Jordan S C, Toyoda M
Department of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, California 90048.
Clin Exp Immunol. 1994 Jul;97 Suppl 1(Suppl 1):31-8.
Treatment of autoimmune and vasculitic disorders with intravenous immune globulin (IVIG) has shown great promise. IVIG appears to provide large amounts of immunoregulatory substances that have the capacity to regulate the immune system in various ways. The ability of IVIG to regulate deleterious autoimmune responses and disease is largely directly related to its ability to stimulate the production of anti-idiotypic autoantibodies after infusion. In this respect, IVIG represents a novel immunoregulatory agent with the ability to control autoimmune and vasculitic disorders without subsequent predisposition to infectious complications. Future work and controlled clinical trials will be necessary to prove the efficacy of this therapy for specific autoimmune and vasculitic disorders.
静脉注射免疫球蛋白(IVIG)治疗自身免疫性疾病和血管炎已显示出巨大的前景。IVIG似乎能提供大量具有以多种方式调节免疫系统能力的免疫调节物质。IVIG调节有害自身免疫反应和疾病的能力在很大程度上直接与其输注后刺激抗独特型自身抗体产生的能力相关。在这方面,IVIG代表了一种新型免疫调节药物,能够控制自身免疫性疾病和血管炎,且不会随后易患感染性并发症。未来需要开展进一步研究和对照临床试验,以证明这种疗法对特定自身免疫性疾病和血管炎的疗效。