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红斑狼疮(SLE和DLE)抗核抗体、抗ENA抗体和抗dsDNA抗体的检测及意义
引用本文:李强,高天文,王冬青,孙东杰. 红斑狼疮(SLE和DLE)抗核抗体、抗ENA抗体和抗dsDNA抗体的检测及意义[J]. 西北国防医学杂志, 2002, 23(6): 452-454
作者姓名:李强  高天文  王冬青  孙东杰
作者单位:第四军医大学西京医院全军皮肤性病中心,陕西,西安,710032
摘    要:目的:探讨抗核抗体(ANA)、抗ENA抗体和抗dsDNA抗体在红斑狼疮(SLE和DLE)的实际临床实用价值和特点。方法:ANA和抗dsDNA抗体采用间接免疫荧光检测,ANA检测灵长类动物的肝组织印片和人类上皮细胞(Hep-2细胞)为抗原底物,抗dsDNA抗体的实验基质为血鞭毛虫属的绿蝇短膜虫。抗ENA抗体检测采用酶免疫斑点(条带)实验。结果:ANA在SLE患者阳性率为90.4%,DLE患者为75.0%,dsDNA阳性率为63.5%,ENA总阳性率为84.5%。结论:ANA是诊断红斑狼疮的重要指标,但与病情活动性平行关系,抗dsDNA抗体是SLE活动的重要标志。

关 键 词:红斑狼疮 抗核抗体 抗ENA抗体 抗dsDNA抗体 检测 临床意义
文章编号:1007-8622(2002)06-0452-02
修稿时间:2002-02-10

Detection of ANA,anti-ENA antibodies and anti-dsDNA antibodies in lupus erythematosus
LI Qiang,GAO Tian wen,WANG Dong qing,et al.. Detection of ANA,anti-ENA antibodies and anti-dsDNA antibodies in lupus erythematosus[J]. Medical Journal of National Defending Forces in Northwest China, 2002, 23(6): 452-454
Authors:LI Qiang  GAO Tian wen  WANG Dong qing  et al.
Affiliation:LI Qiang,GAO Tian wen,WANG Dong qing,et al .
Abstract:Objective:To discuss clinical value and characteristic of antinuclear antibody,anti-ENA antibodies and anti-dsDNA antibodies in lupus erythematosus.Methods:Indirect immunofluorescence was applied to detect ANA and anti-dsDNA antibodies. Antigenic substrate of ANA were liver imprint and Hep-2 cell. Test matrix of dsDNA was crithidia lucilliae flagellate. Detection of anti-ENA antibodies employed edenzyme immunoblotting assays.Results:The positive rate of ANA was 90.4% in SLE and 75% in DLE. The positive rate of anti-dsDNA antibodies was 63.5%,ENA was 84.5%.Conclusion:ANA has nothing to do with activity of SLE. Fluctuations in anti-dsDNA antibody levels are also used as a marker for disease activity and exacerbations.
Keywords:Lupus erythematosus  Antinuclear antibodies  Anti-ENA antibodies
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