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氟烷麻醉后发生严重肝坏死的患者中,淋巴细胞对氟烷改变的肝细胞具有细胞毒性。

Lymphocyte cytotoxicity to halothane altered hepatocytes in patients with severe hepatic necrosis following halothane anaesthesia.

作者信息

Mieli-Vergani G, Vergani D, Tredger J M, Eddleston A L, Davis M, Williams R

出版信息

J Clin Lab Immunol. 1980 Jul;4(1):49-51.

PMID:7463474
Abstract

Lymphocytes from three of four patients with severe unexplained hepatitis following halothane anaesthesia were cytotoxic in vitro for liver cells isolated from rabbits following halothane anaesthesia, and less so for control hepatocytes. While the latter reaction could be blocked by addition of a purified liver membrane lipoprotein (LSP), this had no effect on the cytotoxicity to "halothane" hepatocytes. These results provide evidence that patients with severe halothane-associated hepatitis are sensitised to a liver cell antigen distinct from LSP, which arises as a result of halothane anaesthesia.

摘要

在接受氟烷麻醉后出现严重不明原因肝炎的4名患者中,有3名患者的淋巴细胞在体外对从接受氟烷麻醉的兔子分离出的肝细胞具有细胞毒性,而对对照肝细胞的细胞毒性较小。虽然加入纯化的肝细胞膜脂蛋白(LSP)可阻断后一种反应,但这对“氟烷”肝细胞的细胞毒性没有影响。这些结果证明,患有严重氟烷相关性肝炎的患者对一种不同于LSP的肝细胞抗原有致敏性,这种抗原是氟烷麻醉的结果。

相似文献

1
Lymphocyte cytotoxicity to halothane altered hepatocytes in patients with severe hepatic necrosis following halothane anaesthesia.氟烷麻醉后发生严重肝坏死的患者中,淋巴细胞对氟烷改变的肝细胞具有细胞毒性。
J Clin Lab Immunol. 1980 Jul;4(1):49-51.
2
Antibodies to the surface of halothane-altered rabbit hepatocytes in patients with severe halothane-associated hepatitis.严重氟烷相关性肝炎患者体内针对氟烷改变的兔肝细胞表面的抗体。
N Engl J Med. 1980 Jul 10;303(2):66-71. doi: 10.1056/NEJM198007103030202.
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Halothane hepatitis: attempt to develop an animal model.
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Sensitisation to halothane-altered liver components in severe hepatic necrosis after halothane anaesthesia.
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Oxidative metabolism of halothane in the production of altered hepatocyte membrane antigens in acute halothane-induced hepatic necrosis.氟烷在急性氟烷诱导的肝坏死中产生改变的肝细胞膜抗原过程中的氧化代谢。
Gut. 1981 Aug;22(8):669-72. doi: 10.1136/gut.22.8.669.
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Lymphocyte stimulation induced by halothane in patients with hepatitis following exposure to halothane.氟烷暴露后肝炎患者中氟烷诱导的淋巴细胞刺激。
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[Centrolobular liver cell necroses following occupational halothane contact. Association with antibodies to halothane altered liver cell components].职业性接触氟烷后中央小叶肝细胞坏死。与针对氟烷改变的肝细胞成分的抗体的关联
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Lymphocyte cytotoxicity for isolated hepatocytes in alcoholic liver disease.酒精性肝病中分离的肝细胞的淋巴细胞细胞毒性
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引用本文的文献

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Halothane-induced hepatitis: A forgotten issue in developing countries: Halothane-induced hepatitis.氟烷性肝炎:发展中国家一个被遗忘的问题:氟烷性肝炎
Hepat Mon. 2011 Jan;11(1):3-6.
2
Role of bioactivation in drug-induced hypersensitivity reactions.生物活化在药物诱导的超敏反应中的作用。
AAPS J. 2006 Feb 3;8(1):E55-64. doi: 10.1208/aapsj080107.
3
Modification of liver microsomal lipids by halothane metabolites; a multi nuclear NMR spectroscopic study.氟烷代谢产物对肝脏微粒体脂质的修饰;一项多核核磁共振光谱研究。
Naunyn Schmiedebergs Arch Pharmacol. 1982 Dec;321(3):234-7. doi: 10.1007/BF00505492.
4
Anti-LSP antibodies in acute liver disease.急性肝病中的抗肝特异性脂蛋白抗体。
Gut. 1982 Jul;23(7):603-7. doi: 10.1136/gut.23.7.603.
5
Halothane anaesthesia and liver damage.氟烷麻醉与肝损伤。
Br Med J (Clin Res Ed). 1984 Oct 27;289(6452):1136-9. doi: 10.1136/bmj.289.6452.1136.