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处于长期未维持完全缓解状态的霍奇金病患者的免疫学研究。

Immunological study of patients with Hodgkin's disease in long-lasting not-maintained complete remission.

作者信息

Gobbi M, Fiacchini M, Tomasini I, Ruggero D, Lauria F, Tura S

出版信息

Boll Ist Sieroter Milan. 1977 Mar 31;56(2):144-51.

PMID:326273
Abstract

Immunological parameters have been evaluated both in vitro and in vivo in 20 Hodgkin's disease patients in continuous not maintained complete remission for at least 3 years. IgG, IgA and IgM levels were within the normal range. Delayed sensitivity, assayed by a battery of recall antigens, was normal too, in the majority of patients. The number of circulating lymphocytes was slightly inferior to normal controls. T cells, evaluated by the rosette E formation, seems to be diminished; on the contrary, B cells, evaluated by the membrane immunofluorescence, were increased in respect to normal controls. The differences are statistically significant. Timidine uptake of PHA stimulated lymphocytes was diminished too. It is concluded that even if these patients' clinical behaviour is like that of normal population, it is possible to find a disorder in vitro parameters, which could be attributable to long lasting effect of the therapy and/or to the persistence of serum factors acting as anti-T cells antibodies.

摘要

对20例霍奇金病患者的免疫参数进行了体内和体外评估,这些患者持续未维持完全缓解至少3年。IgG、IgA和IgM水平在正常范围内。通过一系列回忆抗原检测的迟发型超敏反应在大多数患者中也正常。循环淋巴细胞数量略低于正常对照组。通过E玫瑰花结形成评估的T细胞似乎减少;相反,通过膜免疫荧光评估的B细胞相对于正常对照组有所增加。差异具有统计学意义。PHA刺激的淋巴细胞的胸腺嘧啶摄取也减少。结论是,即使这些患者的临床行为与正常人群相似,但仍有可能在体外参数中发现紊乱,这可能归因于治疗的长期影响和/或作为抗T细胞抗体的血清因子的持续存在。

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