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[非器官特异性抗细胞质自身抗体。免疫血清学检测及诊断意义]

[Non-organ specific anticytoplasmic autoantibodies. Immunoserologic detection and diagnostic relevance].

作者信息

Blaschek M A

出版信息

Wien Med Wochenschr. 1987 Jul 15;137(13):303-9.

PMID:3307168
Abstract

The detection of circulating serum antibodies that react with various nuclear or cytoplasmic antigens of cell substrates has become an established investigation in the diagnosis of autoimmune diseases. Antinuclear antibodies as well as some non-organ-specific anticytoplasmic autoantibodies might be of diagnostic significance. Some examples are anti-mitochondrial antibodies in autoimmune liver diseases, anti-cytoskeletal antibodies in chronic active hepatitis, polymyositis and infectious diseases and microsomal antibodies in juvenile cryptogenic liver cirrhosis. New techniques and methods such as indirect immunofluorescence on tissue culture substrates, enzymelinked immunoassays and immunoblotting tests now form the basis of further studies. These tests allow a more sensitive and specific assay for lysosomal and Golgi apparatus antigens. It may be possible to more precisely associate particular anti-cytoplasmic antibodies that react with autoimmune diseases.

摘要

检测与细胞底物的各种核或细胞质抗原发生反应的循环血清抗体,已成为自身免疫性疾病诊断中一项既定的检查。抗核抗体以及一些非器官特异性抗细胞质自身抗体可能具有诊断意义。例如,自身免疫性肝病中的抗线粒体抗体、慢性活动性肝炎、多发性肌炎和传染病中的抗细胞骨架抗体以及青少年隐源性肝硬化中的微粒体抗体。诸如组织培养底物上的间接免疫荧光、酶联免疫吸附测定和免疫印迹试验等新技术和方法,现在构成了进一步研究的基础。这些检测方法能够对溶酶体和高尔基体抗原进行更灵敏和特异的检测。有可能更精确地将特定的抗细胞质抗体与自身免疫性疾病联系起来。

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