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免疫复合物与脑膜炎球菌性关节炎的发病机制

Immune complexes and the pathogenesis of meningococcal arthritis.

作者信息

Greenwood B M, Mohammed I, Whittle H C

出版信息

Clin Exp Immunol. 1985 Mar;59(3):513-9.

PMID:3987089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1576935/
Abstract

Immune complex levels were measured in serum and synovial fluid obtained from 10 patients who developed arthritis 3-8 days after the onset of meningococcal meningitis. Mean serum immune complex levels were lower in these patients than in eight age matched control patients with meningococcal disease who did not develop late complications. This observation suggests that meningococcal arthritis follows local formation of immune complexes in the synovium rather than deposition of circulating immune complexes. Purified meningococcal polysaccharide antigen-induced synovitis when injected into the knee of rabbits previously sensitized by i.v. injection with heat killed meningococci.

摘要

在10例脑膜炎球菌性脑膜炎发病3 - 8天后出现关节炎的患者所获得的血清和滑液中检测免疫复合物水平。这些患者的平均血清免疫复合物水平低于8例年龄匹配的患脑膜炎球菌病但未发生晚期并发症的对照患者。这一观察结果提示,脑膜炎球菌性关节炎是滑膜中免疫复合物的局部形成所致,而非循环免疫复合物的沉积。当将纯化的脑膜炎球菌多糖抗原注射到先前经静脉注射热灭活脑膜炎球菌致敏的兔膝关节时,可诱发滑膜炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d46/1576935/b668f1efa806/clinexpimmunol00138-0007-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d46/1576935/b668f1efa806/clinexpimmunol00138-0007-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d46/1576935/b668f1efa806/clinexpimmunol00138-0007-a.jpg

相似文献

1
Immune complexes and the pathogenesis of meningococcal arthritis.免疫复合物与脑膜炎球菌性关节炎的发病机制
Clin Exp Immunol. 1985 Mar;59(3):513-9.
2
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3
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Immune complex associated complications in the subacute phase of meningococcal disease: incidence and literature review.脑膜炎球菌病亚急性期免疫复合物相关并发症:发病率及文献综述
Arch Dis Child. 2003 Oct;88(10):927-30. doi: 10.1136/adc.88.10.927.
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本文引用的文献

1
The epidemiology of infections due to Neisseria meningitidis and Neisseria lactamica in a northern Nigerian community.尼日利亚北部一个社区中脑膜炎奈瑟菌和乳酸奈瑟菌感染的流行病学情况。
J Infect Dis. 1982 Nov;146(5):626-37. doi: 10.1093/infdis/146.5.626.
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Arthritis in disease due to Neisseria meningitidis.脑膜炎奈瑟菌所致疾病中的关节炎。
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Articular complications of meningococcal meningitis. An immune complex disorder.
脑膜炎球菌病最新进展,重点关注发病机制与临床管理。
Clin Microbiol Rev. 2000 Jan;13(1):144-66, table of contents. doi: 10.1128/CMR.13.1.144.
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Rheumatology in the Third World.第三世界的风湿病学
Ann Rheum Dis. 1990 Oct;49(10):813-6. doi: 10.1136/ard.49.10.813.
Arch Intern Med. 1980 Dec;140(12):1665-6.
4
Allergic complications of meningococcal disease. II. Immunological investigations.脑膜炎球菌病的过敏并发症。II. 免疫学研究。
Br Med J. 1973 Jun 30;2(5869):737-40. doi: 10.1136/bmj.2.5869.737.
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Allertic complications of meningococcal disease. I. Clinical aspects.
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Counter-current immunoelectrophoresis in the diagnosis of meningococcal infections.对流免疫电泳在脑膜炎球菌感染诊断中的应用
Lancet. 1971 Sep 4;2(7723):519-21. doi: 10.1016/s0140-6736(71)90439-9.
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Complement and meningococcal infection.补体与脑膜炎球菌感染
Br Med J. 1976 Apr 3;1(6013):797-9. doi: 10.1136/bmj.1.6013.797.
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Detection of immune complexes in unheated sera by modified 125I-Clq binding test. Effect of heating on the binding of Clq by immune complexes and application of the test to systemic lupus erythematosus.用改良的¹²⁵I-Clq结合试验检测未加热血清中的免疫复合物。加热对免疫复合物与Clq结合的影响以及该试验在系统性红斑狼疮中的应用。
J Immunol. 1976 Jan;116(1):232-5.
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Meningococcal antigen in diagnosis and treatment of group A meningococcal infections.用于A群脑膜炎球菌感染诊断和治疗的脑膜炎球菌抗原
Am J Med. 1975 Jun;58(6):823-8. doi: 10.1016/0002-9343(75)90638-5.
10
Circulating immune complexes in a patient with meningococcal disease.一名脑膜炎球菌病患者体内的循环免疫复合物。
Br Med J. 1976 Jun 12;1(6023):1445-6. doi: 10.1136/bmj.1.6023.1445.