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[肾小球肾炎患者的激素敏感性]

[The hormonal sensitivity of glomerulonephritis patients].

作者信息

Ivashchenko Zh A, Kuznetsova O P, Komissarova I A, Kalashnikova E A

出版信息

Ter Arkh. 1996;68(6):13-6.

PMID:8771674
Abstract

Hormone sensitivity in patients suffering from glomerulonephritis of nephrotic type was assessed cytochemically by corticosteroid action on activity of mitochondrial enzymes (alpha-glycerophosphate dehydrogenase, succinate dehydrogenase) and by sensitivity of peripheral blood mononuclear cells to antiproliferative effect of dexamethasone in vitro. In glucocorticosteroid-sensitive patients the activity of alpha-glycerophosphate dehydrogenase, succinate dehydrogenase rises in interaction with prednisolone in vitro. In the resistant patients enzymatic activity in lymphocytes came down, peripheral blood mononuclear cells before and in the course of treatment retained resistance to glucocorticoids irrespective of the treatment results. Alpha-glycerophosphate dehydrogenase to succinate dehydrogenase index varied from 0 to 0.33 and 0.4 to 5.1 in the resistant and sensitive patients, respectively.

摘要

通过细胞化学方法评估肾病型肾小球肾炎患者的激素敏感性,方法包括观察皮质类固醇对线粒体酶(α-甘油磷酸脱氢酶、琥珀酸脱氢酶)活性的作用,以及外周血单个核细胞在体外对地塞米松抗增殖作用的敏感性。在糖皮质激素敏感的患者中,体外与泼尼松龙相互作用时,α-甘油磷酸脱氢酶、琥珀酸脱氢酶的活性升高。在耐药患者中,淋巴细胞中的酶活性下降,治疗前及治疗过程中外周血单个核细胞对糖皮质激素仍保持耐药性,与治疗结果无关。耐药患者和敏感患者中,α-甘油磷酸脱氢酶与琥珀酸脱氢酶的比值分别为0至0.33和0.4至5.1。

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