Steffen C
Z Rheumatol. 1978 May-Jun;37(5-6):131-47.
Clinical and experimental data establishing a hypothesis about rheumatoid arthritis (RA) as a collagen auto-immune disease are reviewed, beginning with the demonstration of rheumatoid synovial collagenase, the demonstration of collagen antibodies in the serum and the synovial fluid of patients with RA, the demonstration of collagen inclusion bodies and collagen-anticollagen immune complexes in synovial fluid cells and the synovial fluid of patients with RA, and leading to the in vitro demonstration of the inflammatory effect of such complexes, and the induction of experimental arthritis by these complexes. Each section contains tabular summaries of various investigations. Finally, a relation between these observations and the conclusions deduced from them and the appearance of rheumatoid factors in RA and the pathogenic effect of rheumatoid factor - gammaglobulin aggregates is considered.
本文回顾了关于类风湿性关节炎(RA)作为一种胶原自身免疫性疾病的假说的临床和实验数据,首先是类风湿性滑膜胶原酶的证明、RA患者血清和滑液中胶原抗体的证明、RA患者滑液细胞和滑液中胶原包涵体及胶原 - 抗胶原免疫复合物的证明,进而到此类复合物炎症效应的体外证明以及这些复合物诱导实验性关节炎。每一部分都包含了各种研究的表格总结。最后,探讨了这些观察结果及其推导结论与RA中类风湿因子的出现以及类风湿因子 - 丙种球蛋白聚集体的致病作用之间的关系。