Oooto Y, Ikemoto T, Nakagawa T, Shimizu A
Central Clinical Laboratory, Osaka Medical College, Takatsuki.
Rinsho Byori. 1995 Apr;43(4):381-4.
In 47 cases of autoimmune diseases (25 SLE, 9 MCTD, 6 PSS, 7 RA), two B cell surface antigens, CD19 and CD20 were quantitatively measured with a flowcytometer. When compared with the results of healthy controls, CD19 antigens were observed to be ca. 10% decreased in SLE and ca. 20% increased in RA. CD20 antigens were observed to be ca. 25% increased in SLE and no changes in RA. No significant increase nor decrease was observed with MCTD and PSS patients. In SLE patients, the amount of CD19 antigen expression was positively related to serum C3 levels, and that of CD20 antigen was negatively related to it. It is not obvious in what mechanism the expression of these antigens are regulated, however, from the point that the expression relates to the amount of serum C3 level, the quantitative measurement of CD19 and CD20 antigens is possibly be a good marker to detect the state of autoimmune disease such as SLE.
在47例自身免疫性疾病患者(25例系统性红斑狼疮、9例混合性结缔组织病、6例进行性系统性硬化症、7例类风湿性关节炎)中,使用流式细胞仪对两种B细胞表面抗原CD19和CD20进行了定量检测。与健康对照结果相比,发现系统性红斑狼疮患者的CD19抗原约减少10%,类风湿性关节炎患者的CD19抗原约增加20%。系统性红斑狼疮患者的CD20抗原约增加25%,类风湿性关节炎患者的CD20抗原无变化。混合性结缔组织病和进行性系统性硬化症患者未观察到明显增加或减少。在系统性红斑狼疮患者中,CD19抗原表达量与血清C3水平呈正相关,CD20抗原表达量与血清C3水平呈负相关。然而,这些抗原的表达受何种机制调控尚不清楚,不过,从其表达与血清C3水平相关这一点来看,CD19和CD20抗原的定量检测可能是检测系统性红斑狼疮等自身免疫性疾病状态的良好指标。