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儿童期感染麻疹病毒但无皮疹与成年期疾病有关。

Measles virus infection without rash in childhood is related to disease in adult life.

作者信息

Rønne T

出版信息

Lancet. 1985 Jan 5;1(8419):1-5. doi: 10.1016/s0140-6736(85)90961-4.

Abstract

The presence of measles specific antibodies is usually taken as evidence of typical measles in the past; in the present study it was regarded as evidence of infection with measles virus, but not necessarily of the common disease accompanied by a typical rash. The association between a negative history of measles in childhood and certain diseases later in life was investigated by a historical prospective method, based on school health records combined with self-reporting in adulthood, and tests for specific IgG measles antibody. There was evidence of association between a negative history of measles, exposure in early life (possibly injection of immune serum globulin after exposure), and development of immunoreactive diseases, sebaceous skin diseases, degenerative diseases of bone and cartilage, and certain tumours. It is suggested that the presence of measles virus specific antibodies at the time of acute infection interferes with development of specific cytolytic reactions, and enables intracellular measles virus to survive the acute infection. If this hypothesis is verified, use of immune serum globulin after measles exposure has to be of immune serum globulin after measles exposure has to be reconsidered.

摘要

麻疹特异性抗体的存在通常被视为过去患过典型麻疹的证据;在本研究中,它被视为感染麻疹病毒的证据,但不一定是伴有典型皮疹的常见疾病的证据。通过历史前瞻性方法,基于学校健康记录并结合成年后的自我报告以及麻疹特异性IgG抗体检测,研究了儿童时期麻疹阴性病史与后来某些疾病之间的关联。有证据表明麻疹阴性病史、早年接触(可能是接触后注射免疫血清球蛋白)与免疫反应性疾病、皮脂性皮肤病、骨和软骨退行性疾病以及某些肿瘤的发生之间存在关联。有人提出,急性感染时麻疹病毒特异性抗体的存在会干扰特异性细胞溶解反应的发展,并使细胞内的麻疹病毒在急性感染中存活下来。如果这一假设得到证实,那么麻疹接触后使用免疫血清球蛋白的情况就必须重新考虑。

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