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[抗 D 抗体形成中的遗传因素]

[Genetic factors in anti-D-antibody formation].

作者信息

Uhlig R, Göhler W

出版信息

Folia Haematol Int Mag Klin Morphol Blutforsch. 1983;110(1):117-25.

PMID:6192046
Abstract

The blood group specific artificial immunization for producing anti-D-antibodies in Rh-negative persons ("de-novo immunization") is scarcely successful at present and involves risks of health for test persons. With the justified suggestion that the antibody development is genetically influenced even in man, those serological features were being searched for which might reveal a good anti-D-formation, viz. AB0-blood group, HLA antigens and serum groups Hp, Gm and Km. 134 men de-novo immunized were examined. In those persons forming anti-D with a high titre ("high responders") blood group A will be encountered more frequently. Blood group B will frequently occur in "non-responders". In 78 test persons examined in the HLA system was no correlation between the features of the HLA system and the formation of anti-D. The serum features investigated in 71 test persons did not allow any correlation to anti-D formation to be recognized in the Hp, Gm and Km system. It seems reasonable to continue the investigation for relationships between antibody development and certain hereditary characteristics in the human blood, including HLA-DR gene place.

摘要

目前,在Rh阴性个体中通过血型特异性人工免疫来产生抗-D抗体(“从头免疫”)几乎没有成功,并且对受测者存在健康风险。鉴于有合理的观点认为抗体产生即使在人类中也受基因影响,因此一直在寻找那些可能揭示良好抗-D形成情况的血清学特征,即AB0血型、HLA抗原以及Hp、Gm和Km血清型。对134名进行从头免疫的男性进行了检查。在那些产生高滴度抗-D的个体(“高反应者”)中,A型血的人更为常见。B型血则经常出现在“无反应者”中。在对78名受测者进行的HLA系统检查中,HLA系统特征与抗-D形成之间没有相关性。在对71名受测者进行研究的血清特征中,在Hp、Gm和Km系统中未发现与抗-D形成有任何相关性。继续研究人类血液中抗体产生与某些遗传特征之间的关系,包括HLA-DR基因位点,似乎是合理的。

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