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[霍奇金病患者采用大野技术进行兆伏治疗后 IgM、IgA 和 IgM 免疫球蛋白浓度的变化]

[Changes in concentrations of IgM, IgA and IgM immune globulins after megavolt therapy with the large-field technic in patients with Hodgkin's disease].

作者信息

Krüsmann W, Slanina J, Boser F, Löhr G W

机构信息

Medizinische Universitätsklinik, Abteilung für Hämatologie und Onkologie, Freiburg.

出版信息

Strahlenther Onkol. 1988 Jun;164(6):323-9.

PMID:3133799
Abstract

Investigations were continued to study the influence of radiation therapy to immune reactions in man, especially, whether this therapy suppresses humoral immune reactions in patients with Hodgkin's disease. Sera from patients with Hodgkin's disease were collected before, during and after radiation therapy. IgA, IgM and IgG were determined by Mancini technics. 40 patients with Hodgkin's disease showed mostly normal or partly elevated values of immunoglobulins before onset of radiation therapy. Radiation induced a highly significant reduction of IgM and IgA and a significant reduction of IgG, the immunoglobulin values, however, remained mostly within the lower normal range. Investigations during the following months after radiation therapy showed, that IgG returned within two months after the end of therapy to values formerly measured. IgA returned to the basic values about nine months after the end of therapy whereas reduction of IgM continued more than twelve months after the end of therapy.

摘要

研究继续进行,以探讨放射治疗对人体免疫反应的影响,特别是这种治疗是否会抑制霍奇金病患者的体液免疫反应。在放射治疗前、治疗期间和治疗后收集霍奇金病患者的血清。采用曼西尼技术测定IgA、IgM和IgG。40例霍奇金病患者在放射治疗开始前,免疫球蛋白值大多正常或部分升高。放射治疗导致IgM和IgA显著降低,IgG也有显著降低,然而免疫球蛋白值大多仍在正常范围下限内。放射治疗后接下来几个月的调查显示,治疗结束后两个月内IgG恢复到之前测得的值。治疗结束后约九个月IgA恢复到基础值,而IgM的降低在治疗结束后持续超过十二个月。

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