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自身免疫性疾病患者可提取核抗原与体液免疫的关系
引用本文:谢国锦,钟天鹰. 自身免疫性疾病患者可提取核抗原与体液免疫的关系[J]. 检验医学与临床, 2010, 7(1): 3-4
作者姓名:谢国锦  钟天鹰
作者单位:南京医科大学附属南京市儿童医院检验科,210008;南京医科大学附属南京市儿童医院检验科,210008
摘    要:
目的探讨可提取核抗原(ENA)抗体谱的临床意义及其与体液免疫指标的关系。方法对70例自身免疫性疾病患者血清样本,采用欧蒙斑点法检测抗ENA抗体,采用散射比浊法检测免疫球蛋白和补体。结果抗ENA抗体在自身免疫性疾病中有较高的检出率,其中抗Sm、抗dsDNA在系统性红斑狼疮(SLE)的阳性率为34.0%和32.0%,与健康对照组和抗体阴性组比较,抗ENA抗体阳性血清中IgG、Ig M及IgA增高,分别为(21.4±14.8)、(1.8±0.9)、(2.58±0.34)g/L,而C3、C4水平下降,为(1.10±0.35)、(0.23±0.13)g/L。结论抗ENA抗体阳性者体液免疫应答增加。

关 键 词:自身免疫性疾病  自身抗体  抗核抗体  补体C3  补体C4

Relations of anti-ENA autoantibody and humoral immune in patients with autoimmune disease
XIE Guo-jin,ZHONG Tian-ying. Relations of anti-ENA autoantibody and humoral immune in patients with autoimmune disease[J]. Laboratory Medicine and Clinic, 2010, 7(1): 3-4
Authors:XIE Guo-jin  ZHONG Tian-ying
Affiliation:XIE Guo- jin ,ZHONG Tian- ying. ( Department of Clinical Laboratory, Nanjing Children's Hospital Affiliated to Nanjing Medical University , Nanjing 210008, China)
Abstract:
Objective To explore the clinical significance of anti-ENA autoantibody profiles and its relations with other immune markes. Methods Anti-ENA antoantibodies were tested with Western-blot. While immunoglobulins and complements were detected with scatter velocity turbidimetry. Results The high positive tale of anti-ENA antoantibody was directed. The positive rate of anti-SM and anti-dsDNA was 34. 0%, 32. 0% in SLE. The level of IgG,IGM and IgA was increased in anti ENA antibody positive sera,whieh were (21.4±14.8) ,(1.8±0.9),(2.58 ±0.34)g/L ,while the level of C3 and C4 was decreased,which were 1. 10±0.35), (0.23±0. 13)g/L respectively. Conclusion Humoral immune activation is demonstrated in the patiens with positive ENA autoantihody.
Keywords:autoimmune disease  autoantibody  antibodies  antinuclear  complement C3  complement C4  
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