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使用马抗犬淋巴细胞球蛋白进行长期治疗且未对马蛋白产生致敏反应

[Long-term therapy using horse anti-dog lymphocyte globulin without sensitization against horse protein].

作者信息

Scheel J, Duswald K H, Ring J, Seifert J, Scholz S, Brendel W

出版信息

Blut. 1977 Apr;34(4):305-16. doi: 10.1007/BF00996207.

Abstract

Eight mongrel dogs received a standard daily i.v. infusion of 20 mg/kg b.w. deaggregated horse-anti-dog-lymphocyte-globulin (ALG) and additional prednisolone (1 mg/kg b.w. daily i.v.) over a maximum period of 82 days following pretreatment with deaggregated normal horse IgG. No sensitization against horse protein was observed during therapy of afterwards as proved by lack of humoral antibodies against horse antigens, maintained lymphopenia, good compatibility, longterm prolongation of xenogeneic skin graft survival (85.6+/-20.6 days, n=8' untreated controls 12.5+/-1.3 days, n=4) and longterm suppression of cytotoxic antibodies against donor lymphocytes. The level of preformed agglutinating antibodies against horse erythrocytes was significantly reduced, while preformed antibodies against other species remained normal. The immune response to a challenge injection of anti-lymphocyte-serum (ALS) 6-11 weeks after termination of treatment was significantly lower in the ALG treated animals as compared to the control group. These results suggest the involvement of a specific mechanism of unresponsiveness against ALG other than immunosuppression only. It is concluded, that by the described method sensitization against ALG can be prevented during longterm treatment.

摘要

8只杂种犬在接受去聚合正常马IgG预处理后,在最长82天的时间里,每天静脉输注标准剂量20mg/kg体重的去聚合马抗犬淋巴细胞球蛋白(ALG),并额外静脉注射泼尼松龙(1mg/kg体重/天)。治疗期间及之后均未观察到对马蛋白的致敏反应,这通过缺乏针对马抗原的体液抗体、持续的淋巴细胞减少、良好的相容性、异种皮肤移植存活期的长期延长(85.6±20.6天,n = 8;未治疗对照组为12.5±1.3天,n = 4)以及针对供体淋巴细胞的细胞毒性抗体的长期抑制得以证明。针对马红细胞的预先形成的凝集抗体水平显著降低,而针对其他物种的预先形成的抗体保持正常。与对照组相比,在治疗终止6 - 11周后,接受ALG治疗的动物对抗淋巴细胞血清(ALS)激发注射的免疫反应显著降低。这些结果表明,除了免疫抑制之外,还存在一种针对ALG的特异性无反应机制。结论是,通过所描述的方法,在长期治疗期间可以预防对ALG的致敏反应。

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