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[以抗线粒体抗体为例,用微量荧光测定法鉴定患者血清自身抗体中的问题]

[Problems in the characterization of autoantibodies in patients' sera by microfluorometry as exemplified by antimitochondrial antibodies].

作者信息

Storz H

出版信息

Z Gesamte Inn Med. 1983 Feb 15;38(4):128-30.

PMID:6344468
Abstract

Attention is called to various problems of subjective differentiation of fluorescence patterns for demonstrating autoantibodies by the indirect immunofluorescent technique. For the objective measurement of the fluorescent intensity, the main problem is the dependence of the measuring results upon the thickness of the tissue sections. The determination of the relationships of the fluorescent intensity in one preparation is independent on the thickness of the section. Using 25 patient sera with antimitochondrial antibodies, it could be shown that the relationship of the fluorescent intensity of various positively reacting tissue areas is not constant, but changes considerably depending on the concentration of the autoantibody in the test solution. Thus, differentiation of subgroups of antimitochondrial antibodies cannot be made using one serum dilution.

摘要

人们注意到,在通过间接免疫荧光技术检测自身抗体时,荧光模式的主观区分存在各种问题。对于荧光强度的客观测量,主要问题在于测量结果依赖于组织切片的厚度。在一个制剂中荧光强度关系的测定与切片厚度无关。使用25份含抗线粒体抗体的患者血清,结果表明不同阳性反应组织区域的荧光强度关系并非恒定不变,而是会根据测试溶液中自身抗体的浓度发生显著变化。因此,不能使用一种血清稀释度来区分抗线粒体抗体的亚组。

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