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人类嗜T淋巴细胞病毒III型(HTLV III)感染受试者中的单克隆-寡克隆免疫球蛋白:由HTLV III诱导还是与HTLV III相关?

Monoclonal-oligoclonal immunoglobulins in HTLV III infected subjects: HTLV III-induced or HTLV III-associated?

作者信息

Sala P G, Mazzolini S, Tonutti E, Crucil C, Pitzus E, Bramezza M

出版信息

Boll Ist Sieroter Milan. 1987;66(1):14-7.

PMID:3040040
Abstract

Sera from 55 patients with positivity for anti-HTLV III antibodies, including 24 "healthy" subjects, 29 LAS and 2 AIDS, were examined by means of high resolution agarose gel electrophoresis and immunofixation, in order to evaluate the occurrence of monoclonal-oligoclonal immunoglobulin patterns. Monoclonal-oligoclonal immunoglobulins were found in 20.8% of "healthy" subjects and in 72.4% of LAS patients. Furthermore, a lower but significant prevalence of monoclonal-oligoclonal immunoglobulins was found in a control group including patients with high-titre positivity for anti-CMV and anti-EBV antibodies. Considering the consistent association between EBV-CMV and HTLV III infection, it is concluded that at least a part of monoclonal-oligoclonal immunoglobulins found in LAS-AIDS patients are likely to be induced by these associated viral infections. On the other hand, the finding of monoclonal-oligoclonal immunoglobulins in "healthy" HTLV III-positive subjects points out a possible direct stimulatory effect of HTLV III on B-cell lineage.

摘要

对55例抗HTLV III抗体呈阳性的患者血清进行了检测,其中包括24名“健康”受试者、29例淋巴结病相关综合征(LAS)患者和2例艾滋病患者,采用高分辨率琼脂糖凝胶电泳和免疫固定法,以评估单克隆 - 寡克隆免疫球蛋白模式的发生率。在20.8%的“健康”受试者和72.4%的LAS患者中发现了单克隆 - 寡克隆免疫球蛋白。此外,在一个包括抗CMV和抗EBV抗体高滴度阳性患者的对照组中,也发现了较低但显著的单克隆 - 寡克隆免疫球蛋白患病率。考虑到EBV - CMV与HTLV III感染之间的一致关联,得出的结论是,LAS - 艾滋病患者中发现的至少一部分单克隆 - 寡克隆免疫球蛋白可能是由这些相关病毒感染诱导的。另一方面,在“健康”的HTLV III阳性受试者中发现单克隆 - 寡克隆免疫球蛋白,指出了HTLV III对B细胞系可能存在直接刺激作用。

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