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[二价阳离子稳态紊乱在支气管哮喘发病机制及临床表现中的作用]

[The role of disorders in the homeostasis of divalent cations in the pathogenesis and clinical picture of bronchial asthma].

作者信息

Fedoseev G B, Emel'ianov A V, Neskoromnyĭ A G, Sinitsina T M, Emanuél' V L

出版信息

Ter Arkh. 1994;66(3):8-12.

PMID:8202861
Abstract

Mg and Ca concentrations in the serum, red cells, lymphocytes and 24-h urine were examined in 13 preasthma (PA) patients, 26 atopic asthma patients and 23 bacterial asthma (BA) patients. The patients' age ranged from 15 to 65 years. The measurements were made on AAC-508 absorption spectrophotometer (Hitachi, Japan) and Microlyte selective ionometer (Kone, Finland). Lack of Mg and excess of Ca in blood cells and low Mg values in circadian urine were recorded in all the patients irrespective of the disease variant, phase, course, broncho-obstruction. Changes in cell electrolyte composition in asthma and PA patients seem to disturb cAMP metabolism and to enhance lipid peroxidation, thus being responsible for bronchial hyperreactivity. Superactivation of free-radical lipid peroxidation in cellular membranes is suggested to underlie, among other factors, defective intracellular homeostasis of bivalent cations in the above patients.

摘要

对13例哮喘前期(PA)患者、26例特应性哮喘患者和23例细菌性哮喘(BA)患者的血清、红细胞、淋巴细胞及24小时尿液中的镁和钙浓度进行了检测。患者年龄在15至65岁之间。检测使用了AAC - 508吸收分光光度计(日本日立公司)和Microlyte选择性离子计(芬兰康公司)。无论疾病类型、阶段、病程、支气管阻塞情况如何,所有患者均出现血细胞中镁缺乏、钙过量以及昼夜尿中镁值降低的情况。哮喘患者和PA患者细胞电解质组成的变化似乎会干扰环磷酸腺苷(cAMP)代谢并增强脂质过氧化,从而导致支气管高反应性。除其他因素外,上述患者细胞膜中自由基脂质过氧化的超活化被认为是二价阳离子细胞内稳态缺陷的基础。

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