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[酒精性肝炎中抗窦状隙抗体的存在及其可能的致病意义]

[Presence of antisinusoid antibodies in alcoholic hepatitis. Its probable pathogenic implications].

作者信息

Laguens G E, Ponce de León H, Jmelnitzky N, Alejandro C, Laguen R P, Macri J E, Chopita N A, Landoni N

出版信息

Acta Gastroenterol Latinoam. 1979;9(1):1-6.

PMID:386689
Abstract

In nine patients with histological diagnosis of alcoholic hepatitis, in-situ deposition of autologous immunoglobulins (IgG, Iga, IgM) were investigated by inmmuno fluorescent techniques (IF). In three patients a linear fluorescent pattern was seen on the sinusoidal walls. The bound inmunoglobulins could be eluted by treatment with low pH buffers. In the same patients circulating antibodies against liver structures were investigated by indirect IF using normal murine or human liver as targets. In the same patients showing bound immunoglobulins in their liver, curculating antibodies against human sinusoids and not against murine liver could be found. On the basis of these findings the probable pathogenetic role of immune mechanism in alcoholic liver damage is discussed.

摘要

对9例经组织学诊断为酒精性肝炎的患者,采用免疫荧光技术(IF)研究自体免疫球蛋白(IgG、IgA、IgM)的原位沉积情况。3例患者在肝窦壁上可见线性荧光模式。结合的免疫球蛋白可用低pH缓冲液处理洗脱。对同一批患者,以正常鼠肝或人肝为靶标,通过间接免疫荧光法研究针对肝结构的循环抗体。在肝脏中有结合免疫球蛋白的同一批患者中,可发现针对人肝窦而非鼠肝的循环抗体。基于这些发现,讨论了免疫机制在酒精性肝损伤中可能的致病作用。

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