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暴露与神经系统疾病:一项年龄和性别匹配的病例对照试点研究。

Exposure and Neurological Disorders: An Age- and Gender-Matched Case-Control Pilot Study.

作者信息

Alvarado-Esquivel Cosme, Rico-Almochantaf Yazmin Del Rosario, Hernández-Tinoco Jesús, Quiñones-Canales Gerardo, Sánchez-Anguiano Luis Francisco, Torres-González Jorge, Schott Björn, Liesenfeld Oliver, Dunay Ildiko Rita

机构信息

Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State, Avenida Universidad S/N, 34000 Durango, Mexico.

Institute for Scientific Research "Dr. Roberto Rivera-Damm," Juárez University of Durango State, Avenida Universidad S/N, 34000 Durango, Mexico.

出版信息

Eur J Microbiol Immunol (Bp). 2017 Nov 20;7(4):303-309. doi: 10.1556/1886.2017.00033. eCollection 2017 Dec 18.

Abstract

Little is known about the association of infection and neurological disorders. We performed a case-control study with 344 patients with neurological diseases and 344 neurologically healthy age- and gender-matched subjects. Sera of participants were analyzed for anti-. IgG and IgM antibodies using commercially available immunoassays. Anti-. IgG antibodies were detected in 25 (7.3%) cases and in 35 (10.2%) controls (odds ratio [OR] = 0.69; 95% confidence interval [CI]: 0.40-1.18; = 0.17). Anti-. IgM antibodies were found in 5 (14.3%) of the 25 IgG seropositive cases and in 13 (37.1°%) of the 35 IgG seropositive controls (P = 0.15). Anti-. IgG antibodies were found in 8 (3.8%) of 213 female cases and in 23 (10.8%) of 213 female controls (OR = 0.32; 95% CI: 0.14-0.73; = 0.005); and in 17 (13.0%) of 131 male cases and in 12 (9.2%) of 131 male controls ( = 0.32). No direct association between IgG seropositivity and specific neurological disorders was detected. We found no support for a role of latent infection in the risk for neurological disorders in this setting. With respect to specific neurological disorders, further studies using larger patient cohorts will be required.

摘要

关于感染与神经系统疾病之间的关联,人们了解甚少。我们对344例神经系统疾病患者和344名年龄及性别匹配的神经功能正常的受试者进行了一项病例对照研究。使用市售免疫测定法分析参与者的血清中的抗……IgG和IgM抗体。在25例(7.3%)病例和35例(10.2%)对照中检测到抗……IgG抗体(优势比[OR]=0.69;95%置信区间[CI]:0.40 - 1.18;P = 0.17)。在25例IgG血清阳性病例中的5例(14.3%)和35例IgG血清阳性对照中的13例(37.1%)中发现抗……IgM抗体(P = 0.15)。在213例女性病例中的8例(3.8%)和213例女性对照中的{原文此处有误,推测应为23例}(10.8%)中发现抗……IgG抗体(OR = 0.32;{原文此处有误,推测应为95%}CI:0.14 - 0.73;P = 0.005);在131例男性病例中的17例(13.0%)和131例男性对照中的12例(9.2%)中发现抗……IgG抗体(P = 0.32)。未检测到IgG血清阳性与特定神经系统疾病之间的直接关联。在这种情况下,我们没有发现潜伏……感染在神经系统疾病风险中起作用的证据。关于特定的神经系统疾病,将需要使用更大患者队列进行进一步研究。

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