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异基因骨髓移植后抗菌多糖抗体缺乏

Antibacterial polysaccharide antibody deficiency after allogeneic bone marrow transplantation.

作者信息

Quinti I, Velardi A, Le Moli S, Guerra E, D'Amelio R, Mastrantonio P, Martelli M F, Aiuti F

机构信息

Department of Allergy and Clinical Immunology, University of Rome, Italy.

出版信息

J Clin Immunol. 1990 May;10(3):160-6. doi: 10.1007/BF00917916.

DOI:10.1007/BF00917916
PMID:2114420
Abstract

Allogeneic bone marrow-engrafted adults immunized with meningococcal types A and C and pneumococcal type 14 polysaccharide antigens showed only low antibody titers of the IgM class, no antibody titers of the IgG or IgA classes, and no bactericidal activity in vitro. The analytical isoelectrofocusing showed the appearance of a restricted pattern of clonotypes in a minority of subjects. These observations are consistent with the hypothesis that B cells in bone marrow transplant patients express some characteristics of neonatal B cells and suggest that polysaccharide-protein conjugates, rather than isolated polysaccharide, might be utilized in the setting of bone marrow transplantation.

摘要

用A群和C群脑膜炎球菌及14价肺炎球菌多糖抗原免疫的同种异体骨髓移植成年受者,仅表现出低水平的IgM类抗体滴度,未检测到IgG或IgA类抗体滴度,且体外无杀菌活性。分析性等电聚焦显示少数受试者出现克隆型受限模式。这些观察结果与骨髓移植患者的B细胞表现出新生儿B细胞某些特征的假设一致,并提示在骨髓移植情况下可能应使用多糖-蛋白结合物而非单纯的多糖。

相似文献

1
Antibacterial polysaccharide antibody deficiency after allogeneic bone marrow transplantation.异基因骨髓移植后抗菌多糖抗体缺乏
J Clin Immunol. 1990 May;10(3):160-6. doi: 10.1007/BF00917916.
2
Comparison of the induction of immunoglobulin M and G antibodies in mice with purified pneumococcal type 3 and meningococcal group C polysaccharides and their protein conjugates.用纯化的3型肺炎球菌多糖、C群脑膜炎球菌多糖及其蛋白结合物诱导小鼠产生免疫球蛋白M和G抗体的比较。
Infect Immun. 1982 Jul;37(1):15-22. doi: 10.1128/iai.37.1.15-22.1982.
3
Titers of antibody to pneumococci in allogeneic bone marrow transplant recipients before and after vaccination with pneumococcal vaccine.接受同种异体骨髓移植的患者在接种肺炎球菌疫苗前后的肺炎球菌抗体滴度。
J Infect Dis. 1986 Oct;154(4):590-6. doi: 10.1093/infdis/154.4.590.
4
Antibody response to pneumococcal vaccine in children receiving bone marrow transplantation.接受骨髓移植的儿童对肺炎球菌疫苗的抗体反应。
J Clin Immunol. 1995 May;15(3):137-44. doi: 10.1007/BF01543105.
5
Immunization of humans with polysaccharide vaccines induces systemic, predominantly polymeric IgA2-subclass antibody responses.用多糖疫苗对人类进行免疫接种可诱导全身性、主要是聚合型IgA2亚类抗体反应。
J Immunol. 1990 May 15;144(10):3770-8.
6
Class-specific human bactericidal antibodies to capsular and noncapsular surface antigens of Neisseria meningitidis.针对脑膜炎奈瑟菌荚膜和非荚膜表面抗原的类特异性人杀菌抗体。
J Infect Dis. 1984 Mar;149(3):387-96. doi: 10.1093/infdis/149.3.387.
7
Human polysaccharide-specific B cells are responsive to pokeweed mitogen and IL-6.人类多糖特异性B细胞对商陆丝裂原和白细胞介素-6有反应。
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IgG response to pneumococcal polysaccharide-protein conjugate appears similar to IgG response to polysaccharide in bone marrow transplant recipients and healthy adults.在骨髓移植受者和健康成年人中,对肺炎球菌多糖 - 蛋白质结合物的IgG反应似乎与对多糖的IgG反应相似。
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Pneumococcal infections after human bone-marrow transplantation.人类骨髓移植后的肺炎球菌感染
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Correlation between G2m(n) immunoglobulin allotype and human antibody response and susceptibility to polysaccharide encapsulated bacteria.G2m(n)免疫球蛋白同种异型与人类抗体反应及对多糖包膜细菌易感性之间的相关性。
J Clin Invest. 1985 Jun;75(6):1935-42. doi: 10.1172/JCI111909.

