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HLA - B12和HLA - B27抗原与角膜同种异体移植反应的易感性

HLA-B 12 and HLA-B 27 antigens and susceptibility to the corneal allograft reaction.

作者信息

Vannas S, Tiilikainen A, Vannas A, Karjalainen K

出版信息

Acta Ophthalmol (Copenh). 1978 Oct;56(5):689-96. doi: 10.1111/j.1755-3768.1978.tb06632.x.

DOI:10.1111/j.1755-3768.1978.tb06632.x
PMID:358729
Abstract

Our series comprised 100 penetrating corneal transplantations: 36 cases with HLA-B 12 and/or B 27 antigen in the recipient and, as controls, 64 cases without these antigens. The cornea was vascular in 44% of the HLA-B 12/B 27 group and in 40% of the controls. In the HLA-B 12/B 27 group AR developed in 13 of 36 cases, 36%; but in the control group only in one case (2%). In vascular and avascular cases the incidence of AR was equal. Among the high-risk cases of the HLA-B 12/B 27 group with definite mismatching of B 12 or B 27 antigens, 9 of the 14 recipients had developed AR. Six further recipients of this group had untyped grafts, and AR occurred in 4 of the 6, but in none of the 16 cases that were matched for B 12 or B 27 antigens. The value of a compatible graft, at least to the carriers of HLA-B 12 and/or B 27 antigens, is thus confirmed.

摘要

我们的系列研究包括100例穿透性角膜移植手术:36例受者有HLA - B12和/或B27抗原,作为对照,64例受者没有这些抗原。HLA - B12/B27组中44%的角膜有血管,对照组中这一比例为40%。HLA - B12/B27组36例中有13例(36%)发生排斥反应(AR);但对照组仅1例(2%)发生。在有血管和无血管的病例中,AR的发生率相同。在HLA - B12/B27组中,B12或B27抗原明确不匹配的高危病例中,14例受者中有9例发生了AR。该组另有6例受者接受的是未分型移植物,6例中有4例发生了AR,但在16例B12或B27抗原匹配的病例中无一例发生。因此证实了相容性移植物的价值,至少对于HLA - B12和/或B27抗原携带者是如此。

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HLA-B 12 and HLA-B 27 antigens and susceptibility to the corneal allograft reaction.HLA - B12和HLA - B27抗原与角膜同种异体移植反应的易感性
Acta Ophthalmol (Copenh). 1978 Oct;56(5):689-96. doi: 10.1111/j.1755-3768.1978.tb06632.x.
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Homozygosity of HLA-B27 antigen in the recipient and susceptibility to the corneal allograft reaction.受者中HLA - B27抗原的纯合性与角膜同种异体移植反应的易感性。
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引用本文的文献

1
Assessment and interpretation of corneal endothelial cell morphology and function following cryopreservation.冷冻保存后角膜内皮细胞形态和功能的评估与解读
Br J Ophthalmol. 1982 Feb;66(2):136-40. doi: 10.1136/bjo.66.2.136.
2
Transplantation immunology of penetrating keratoplasty.穿透性角膜移植术的移植免疫学
Trans Am Ophthalmol Soc. 1980;78:1079-117.
3
Homozygosity of HLA-B27 antigen in the recipient and susceptibility to the corneal allograft reaction.受者中HLA - B27抗原的纯合性与角膜同种异体移植反应的易感性。
Graefes Arch Clin Exp Ophthalmol. 1984;221(6):272-5. doi: 10.1007/BF02134122.