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Seroprevalence of Antibodies to Microorganisms Known To Cause Arterial and Myocardial Damage in Patients with or without Coronary Stenosis 有或无冠状动脉狭窄患者中已知引起动脉和心肌损害的微生物抗体的血清阳性率
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.997-1002.2001
C. Stöllberger, G. Mölzer, J. Finsterer
ABSTRACT Infections are assumed to play a role in coronary artery disease (CAD) and cardiomyopathies. It is unknown whether the seroprevalence of antibodies to these microorganisms is higher in patients with than without CAD. The seroprevalence of antibodies to Bartonella henselae, Borrelia burgdorferi, Chlamydia pneumoniae, Coxiella burnetii, Helicobacter pylori, human granulocyticEhrlichia, Leptospira, Rickettsia conorii, andTreponema pallidum was assessed prospectively in patients with exertional dyspnea or anginal chest pain who underwent coronary angiography because of suspected CAD. Patients with normal angiograms (NA) were those in whom no more than 50% stenosis of any coronary artery was found. Patients with CAD were patients who underwent percutaneous transluminal coronary angioplasty. There were 50 patients with CAD (9 female) and 62 with NA (25 female), with a mean age of 62 years. All patients had antibodies to at least one microorganism: to B. henselae, 8% of CAD patients and 5% of NA patients; to B. burgdorferi IgG, 14% CAD and 6% NA; to B. burgdorferi IgM, 6% CAD and 3% NA; to C. pneumoniae lipopolysaccharide (LPS) IgA, 76% CAD and 77% NA; to C. pneumoniae LPS IgG, 80% CAD and 90% NA; to C. burnetii, 0% CAD and 5% NA; to H. pylori, 92% CAD and 68% NA; to human granulocytic Ehrlichia, 8% CAD and 3% NA; toLeptospira IgG, 4% CAD and 2% NA; to R. conorii, 10% in both groups; and to T. pallidum, 2% CAD and 0% NA. The seroprevalence of antibodies to micro-organisms known to induce arterial and myocardial damage does not differ between patients with CAD and NA.
感染被认为在冠状动脉疾病(CAD)和心肌病中起作用。目前尚不清楚这些微生物抗体在冠心病患者中的血清阳性率是否高于非冠心病患者。前瞻性评估了因疑似CAD而行冠状动脉造影的劳累性呼吸困难或心绞痛性胸痛患者血清中对亨塞巴尔通体、伯氏疏螺旋体、肺炎衣原体、伯氏柯谢氏体、幽门螺杆菌、人粒细胞性埃立克体、钩端螺旋体、康氏立克次体和梅毒螺旋体抗体的阳性率。血管造影正常(NA)是指任何冠状动脉狭窄不超过50%的患者。冠心病患者为行经皮腔内冠状动脉成形术的患者。CAD患者50例(女性9例),NA患者62例(女性25例),平均年龄62岁。所有患者都至少有一种微生物抗体:对母鸡b抗体,占CAD患者的8%,占NA患者的5%;对伯氏疏螺旋体IgG, CAD 14%, NA 6%;对伯氏疏螺旋体IgM, 6% CAD和3% NA;对肺炎支原体脂多糖(LPS) IgA、76% CAD、77% NA;肺炎链球菌LPS IgG, 80% CAD, 90% NA;加0% CAD和5% NA;对幽门螺杆菌,CAD 92%, NA 68%;人粒细胞埃利希体,8% CAD和3% NA;螺旋体IgG, 4% CAD和2% NA;两组均为10%;白桦尺蠖加2% CAD和0% NA。已知可引起动脉和心肌损伤的微生物抗体的血清阳性率在冠心病患者和NA患者之间没有差异。
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引用次数: 13
Expression of Natural Peptide Antibiotics in Human Articular Cartilage and Synovial Membrane 天然肽类抗生素在人关节软骨和滑膜中的表达
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.1021-1023.2001
F. Paulsen, T. Pufe, W. Petersen, B. Tillmann
ABSTRACT In view of frequent present use of invasive procedures on limb joints, it is astonishing that articular joint inflammation is a rare event. We questioned whether antimicrobial peptides play a role in protecting human articular cartilage and synovial membrane against inflammatory agents. Our results implicate defensins in the protection of human articular joints against pathogens.
