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黄雪芳, 张文军, 彭宣宪, 李斯明, 苗艳萍. 甲亢患者IgG特异性激活补体类循环免疫复合物的研究[J]. 中国公共卫生, 2002, 18(9): 1040-1042. DOI: 10.11847/zgggws2002-18-09-09
引用本文: 黄雪芳, 张文军, 彭宣宪, 李斯明, 苗艳萍. 甲亢患者IgG特异性激活补体类循环免疫复合物的研究[J]. 中国公共卫生, 2002, 18(9): 1040-1042. DOI: 10.11847/zgggws2002-18-09-09
HUANG Xue-fang, ZHANG Wen-jun, PENG Xuan-xian, . Study on Circulating Immune Complexes of IgG Specific Activing Complement in Patients with Graves’ Disease[J]. Chinese Journal of Public Health, 2002, 18(9): 1040-1042. DOI: 10.11847/zgggws2002-18-09-09
Citation: HUANG Xue-fang, ZHANG Wen-jun, PENG Xuan-xian, . Study on Circulating Immune Complexes of IgG Specific Activing Complement in Patients with Graves’ Disease[J]. Chinese Journal of Public Health, 2002, 18(9): 1040-1042. DOI: 10.11847/zgggws2002-18-09-09

甲亢患者IgG特异性激活补体类循环免疫复合物的研究

Study on Circulating Immune Complexes of IgG Specific Activing Complement in Patients with Graves’ Disease

  • 摘要: 目的探讨甲状腺机能亢进(Graves disease,GD)患者IgG特异性激活补体类循环免疫复合物(IgG/C3-TCIC)的存在状况及其病理生理意义。方法采用捕捉法ELISA以羊IgG抗人C3为包被抗体,HRP-羊抗人IgG为检测抗体,检测了219例GD患者和105例健康人血清中IgG/C3-TCIC;按不同年龄、性别、血清Ig、C3、T3、T4、FT3、FT4、TG和TM水平正常与否,比较其阳性率;并分析其与血清总、游离、复合Ig与C3的相关性。结果GD患者血清中IgG/C3-TCIC含量和阳性率显着高于正常对照组(P<0.01,0.001);其阳性率与年龄、性别及血清甲状腺激素水平无关,仅在血清IgA水平升高组显着高于IgA正常组(P<0.05);患者IgG/C3-TCIC仅与复合IgM呈正相关(r=0.1732,P<0.05),而正常对照IgG/C3-TCIC与总游离IgM及复合C3呈正相关(r=0.4968,0.4731,0.2113;P<0.001,0.001,0.05)。结论GD患者存在特异性免疫功能紊乱。Ig类型转换于该类TCIC的形成具有重要的调节作用。并提出深入研究其机理,将可能为探索Graves病发病机理和治疗找到一条新路。

     

    Abstract: ObjectiveTo explore existing state and its pathology meanings of the two component circulating immune complexes of IgG specific activing complement(IgG/C3-TCIC)in patients with Graves'disease(GD).MethodsBy a capture EL ISA,used coat IgG anti-human C 3 for coated antibody,HRP-coat anti-human IgGfor second antibody,taking 219 cases of GD as a test group and 105 healthy individuals as a control one,IgG/C3-TCIC were characterized in this paper to compare its positive rate between the normal and abnormal levels of serum Ig,C3,T3,T4,FT3,FT4,TG,TM and different age, sex,and to analyse the correlation between IgG/C3-TCIC and serum total,free,composed Ig and C3.ResultsBoth the levels and positive rates of IgG/C3-TCIC in GD patients were remarkably higher than those in the controls(P<0.01,0.001), its positive rates were no relations with age,sex and the levels of serum thyroxine,only notablely higher in the levels of serum IgA than those of the normal groups(P<0.05).IgG/C 3-TCIC in GD patients only correlated with the complexed IgM(r=0.173 2,P<0.05).In contrast,IgG/C 3-TCIC correlated with total,free IgM and complexed C3(r=0.496 8,0.473 1, 0.211 3,P<0.001,0.001,0.05).ConclusionThere were specific immune disorder in patients with Graves'disease.Ig switch had an important effect on regulating the formation of IgG/C3-TCIC.It cut a new approach to further illustrate the mechanism of the relational autoimmune diseases.

     

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