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同胞中伴有白细胞减少的重症联合免疫缺陷(网状发育不全):免疫学和组织病理学发现

Severe combined immunodeficiency with leukopenia (reticular dysgenesis) in siblings: immunologic and histopathologic findings.

作者信息

Ownby D R, Pizzo S, Blackmon L, Gall S A, Buckley R H

出版信息

J Pediatr. 1976 Sep;89(3):382-7. doi: 10.1016/s0022-3476(76)80532-x.

DOI:10.1016/s0022-3476(76)80532-x
PMID:956962
Abstract

The hematologic and histologic features of two, nontwin, male siblings with severe combined immunodeficiency and variable granulocytopenia are compared to the four previously reported cases of reticular dysgenesis. These sibs died at 50 and 3 days of age, respectively, with Pseudomonas sepsis and congenital cytomegalovirus infection, respectively. A maternal uncle has selective IgA deficiency. Cord blood from the second sib contained a normal percentage of E-rosetting lymphocytes; however, these lymphocytes failed to respond to mitogenic stimulation in vitro. Erythrocyte and lymphocyte levels of adenosine deaminase were elevated in the father and the second sib. Serum immunoglobulin concentrations were low in both siblings.

摘要

将两名患有严重联合免疫缺陷和可变粒细胞减少症的非双胞胎男性同胞的血液学和组织学特征与先前报道的四例网状发育不全病例进行了比较。这两名同胞分别在50天和3天时死亡,分别死于铜绿假单胞菌败血症和先天性巨细胞病毒感染。一名舅舅患有选择性IgA缺乏症。第二个同胞的脐带血中E花环形成淋巴细胞的百分比正常;然而,这些淋巴细胞在体外对有丝分裂原刺激无反应。父亲和第二个同胞的红细胞和淋巴细胞中的腺苷脱氨酶水平升高。两名同胞的血清免疫球蛋白浓度均较低。

相似文献

1
Severe combined immunodeficiency with leukopenia (reticular dysgenesis) in siblings: immunologic and histopathologic findings.同胞中伴有白细胞减少的重症联合免疫缺陷(网状发育不全):免疫学和组织病理学发现
J Pediatr. 1976 Sep;89(3):382-7. doi: 10.1016/s0022-3476(76)80532-x.
2
Severe combined immunodeficiency and adenosine deaminase deficiency.重症联合免疫缺陷与腺苷脱氨酶缺乏症
N Engl J Med. 1975 Apr 3;292(14):714-9. doi: 10.1056/NEJM197504032921402.
3
[Adenosine deaminase deficit in severe combined immunodeficiency (author's transl)].
Sangre (Barc). 1981;26(6):1129-38.
4
Enzyme replacement therapy for adenosine deaminase deficiency and severe combined immunodeficiency.腺苷脱氨酶缺乏症和严重联合免疫缺陷的酶替代疗法。
N Engl J Med. 1976 Dec 9;295(24):1337-43. doi: 10.1056/NEJM197612092952402.
5
Reticular dysgenesis: report of two brothers.网状细胞发育不全:两兄弟的病例报告。
Clin Exp Immunol. 1979 Dec;38(3):615-20.
6
A family of adenosine deaminase deficiency with severe combined immunodeficiency.
Jinrui Idengaku Zasshi. 1979 Jun;24(2):95-8. doi: 10.1007/BF01888926.
7
Heterogeneity of lymphocyte subpopulations in severe combined immunodeficiency. Evidence against a stem cell defect.严重联合免疫缺陷中淋巴细胞亚群的异质性。反对干细胞缺陷的证据。
J Clin Invest. 1976 Jul;58(1):130-6. doi: 10.1172/JCI108441.
8
Hereditary sever combined immunodeficiency and adenosine deaminase deficiency.遗传性重症联合免疫缺陷症和腺苷脱氨酶缺乏症
Pediatr Res. 1976 Jan;10(1):67-70. doi: 10.1203/00006450-197601000-00013.
9
In vivo and in vitro effects of thymosin and adenosine deaminase on adenosine-deaminase-deficient lymphocytes.胸腺素和腺苷脱氨酶对腺苷脱氨酶缺陷淋巴细胞的体内和体外作用。
N Engl J Med. 1979 Feb 22;300(8):387-92. doi: 10.1056/NEJM197902223000802.
10
Immunoreactive adenosine deaminase (ADA) in cultured fibroblasts from patients with combined immunodeficiency disease.联合免疫缺陷病患者培养成纤维细胞中的免疫反应性腺苷脱氨酶(ADA)
Adv Exp Med Biol. 1977;76A:463-70. doi: 10.1007/978-1-4613-4223-6_58.

引用本文的文献

1
Reticular dysgenesis (aleukocytosis) is caused by mutations in the gene encoding mitochondrial adenylate kinase 2.网状细胞发育不全(白细胞缺乏症)由编码线粒体腺苷酸激酶2的基因突变引起。
Nat Genet. 2009 Jan;41(1):101-5. doi: 10.1038/ng.265. Epub 2008 Nov 30.
2
Severe combined immunodeficiency (SCID) associated neutropenia: a lesson from monozygotic twins.严重联合免疫缺陷(SCID)相关的中性粒细胞减少症:来自同卵双胞胎的教训。
Arch Dis Child. 1996 Apr;74(4):340-2. doi: 10.1136/adc.74.4.340.
3
Elevated erythrocyte adenosine deaminase activity in patients with acquired immunodeficiency syndrome.
获得性免疫缺陷综合征患者红细胞腺苷脱氨酶活性升高。
Proc Natl Acad Sci U S A. 1986 Feb;83(4):1089-91. doi: 10.1073/pnas.83.4.1089.
4
Severe combined immune deficiency presenting with cyclic hematopoiesis.伴有周期性血细胞生成的重症联合免疫缺陷。
J Clin Immunol. 1991 Nov;11(6):369-77. doi: 10.1007/BF00918803.