摘要:鉴于目前在肢体关节上频繁使用侵入性手术,令人惊讶的是,关节炎症是一种罕见的事件。我们质疑抗菌肽是否在保护人类关节软骨和滑膜免受炎症因子的影响中发挥作用。我们的结果暗示了防御素在保护人类关节免受病原体侵害的作用。
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引用次数: 26
Significant Role of Interleukin-8 in Pathogenesis of Pulmonary Disease Due to Mycoplasma pneumoniaeInfection 白细胞介素-8在肺炎支原体感染肺部疾病发病中的重要作用
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.1028-1030.2001
M. Narita, Hiroshi Tanaka, S. Yamada, S. Abe, T. Ariga, Y. Sakiyama
ABSTRACT We found elevated levels of interleukin-8 in pleural fluid samples from patients with pleural effusion and with a sustained fibrotic change of the lung due to Mycoplasma pneumoniaeinfection. This result suggests a critical role of interleukin-8 in the pathogenesis of a certain type of pulmonary disease caused by M. pneumoniae.
摘要:我们发现肺炎支原体感染引起的胸腔积液和肺部持续纤维化改变患者的胸膜液样本中白细胞介素-8水平升高。这一结果提示白细胞介素-8在由肺炎支原体引起的某一类型肺部疾病的发病机制中起关键作用。
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引用次数: 43
Serum Antibody Response to Polysaccharides in Children with Recurrent Respiratory Tract Infections 反复呼吸道感染患儿血清对多糖的抗体反应
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.1012-1014.2001
Alberto López-Yap, A. Abdelnour, B. Lomonte, Ó. Porras
ABSTRACT We evaluated children (15-months old and older) with recurrent upper respiratory tract infections and normal levels of immunoglobulins in serum for specific polysaccharide immunodeficiency using an enzyme-linked immunosorbent assay method. Results showed that of 12 patients vaccinated with Act-HIB vaccine, one did not develop specific antibodies to Haemophilus influenzae type b, demonstrating that such immunodeficiency is present in Costa Rican children.
摘要:我们使用酶联免疫吸附测定法对反复上呼吸道感染且血清免疫球蛋白水平正常的儿童(15个月及以上)进行特异性多糖免疫缺陷检测。结果显示,在接种Act-HIB疫苗的12名患者中,有1名患者没有产生b型流感嗜血杆菌的特异性抗体,这表明这种免疫缺陷存在于哥斯达黎加儿童中。
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引用次数: 3
Self Antigen Prognostic for Human Immunodeficiency Virus Disease Progression 人类免疫缺陷病毒疾病进展的自身抗原预后
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.937-942.2001
C. Bristow, Hirenkumar Patel, R. Arnold
ABSTRACT We have recently found that an extracellular protein, α1 proteinase inhibitor (α1PI; α1 antitrypsin), is required for in vitro human immunodeficiency virus (HIV) infectivity outcome. We show here in a study of HIV-seropositive patients that decreased viral load is significantly correlated with decreased circulating α1PI. In the asymptomatic category of HIV disease, 100% of patients manifest deficient levels of active α1PI, a condition known to lead to degenerative lung diseases and a dramatically reduced life span. Further, HIV-associated α1PI deficiency is correlated with circulating anti-α1PI immunoglobulin G. These results suggest that preventing HIV-associated α1PI deficiency may provide a strategic target for preventing HIV-associated pathophysiology.
