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[一种关于人体非特异性生物抗性问题的群体遗传学方法。III. 健康和患病儿童及其母亲的ABO和恒河猴血型系统]

[A population-genetics approach to the problem of nonspecific biological resistance of the human body. III. The ABO and rhesus blood group systems of healthy and sick children and their mothers].

作者信息

Kurbatova O L, Botvin'ev O K, Altukhov Iu P

出版信息

Genetika. 1984 Apr;20(4):691-701.

PMID:6427064
Abstract

ABO and Rhesus blood types have been specified in 2047 diseased newborns, diseased infants and children who died before the age of one, as well as in their mothers. 527 healthy children and their mothers were investigated as a control group. A significant difference in the ABO phenotype frequencies has been revealed between: i) healthy and dead children, ii) mothers of diseased newborns and mothers of healthy children, iii) dead children and their mothers. The significant increase in the incidence of maternal Rhesus-negative phenotype, as compared with the control group, was shown in the groups of diseased newborns, diseased infants and dead children. In the same groups, mothers differ significantly from their children with respect to the frequency of Rhesus phenotypes. The incidence of Rhesus-incompatible mother-child pairs in the groups of diseased newborns, diseased infants and dead children was shown to be two times higher than the respective frequency in the control group and the expected frequency. A certain increase in the frequency of ABO-incompatible pairs was revealed in the groups of diseased newborns and dead children, but the difference, as compared to the control group, did not prove to be statistically significant. A hypothesis was advanced to the effect that the mother-child incompatibility for Rhesus and ABO antigens may result not only in fetal wastage and haemolytic disease of newborns, but also in the decrease of child's resistance to diseases of different origin.

摘要

已对2047名患病新生儿、一岁前死亡的患病婴幼儿及其母亲的ABO和Rh血型进行了测定。作为对照组,对527名健康儿童及其母亲进行了调查。已发现以下几组之间ABO表型频率存在显著差异:i)健康儿童与死亡儿童;ii)患病新生儿的母亲与健康儿童的母亲;iii)死亡儿童与其母亲。与对照组相比,患病新生儿组、患病婴幼儿组和死亡儿童组中母亲Rh阴性表型的发生率显著增加。在同一组中,母亲与孩子在Rh表型频率方面存在显著差异。已表明,患病新生儿组、患病婴幼儿组和死亡儿童组中Rh血型不相容的母婴对发生率比对照组和预期频率高出两倍。在患病新生儿组和死亡儿童组中发现ABO血型不相容对的频率有一定增加,但与对照组相比,差异无统计学意义。有人提出一种假说,即母婴在Rh和ABO抗原方面的不相容不仅可能导致胎儿死亡和新生儿溶血病,还可能导致儿童对不同病因疾病的抵抗力下降。

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