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尝试用来自致敏供体的血液淋巴细胞提取物将瘤型麻风转化为结核样型麻风。

Attempts to convert lepromatous into tuberculoid-type leprosy with blood lymphocyte extracts from sensitized donors.

作者信息

Silva C, Lima A O, Andrade L M, Mattos O

出版信息

Clin Exp Immunol. 1973 Sep;15(1):87-92.

Abstract

Two groups of lepromatous patients (L type of leprosy) were injected intramuscularly and respectively with the Lawrence's transfer factor (LTF) or a ribonucleic acid (RNA) extracted from viable blood lymphocytes of healthy donors hypersensitive to lepromin (48–72 hr and 20–30 days), tuberculin (PPD), toxoplasmin and histoplasmin. Each patient received a single dose of LTF or RNA obtained from 10 lymphocytes and was carefully observed for a period of 4 months. Histopathology of skin lesions and of lymph nodes were repeatedly performed. The results of intradermal tests with antigens were read at different times up to 120 days after the injection of LTF and RNA. Delayed cutaneous reaction to some antigens was induced in three patients injected with LTF and in two others injected with RNA. The lepromin reaction read at the end of 48–72 hr and after 20–30 days remained negative in all patients during 120 days of observation. Clinical and histopathologic signs of transformation into tuberculoid leprosy could not be observed in the eight patients tested.

摘要

两组瘤型麻风患者(麻风病L型)分别肌肉注射劳伦斯转移因子(LTF)或从对麻风菌素(48 - 72小时和20 - 30天)、结核菌素(PPD)、弓形虫素和组织胞浆菌素过敏的健康供体的活淋巴细胞中提取的核糖核酸(RNA)。每位患者接受一剂从10个淋巴细胞中获得的LTF或RNA,并仔细观察4个月。对皮肤病变和淋巴结进行了多次组织病理学检查。在注射LTF和RNA后长达120天的不同时间读取抗原皮内试验结果。在3例注射LTF的患者和另外2例注射RNA的患者中诱导出对某些抗原的迟发性皮肤反应。在120天的观察期内,所有患者在48 - 72小时末和20 - 30天后的麻风菌素反应均为阴性。在接受测试的8例患者中未观察到转化为结核样型麻风的临床和组织病理学迹象。

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