我们最近发现了一种细胞外蛋白α1蛋白酶抑制剂(α1PI;α1抗胰蛋白酶)是体外人类免疫缺陷病毒(HIV)感染性结果所必需的。我们在一项hiv血清阳性患者的研究中表明,病毒载量的降低与循环α1PI的降低显著相关。在无症状的HIV疾病类别中,100%的患者表现出活性α1PI水平不足,这种情况已知会导致肺部退行性疾病和寿命急剧缩短。此外,hiv相关的α1PI缺乏与循环抗α1PI免疫球蛋白g相关。这些结果表明,预防hiv相关的α1PI缺乏可能为预防hiv相关的病理生理提供了一个战略靶点。
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引用次数: 20
African Enigma: Key Player in Human Immunodeficiency Virus Pathogenesis in Developing Countries? 非洲之谜:发展中国家人类免疫缺陷病毒发病机制的关键角色?
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.864-866.2001
M. Clerici, S. Declich, G. Rizzardini
Recent data (10) show that enteric helminthic infections result in the secretion of type 2 cytokines (interleukin-4 [IL-4], IL-5, IL-6, IL-10) and a type 1-to-type 2 shift in cytokine profiles. The predominant production of type 2 cytokines is associated with a reduced incidence of gastritis and gastric atrophy in individuals who are coinfected with helminths and Helicobacter felis. The authors suggest that these results justify the low rate of gastric cancer observed in African individuals (the “African enigma”), a population in which helminthic infections are widespread. We are convinced that the importance of the African enigma goes well beyond the modulation of gastric cancer and that the cytokine profile observed in African individuals can justify the peculiarities that characterize human immunodeficiency virus (HIV) infection in Africa. To summarize: an abnormal activation of the immune system has repeatedly been postulated to be involved in the pathogenesis of African HIV infection (3); and data stemming from analyses performed over an extended period of time in the Gulu District of northern Uganda, where the prevalence of HIV infection ranges between 14 and 25%, confirm that lymphocytes from African HIV-infected individuals show functional and phenotypic signs of abnormal activation. Thus, the levels of tumor necrosis factor alpha (TNF-), gamma interferon (IFN-), and IL-10 production are increased when the level of cytokine production by antigen-stimulated peripheral blood mononuclear cells (PBMCs) of African HIV-infected individuals is compared to that of PBMCs of HIV-infected European patients; and the percentages of IL-10- and TNFproducing CD4 and CD8 cells in these individuals are increased (7, 17, 18). Additionally, the numbers of CD4 and HLA class II-expressing lymphocytes and the CD4 CD45ROCD4CD45RA ratio are augmented in African subjects compared to those in European subjects. Interestingly, immune activation in the African setting is not limited to HIV-infected individuals, as TNF-, IFN-, and IL-10 production is greatly augmented in individuals not infected with HIV as well (7). Immune activation in African subjects could result from environmental conditions, including parasitic infections, poor hygienic conditions, and dietary limitations, or could be the
