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[克罗恩病和溃疡性结肠炎患者的免疫学研究]

[Immunologic studies in patients with Crohn disease and ulcerative colitis].

作者信息

Sauer H, Sauer D, Bendix U, Schumann B

出版信息

Allerg Immunol (Leipz). 1984;30(1):23-33.

PMID:6203390
Abstract

To compare patients with Crohn's disease and patients with ulcerative colitis we have studied some immunological parameters (level of IgM, IgG and IgA in the serum, number of lymphocytes, E rosettes) and the immunological reactivity to antigens from colon carcinoma and to colon antigens prepared from healthy and from colon tissue altered by Crohn's disease (antigen specific rosette test, MEM-test, antibody titer). The results indicate a decreased proportion of T cells in both bowel diseases on the one hand, on the other hand a specific cell-meditated immune reaction to colon antigens could be observed in patients with Crohn's disease. In patients with ulcerative colitis such reactions are determined only in the acute phase of disease or in recidive. It remains to be elucidated whether these immunological reactions represent a basic pathogenetic factor in the onset of these diseases.

摘要

为比较克罗恩病患者和溃疡性结肠炎患者,我们研究了一些免疫学参数(血清中IgM、IgG和IgA水平、淋巴细胞数量、E玫瑰花结)以及对结肠癌抗原和由健康结肠组织及克罗恩病改变的结肠组织制备的结肠抗原的免疫反应性(抗原特异性玫瑰花结试验、微量淋巴细胞毒试验、抗体滴度)。结果表明,一方面,两种肠道疾病中T细胞比例均降低;另一方面,在克罗恩病患者中可观察到对结肠抗原的特异性细胞介导免疫反应。溃疡性结肠炎患者仅在疾病急性期或复发期出现此类反应。这些免疫反应是否代表这些疾病发病的基本致病因素仍有待阐明。

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