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新生儿感染IgG亚类探讨

STUDY ON IgG SUBCLASSES IN NEONATAL INFECTIONS

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【作者】 李成荣; 杨锡强; 吴仕孝; 邱琪宝; 匡中生; 王莉佳; 杨晓波; 张远维;

【Author】 Li Chengrongk, Yang Xiqiang, et al. Chongqing Children’s HospitalChongqing Medical University, Chongqing, 630014

【机构】 重庆医科大学附属儿童医院; 重庆医科大学附属儿童医院;

【摘要】 本文观察18例新生儿败血症及11例新生儿皮下坏疽IgG亚类变化,两组患婴的四种血清IgG亚类均低于对照组(p<0.01或<0.05)。体外用pwm诱导B细胞产生lg可见两组患婴除lgM如lgG3,外,IgG1、lgG2及lgG4,明显低于对照组(p<0.01或p<0.05)。患婴的PBMC对T细胞丝裂原PHA的增殖反应减弱,CD4/CD8比值下降。本文结果表明新生儿感染时T细胞功能系乱可致B细胞抗体生成能力下降。

【Abstract】 The patterns of IgG subclasses in 18 cases of neonatal sepsis and 11 cases of neonatal subcutaneous gangrene were studied. Compared with those in 18 age - matched normal controls, all serum IgG subclasses (including IgG1 ,IgG2,IgG3and Igg4)in the both groups of the patients were statistically decreased(P<0. 01or P<0. 05). The ability of in vitro iminunoglobulin biosynthesis was observed with Tcell dependent mitogen(pokeweed mito-gen). The results showed that the concentrations of IgG1 ,Igg2and Igg4 in the supernntants of 10 -day cultured peripheral blood mononuclear cbllsfrom the patients with sepsis and subcutaneous gangrene were, lower than thosefrom normal controls. The Lymphocyte proliferative response to PHA and ratio of CD4/CD8in the patients were also decreased significantly in comparison with the normal controls. It is suggested that T cell dysfunction in neonatal infections might be related to the abnormal IgG subclass productions.

【关键词】 新生儿感染; IgG亚类;
【Key words】 neonafal infection IgG subclas;
  • 【文献出处】 重庆医药 ,Chongqing Medical Journal , 编辑部邮箱 ,1991年05期
  • 【下载频次】11
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