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[HIV阳性患者的免疫学研究。HIV感染中的高球蛋白血症]

[Immunologic study in HIV-positive patients. Hypergammaglobulinemia in HIV infection].

作者信息

Skokanová V, Kamínková J, Vacek Z, Stanková M

机构信息

Oddĕlení lékarské imunologie, KHS, Praha.

出版信息

Cas Lek Cesk. 1993 Jun 14;132(12):369-72.

PMID:8343945
Abstract

In all groups of patients--HIV, ARC, AIDS carriers--elevated serum concentration of IgG, IgA, IgM were found. In the group of HIV carriers a significant increase of the serum concentration of IgG at the 5% level was observed and of IgM at the 1% level. In patients with ARC a significant increase of IgG and IgA was found at the 5% level and of IgM at the 1% level. In patients with AIDS significantly raised IgG values at the 5% level were recorded, and of IgA and IgM at the 1% level. In IgA a permanent increase of values occurs in AIDS carriers. In the AIDS stage 86% of the patients have values higher than mean +/- SD of controls. In all three stages of HIV infection a rise of concentrations of circulating immunocomplexes was observed (p < 0.01). The highest levels were recorded in patients with AIDS. In none of the patients the presence of antinuclear antibodies was detected. The authors discuss also possible causes of hypergammaglobulinaemia in HIV infection.

摘要

在所有患者组中——HIV感染者、艾滋病相关综合征(ARC)患者、艾滋病携带者——均发现血清IgG、IgA、IgM浓度升高。在HIV携带者组中,观察到血清IgG浓度在5%水平有显著升高,IgM浓度在1%水平有显著升高。在ARC患者中,发现IgG和IgA在5%水平有显著升高,IgM在1%水平有显著升高。在艾滋病患者中,记录到IgG值在5%水平显著升高,IgA和IgM在1%水平显著升高。在艾滋病携带者中,IgA值持续升高。在艾滋病阶段,86%的患者其值高于对照组均值±标准差。在HIV感染的所有三个阶段,均观察到循环免疫复合物浓度升高(p<0.01)。艾滋病患者中记录到的水平最高。在所有患者中均未检测到抗核抗体。作者还讨论了HIV感染中高丙种球蛋白血症的可能原因。

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