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苯妥英钠可阻断T淋巴细胞表面的HIV受体。

Diphenylhydantoin (DPH) blocks HIV-receptor on T-lymphocyte surface.

作者信息

Zimmer J P, Lehr H A, Kornhuber M E, Breitig D, Montagnier L, Gietzen K

出版信息

Blut. 1986 Dec;53(6):447-50. doi: 10.1007/BF00320308.

DOI:10.1007/BF00320308
PMID:3492229
Abstract

Previous reports have shown the capacity of diphenylhydantoin (DPH) to attach to the membranes of lymphatic cells as a hapten and thus exert an unspecific influence on their ability to express certain recognition molecules. This led us to the hypothesis, that DPH might as well serve to manipulate the t-helper-lymphocytes in a way that the mode of infection of these cells by the HIV might be blocked. In order to verify this hypothesis, we exposed normal control lymphocytes as well as lymphocytes from DPH-treated patients (3 X 100-150 mg DPH/day, Phenhydan, for a minimum of 10 days) to radioactively labeled HIV (125I). Remaining radioactivity was assessed using a gamma-counter and measured 64.000-92.000 counts/min (n = 24, mean 80.000) for the control lymphocytes, while remaining radioactivity for the DPH-treated lymphocytes ranged between 2000 and 7000 counts/min (n = 24, mean 4.000, p less than 0.001). These results and similar experiments obtained with FITC-labeled HIV led us to the conclusion that DPH inhibits HIV recognition of T-lymphocytes and therefore might be used in therapy and prophylaxis of AIDS.

摘要

先前的报告显示,二苯乙内酰脲(DPH)能够作为半抗原附着于淋巴细胞的细胞膜上,从而对其表达某些识别分子的能力产生非特异性影响。这使我们提出一个假设,即DPH或许也能够以某种方式操纵辅助性T淋巴细胞,从而阻断HIV对这些细胞的感染方式。为了验证这一假设,我们将正常对照淋巴细胞以及来自接受DPH治疗患者(每天3×100 - 150毫克DPH,苯妥英,至少10天)的淋巴细胞暴露于放射性标记的HIV(125I)中。使用γ计数器评估剩余放射性,对照淋巴细胞的测量值为64,000 - 92,000计数/分钟(n = 24,平均值80,000),而接受DPH治疗的淋巴细胞的剩余放射性则在2000至7000计数/分钟之间(n = 24,平均值4000,p小于0.001)。这些结果以及用异硫氰酸荧光素(FITC)标记的HIV所进行的类似实验使我们得出结论,DPH可抑制HIV对T淋巴细胞的识别,因此或许可用于艾滋病的治疗和预防。

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Enhancement in number and function of antigen-presenting cells in the lymphatic tissue of rats after in vivo administration of diphenylhydantoin (DPH).

本文引用的文献

1
Lymphadenopathy induced by anticonvulsant drugs and mimicking clinically pathologically malignant lymphomas.抗惊厥药物所致淋巴结病,临床病理表现酷似恶性淋巴瘤。
Cancer. 1959 Jan-Feb;12(1):164-82. doi: 10.1002/1097-0142(195901/02)12:1<164::aid-cncr2820120122>3.0.co;2-y.
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Diphenylhydantoin effects on human lymphocytes in vitro and in vivo. An hypothesis to explain some drug reactions.
Arch Intern Med. 1972 Jun;129(6):988-92.
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The assay of diphenylhydantoin effects on growing human lymphocytes.二苯妥英对人淋巴细胞生长影响的测定
体内给予苯妥英(DPH)后大鼠淋巴组织中抗原呈递细胞数量和功能的增强。
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Effect of dilantin in mice. II. Lymphoreticular tissue atypia and neoplasia after chronic exposure.苯妥英对小鼠的作用。II. 慢性暴露后的淋巴网状组织异型性和肿瘤形成
Z Krebsforsch Klin Onkol Cancer Res Clin Oncol. 1972;78(3):290-302. doi: 10.1007/BF00284756.
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Effect of diphenylhydantoin on synaptosome sodium-potassium-ATPase.苯妥英对突触体钠钾ATP酶的作用。
J Clin Invest. 1968 Dec;47(12):2752-8. doi: 10.1172/JCI105956.
6
Depression of immunological function in patients treated with phenytoin sodium (sodium diphenylhydantoin).接受苯妥英钠(二苯乙内酰脲钠)治疗患者的免疫功能抑制
Lancet. 1971 Dec 4;2(7736):1233-5. doi: 10.1016/s0140-6736(71)90547-2.
7
[Unjustified exclusion of donor kidneys after phenytoin treatment?].[苯妥英治疗后对供体肾脏的不合理排除?]
Dtsch Med Wochenschr. 1985 Nov 22;110(47):1834-5.
8
[Diphenylhydantoin in the prevention and therapy of AIDS?].[二苯妥英用于艾滋病的预防和治疗?]
Dtsch Med Wochenschr. 1986 Jun 20;111(25):1001-2.
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Depression of immune competence by phenytoin and carbamazepine. Studies in vivo and in vitro.苯妥英钠和卡马西平对免疫能力的抑制作用。体内和体外研究。
Clin Exp Immunol. 1975 May;20(2):273-85.
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Diphenylhydantoin-induced serum sickness with fibrin-platelet thrombi in lymph node microvasculature.苯妥英钠诱发的血清病伴淋巴结微血管内纤维蛋白-血小板血栓形成。
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