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用一种减毒雄激素(达那唑)诱导遗传性血管性水肿缓解:C1抑制剂浓度与补体第四和第二成分之间的相关性。

Remissions induced in hereditary angioneurotic edema with an attenuated androgen (danazol): correlation between concentrations of C1-inhibitor and the forth and second components of complement.

作者信息

Pitts J S, Donaldson V H, Forristal J, Wyatt R J

出版信息

J Lab Clin Med. 1978 Oct;92(4):501-7.

PMID:712189
Abstract

Serum concentrations of antigenic and functional C1-INH increased in patients in whom remissions from attacks of HANE were induced with danazol. The levels of C4 were directly related to serum concentrations of C1-INH antigens up to a concentration of about half the C1-INH found in normal plasma; at this point, the C4 concentrations were in the normal range and no longer correlated well with C1-INH concentration. Serum C2 levels correlated less well with C1-INH concentration. In normal serum there was a poor correlation between C1-INH, C4, and C2 levels, suggesting that C1-INH is normally present in excess of the amount needed for normal C4 levels. The increments in serum C1-INH were related to the dose of danazol.

摘要

在用达那唑诱导遗传性血管性水肿(HANE)发作缓解的患者中,抗原性和功能性C1-酯酶抑制物(C1-INH)的血清浓度升高。C4水平与C1-INH抗原的血清浓度直接相关,直至达到正常血浆中C1-INH浓度的约一半;此时,C4浓度处于正常范围,且与C1-INH浓度的相关性不再良好。血清C2水平与C1-INH浓度的相关性较差。在正常血清中,C1-INH、C4和C2水平之间的相关性较差,这表明正常情况下C1-INH的存在量超过了维持正常C4水平所需的量。血清C1-INH的增加与达那唑的剂量有关。

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