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血小板衍生生长因子 (PDGF) 受体自身抗体与慢性移植物抗宿主病 (GvHD) 严重程度无关。

Lack of association of platelet-derived growth factor (PDGF) receptor autoantibodies and severity of chronic graft-versus-host disease (GvHD).

机构信息

Abteilung Hämatologie/Onkologie, Klinik für Innere Medizin II, Universitätsklinikum Jena, Erlanger Allee 101, 07740 Jena, Germany.

出版信息

J Cancer Res Clin Oncol. 2013 Aug;139(8):1397-404. doi: 10.1007/s00432-013-1451-z. Epub 2013 Jun 1.

Abstract

PURPOSE

The existence of platelet-derived growth factor (PDGF) receptor autoantibodies in systemic sclerosis is conflicting, and such antibodies were also detected in patients with chronic graft-versus-host disease (GvHD) after allogeneic peripheral blood stem cell transplantation (PBSCT). We therefore aimed to screen for PDGF receptor autoantibodies in patients with chronic GvHD.

PATIENTS AND METHODS

We evaluated the existence of PDGF receptor autoantibodies in 39 patients, while 17 patients presented with a limited and 8 patients with an extensive chronic GvHD, respectively. Furthermore, 14 out of 39 patients had no chronic GvHD.

RESULTS

We detected at least low levels of PDGF receptor autoantibodies in nearly all (35 of 39) patients after allogeneic PBSCT. Interestingly, only one of six patients with high levels of PDGF receptor autoantibodies presented with an extensive chronic GvHD, while the remaining six patients had no clinical signs of chronic GvHD. Thus, there was no correlation between the quantitative detection of antibodies directed against the PDGF receptor and the presence or severity of chronic GvHD.

CONCLUSION

Platelet-derived growth factor receptor autoantibodies could easily be detected in patient sera. Nevertheless, we did not observe any correlation between the presence of PDGF receptor autoantibodies and the severity of chronic GvHD in patients who underwent allogeneic PBSCT.

摘要

目的

系统性硬化症患者存在血小板衍生生长因子(PDGF)受体自身抗体的情况存在争议,而且在异基因外周血造血干细胞移植(PBSCT)后发生慢性移植物抗宿主病(GvHD)的患者中也检测到了这些抗体。因此,我们旨在筛选慢性 GvHD 患者中的 PDGF 受体自身抗体。

患者和方法

我们评估了 39 例患者中 PDGF 受体自身抗体的存在情况,其中 17 例患者分别患有局限性和广泛性慢性 GvHD,8 例患者患有慢性 GvHD。此外,39 例患者中有 14 例没有慢性 GvHD。

结果

我们发现,在异基因 PBSCT 后,几乎所有(35/39)患者的血清中都检测到至少低水平的 PDGF 受体自身抗体。有趣的是,高水平 PDGF 受体自身抗体的 6 例患者中仅有 1 例存在广泛性慢性 GvHD,而其余 6 例患者没有慢性 GvHD 的临床症状。因此,针对 PDGF 受体的抗体的定量检测与慢性 GvHD 的存在或严重程度之间没有相关性。

结论

患者血清中容易检测到血小板衍生生长因子受体自身抗体。然而,我们在接受异基因 PBSCT 的患者中未观察到 PDGF 受体自身抗体的存在与慢性 GvHD 的严重程度之间存在任何相关性。

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