Lacka K, Jarczewska K, Gembicki M
Pol Tyg Lek. 1989;44(32-33):751-3, 770.
The study aimed at determining the incidence of autoantibodies occurrence in the course of autoimmunological diseases of the thyroid gland and in healthy population. Autoantibodies against various structures were assayed, including: cellular nuclei, smooth muscles, mitochondria, biliary tubules, parietal cells, reticular fibres, striated muscles as well as thyroglobulin and thyroid microsomes. The study involved 63 patients with autoimmunological diseases of the thyroid gland (35 patients with Graves-Basedow disease and 28 patients with Hashimoto's disease) and 30 healthy individuals. Thyroid antimicrosomal and antithyroglobulin antibodies were assayed with RIA in stable phase whereas the remaining antibodies--with multifunctional indirect immunofluorescence test. The obtained results are the following: antimicrosomal antibodies were present in 68.3% cases while antithyroglobulin antibodies in 76.2% of the examined patients with autoimmunological diseases of the thyroid gland. Immunofluorescence tests performed in the same group have shown antinuclear antibodies in 13% of cases, antibodies against smooth muscles in 28.6%, antimitochondrial antibodies in 1.6%, antibodies against biliary tubules in 3.4%, antibodies against parietal cells in 11.1%, antibodies against reticular fibres in 7.9%, and antibodies against striated muscles in 9.5% of cases. Antinuclear antibodies, antibodies against smooth muscles, and antibodies against both thyroidal microsome and thyroglobulin (in 3.3%) were the only antibodies found in the control group.
该研究旨在确定甲状腺自身免疫性疾病患者及健康人群中自身抗体的发生率。检测了针对各种结构的自身抗体,包括:细胞核、平滑肌、线粒体、胆小管、壁细胞、网状纤维、横纹肌以及甲状腺球蛋白和甲状腺微粒体。该研究纳入了63例甲状腺自身免疫性疾病患者(35例格雷夫斯-巴塞多病患者和28例桥本氏病患者)以及30名健康个体。在疾病稳定期用放射免疫分析法检测甲状腺微粒体抗体和抗甲状腺球蛋白抗体,而其余抗体则用多功能间接免疫荧光试验检测。获得的结果如下:在甲状腺自身免疫性疾病的受检患者中,68.3%的病例存在微粒体抗体,76.2%的病例存在抗甲状腺球蛋白抗体。在同一组中进行的免疫荧光试验显示,13%的病例存在抗核抗体,28.6%的病例存在平滑肌抗体,1.6%的病例存在抗线粒体抗体,3.4%的病例存在胆小管抗体,11.1%的病例存在壁细胞抗体,7.9%的病例存在网状纤维抗体,9.5%的病例存在横纹肌抗体。对照组中仅发现抗核抗体、平滑肌抗体以及同时针对甲状腺微粒体和甲状腺球蛋白的抗体(3.3%)。