最近的数据(10)表明,肠道蠕虫感染导致2型细胞因子(白细胞介素-4 [IL-4]、IL-5、IL-6、IL-10)的分泌,并导致细胞因子谱从1型向2型转变。2型细胞因子的主要产生与同时感染蠕虫和幽门螺杆菌的个体胃炎和胃萎缩的发生率降低有关。作者认为,这些结果证明了在非洲个体(“非洲之谜”)中观察到的低胃癌发病率是合理的,在非洲人群中蠕虫感染很普遍。我们相信,非洲之谜的重要性远远超出了胃癌的调节,在非洲个体中观察到的细胞因子谱可以证明非洲人类免疫缺陷病毒(HIV)感染的特点是合理的。总而言之:免疫系统的异常激活被反复假设参与了非洲HIV感染的发病机制(3);在艾滋病毒感染率在14%至25%之间的乌干达北部Gulu地区进行的长期分析数据证实,来自非洲艾滋病毒感染者的淋巴细胞显示出异常激活的功能和表型迹象。因此,当非洲hiv感染者的抗原刺激外周血单个核细胞(PBMCs)产生的细胞因子水平与感染hiv的欧洲患者的外周血单个核细胞(PBMCs)的细胞因子水平进行比较时,肿瘤坏死因子α (TNF-)、γ干扰素(IFN-)和IL-10的产生水平增加;在这些个体中产生IL-10和tnf的CD4和CD8细胞的百分比增加(7,17,18)。此外,与欧洲受试者相比,非洲受试者的CD4和HLA ii类表达淋巴细胞的数量以及CD4 CD45ROCD4CD45RA比值增加。有趣的是,非洲环境中的免疫激活并不局限于HIV感染个体,因为TNF-、IFN-和IL-10的产生在未感染HIV的个体中也大大增加(7)。非洲受试者的免疫激活可能是由环境条件引起的,包括寄生虫感染、卫生条件差和饮食限制,或者可能是环境因素导致的
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引用次数: 17
Anti-CD20 Monoclonal Antibody Treatment of Human Herpesvirus 8-Associated, Body Cavity-Based Lymphoma with an Unusual Phenotype in a Human Immunodeficiency Virus-Negative Patient 抗cd20单克隆抗体治疗人类免疫缺陷病毒阴性患者中异常表型的人疱疹病毒8相关的体腔淋巴瘤
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.993-996.2001
C. Pérez, S. Rudoy
ABSTRACT Human herpesvirus 8 (HHV-8), or Kaposi's sarcoma-associated herpesvirus, is a gammaherpesvirus first detected in Kaposi's sarcoma tumor cells and subsequently in primary effusion lymphoma (PEL) tumor cells and peripheral blood mononuclear cells from PEL patients. PEL has been recognized as an individual nosologic entity based on its distinctive features and consistent association with HHV-8 infection. PEL is an unusual form of body cavity-based B-cell lymphoma (BCBL). It occurs predominantly in human immunodeficiency virus (HIV)-positive patients but occasionally also in elderly HIV-negative patients. We describe a case of PEL, with ascites, bilateral pleural effusions, and a small axillary lymphadenopathy, in a 72-year-old HIV-negative man. PCR performed on a lymph node specimen and in liquid effusion was positive for HHV-8 and negative for Epstein-Barr virus. The immunophenotype of the neoplastic cells was B CD19+ CD20+ CD22+ with coexpression of CD10 and CD23 and with clonal kappa light chain rearrangement. The patient was treated with Rituximab, a chimeric (human-mouse) anti-CD20 monoclonal antibody. Thirteen months later, the patient continued in clinical remission. This is the first report of an HHV-8-associated BCBL in an HIV-negative patient in Argentina.
人疱疹病毒8 (HHV-8),或卡波西肉瘤相关疱疹病毒,是一种伽玛疱疹病毒,首先在卡波西肉瘤肿瘤细胞中检测到,随后在原发性积液性淋巴瘤(PEL)肿瘤细胞和PEL患者外周血单个核细胞中检测到。基于其独特的特征和与HHV-8感染的一致关联,PEL已被认为是一种单独的病理性实体。PEL是一种罕见的体腔型b细胞淋巴瘤(BCBL)。它主要发生在人类免疫缺陷病毒(HIV)阳性患者中,但偶尔也发生在老年HIV阴性患者中。我们描述了一例PEL,腹水,双侧胸腔积液,小腋窝淋巴结病,在一个72岁的hiv阴性男性。对淋巴结标本和液体积液进行PCR检测,HHV-8阳性,Epstein-Barr病毒阴性。肿瘤细胞的免疫表型为B CD19+ CD20+ CD22+, CD10和CD23共表达,克隆性kappa轻链重排。患者接受利妥昔单抗治疗,这是一种嵌合(人-小鼠)抗cd20单克隆抗体。13个月后,患者继续处于临床缓解期。这是阿根廷首例hiv阴性患者出现hhv -8相关BCBL的报告。
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引用次数: 48
Lipoteichoic Acid Inhibits Interleukin-2 (IL-2) Function by Direct Binding to IL-2 脂壁酸通过直接结合IL-2抑制IL-2的功能
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.972-979.2001
L. Plitnick, R. Jordan, J. Banas, D. Jelley-Gibbs, M. Walsh, Mark T Preissler, E. Gosselin
