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子痫前期——一种母胎免疫失衡状态。

Pre-eclampsia--a state of mother-fetus immune imbalance.

作者信息

Birkeland S A, Kristofferson K

出版信息

Lancet. 1979 Oct 6;2(8145):720-3. doi: 10.1016/s0140-6736(79)90645-7.

DOI:10.1016/s0140-6736(79)90645-7
PMID:90806
Abstract

Serial lymphocyte counts and function tests were done during and after pre-eclamptic pregnancies, and in the offspring. Compared with normal pregnancies, pre-eclamptic pregnancies were associated with lower B-lymphocyte counts in the fathers; lower T-lymphocyte count, lower B-lymphocyte count, and impaired T-lymphocyte function in mothers; a low response in mixed lymphocyte culture (MLC) tests between the mother and father; and an increased B-cell count in the children. Follow-up of one pre-eclamptic woman throughout pregnancy showed important immune changes at the beginning of the second trimester. These findings suggest that pre-eclampsia is caused by a combination of maternal and paternal hyporesponsiveness together with fetal hyperresponsiveness.

摘要

在子痫前期妊娠期间、产后以及子代中进行了系列淋巴细胞计数和功能测试。与正常妊娠相比,子痫前期妊娠的父亲B淋巴细胞计数较低;母亲的T淋巴细胞计数较低、B淋巴细胞计数较低且T淋巴细胞功能受损;母亲和父亲之间的混合淋巴细胞培养(MLC)测试反应较低;子代的B细胞计数增加。对一名子痫前期女性整个孕期的随访显示,在孕中期开始时出现了重要的免疫变化。这些发现表明,子痫前期是由母体和父体低反应性以及胎儿高反应性共同导致的。

相似文献

1
Pre-eclampsia--a state of mother-fetus immune imbalance.子痫前期——一种母胎免疫失衡状态。
Lancet. 1979 Oct 6;2(8145):720-3. doi: 10.1016/s0140-6736(79)90645-7.
2
Maternal cell-mediated immunity in normal and pre-eclamptic pregnancy.正常妊娠和子痫前期妊娠中的母体细胞介导免疫
Clin Exp Immunol. 1982 Dec;50(3):601-9.
3
Pre-eclampsia: a state of mother-fetus immune imbalance.子痫前期:一种母胎免疫失衡状态。
Lancet. 1979;2(8156-8157):1366-7. doi: 10.1016/s0140-6736(79)92847-2.
4
Maternal-fetal mixed lymphocyte reactivity in pre-eclampsia.子痫前期的母胎混合淋巴细胞反应性
Br J Exp Pathol. 1977 Oct;58(5):500-3.
5
Pre-eclampsia in pregnancies by different fathers: immunological studies.不同父亲所孕妊娠中的子痫前期:免疫学研究
Br Med J. 1975 Mar 8;1(5957):548-9. doi: 10.1136/bmj.1.5957.548.
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Feto-Maternal Microchimerism: The Pre-eclampsia Conundrum.胎母微嵌合体:子痫前期的难题。
Front Immunol. 2019 Mar 29;10:659. doi: 10.3389/fimmu.2019.00659. eCollection 2019.
7
Studies of lymphocyte populations in pre-eclampsia-eclampsia.子痫前期-子痫患者淋巴细胞群体的研究。
Am J Obstet Gynecol. 1977 Oct 1;129(3):255-9. doi: 10.1016/0002-9378(77)90775-x.
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Fetal and maternal contributions to risk of pre-eclampsia: population based study.胎儿和母体因素对先兆子痫风险的影响:基于人群的研究。
BMJ. 1998 May 2;316(7141):1343-7. doi: 10.1136/bmj.316.7141.1343.
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Recurrence of pre-eclampsia across generations: exploring fetal and maternal genetic components in a population based cohort.子痫前期的跨代复发:在基于人群的队列中探索胎儿和母体的遗传成分
BMJ. 2005 Oct 15;331(7521):877. doi: 10.1136/bmj.38555.462685.8F. Epub 2005 Sep 16.
10
[Immunology of pregnancy. II. Control and pathology of the maternal immune response (author's transl)].[妊娠免疫学。II. 母体免疫反应的调控与病理学(作者译)]
Pathol Biol (Paris). 1977 Nov;25(9):659-71.

引用本文的文献

1
Cellular immune responses in the pathophysiology of preeclampsia.子痫前期病理生理学中的细胞免疫反应。
J Leukoc Biol. 2022 Jan;111(1):237-260. doi: 10.1002/JLB.5RU1120-787RR. Epub 2021 Apr 13.
2
Paternal Determinants in Preeclampsia.子痫前期中的父系决定因素
Front Physiol. 2019 Jan 7;9:1870. doi: 10.3389/fphys.2018.01870. eCollection 2018.
3
Analysis of proliferating lymphocyte subpopulations in newborns and adults.新生儿和成人增殖淋巴细胞亚群的分析。
Eur J Pediatr. 1985 Jul;144(2):182-5. doi: 10.1007/BF00451910.