在亚急性硬化大脑炎的麻疹病毒特异性免疫球蛋白-M反应中
Lancet (London, England)
|February 12, 1977
概括
亚急性硬化大脑炎 (SSPE) 患者在血清和脑脊液 (CSF) 中表现出高水平的麻疹特异性IgM和IgG抗体. 较高的CSFIgM表明局部抗体产生,表明中枢神经系统中持续存在的麻疹病毒.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 病毒学 病毒学
背景情况:
- 亚急性硬化大脑炎 (SSPE) 是麻疹病毒感染的罕见,致命的神经并发症.
- 中枢神经系统 (CNS) 中持续存在的麻疹病毒与SSPE的发病有关.
研究的目的:
- 在SSPE患者中调查麻疹病毒特异性IgM和IgG抗体反应.
- 为了确定脑脊液 (CSF) 中IgM的升高是否表明中枢神经系统的病毒持久性.
主要方法:
- 间接放射性免疫测试用于分析20名SSPE患者和两个对照组的血清和脑液样本.
- 对麻疹特异性IgM和IgG抗体标位的量化.
主要成果:
- 所有SSPE患者都表现出高血清和CSF抗麻疹抗体标位 (IgM和IgG).
- 在35%的SSPE病例中,脑脊髓液中的IgM反应高于血清,这表明内IgM的产生.
- 对照组在血清或脑脊液中没有显示出特定的IgM反应.
结论:
- 在SSPE患者的血清和CSF中高的麻疹特异性IgM和IgG证实了强烈的免疫反应.
- 在SSPE患者中增加的CSF特异性IgM抗体表明麻疹病毒在中枢神经系统内持久.
- 在CSF中检测病毒特异性IgM可以作为慢性中枢神经系统病毒持久性的生物标志物.
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