IMPAIRMENT OF ACUTE PHASE PROTEIN REACTIVITY IN CHRONIC RENAL-FAILURE

被引:6
作者
CHARLESWORTH, JA [1 ]
QUIN, JW [1 ]
HOLLOWAY, RH [1 ]
JONES, BF [1 ]
ROBERTSON, MR [1 ]
机构
[1] UNIV NEW S WALES, SYDNEY, NEW S WALES, AUSTRALIA
来源
INTERNATIONAL ARCHIVES OF ALLERGY AND APPLIED IMMUNOLOGY | 1979年 / 59卷 / 04期
关键词
D O I
10.1159/000232289
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
The acute phase protein response was studied after elective surgery in 13 normal subjects and 9 patients with severe chronic renal failure. Total haemolytic complement reactivity (CH50) and serum concentrations of C1q, C1s, C4, C3, factor B, properdin, C5, C9, C-reactive protein (CRP), caeruloplasmin, α1-acid glycoprotein and haptoglobin were measured preoperatively and on days 2, 4 and 6 after operation. Abnormalities were seen in the group with chronic renal failure. Firstly, there was no significant acute phase response of C1s, C3, C5, C9 and CH50 and a significant reduction in the response of factor B. Secondly, CRP showed prolonged elevation in the post-operative period in contrast to the transient rise seen in the control group. With the possible exception of α1-acid glycoprotein, the behaviour of the non-complement proteins (caeruloplasmin and haptoglobin) was comparable for the two groups. These defects could impair the physiologicl response to infection in patients with severe chronic renal failure.
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页码:420 / 426
页数:7
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