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多发性硬化症中针对凝血因子IX和VIII的循环IgG抗体

Circulating IgG antibodies against factors IX and VIII in multiple sclerosis.

作者信息

Moake J L, Kent C J, Meta L D, Wright L C

出版信息

Acta Haematol. 1976;55(1):53-9. doi: 10.1159/000207993.

DOI:10.1159/000207993
PMID:816140
Abstract

A 64-year-old man with multiple sclerosis developed a circulating anticoagulant. Three immunoglobulin fractions (I = IgG; II =IgG+IgA; III = IgM) were separated from patient serum by 33-percent ammonium sulfate precipitation and DEAE-52 cellulose column chromatography. Fractions I (IgG) and II (IgG+IgA) had factor VIII inhibitory activity on incubation. Fraction I (IgG) possessed, in addition, immediate anti-IX activity which did not require incubation. Absorption studies characterized the VIII inhibitors as IgG-gamma in fraction I and IgG-gamma+IgG-lambda in fraction II. Immediately reactive IgG anti-IX antibodies associated with kinetically distinct IgG anti-VIII antibodies have not been described previously.

摘要

一名患有多发性硬化症的64岁男性出现了循环抗凝物质。通过33%硫酸铵沉淀和DEAE - 52纤维素柱色谱法从患者血清中分离出三种免疫球蛋白组分(I = IgG;II = IgG + IgA;III = IgM)。组分I(IgG)和II(IgG + IgA)在孵育时具有因子VIII抑制活性。此外,组分I(IgG)具有无需孵育的即刻抗IX活性。吸收研究表明,组分I中的VIII抑制剂为IgG - γ,组分II中的为IgG - γ + IgG - λ。此前尚未描述过与动力学上不同的IgG抗VIII抗体相关的即刻反应性IgG抗IX抗体。

相似文献

1
Circulating IgG antibodies against factors IX and VIII in multiple sclerosis.多发性硬化症中针对凝血因子IX和VIII的循环IgG抗体
Acta Haematol. 1976;55(1):53-9. doi: 10.1159/000207993.
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Concurrent acquired inhibitors to factor VIII and IX, a laboratory artifact: a case report.同时获得性凝血因子VIII和IX抑制剂:一种实验室假象——病例报告
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Comparison of anti-A and anti-B titers in factor VIII and IX concentrates.凝血因子 VIII 和 IX 浓缩物中抗 A 和抗 B 效价的比较。
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Induction of immune tolerance in hemophiliacs with inhibitors by combined treatment with i.v. IgG, cyclophosphamide and factor VIII or IX.通过静脉注射免疫球蛋白、环磷酰胺以及凝血因子 VIII 或 IX 联合治疗诱导血友病伴抑制剂患者的免疫耐受。
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Non-parallelism in the one-stage coagulation factor assay is a phenomenon of lupus anticoagulants and not of individual factor inhibitors.在一期凝血因子检测中出现的非平行性现象是狼疮抗凝物所致,而非个别因子抑制物所致。
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引用本文的文献

1
Coagulation Pathways in Neurological Diseases: Multiple Sclerosis.神经疾病中的凝血途径:多发性硬化症
Front Neurol. 2019 Apr 24;10:409. doi: 10.3389/fneur.2019.00409. eCollection 2019.
2
Development of acquired haemophilia A in a patient treated with alemtuzumab for multiple sclerosis.一名接受阿仑单抗治疗多发性硬化症的患者发生获得性甲型血友病。
BMJ Case Rep. 2018 Oct 17;2018:bcr-2018-226588. doi: 10.1136/bcr-2018-226588.
3
Symptomatic Acquired Haemophilia Due to Circulating Antibodies Against Both Factor VIII and IX in a Non-haemophiliac Patient.
一名非血友病患者因循环中存在针对凝血因子VIII和IX的抗体而出现症状性获得性血友病。
Indian J Hematol Blood Transfus. 2014 Sep;30(Suppl 1):90-2. doi: 10.1007/s12288-013-0270-3. Epub 2013 May 24.