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恰加斯病:针对克氏锥虫酸性抗原的抗体多特异性

Chagas' disease: polyspecificity of antibodies against Trypanosoma cruzi acidic antigens.

作者信息

Ordoñez P, Gea S, Iosa D, Vottero-Cima E

机构信息

Departamento Bioquimica Clinica, Facultad de Ciencias Quimicas, Universidad Nacional de Cordoba, Argentina.

出版信息

Acta Trop. 1995 May;59(2):93-103. doi: 10.1016/0001-706x(95)00088-v.

Abstract

The aim of this work was to study the reactivity of chagasic patient sera against a panel of natural antigens and its relationship with the immune response against T. cruzi acidic antigens. The presence of IgG and IgM antibodies reactive with myosin, myoglobin, actin and thyroglobulin was investigated in sera with positive serology for Chagas' disease classified into groups (G) I, n = 7, with normal electrocardiogram (ECG) and no signs or symptoms of the disease; GII, n = 7, with ECG abnormalities but without cardiomegaly and GIII, n = 7, with cardiomegaly and congestive heart failure. Healthy individual sera were analyzed in parallel as controls. In the three groups of chagasic patients, a high proportion of sera exhibited an enhancement of IgG response anti actin ranging from 71 to 100%. IgM against this antigen was found positive in GI, 21%; GII and GIII, 57%. The antibodies binding to myosin and myoglobin were mainly of IgM type. When myosin was assayed, the frequency of reactive sera was gradually diminished as heart involvement increased: GI 57%, GII 28% and GIII 14%. Only IgG antibodies against thyroglobulin were detected in the three groups of chagasic patients ranging from 43 to 86%. IgG natural antibodies showed to be polyreactive, since a diminished reactivity against each one of the natural antigens assayed and against T. cruzi acidic antigens (FIV) was observed in the sera absorbed with any of the selected antigens irrespective of the absorbing ones. Moreover, the antibodies against FIV parasite's antigens purified by immunoabsorption showed a similar reactivity with FIV, myosin and actin, and a slight lower reactivity with thyroglobulin. These results indicate that in chagasic patients, the specific humoral response against FIV is associated with an increase of the natural autoantibodies along with their polyspecificity.

摘要

这项工作的目的是研究恰加斯病患者血清对一组天然抗原的反应性及其与针对克氏锥虫酸性抗原的免疫反应的关系。在血清学检测为恰加斯病阳性的患者血清中,研究了与肌球蛋白、肌红蛋白、肌动蛋白和甲状腺球蛋白反应的IgG和IgM抗体的存在情况。这些患者被分为三组:第一组(G I),n = 7,心电图(ECG)正常,无疾病体征或症状;第二组(G II),n = 7,有心电图异常但无心脏扩大;第三组(G III),n = 7,有心脏扩大和充血性心力衰竭。同时分析健康个体血清作为对照。在三组恰加斯病患者中,高比例的血清显示抗肌动蛋白IgG反应增强,范围从71%到100%。针对该抗原的IgM在第一组中阳性率为21%;第二组和第三组为57%。与肌球蛋白和肌红蛋白结合的抗体主要为IgM型。检测肌球蛋白时,随着心脏受累程度增加,反应性血清的频率逐渐降低:第一组为57%,第二组为28%,第三组为14%。在三组恰加斯病患者中均仅检测到针对甲状腺球蛋白的IgG抗体,范围从43%到86%。IgG天然抗体显示具有多反应性,因为在用任何一种选定抗原吸收的血清中,观察到针对所检测的每一种天然抗原以及针对克氏锥虫酸性抗原(FIV)的反应性降低,而与吸收抗原无关。此外,通过免疫吸附纯化的针对FIV寄生虫抗原的抗体与FIV、肌球蛋白和肌动蛋白显示出相似的反应性,与甲状腺球蛋白的反应性略低。这些结果表明,在恰加斯病患者中,针对FIV的特异性体液反应与天然自身抗体的增加及其多特异性相关。

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