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脑脊液和血清蛋白等电聚焦检查中有无IgG寡克隆带的多发性硬化症患者的临床和脑脊液检查结果

Clinical and CSF findings in multiple sclerosis patients with or without IgG oligoclonal bands at isoelectric focusing examination of CSF and serum proteins.

作者信息

Rocchelli B, Poloni M, Mazzarello P, Delodovici M

出版信息

Eur Neurol. 1983;22(1):35-42. doi: 10.1159/000115534.

DOI:10.1159/000115534
PMID:6840140
Abstract

The IgG oligoclonal bands in CSF can be found in high percentage of MS patients but the existence of a limited number of cases with CSF normal IgG profile is known as well. In the present study 63 out of 70 patients with definite MS and 24 out of 35 with probable MS had oligoclonal bands in the CSF at the isoelectric focusing examination. The 18 patients with normal CSF IgG pattern did not show any statistically significant difference as concerns the age at onset and the duration of the disease, the functional disability, the course of the disease and the quantitative CSF parameters (IgG index, IgG synthesis and serum/CSF albumin quotient). The oligoclonal pattern does not seem of value to discriminate different groups of MS patients but it remains essentially of great diagnostic importance in this disease.

摘要

脑脊液中的IgG寡克隆带在高比例的多发性硬化症(MS)患者中可以检测到,但也有少数病例脑脊液中IgG谱正常。在本研究中,70例确诊为MS的患者中有63例,35例可能为MS的患者中有24例,在等电聚焦检查中脑脊液出现寡克隆带。18例脑脊液IgG模式正常的患者在发病年龄、病程、功能残疾程度、疾病进程以及脑脊液定量参数(IgG指数、IgG合成及血清/脑脊液白蛋白商)方面均未显示出任何统计学上的显著差异。寡克隆模式似乎对区分不同组别的MS患者没有价值,但在该疾病中其仍具有重要的诊断意义。

相似文献

1
Clinical and CSF findings in multiple sclerosis patients with or without IgG oligoclonal bands at isoelectric focusing examination of CSF and serum proteins.脑脊液和血清蛋白等电聚焦检查中有无IgG寡克隆带的多发性硬化症患者的临床和脑脊液检查结果
Eur Neurol. 1983;22(1):35-42. doi: 10.1159/000115534.
2
Identification of light chain type bands in CSF and serum oligoclonal IgG from patients with multiple sclerosis.多发性硬化症患者脑脊液和血清寡克隆IgG中轻链型条带的鉴定。
J Neuroimmunol. 1982 Apr;2(2):119-29. doi: 10.1016/0165-5728(82)90003-0.
3
[Findings of cerebrospinal fluid in the diagnosis of multiple sclerosis].[脑脊液检查结果在多发性硬化症诊断中的应用]
Srp Arh Celok Lek. 1995 Jul-Aug;123(7-8):191-3.
4
[Relation between the clinical and cerebrospinal fluid parameters in multiple sclerosis, with special reference to subjects without oligoclonal IgG in the cerebrospinal fluid].[多发性硬化症的临床与脑脊液参数之间的关系,特别提及脑脊液中无寡克隆IgG的受试者]
Riv Neurol. 1981 Mar-Apr;51(2):69-80.
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Detection of oligoclonal IgG bands in unconcentrated CSF in multiple sclerosis and other neurological diseases by isoelectric focusing on ultrathin-layer polyacrylamide gel immunofixation and silver staining.通过在超薄层聚丙烯酰胺凝胶上进行等电聚焦免疫固定和银染色,检测多发性硬化症和其他神经系统疾病患者未浓缩脑脊液中的寡克隆IgG带。
Neurologija. 1989;38(1):11-21.
6
[Comparative quantitative and qualitative analysis of intrathecal IgG synthesis during multiple sclerosis and other neurologic diseases].[多发性硬化症及其他神经系统疾病中鞘内IgG合成的比较性定量和定性分析]
Schweiz Arch Neurol Neurochir Psychiatr. 1980;127(1):69-77.
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Comparison between agarose gel electrophoresis and isoelectric focusing of CSF for demonstration of oligoclonal immunoglobulin bands in neurological disorders.脑脊液琼脂糖凝胶电泳和等电聚焦用于神经系统疾病中寡克隆免疫球蛋白带显示的比较。
Acta Neurol Scand. 1978 Sep;58(3):148-56. doi: 10.1111/j.1600-0404.1978.tb02874.x.
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Comparison of agar gel electrophoresis and isoelectric focusing in multiple sclerosis and subacute sclerosing panencephalitis.琼脂凝胶电泳与等电聚焦在多发性硬化症和亚急性硬化性全脑炎中的比较
Ann Neurol. 1981 Jan;9(1):34-41. doi: 10.1002/ana.410090107.
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[Role of isoelectric focusing of cerebrospinal fluid immunoglobulin G in the early biological assessment of multiple sclerosis].[脑脊液免疫球蛋白G等电聚焦在多发性硬化早期生物学评估中的作用]
Ann Biol Clin (Paris). 2000 Mar-Apr;58(2):187-93.
10
The complex relationship between oligoclonal bands, lymphocytes in the cerebrospinal fluid, and immunoglobulin G antibodies in multiple sclerosis: Indication of serum contribution.多发性硬化症中寡克隆带、脑脊液中的淋巴细胞与免疫球蛋白G抗体之间的复杂关系:血清贡献的指征
PLoS One. 2017 Oct 23;12(10):e0186842. doi: 10.1371/journal.pone.0186842. eCollection 2017.

引用本文的文献

1
The diagnostic value of IgG index versus oligoclonal bands in cerebrospinal fluid of patients with multiple sclerosis.IgG指数与寡克隆区带在多发性硬化症患者脑脊液中的诊断价值。
Mult Scler J Exp Transl Clin. 2020 Jan 22;6(1):2055217319901291. doi: 10.1177/2055217319901291. eCollection 2020 Jan-Mar.
2
CFS oligoclonal bands in MS and other neurological diseases detected by agarose isoelectric focusing and electrophoresis.通过琼脂糖等电聚焦和电泳检测多发性硬化症及其他神经系统疾病中的慢性疲劳综合征寡克隆带。
Ital J Neurol Sci. 1984 Sep;5(3):303-10. doi: 10.1007/BF02043963.