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[成人支气管炎病程复杂的呼吸道合胞病毒感染中的抗呼吸道合胞病毒IgE]

[Anti-RS viral IgE in respiratory syncytial viral infection in adult patients with a complicated course of bronchitis].

作者信息

Krivitskaia V Z, Aleksandrova N A, Pokhaznikova M A

机构信息

State Research Centre of Pulmonology, St. Petersburg, Russia.

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 1998 Jul-Aug(4):56-61.

PMID:9783403
Abstract

In adult patients with different variants of the complicated course of bronchitis (prolonged, relapsing, chronic) respiratory syncytial (RS) virus infections were shown to occur very frequently (37-72%, depending on the form on bronchitis). In 220 cases of RS infection the content of anti-RS-virus IgE in the blood was analyzed. The reaction of specific IgE was more pronounced in RS infection observed in patients with acute of bronchitis, than in those with chronic forms. The occurrence of RS-virus infections and reinfections was shown to be directly related to the presence of the broncho-obstructive syndrome in patients. The direct correlation between high levels of serum anti-RS-virus IgE and the presence of bronchospasms in patients, revealed in this study, was indicative of the possible pathogenetic role of this immunoglobulin: the Pearson association factor (rA) was 0.32, p < 0.01. Depending on the specific features of the clinical course of bronchitis, differences in the dynamics and speed on immune response, in the duration of the preservation of anti-RS-virus IgE in the blood, as well as in the character of the reaction of this immunoglobulin to single and multiple RS-virus lesion, were observed.

摘要

在患有不同类型复杂病程支气管炎(迁延性、复发性、慢性)的成年患者中,呼吸道合胞(RS)病毒感染非常常见(37%-72%,取决于支气管炎的类型)。对220例RS感染病例的血液中抗RS病毒IgE含量进行了分析。在急性支气管炎患者中观察到的RS感染中,特异性IgE反应比慢性支气管炎患者更明显。RS病毒感染和再感染的发生与患者支气管阻塞综合征的存在直接相关。本研究揭示,患者血清中高水平抗RS病毒IgE与支气管痉挛的存在之间的直接相关性表明了这种免疫球蛋白可能的致病作用:皮尔逊关联因子(rA)为0.32,p<0.01。根据支气管炎临床病程的具体特征,观察到免疫反应的动态和速度、血液中抗RS病毒IgE保存时间的差异,以及这种免疫球蛋白对单次和多次RS病毒感染反应的特点。

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