ABSTRACT Lipoteichoic acid (LTA) is associated with the cell envelope of most gram-positive bacteria. Although previously thought to act mainly as a virulence factor by virtue of its adhesive nature, evidence is now provided that LTA can also suppress the function of interleukin-2 (IL-2), an autocrine growth factor for T cells. LTA from four separate bacterial strains lowered the levels of detectable IL-2 during a peripheral blood mononuclear cell response to the antigen tetanus toxoid (TT). T-cell proliferation in response to TT was similarly inhibited by LTA. In contrast, levels of detectable gamma interferon increased. In addition, LTA inhibited IL-2 detection by enzyme-linked immunosorbent assay (ELISA) and blocked the proliferative response of an IL-2-dependent T-cell line to soluble IL-2. Further studies using ELISA demonstrated that LTA blocks IL-2 detection and function by binding directly to IL-2. Flow cytometric analysis revealed that IL-2 binding to T cells is inhibited in the presence of purified LTA but not LTA plus anti-LTA monoclonal antibody. In summary, these studies demonstrate a novel effect of LTA on the immune response through direct binding to IL-2 and inhibition of IL-2 function. Importantly, gram-positive organisms from which LTA is obtained not only play an important role in the pathology of diseases such as bacterial endocarditis, septic shock, acute respiratory distress syndrome, and multiple organ failure but also comprise a significant portion of commensal populations within the human host. Inhibition of IL-2 function by LTA may represent yet another mechanism by which gram-positive bacteria dampen the host immune response and facilitate survival. Thus, LTA provides a potential target for therapeutic intervention when gram-positive organisms are involved.
脂磷胆酸(LTA)与大多数革兰氏阳性细菌的细胞包膜有关。虽然以前认为LTA主要是由于其粘附性而起毒力因子的作用,但现在有证据表明LTA还可以抑制白细胞介素-2 (IL-2)的功能,IL-2是T细胞的自分泌生长因子。来自四种不同菌株的LTA降低了外周血单个核细胞对抗原破伤风类毒素(TT)的可检测IL-2水平。t细胞对TT反应的增殖同样被LTA抑制。相反,可检测的γ干扰素水平增加。此外,LTA抑制酶联免疫吸附试验(ELISA)检测IL-2,阻断IL-2依赖性t细胞系对可溶性IL-2的增殖反应。进一步的ELISA研究表明,LTA通过直接结合IL-2来阻断IL-2的检测和功能。流式细胞分析显示,纯化的LTA存在时,IL-2与T细胞的结合受到抑制,但LTA加抗LTA单克隆抗体不受抑制。综上所述,这些研究表明LTA通过直接结合IL-2并抑制IL-2功能对免疫应答产生新的影响。重要的是,获得LTA的革兰氏阳性菌不仅在细菌性心内膜炎、感染性休克、急性呼吸窘迫综合征和多器官衰竭等疾病的病理中发挥重要作用,而且在人类宿主内的共生种群中也占很大一部分。LTA抑制IL-2功能可能是革兰氏阳性细菌抑制宿主免疫反应和促进生存的另一种机制。因此,当涉及革兰氏阳性菌时,LTA提供了治疗干预的潜在靶点。
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引用次数: 16
Identification of the psaA Gene, Coding for Pneumococcal Surface Adhesin A, in Viridans Group Streptococci other than Streptococcus pneumoniae 在除肺炎链球菌外的绿球菌群链球菌中编码肺炎球菌表面粘附素A的psaA基因的鉴定
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.895-898.2001
I. Jado, A. Fenoll, J. Casal, A. Perez
ABSTRACT The gene encoding the pneumococcal surface adhesin A (PsaA) protein has been identified in three different viridans group streptococcal species. Comparative studies of the psaA gene identified in different pneumococcal isolates by sequencing PCR products showed a high degree of conservation among these strains. PsaA is encoded by an open reading frame of 930 bp. The analysis of this fragment inStreptococcus mitis, Streptococcus oralis, andStreptococcus anginosus strains revealed a sequence identity of 95, 94, and 90%, respectively, to the corresponding open reading frame of the previously reported Streptococcus pneumoniae serotype 6B strain. Our results confirm thatpsaA is present and detectable in heterologous bacterial species. The possible implications of these results for the suitability and potential use of PsaA in the identification and diagnosis of pneumococcal diseases are discussed.
