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[恶性肿瘤中的自身抗体]

[Autoantibodies in malignant tumors].

作者信息

Storch H, Uhlig S, Ludwig R

出版信息

Z Gesamte Inn Med. 1980 Jun 1;35(11):471-4.

PMID:7001779
Abstract

Autoimmune phenomena are to be referred to the possible immune reactions of the host organism in malignant tumours. By means of the indirect immune fluorescence method in 95 sera of patients with tumours and a control group 0f 30 blood donors was sought for autoantibodies against mitochondria, nuclear factors, smooth musculature, myocardium, delomorphous cells. In the blood donors in one case autoantibodies against the myocardium could be proved, the tumor group, however, revealed positive findings of autoantibodies in 25 patients, which are statistically significant (p < 0.05). In the individual groups of diagnosis the acute myeloic leukaemia, the IgG-plasmocytoma and the cervical carcinoma showed a highly significant positive proof reaction compared with the control. The titres lie in their highest values at 1 : 64, in most cases at 1 : 16 and 1 : 32 and speak for an accompanying reaction are epiphenomenon. Autoantibodies against mitochondria were in no case found against smooth musculature in all positive groups. Apart from the absence of antibodies against delomorphous cells in gynaecological tumours the differentiation of types of autoantibodies do not show a reference to kind of tumour and localisation. The proof of autoantibodies in malignant tumours should be used for the judgment of the immune state

摘要

自身免疫现象是指宿主生物体在恶性肿瘤中可能出现的免疫反应。通过间接免疫荧光法,在95例肿瘤患者的血清以及30名献血者组成的对照组中,寻找针对线粒体、核因子、平滑肌组织、心肌、变形细胞的自身抗体。在献血者中,仅1例被证实存在针对心肌的自身抗体;然而,肿瘤组有25例患者自身抗体检测呈阳性,具有统计学意义(p < 0.05)。在各诊断分组中,急性髓性白血病、IgG型浆细胞瘤和宫颈癌与对照组相比,呈现出高度显著的阳性检测反应。抗体效价最高为1:64,多数情况下为1:16和1:32,表明这是一种伴随反应,属于副现象。在所有阳性组中,均未发现针对平滑肌组织的线粒体自身抗体。除了妇科肿瘤中未发现针对变形细胞的抗体外,自身抗体类型的差异与肿瘤类型和定位并无关联。恶性肿瘤中自身抗体的检测结果应用于评估免疫状态

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