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[实验性自身免疫性重症肌无力中抗受体抗体滴度、对箭毒的敏感性与肌电图变化的临床相关性]

[Clinical correlation of anti-receptor antibody titer, sensitivity to curare and electromyographic changes in experimental autoimmune myasthenia gravis].

作者信息

Chen S M

机构信息

Department of Pharmacology, Chinese PLA General Hospital, Beijing.

出版信息

Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1990 Oct;23(5):293-6, 320.

PMID:2282884
Abstract

Experimental autoimmune myasthenia gravis (EAMG) was studied in 39 rabbits which were repeatedly immunized with purified membrane-bound Torpedo (Nacine timilei) acetylcholine receptor (N-AchR). These rabbits invariably formed anti-AChR antibodies and some of them developed muscular weakness or flaccid paralysis. Pharmacological, physiological and ultrastructural studies showed that the pathological features of EAMG in rabbits closely resembled those of human myasthenia gravis. Antibody titer to AChR of the rabbit sera was determined with ELISA. In some of the rabbits, a rise in antibody Level occurred without appearance of weakness, while it is still likely that AChR antibody could be necessary for the induction of neuromuscular blockage. The sensitivity to curare was found to correlates closely with the severity of the disease. Typical electromyographic changes were found only in some of the EAMG rabbits with these studies. It was considered that anti-AChR concentration would not be the single pathological factor in EAMG.

摘要

对39只兔进行实验性自身免疫性重症肌无力(EAMG)研究,这些兔用纯化的膜结合型电鳐(Nacine timilei)乙酰胆碱受体(N-AchR)反复免疫。这些兔均产生了抗AChR抗体,其中一些出现了肌无力或弛缓性麻痹。药理学、生理学和超微结构研究表明,兔EAMG的病理特征与人类重症肌无力极为相似。用ELISA法测定兔血清中AChR抗体滴度。在一些兔中,抗体水平升高但未出现肌无力,然而AChR抗体仍可能是诱导神经肌肉阻滞所必需的。发现对箭毒的敏感性与疾病严重程度密切相关。这些研究仅在部分EAMG兔中发现了典型的肌电图变化。认为抗AChR浓度并非EAMG的唯一病理因素。

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