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正常及异常妊娠中母体针对父源B淋巴细胞的抗体

Maternal antibodies to paternal B-lymphocytes in normal and abnormal pregnancy.

作者信息

Power D A, Mather A J, MacLeod A M, Lind T, Catto G R

出版信息

Am J Reprod Immunol Microbiol. 1986 Jan;10(1):10-3. doi: 10.1111/j.1600-0897.1986.tb00002.x.

DOI:10.1111/j.1600-0897.1986.tb00002.x
PMID:3485929
Abstract

Sera were obtained prior to conception and during the first trimester of subsequent pregnancies from 22 women over 27 pregnancies; on 15 occasions these pregnancies ended in spontaneous abortion, whereas the remaining 12 achieved live normal babies. In only one pregnancy ending in abortion could antibodies directed to paternal B-lymphocytes determined by the EA rosette inhibition (EAI) assay be detected in the mother's serum, whereas five of the 12 successful pregnancies were associated with such detectable antibodies. Cytotoxic antibodies were also found in all but one of these EAI-positive pregnancies and no antibody activity was present in sera obtained from five primigravidae. These results indicated that normal, but not abnormal, pregnancies were often associated with blocking antibody formation, suggesting that such antibodies may protect the fetus from abortion. However, the failure to detect antibody activity in sera from first trimester primigravidae argues against a central role for blocking antibody, alone, in the maintenance of outbred pregnancy.

摘要

在22名女性的27次以上后续妊娠中,于受孕前及妊娠头三个月采集血清。其中15次妊娠以自然流产告终,其余12次成功产下正常活婴。在仅有的一次流产妊娠中,通过EA花环抑制(EAI)试验测定,在母亲血清中可检测到针对父方B淋巴细胞的抗体,而在12次成功妊娠中有5次与可检测到此类抗体有关。在这些EAI阳性妊娠中,除一例之外,其余均发现有细胞毒性抗体,且从5名初产妇获得的血清中未检测到抗体活性。这些结果表明,正常而非异常妊娠通常与封闭抗体的形成有关,提示此类抗体可能保护胎儿免于流产。然而,在妊娠头三个月初产妇的血清中未检测到抗体活性,这表明封闭抗体单独在维持远交妊娠方面不发挥核心作用。

相似文献

1
Maternal antibodies to paternal B-lymphocytes in normal and abnormal pregnancy.正常及异常妊娠中母体针对父源B淋巴细胞的抗体
Am J Reprod Immunol Microbiol. 1986 Jan;10(1):10-3. doi: 10.1111/j.1600-0897.1986.tb00002.x.
2
The fetus as an allograft: evidence for protective antibodies to HLA-linked paternal antigens.作为同种异体移植物的胎儿:针对与HLA相关的父系抗原的保护性抗体的证据。
Lancet. 1983 Sep 24;2(8352):701-4. doi: 10.1016/s0140-6736(83)92246-8.
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A prospective study of the incidence, time of appearance and significance of anti-paternal lymphocytotoxic antibodies in human pregnancy.一项关于人类妊娠中抗父淋巴细胞毒性抗体的发生率、出现时间及意义的前瞻性研究。
Hum Reprod. 1991 Feb;6(2):294-8. doi: 10.1093/oxfordjournals.humrep.a137325.
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Fetus as an allograft: noncytotoxic maternal antibodies to HLA-linked paternal antigens.
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Noncytotoxic antibodies to paternal antigens in maternal sera and placental eluates.
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The detection of antibodies in pregnancy: a comparison of two assay systems.孕期抗体检测:两种检测系统的比较
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Int Arch Allergy Appl Immunol. 1986;81(1):51-7. doi: 10.1159/000234107.
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Abortion may sensitize the mother to HLA antigens.流产可能会使母亲对人类白细胞抗原产生致敏作用。
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引用本文的文献

1
Humoral immune response to an allogenic foetus in normal fertile women and recurrent aborters.正常可育女性和复发性流产者对同种异体胎儿的体液免疫反应。
BMC Pregnancy Childbirth. 2002 Aug 5;2(1):6. doi: 10.1186/1471-2393-2-6.