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[贾第虫病。体液免疫和细胞免疫方面]

[Giardiasis. Aspects of humoral and cellular immunity].

作者信息

Collazo Borrego L E, Sotto Escobar A, Expósito Rodríguez G, Arencibia Mérida I

出版信息

Rev Cubana Med Trop. 1989 May-Aug;41(2):250-9.

PMID:2486221
Abstract

120 patients with Giardia lamblia infection diagnosed by biliary drainage or jejunal mucosa smear are studied. 80 patients showed frequent reinfections by the parasites (recurrent giardiasis). A study is made of T and B lymphoid populations in peripheral blood, which were reduced in all patients with giardiasis in relation with the control group (p less than 0.01). Changes were more pronounced in relapsing than in non-relapsing patients. Retarded in vivo hypersensitivity tests with memory and recognizing antigens did not show significant differences between the experimental and control group. Serum levels of IgG, IgM, and IgA differed (p less than 0.01) between patients and controls at the expense of an IgA increase and IgG and IgM decrease, although these variations were not significant between relapsing and non-relapsing patients. It is concluded that the immunity status of the host is of interest in the clinical picture of patients with giardiasis and therefore must be a factor to be considered in the study of Giardia lamblia infected patients.

摘要

对120例经胆汁引流或空肠黏膜涂片确诊为蓝氏贾第鞭毛虫感染的患者进行了研究。80例患者出现寄生虫反复感染(复发性贾第虫病)。对这些患者外周血中的T和B淋巴细胞群进行了研究,结果显示,与对照组相比,所有贾第虫病患者的T和B淋巴细胞群均减少(P<0.01)。复发患者的变化比未复发患者更为明显。对记忆和识别抗原的体内迟发型超敏反应试验显示,实验组和对照组之间没有显著差异。患者和对照组之间的IgG、IgM和IgA血清水平存在差异(P<0.01),表现为IgA升高,IgG和IgM降低,尽管复发患者和未复发患者之间的这些变化并不显著。得出的结论是,宿主的免疫状态与贾第虫病患者的临床表现有关,因此在研究蓝氏贾第鞭毛虫感染患者时必须考虑这一因素。

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