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[儿童腮腺炎病毒感染不同临床类型中的非特异性保护和特异性免疫]

[Nonspecific protection and specific immunity in various clinical forms of mumps virus infection in children].

作者信息

Aksenov O A, Sizemov A N, Kuznetsova E E, Zinchenko A P, Gnilevskaia Z U

出版信息

Vopr Virusol. 1985 Nov-Dec;30(6):700-4.

PMID:2420071
Abstract

The time course of specific antibody production, interferon production in the blood and cerebrospinal fluid, and the capacity of blood cells for interferon production were compared in 270 children with glandular and neuroglandular forms of mumps virus infection (MVI). A significant decrease of antibody production in neuroglandular form of MVI and lower interferon titres in the blood in the acute period of this form of infection were noted. The severity of the course of meningitis was inversely related to interferon levels in the cerebrospinal fluid of the patients. In aseptic meningitis, the capacity of blood leukocytes for interferon production upon their repeated contact with mumps virus was disturbed while interferon synthesis induced by other interferon inducers (polyI: polyC) did not change. In patients with neuroglandular form of MVI having low interferon titres, high monocytosis in the blood was observed at the period of meningitis symptoms onset. Superimposition of acute respiratory virus infections in MVI leads to more severe course of meningitis with prolongation of meningeal symptoms and of the period required for the elimination of pathogenic agents from the cerebrospinal fluid.

摘要

对270例患有腮腺炎病毒感染(MVI)腺型和神经腺型的儿童,比较了特异性抗体产生的时间进程、血液和脑脊液中干扰素的产生情况以及血细胞产生干扰素的能力。结果发现,MVI神经腺型抗体产生显著减少,且在该型感染急性期血液中的干扰素滴度较低。脑膜炎病程的严重程度与患者脑脊液中的干扰素水平呈负相关。在无菌性脑膜炎中,血液白细胞在反复接触腮腺炎病毒后产生干扰素的能力受到干扰,而其他干扰素诱导剂(聚肌苷酸:聚胞苷酸)诱导的干扰素合成未发生变化。在MVI神经腺型且干扰素滴度较低的患者中,在脑膜炎症状出现期观察到血液中单核细胞增多。MVI合并急性呼吸道病毒感染会导致脑膜炎病程更严重,脑膜症状持续时间延长,且从脑脊液中清除病原体所需的时间也延长。

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