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感染I型人类嗜T细胞病毒的原子弹幸存者体内的自身抗体和免疫球蛋白

Autoantibodies and immunoglobulins in atomic bomb survivors with human T-lymphotropic virus type I.

作者信息

Ohishi K, Shibata Y, Nakamura T, Tsujihata M, Akahoshi M, Matsuo T, Tomonaga M, Nagataki S, Shimaoka K

机构信息

Radiation Effects Research Foundation, Nagasaki.

出版信息

Intern Med. 1996 Aug;35(8):624-8. doi: 10.2169/internalmedicine.35.624.

Abstract

The association of human T-lymphotropic virus type I (HTLV-I) with autoimmune disorders was investigated on the basis of prevalence of antinuclear antibody (ANA), rheumatoid factor and anti-thyroglobulin antibody as well as immunoglobulin (Ig) serum level (IgG, IgA, and IgM). The subjects, all atomic bomb survivors, were 59 HTLV-I-seropositive people without HTLV-I-associated myelopathy or adult T-cell leukemia and 149 HTLV-I-seronegative persons. The mean serum level of IgM was higher in HTLV-I-seropositive subjects than in HTLV-I-seronegative subjects, and a significant association with HTLV-I and sex was indicated in the IgM serum level. No association with HTLV-I was indicated in the prevalence of the autoantibodies except for ANA. These results suggest some clear humoral immunity differences between HTLV-I-infected and noninfected subjects, but whether HTLV-I infection can lead to autoimmune disorders remains uncertain.

摘要

基于抗核抗体(ANA)、类风湿因子、抗甲状腺球蛋白抗体的流行情况以及免疫球蛋白(Ig)血清水平(IgG、IgA和IgM),对人类嗜T淋巴细胞病毒I型(HTLV-I)与自身免疫性疾病之间的关联进行了研究。研究对象均为原子弹幸存者,其中59名HTLV-I血清阳性者,无HTLV-I相关脊髓病或成人T细胞白血病,以及149名HTLV-I血清阴性者。HTLV-I血清阳性受试者的IgM平均血清水平高于HTLV-I血清阴性受试者,并且IgM血清水平显示出与HTLV-I和性别存在显著关联。除ANA外,自身抗体的流行情况未显示与HTLV-I有关联。这些结果表明,HTLV-I感染和未感染受试者之间存在一些明显的体液免疫差异,但HTLV-I感染是否会导致自身免疫性疾病仍不确定。

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