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人脑肿瘤中免疫球蛋白和补体成分的免疫荧光研究。

Immunofluorescent study of immunoglobulins and complement components in human brain tumors.

作者信息

Kawakami Y

出版信息

Acta Med Okayama. 1981 Apr;35(2):103-16. doi: 10.18926/AMO/31268.

Abstract

Using a direct immunofluorescent method, histological locations of immunoglobulins (IgG, IgM, IgA and IgD of heavy chain, and kappa and lambda of light chain) and complement components (C3 and C4) were studied in 78 brain tumors, which included 24 astrocytomas, 6 metastatic tumors, 5 medulloblastomas, 4 malignant lymphomas, 15 meningiomas, 8 schwannomas, 8 pituitary adenomas, and 8 other miscellaneous brain tumors. IgG-positive cells were observed in the perivascular regions of astrocytomas, but were more marked in those of high grade, metastatic tumors and meningiomas. Malignant lymphomas demonstrated IgG and IgM-positive cells accompanied by either kappa of lambda light chains. C3 and C4 were much less evident in these tumors. Pituitary adenomas showed slight positive stains for both immunoglobulins and complement components on the blood vessel walls, Immune reactions against brain tumors were discussed including the clinical application of autologous lymphocyte infusion in malignant gliomas and combination chemotherapy in intracranial malignant lymphomas.

摘要

采用直接免疫荧光法,对78例脑肿瘤进行了免疫球蛋白(重链的IgG、IgM、IgA和IgD,轻链的κ和λ)和补体成分(C3和C4)的组织学定位研究。这些脑肿瘤包括24例星形细胞瘤、6例转移瘤、5例髓母细胞瘤、4例恶性淋巴瘤、15例脑膜瘤、8例神经鞘瘤、8例垂体腺瘤以及8例其他杂类脑肿瘤。在星形细胞瘤的血管周围区域观察到IgG阳性细胞,但在高级别星形细胞瘤、转移瘤和脑膜瘤中更为明显。恶性淋巴瘤显示IgG和IgM阳性细胞,并伴有κ或λ轻链。C3和C4在这些肿瘤中不太明显。垂体腺瘤在血管壁上对免疫球蛋白和补体成分均显示轻微阳性染色。讨论了针对脑肿瘤的免疫反应,包括自体淋巴细胞输注在恶性胶质瘤中的临床应用以及颅内恶性淋巴瘤的联合化疗。

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