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[肾移植前接受计划性输血患者增殖性同种异体反应的抑制]

[Suppression of proliferative allogenic response in patients receiving a programmed series of transfusions prior to renal graft].

作者信息

Comoy-Tournesac A, Nebout T, Mannoni P, Fradelizi D

出版信息

C R Seances Acad Sci III. 1981 Dec 21;293(15):785-90.

PMID:6804013
Abstract

The effects on the lymphocytic proliferative allogenic response of a protocol of planned blood transfusions have been studied in 12 patients with chronic renal failure. This study was prospective and the experiments were performed before kidney grafting. The results were then compared with the clinical results of the graft. These results have shown that the peak allogenic proliferation in the group of patients with good renal function was significantly decreased after transfusion. This decreased response was not observed in the groups of patients with either kidney rejection or immunisation and antibody formation. Most of the lymphocyte suspensions whose proliferation was decreased after transfusion were also capable of inhibiting the proliferation of autologous lymphocytes taken before transfusion. It is therefore legitimate to postulate that the decreased response was due to the generation of suppressor lymphocytes. This latter could be responsible for the beneficial effects of blood transfusion on kidney grafting.

摘要

我们对12例慢性肾衰竭患者进行了研究,观察计划性输血方案对淋巴细胞同种异体增殖反应的影响。本研究为前瞻性研究,实验在肾移植前进行。然后将结果与移植的临床结果进行比较。结果显示,肾功能良好的患者组在输血后同种异体增殖峰值显著降低。在发生肾排斥反应或免疫及抗体形成的患者组中未观察到这种反应降低。大多数输血后增殖降低的淋巴细胞悬液也能够抑制输血前采集的自体淋巴细胞的增殖。因此,推测反应降低是由于抑制性淋巴细胞的产生是合理的。后者可能是输血对肾移植产生有益作用的原因。

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