引用本文的文献

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J Exp Med. 2003 Apr 7;197(7):939-45. doi: 10.1084/jem.20022020.
2
Immunization with Haemophilus influenzae type b conjugate vaccine in children given bone marrow transplantation: comparison with healthy age-matched controls.骨髓移植儿童接种b型流感嗜血杆菌结合疫苗:与年龄匹配的健康对照者的比较。
J Clin Immunol. 1998 May;18(3):193-201. doi: 10.1023/a:1020578921706.
3
Pneumococcal immunity and response to immunization with pneumococcal vaccine in bone marrow transplant patients: the influence of graft versus host reaction.

本文引用的文献

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New Classification of Neisseria meningitidis by Means of Bactericidal Reactions.根据杀菌反应对脑膜炎奈瑟菌进行新的分类。
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THE PREPARATION OF I-131-LABELLED HUMAN GROWTH HORMONE OF HIGH SPECIFIC RADIOACTIVITY.高比放射性碘-131标记人生长激素的制备
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骨髓移植患者的肺炎球菌免疫及对肺炎球菌疫苗免疫接种的反应:移植物抗宿主反应的影响
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Antibody response to pneumococcal vaccine in children receiving bone marrow transplantation.接受骨髓移植的儿童对肺炎球菌疫苗的抗体反应。
J Clin Immunol. 1995 May;15(3):137-44. doi: 10.1007/BF01543105.
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Correlation between serum IgG-2 concentrations and the antibody response to bacterial polysaccharide antigens.血清IgG-2浓度与对细菌多糖抗原的抗体反应之间的相关性。
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In vitro regulation of immunoglobulin synthesis after human marrow transplantation. II. Deficient T and non-T lymphocyte function within 3-4 months of allogeneic, syngeneic, or autologous marrow grafting for hematologic malignancy.
Blood. 1982 Apr;59(4):844-50.
6
Recovery of antibody production in human allogeneic marrow graft recipients: influence of time posttransplantation, the presence or absence of chronic graft-versus-host disease, and antithymocyte globulin treatment.人类同种异体骨髓移植受者抗体产生的恢复:移植后时间、慢性移植物抗宿主病的有无以及抗胸腺细胞球蛋白治疗的影响。
Blood. 1981 Aug;58(2):360-8.
7
Infectious complications of bone marrow transplantation.
Exp Hematol. 1984 Mar;12(3):205-15.
8
Activation of human B lymphocytes after immunization with pneumococcal polysaccharides.用肺炎球菌多糖免疫后人类B淋巴细胞的激活。
J Clin Invest. 1983 Apr;71(4):1032-40. doi: 10.1172/jci110830.
9
B cell, helper T cell, and suppressor T cell abnormalities contribute to disordered immunoglobulin synthesis in patients following bone marrow transplantation.骨髓移植后的患者中,B细胞、辅助性T细胞和抑制性T细胞异常导致免疫球蛋白合成紊乱。
Transplantation. 1982 Feb;33(2):184-90. doi: 10.1097/00007890-198202000-00015.
10
Lyb-5- B cells of CBA/N mice can be induced to synthesize DNA by culture with insolubilized but not soluble anti-Ig.CBA/N小鼠的Lyb-5-B细胞通过与不溶性而非可溶性抗Ig培养可被诱导合成DNA。
J Immunol. 1983 Nov;131(5):2107-9.