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麻醉剂过敏样反应与化妆品及杀生物剂中的化学物质之间可能存在的联系。

Possible link between anaphylactoid reactions to anaesthetics and chemicals in cosmetics and biocides.

作者信息

Weston A, Assem E S

机构信息

Pharmacology Department, University College London, UK.

出版信息

Agents Actions. 1994 Jun;41 Spec No:C138-9. doi: 10.1007/BF02007801.

DOI:10.1007/BF02007801
PMID:7526642
Abstract

Binding-inhibition studies involving human IgE antibody to suxamethonium, SUX (from a patient with a near-fatal reaction), were performed with five different quaternary ammonium compounds (QAC): three common ingredients of cosmetics and two commonly used disinfectants, cetrimide and benzalkonium. All the five QAC showed immunological cross-reaction with SUX. In addition, at high concentrations, they released histamine from basophils of normal subjects. Thus, QAC may be both sensitizers and histamine releasers.

摘要

对五例不同的季铵化合物(QAC)进行了结合抑制研究,这些化合物包括三种常见的化妆品成分以及两种常用消毒剂西曲溴铵和苯扎氯铵,研究涉及一名曾发生近乎致命反应患者的人免疫球蛋白E(IgE)抗体与琥珀胆碱(SUX)的结合。所有这五种QAC均显示与SUX存在免疫交叉反应。此外,在高浓度时,它们会从正常受试者的嗜碱性粒细胞中释放组胺。因此,QAC可能既是致敏原又是组胺释放剂。

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Agents Actions. 1994 Jun;41 Spec No:C138-9. doi: 10.1007/BF02007801.
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引用本文的文献

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Quaternary ammonium compounds in hypersensitivity reactions.超敏反应中的季铵化合物。
Front Toxicol. 2022 Sep 16;4:973680. doi: 10.3389/ftox.2022.973680. eCollection 2022.

本文引用的文献

1
Anaphylaxis to muscle relaxant drugs: cross-reactivity and molecular basis of binding of IgE antibodies detected by radioimmunoassay.对肌肉松弛药物的过敏反应:放射免疫分析法检测到的IgE抗体结合的交叉反应性及分子基础。
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Agents that release histamine from mast cells.可从肥大细胞释放组胺的介质。
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Adverse reactions to suxamethonium and other muscle relaxants under general anesthesia.
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On the actions of substance P, somatostatin, and vasoactive intestinal polypeptide on rat peritoneal mast cells and in human skin.关于P物质、生长抑素和血管活性肠肽对大鼠腹膜肥大细胞及人类皮肤的作用
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Anaphylactic anaesthetic reactions. The value of paper radioallergosorbent tests for IgE antibodies to muscle relaxants and thiopentone.过敏性麻醉反应。针对肌肉松弛剂和硫喷妥钠的IgE抗体的纸放射变应原吸附试验的价值。
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Anaphylactoid reactions to neuromuscular blockers: major role of IgE antibodies and possible contribution of IgE-independent mechanisms.对神经肌肉阻滞剂的类过敏反应:IgE抗体的主要作用及IgE非依赖机制的可能作用
Monogr Allergy. 1992;30:24-53.