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抗线粒体抗体患者自身抗体的多样性及其诊断价值。

Diversity of autoantibodies in patients with antimitochondrial antibody and their diagnostic value.

作者信息

McMillan S A, Alderdice J M, McKee C M, Dawson A T, Callender M E, Fulton T T, Haire M

出版信息

J Clin Pathol. 1987 Feb;40(2):232-6. doi: 10.1136/jcp.40.2.232.

DOI:10.1136/jcp.40.2.232
PMID:3546398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1140874/
Abstract

A retrospective analysis of clinical and laboratory features of 102 patients, whose sera contained antibody to mitochondria, showed that primary biliary cirrhosis was diagnosed in 50% of them. Immunofluorescence showed that the sera of the patients with primary biliary cirrhosis all had the M2 antimitochondrial antibody staining pattern. A new staining pattern, designated M2(1), which could be mistaken for the M2 pattern, was not found in any patients with either primary biliary cirrhosis or chronic active hepatitis. Other serological variables such as antibody to mitochondria in IgM class, to multiple nuclear dots, and to the XR antigen, were associated with primary biliary cirrhosis, and taken in association with antimitochondrial antibody of M2 type, contribute to the diagnosis of the disease.

摘要

对102例血清中含有线粒体抗体的患者的临床和实验室特征进行回顾性分析,结果显示其中50%被诊断为原发性胆汁性肝硬化。免疫荧光显示,原发性胆汁性肝硬化患者的血清均呈现M2抗线粒体抗体染色模式。在原发性胆汁性肝硬化或慢性活动性肝炎患者中均未发现一种可能被误认为M2模式的新染色模式,即M2(1)。其他血清学变量,如IgM类线粒体抗体、多核点抗体和XR抗原抗体,与原发性胆汁性肝硬化相关,与M2型抗线粒体抗体联合使用有助于该病的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e00/1140874/8a6c7335b482/jclinpath00322-0110-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e00/1140874/679b882377f3/jclinpath00322-0110-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e00/1140874/bdf3be45d719/jclinpath00322-0110-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e00/1140874/8a6c7335b482/jclinpath00322-0110-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e00/1140874/679b882377f3/jclinpath00322-0110-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e00/1140874/bdf3be45d719/jclinpath00322-0110-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e00/1140874/8a6c7335b482/jclinpath00322-0110-c.jpg

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本文引用的文献

1
Is mitochondrial antibody diagnostic of primary biliary cirrhosis?线粒体抗体能否诊断原发性胆汁性肝硬化?
Gut. 1981 Feb;22(2):136-40. doi: 10.1136/gut.22.2.136.
2
Anticentromere antibody in primary biliary cirrhosis.原发性胆汁性肝硬化中的抗着丝点抗体。
Ann Rheum Dis. 1982 Dec;41(6):612-4. doi: 10.1136/ard.41.6.612.
3
What does the antimitochondrial antibody mean?抗线粒体抗体是什么意思?
Gut. 1982 Oct;23(10):814-8. doi: 10.1136/gut.23.10.814.
4
Antibodies to extractable nuclear antigens in 173 patients with DNA-binding positive SLE: an association between antibodies to ribonucleoprotein and Sm antigens observed by counterimmunoelectrophoresis.173例DNA结合阳性系统性红斑狼疮患者可提取核抗原抗体:对流免疫电泳观察核糖核蛋白抗体与Sm抗原抗体之间的关联
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Diversity of autoantibodies in primary biliary cirrhosis and chronic active hepatitis.原发性胆汁性肝硬化和慢性活动性肝炎中自身抗体的多样性
Clin Exp Immunol. 1984 Mar;55(3):553-60.
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The complex nature of mitochondrial antibodies and their relation to primary biliary cirrhosis.线粒体抗体的复杂性质及其与原发性胆汁性肝硬化的关系。
Semin Liver Dis. 1981 Nov;1(4):309-21. doi: 10.1055/s-2008-1040734.
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Antinuclear antibodies in primary biliary cirrhosis.原发性胆汁性肝硬化中的抗核抗体
Lancet. 1984 Feb 4;1(8371):288-9. doi: 10.1016/s0140-6736(84)90164-8.
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Clinical significance of mitochondrial antibodies in relation to liver disease.线粒体抗体与肝脏疾病的临床意义。
Lancet. 1981 Oct 10;2(8250):804. doi: 10.1016/s0140-6736(81)90206-3.
9
Tissue antibodies in primary biliary cirrhosis, active chronic (lupoid) hepatitis, cryptogenic cirrhosis and other liver diseases and their clinical implications.原发性胆汁性肝硬化、活动性慢性(类狼疮样)肝炎、隐源性肝硬化及其他肝脏疾病中的组织抗体及其临床意义。
Clin Exp Immunol. 1966 Jul;1(3):237-62.
10
Mitochondrial antibody in primary biliary cirrhosis and other diseases.原发性胆汁性肝硬化及其他疾病中的线粒体抗体
Ann Intern Med. 1972 Oct;77(4):533-41. doi: 10.7326/0003-4819-77-4-533.