接受单一治疗的患者相比,反应受损。新诊断的未经治疗的霍奇金病患者作为一个群体与正常人没有显著差异,但6例中有2例对VZ抗原无反应,而所有正常受试者均有反应。大多数治疗后缓解至少一年的患者体外反应性正常。在2例患者中,在证明体外淋巴细胞对VZ抗原无反应后发生了带状疱疹。

相似文献

1
Herpes zoster and impaired cell-associated immunity to the varicella-zoster virus in patients with Hodgkin's disease.霍奇金病患者的带状疱疹及对水痘-带状疱疹病毒的细胞相关免疫受损
Am J Med. 1977 Jan;62(1):77-85. doi: 10.1016/0002-9343(77)90352-7.
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Defective in vitro antibody production to Varicella zoster and other virus antigens in patients with Hodgkin's disease.霍奇金病患者对水痘带状疱疹及其他病毒抗原的体外抗体产生存在缺陷。
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引用本文的文献

1
Disseminated herpes zoster in the elderly.老年人播散性带状疱疹
Ir J Med Sci. 1997 Jul-Sep;166(3):141-2. doi: 10.1007/BF02943592.
2
Aminoglycoside dosing in renal transplant patients. Comparison of nomogram and individualized pharmacokinetic methods in patients with shifting renal function.肾移植患者的氨基糖苷类药物给药。肾功能变化患者中列线图法与个体化药代动力学方法的比较。
Ann Surg. 1982 Mar;195(3):287-93. doi: 10.1097/00000658-198203000-00008.
3
Defective in vitro antibody production to Varicella zoster and other virus antigens in patients with Hodgkin's disease.
霍奇金病患者对水痘带状疱疹及其他病毒抗原的体外抗体产生存在缺陷。
Clin Exp Immunol. 1983 Aug;53(2):297-307.
4
Specific in vitro antibody response to varicella zoster.针对水痘带状疱疹的特异性体外抗体反应。
Clin Exp Immunol. 1981 Oct;46(1):98-105.
5
Cellular and humoral immunity in the pathogenesis of recurrent herpes viral infections in patients with lymphoma.淋巴瘤患者复发性疱疹病毒感染发病机制中的细胞免疫和体液免疫
J Clin Invest. 1980 Apr;65(4):869-78. doi: 10.1172/JCI109739.
6
Antibody-dependent cell-mediated cytotoxicity to Varicella zoster.抗体依赖的细胞介导的对水痘带状疱疹病毒的细胞毒性作用
Clin Exp Immunol. 1984 Oct;58(1):217-22.
7
Amikacin pharmacokinetics during continuous ambulatory peritoneal dialysis.持续性非卧床腹膜透析期间阿米卡星的药代动力学
Antimicrob Agents Chemother. 1988 Feb;32(2):236-40. doi: 10.1128/AAC.32.2.236.
8
Varicella-zoster virus as a live vector for the expression of foreign genes.水痘带状疱疹病毒作为表达外源基因的活载体。
Proc Natl Acad Sci U S A. 1987 Jun;84(11):3896-900. doi: 10.1073/pnas.84.11.3896.
9
Medical staff conference: Hodgkin disease.医务人员会议:霍奇金淋巴瘤
West J Med. 1977 Dec;127(6):487-96.
10
Cellular and humoral immune responses to varicella-zoster virus in immunocompromised patients during and after varicella-zoster infections.免疫功能低下患者在水痘-带状疱疹病毒感染期间及感染后对该病毒的细胞免疫和体液免疫反应。
Infect Immun. 1979 Jul;25(1):170-4. doi: 10.1128/iai.25.1.170-174.1979.