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P1血型抗原表达与流行性溶血尿毒综合征

P1 blood group antigen expression and epidemic hemolytic uremic syndrome.

作者信息

Orr P H, Dong V, Schroeder M L, Ogborn M R

机构信息

Department of Community Health Sciences, University of Manitoba, Canada.

出版信息

Pediatr Nephrol. 1995 Oct;9(5):612-3. doi: 10.1007/BF00860953.

DOI:10.1007/BF00860953
PMID:8580022
Abstract

P1 blood group positivity has been postulated as a host factor which may provide protection against the development of post-enteropathic hemolytic uremic syndrome (HUS). In this study, blood group status in 20 Inuit survivors of Escherichia coli O157:H7-associated HUS was compared with age- and sex-matched controls from the same community who had experienced uncomplicated diarrheal illness due to the same pathogen. Of 20 HUS survivors, 6 were P1 antigen positive compared with 8 of the 20 controls (P = 0.7). We conclude that P1 antigen positivity was not protective against HUS in this population. Further studies of this condition to clarify the role of host factors in verotoxin-induced endothelial damage are indicated.

摘要

P1血型阳性被认为是一种宿主因素,可能对肠病后溶血性尿毒症综合征(HUS)的发展具有保护作用。在本研究中,将20名因大肠杆菌O157:H7相关HUS幸存的因纽特人与来自同一社区、年龄和性别匹配、因相同病原体经历过非复杂性腹泻疾病的对照者的血型状况进行了比较。在20名HUS幸存者中,6名P1抗原呈阳性,而20名对照者中有8名呈阳性(P = 0.7)。我们得出结论,在该人群中,P1抗原阳性对HUS没有保护作用。有必要对这种情况进行进一步研究,以阐明宿主因素在志贺毒素诱导的内皮损伤中的作用。

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本文引用的文献

1
Epidemic Escherichia coli O157:H7 gastroenteritis and hemolytic-uremic syndrome in a Canadian inuit community: intestinal illness in family members as a risk factor.加拿大因纽特人社区的大肠杆菌O157:H7流行性肠胃炎及溶血尿毒综合征:家庭成员的肠道疾病作为一个风险因素
J Pediatr. 1994 Jan;124(1):21-6. doi: 10.1016/s0022-3476(94)70249-7.
2
An outbreak of diarrhea due to verotoxin-producing Escherichia coli in the Canadian Northwest Territories.
Scand J Infect Dis. 1994;26(6):675-84. doi: 10.3109/00365549409008635.
3
The expression of blood group P1 in post-enteropathic haemolytic uraemic syndrome.
Pediatr Nephrol. 1990 Jan;4(1):59-61. doi: 10.1007/BF00858441.
4
Clin Microbiol Rev. 1998 Jul;11(3):450-79. doi: 10.1128/CMR.11.3.450.
Verotoxin glycolipid receptors determine the localization of microangiopathic process in rabbits given verotoxin-1.
J Lab Clin Med. 1992 Aug;120(2):229-38.