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长期丙型肝炎抗病毒治疗与杆状和环状细胞质抗体相关。

Long-term antiviral hepatitis C treatment associated with Rods and Ring Cytoplasmic antibodies.

作者信息

Feldrihan Vasile, Benea Andreea, Junie Monica Lia

机构信息

Functional Biosciences, Immunology and Allergy Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Immunology Laboratory of Prof. Dr. O. Fodor Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania.

出版信息

Med Pharm Rep. 2019 Jan;92(1):87-90. doi: 10.15386/cjmed-996. Epub 2019 Jan 15.

DOI:10.15386/cjmed-996
PMID:30957093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6448485/
Abstract

AIM

Clinical description of a patient diagnosed with chronic hepatitis C virus infection, which associated a rare anti-cytoplasmic pattern, known as "Rods and Ring".

METHOD

Clinical case report.

RESULTS

A 76-year old female patient with chronic hepatitis C virus infection under treatment for several months with pegylated Interferon-Ribavirin (started eight months ago) presented for clinical and biological evaluation of the therapeutic response.

CONCLUSION

This is the first reported clinical case of a patient with cytoplasmic filamentous rods and rings autoantibodies associated with chronic hepatis C from the Clinical Hospital IRGH Prof. Dr. O. Fodor Cluj-Napoca, Romania. The presence of these antibodies appears to be triggered by antiviral therapy. Although these are newly identified antibodies, they could be used as serological markers for detecting patients at risk of developing associated autoimmune pathologies or nonresponders to the antiviral therapy. Likewise, their detection could identify patients with occult hepatitis C infection.

摘要

目的

对一名被诊断为慢性丙型肝炎病毒感染的患者进行临床描述,该患者伴有一种罕见的抗细胞质模式,即“杆状和环状”。

方法

临床病例报告。

结果

一名76岁的女性慢性丙型肝炎病毒感染患者,接受聚乙二醇化干扰素 - 利巴韦林治疗数月(八个月前开始),前来进行治疗反应的临床和生物学评估。

结论

这是罗马尼亚克鲁日 - 纳波卡IRGH教授O. Fodor临床医院首次报告的一例与慢性丙型肝炎相关的细胞质丝状杆状和环状自身抗体患者的临床病例。这些抗体的出现似乎是由抗病毒治疗引发的。尽管这些是新发现的抗体,但它们可作为血清学标志物,用于检测有发生相关自身免疫性疾病风险的患者或对抗病毒治疗无反应者。同样,对它们的检测可识别隐匿性丙型肝炎感染患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8475/6448485/c328167fe7ba/cm-92-87f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8475/6448485/c328167fe7ba/cm-92-87f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8475/6448485/c328167fe7ba/cm-92-87f1.jpg

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本文引用的文献

1
The Presence of Autoantibodies to Cytoplasmic Rod and Ring Particles in the Serum of Patients with Chronic Hepatitis C Virus Infection.慢性丙型肝炎病毒感染患者血清中针对细胞质杆状和环状颗粒自身抗体的存在情况。
Hepat Mon. 2016 Dec 11;16(12):e42388. doi: 10.5812/hepatmon.42388. eCollection 2016 Dec.
2
Anti-rods/rings autoantibody seropositivity does not affect response to telaprevir treatment for chronic hepatitis C infection.抗杆状/环状自身抗体血清阳性不影响慢性丙型肝炎感染患者对特拉匹韦治疗的反应。
Auto Immun Highlights. 2016 Dec;7(1):15. doi: 10.1007/s13317-016-0087-9. Epub 2016 Nov 14.
3
Anti-rods/rings autoantibody generation in hepatitis C patients during interferon-α/ribavirin therapy.
丙型肝炎患者在α干扰素/利巴韦林治疗期间抗杆/环自身抗体的产生。
World J Gastroenterol. 2016 Feb 14;22(6):1966-74. doi: 10.3748/wjg.v22.i6.1966.
4
Assembly of IMPDH2-based, CTPS-based, and mixed rod/ring structures is dependent on cell type and conditions of induction.基于肌苷酸脱氢酶2(IMPDH2)、基于胞苷三磷酸合成酶(CTPS)以及混合棒状/环状结构的组装取决于细胞类型和诱导条件。
J Genet Genomics. 2015 Jun 20;42(6):287-99. doi: 10.1016/j.jgg.2015.04.002. Epub 2015 Apr 18.
5
Anti-rods/rings: a human model of drug-induced autoantibody generation.抗杆状体/环:药物诱导自身抗体产生的人体模型。
Front Immunol. 2015 Feb 5;6:41. doi: 10.3389/fimmu.2015.00041. eCollection 2015.
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Microinjection of specific anti-IMPDH2 antibodies induces disassembly of cytoplasmic rods/rings that are primarily stationary and stable structures.显微注射特异性抗肌苷-5'-单磷酸脱氢酶2(IMPDH2)抗体可诱导主要为静止且稳定结构的细胞质杆状/环状物解体。
Cell Biosci. 2015 Jan 5;5(1):1. doi: 10.1186/2045-3701-5-1. eCollection 2015.
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8
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