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[人免疫球蛋白和血清中的抗菌抗体:过去与现在]

[Antibacterial antibodies in human immunoglobulins and sera: past and present].

作者信息

Romanov V A, Kulibin A Iu, Zaĭtseva I P

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 2010 Sep-Oct(5):40-3.

Abstract

AIM

To measure levels of several types of antibacterial antibodies in preparations of normal human immunoglobulin as well as in samples of donor sera obtained in 1965 and 2009.

MATERIALS AND METHODS

Five batches of human normal immunoglobulin manufactured in 1965 and five batches manufactured in 2009 as well as 77 and 28 blood serum samples respectively were tested by agglutination assay for the presence of antibodies to enterobacteria, Brucella species, tularemia agent, Rickettsia burnetii, Rickettsia prowazekii, and several species of opportunistic bacteria.

RESULTS

Higher antibody titers to Salmonella typhi, Salmonella paratyphi A and B, Salmonella enteritidis, Salmonella typhimurium, Shigella flexneri and Shigella sonnei were revealed in immunoglobulin preparations and donor sera obtained in 1965 compared to that obtained in 2009. There was no difference in antibody titers to Shigella boydii, Salmonella choleraesuis, Escherichia coli O-55, Pseudomonas aeruginosa, Proteus vulgaris, Serratia marcescens and E. coli. Antibodies to Brucella species, tularemia agent, R. burnetii, R. prowazekii were not detected in normal human immunoglobulin.

CONCLUSION

Decrease of antibody levels to several pathogenic enterobacteria in human immunoglobulin preparations as well as in sera of donors for 40 years could be linked with decrease of number of immunized persons, changes in circulation of pathogenic bacteria, decrease of rate of asymptomatic infections. Stability of antibody titers to opportunistic bacteria is a rationale to use them for assessment of humoral immunity function.

摘要

目的

检测正常人免疫球蛋白制剂以及1965年和2009年采集的供体血清样本中几种抗菌抗体的水平。

材料与方法

采用凝集试验检测1965年生产的5批人正常免疫球蛋白、2009年生产的5批人正常免疫球蛋白以及分别采集的77份和28份血清样本中针对肠杆菌、布鲁氏菌属、土拉热弗朗西斯菌、伯纳特立克次体、普氏立克次体和几种机会性细菌的抗体。

结果

与2009年获得的免疫球蛋白制剂和供体血清相比,1965年获得的免疫球蛋白制剂和供体血清中针对伤寒沙门菌、甲型副伤寒沙门菌、乙型副伤寒沙门菌、肠炎沙门菌、鼠伤寒沙门菌、福氏志贺菌和宋内志贺菌的抗体滴度更高。针对鲍氏志贺菌、猪霍乱沙门菌、大肠杆菌O-55、铜绿假单胞菌、普通变形杆菌、粘质沙雷氏菌和大肠杆菌的抗体滴度没有差异。正常人免疫球蛋白中未检测到针对布鲁氏菌属、土拉热弗朗西斯菌、伯纳特立克次体、普氏立克次体的抗体。

结论

40年来人免疫球蛋白制剂以及供体血清中针对几种致病性肠杆菌的抗体水平下降可能与免疫接种人数减少、病原菌传播变化、无症状感染率降低有关。机会性细菌抗体滴度的稳定性是将其用于评估体液免疫功能的依据。

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