IMMUNOGENETIC SUSCEPTIBILITY FOR POST-SCHISTOSOMAL HEPATIC-FIBROSIS

被引:15
作者
HAFEZ, M
HASSAN, SA
ELTAHAN, H
ELSHENNAWY, F
KHASHABA, M
ALTONBARY, Y
ELMORSI, Z
ELSALLAB, S
ELDESOKY, I
ELSHAZLY, A
ETEBA, S
机构
[1] MANSOURA UNIV, FAC MED, DEPT PATHOL, MANSOURA, EGYPT
[2] MANSOURA UNIV, FAC MED, DEPT PARASITOL, MANSOURA, EGYPT
[3] MANSOURA UNIV, FAC MED, DEPT RADIOL, MANSOURA, EGYPT
[4] MANSOURA UNIV, FAC MED, DEPT PEDIAT, TROP UNIT, MANSOURA, EGYPT
[5] MANSOURA UNIV, FAC MED, DEPT CLIN PATHOL, DIV IMMUNOL, MANSOURA, EGYPT
关键词
D O I
10.4269/ajtmh.1991.44.424
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In 19 children with hepatic fibrosis as the result of continued schistosomiasis mansoni and 20 children without hepatic fibrosis, the following studies were carried out: HLA antigen typing for 30 antigens, immune response of T lymphocytes to schistosome antigen by measuring DNA synthesis evidenced by H-3-thymidine uptake, and measurement of total OKT3+, OKT4+, and OKT8+ cells using monoclonal antibodies. Patients with hepatic fibrosis were mostly high responders in contrast with those without fibrosis. High immune response and susceptibility to post-schistosomal hepatic fibrosis were associated with a high frequency of A2 and B12 antigens and a lack of DR2 antigens, while low response was associated with the presence of the DR2 antigen. The T4+:T8+ ratio showed increased suppressor proportions in patients with low immune response and/or with no hepatic fibrosis. We suggest an immunogenetic susceptibility for post-schistosomal hepatic fibrosis, probably controlled by HLA-linked genes via the suppressor T cells.
引用
收藏
页码:424 / 433
页数:10
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