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[风湿性疾病中滑膜对血浆蛋白的通透性及蛋白质合成]

[Synovial membrane permeability for plasma proteins and protein syntheses in rheumatic diseases].

作者信息

Peter A, Zielke A

出版信息

Z Gesamte Inn Med. 1979 Apr 15;34(8):216-21.

PMID:314202
Abstract
  1. The permeability of the synovial membrane for proteins is larger in rheumatoid arthritis than in osteoarthrosis, in rheumatoid arthritis with high CRP activity larger than in rheumatoid arthritis with low CRP activity. 2. The diffusion by the synovial membrane in most plasma proteins takes place depending on their molecular weight. Of the 14 proteins tested only haptoglobin and fibrinogen did not follow this regularity. 3. While the non-immune proteins proved in the synovial fluid only come from the blood plasma, the immune globulins IgG, IgA, and IgM as well as lysozyme are partly also locally synthetized and enriched in rheumatoid arthritis. In rheumatoid arthritis lysozyme is present in the synovia not only in free, but in most cases also in cell-bound form.
摘要
  1. 类风湿关节炎中滑膜对蛋白质的通透性比骨关节炎大,高CRP活性的类风湿关节炎比低CRP活性的类风湿关节炎通透性更大。2. 滑膜对大多数血浆蛋白的扩散取决于它们的分子量。在测试的14种蛋白质中,只有触珠蛋白和纤维蛋白原不遵循这一规律。3. 虽然滑膜液中证实的非免疫蛋白仅来自血浆,但免疫球蛋白IgG、IgA和IgM以及溶菌酶在类风湿关节炎中也有部分是局部合成并富集的。在类风湿关节炎中,溶菌酶不仅以游离形式存在于滑膜中,而且在大多数情况下也以细胞结合形式存在。

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