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[葡萄膜和视网膜病变患者的综合免疫学评估]

[Comprehensive immunologic evaluation of patients with uveal and retinal pathology].

作者信息

Pimenov I V, Zaitseva N S, Slepova O S, Veksler Kh M

出版信息

Vestn Oftalmol. 1991 Jul-Aug;107(4):49-53.

PMID:1949488
Abstract

Clinical and immunologic examinations of 120 patients with central tapetoretinal abiotrophy, central serous choriopathy, central choroiditis, endogenic uveitis, thrombosis of the central retinal vein have revealed deviations in the T and B immunity systems and in autoimmune reactions to retinal S antigen, to uveopigmented antigens, and to human hepatic intracellular lipoprotein, as against the controls. The findings evidenced an imbalance of the T and B immunity parameters: reduced counts of T lymphocytes, theophylline-sensitive T suppressors, elevated immunoregulatory cell index, increased counts of B lymphocytes, circulating immune complexes, and blood serum immunoglobulins A and G. No essential shifts in leukocyte adhesion and antibody-dependent K cell cytotoxicity were found. The detected shifts are characteristic of the immune disorders common for various forms of uveoretinal abnormalities.

摘要

对120例中心性视网膜色素变性、中心性浆液性脉络膜病变、中心性脉络膜炎、内因性葡萄膜炎、视网膜中央静脉血栓形成患者进行的临床和免疫学检查发现,与对照组相比,T和B免疫系统以及针对视网膜S抗原、葡萄膜色素抗原和人肝内细胞脂蛋白的自身免疫反应存在偏差。研究结果证明了T和B免疫参数的失衡:T淋巴细胞、茶碱敏感的T抑制细胞数量减少,免疫调节细胞指数升高,B淋巴细胞、循环免疫复合物以及血清免疫球蛋白A和G数量增加。未发现白细胞黏附及抗体依赖性K细胞细胞毒性有实质性变化。所检测到的变化是各种形式葡萄膜视网膜异常常见的免疫紊乱特征。

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