编码肺炎球菌表面粘附素A (PsaA)蛋白的基因已经在三种不同的翠绿链球菌群中被鉴定出来。通过测序PCR产品在不同肺炎球菌分离株中鉴定的psaA基因的比较研究表明,这些菌株之间具有高度的保守性。PsaA编码采用930bp的开放阅读帧。对该片段的分析显示,与先前报道的肺炎链球菌血清型6B菌株对应的开放阅读框的序列一致性分别为95%、94%和90%。我们的研究结果证实psaa存在于异源细菌中并可检测到。本文讨论了这些结果对PsaA在肺炎球菌疾病的鉴定和诊断中的适用性和潜在应用的可能影响。
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引用次数: 39
Determination of Human Immunodeficiency Virus Type 1 Subtypes by a Rapid Method Useful for the Routine Diagnostic Laboratory 用于常规诊断实验室的快速测定人类免疫缺陷病毒1型亚型的方法
Pub Date : 2001-09-01 DOI: 10.1128/CDLI.8.5.1018-1020.2001
H. Kessler, D. Deuretzbacher, E. Stelzl, E. Daghofer, B. Santner, E. Marth
ABSTRACT The existence of human immunodeficiency virus type 1 (HIV-1) subtypes has many important implications for the global evolution of HIV and for the evaluation of pathogenicity, transmissibility, and candidate HIV vaccines. The aim of this study was to establish a rapid method for determination of HIV-1 subtypes useful for a routine diagnostic laboratory and to investigate the distribution of HIV-1 subtypes in Austrian patients. Samples were tested by a subtyping method based on a 1.3-kb sequence of the polymerase gene generated by a commercially available drug resistance assay. The generated sequence was subtyped by means of an HIV sequence database. Results of 74 routine samples revealed subtype B (71.6%) as the predominant subtype, followed by subtype A (13.5%) and subtype C (6.8%). Subtypes E, F, G, and AE (CM240) were also detected. This subtyping method was found to be very easy to handle, rapid, and inexpensive and has proved suitable for high-throughput routine diagnostic laboratories. The specific polymerase gene sequence, however, must be existent.
人类免疫缺陷病毒1型(HIV-1)亚型的存在对HIV的全球进化以及对致病性、传播性和候选HIV疫苗的评估具有许多重要意义。本研究的目的是建立一种用于常规诊断实验室的快速测定HIV-1亚型的方法,并调查HIV-1亚型在奥地利患者中的分布。样品采用基于市售耐药试验产生的聚合酶基因1.3 kb序列的分型方法进行检测。生成的序列通过HIV序列数据库进行亚型分型。74份常规标本中,B亚型占71.6%,其次为A亚型(13.5%)和C亚型(6.8%)。还检测到E、F、G和AE亚型(CM240)。这种分型方法易于操作、快速且价格低廉,已被证明适用于高通量常规诊断实验室。然而,特定的聚合酶基因序列必须存在。
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引用次数: 11
期刊
Clinical Diagnostic Laboratory Immunology
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