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疟疾,非洲人无结合珠蛋白血症的病因。

Malaria, cause of ahaptoglobinaemia in Africans.

作者信息

Trape J F, Fribourg-Blanc A, Bosseno M F, Lallemant M, Engler R, Mouchet J

出版信息

Trans R Soc Trop Med Hyg. 1985;79(4):430-4. doi: 10.1016/0035-9203(85)90053-7.

DOI:10.1016/0035-9203(85)90053-7
PMID:3909549
Abstract

The lack of serum haptoglobin in Africans has been investigated in the Congo, Central Africa, where HpO prevalence is about 30%. This study shows that it is possible to suppress ahaptoglobinaemia within a few weeks by antimalarial chemoprophylaxis, that it does not occur in protected individuals, that ahaptoglobinaemia reappears at its original incidence levels after interruption of chemoprophylaxis, and that some individuals are more susceptible in relation to Hp2 gene. Malaria is the only significant cause of ahaptoglobinaemia in subjects both with and without detectable parasitaemia. The possible mechanisms involved are discussed.

摘要

在非洲中部的刚果,对当地非洲人血清中缺乏触珠蛋白的情况进行了调查,那里触珠蛋白O(HpO)的流行率约为30%。这项研究表明,通过抗疟化学预防措施有可能在几周内抑制无触珠蛋白血症,在受到保护的个体中不会出现无触珠蛋白血症,化学预防措施中断后,无触珠蛋白血症会以其原来的发病率再次出现,并且一些个体相对于Hp2基因更易感染。疟疾是有或没有可检测到的寄生虫血症的受试者中无触珠蛋白血症的唯一重要原因。文中讨论了可能涉及的机制。

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Haplotype association between haptoglobin (Hp2) and Hp promoter SNP (A-61C) may explain previous controversy of haptoglobin and malaria protection.载脂蛋白(Hp2)单体型与载脂蛋白启动子 SNP(A-61C)之间的关联可能解释了之前关于载脂蛋白与疟疾保护之间的争议。
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