Wagler P, Donat H, Struy H, Morenz J
Klinik für Gynäkologie und Geburtshilfe der Medizinischen Akademie Magdeburg.
Zentralbl Gynakol. 1988;110(21):1329-39.
We analyzed the blood sera from 100 patients with EPH gestosis and from 50 women with normal pregnancy to explore the immunological reactions during gestosis. The sera of cord blood were included in the investigations. We determined the circulating immune complexes by conglutinin and C1q solid phase radioimmunoassay and by polyethyleneglycol precipitation. It has been established by conglutinin RIA that during pregnancy the women with gestosis have significant higher concentrations of immune complexes than the control group. During puerperium and in the cord blood the values are significantly lower than during pregnancy in both groups. The estimations of immune complexes by C1q RIA have shown that the differences between the two groups are insignificant and the lowest values are in the cord blood. The concentrations of immune complexes estimated by PEG precipitation were not significantly different between the two groups. It is concluded that immune complexes are in connection with the pathogenesis of preeclampsia.
我们分析了100例妊娠高血压综合征患者及50例正常妊娠妇女的血清,以探究妊娠高血压综合征期间的免疫反应。脐血血清也纳入了研究。我们通过胶固素和C1q固相放射免疫测定法以及聚乙二醇沉淀法测定循环免疫复合物。通过胶固素放射免疫测定法已证实,妊娠期间,妊娠高血压综合征患者的免疫复合物浓度显著高于对照组。在产褥期和脐血中,两组的值均显著低于孕期。通过C1q放射免疫测定法对免疫复合物的评估表明,两组之间的差异不显著,且脐血中的值最低。通过聚乙二醇沉淀法估计的免疫复合物浓度在两组之间无显著差异。结论是免疫复合物与先兆子痫的发病机制有关。