Ohta K, Kobayashi N, Ishii A, Takizawa H, Miyamoto T
Nihon Kyobu Shikkan Gakkai Zasshi. 1989 May;27(5):604-8.
As the first step to investigate a possibility that viral infection is involved in the pathogenesis of idiopathic interstitial pneumonia (IIP), serum antibody titers against various viruses were studied in 98 IIP patients. The patients were positive for herpes simplex virus, cytomegalovirus, rubella virus, parainfluenza virus 3, EBV-VCA IgG and adeno virus 1, which were also assessed in 45 normal subjects. As results, IIP patients showed higher titers of EBV-VCA IgG (p less than 0.01). When the frequency of positive populations for each of the 6 viral antibodies was calculated, the values of the frequency in all the 6 viruses were found to be very high in both patients and normal subjects, and there was no significant difference between IIP patients and normal controls. In conclusion, a specific relationship between IIP and a certain viral infection was not observed by studying serum antibody titers against various viruses in IIP patients. It might be worthwhile studying why EBV-VCA IgG titers were shown to be significantly higher in IIP patients than in normals.
作为研究病毒感染是否参与特发性间质性肺炎(IIP)发病机制的第一步,我们检测了98例IIP患者针对多种病毒的血清抗体滴度。同时也检测了45名正常受试者的单纯疱疹病毒、巨细胞病毒、风疹病毒、副流感病毒3型、EBV-VCA IgG和腺病毒1型。结果显示,IIP患者的EBV-VCA IgG滴度更高(p小于0.01)。计算6种病毒抗体阳性人群的频率后发现,患者和正常受试者中所有6种病毒的频率值都很高,IIP患者与正常对照之间无显著差异。总之,通过检测IIP患者针对多种病毒的血清抗体滴度,未观察到IIP与特定病毒感染之间存在特定关系。研究IIP患者EBV-VCA IgG滴度显著高于正常人的原因可能是有价值的。