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移植物抗宿主病的客观监测:发生移植物抗宿主反应的患者骨髓移植后α1-抗糜蛋白酶浓度变化

Objective monitoring of graft-versus-host disease: alpha 1-antichymotrypsin concentration changes after bone marrow transplantation in patients developing graft-versus-host reactions.

作者信息

Kamiguchi H, Ohkubo T, Yamamura M, Katsunuma T

出版信息

Tokai J Exp Clin Med. 1985 Jun;10(2-3):165-8.

PMID:3914740
Abstract

The levels of alpha 1-antichymotrypsin (ACT) was monitored in patients who underwent bone marrow transplantation. Seven received HLA-identical sibling bone marrow grafts, two received transplants from twins and one was given HLA-nonidentical marrow from his father. A dramatic increase of ACT was observed in all patients who developed graft-versus-host disease (GvHD). ACT did not rise at all in the case of patients who received marrow from twins, even in a patient who was given three transplants from the same donor. The patient transplanted from his father died from GvHD and the increase of ACT was the greatest fluctuation measured.

摘要

对接受骨髓移植的患者监测了α1-抗糜蛋白酶(ACT)水平。7名患者接受了人类白细胞抗原(HLA)匹配的同胞骨髓移植,2名接受了双胞胎的移植,1名接受了来自其父亲的HLA不匹配骨髓。在所有发生移植物抗宿主病(GvHD)的患者中均观察到ACT显著升高。接受双胞胎骨髓移植的患者中ACT根本没有升高,即使是一名接受了来自同一供体的三次移植的患者也是如此。从其父亲处接受移植的患者死于GvHD,ACT的升高是所测量到的最大波动。

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