长期口服特定传递因子的体外研究。

G Pizza, C De Vinci, V Fornarola, A Palareti, O Baricordi, D Viza
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引用次数: 15

摘要

153例复发性病变患者,即病毒性感染(角膜炎、角膜炎、生殖器和唇疱疹)、葡萄膜炎、膀胱炎和念珠菌病,采用体外生产的HSV-1/2、巨细胞病毒和白色念珠菌特异性转移因子(TF)治疗。采用白细胞迁移抑制试验(LMT)和淋巴细胞刺激试验(LST)评估血清阳性患者在相应抗原存在下对HSV-1/2和/或CMV病毒的细胞介导免疫,并研究TF给药前、给药期间和给药后的阳性检测频率。数据按检测类型、抗原和受体病理进行分层,并进行统计学评价。对于LMT,每次抗原稀释共进行960次测试,每次测试使用3种不同的抗原稀释。在未治疗或使用非特异性TF治疗期间,240/960例(25.4%)检测结果为阳性,而在使用与患者TF特异性对应的抗原时,147/346例(42.5%)检测结果为阳性(P < 0.001)。当病理后对数据进行分层时,还观察到特异性治疗期间阳性试验的发生率显著增加(0.0001 < P < 0.05)。在LST(1174项试验)中,在没有抗原的情况下(对照培养),在特异性和非特异性TF治疗期间,以及在特异性TF治疗期间存在抗原和/或自体血清的情况下,胸腺嘧啶摄取显著增加(P < 0.0001)。在研究的40例患者中,给药TF也显著提高了可溶性HLA I类抗原水平。
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In vitro studies during long-term oral administration of specific transfer factor.

153 patients suffering from recurrent pathologies, i.e. viral infections (keratitis, keratouveitis, genital and labial herpes) uveitis, cystitis, and candidiasis were treated with in vitro produced transfer factor (TF) specific for HSV-1/2, CMV and Candida albicans. The cell-mediated immunity of seropositive patients to HSV-1/2 and/or CMV viruses was assessed using the leucocyte migration inhibition test (LMT) and lymphocyte stimulation test (LST) in presence of the corresponding antigens, and the frequency of positive tests before, during and after TF administration was studied. The data were stratified per type of test, antigen and the recipients' pathology, and statistically evaluated. For the LMT, a total of 960 tests were carried out for each antigen dilution, 3 different antigen dilutions were used per test. 240/960 tests (25.4%) were found positive during non-treatment or treatment with unspecific TF, whereas 147/346 tests (42.5%) were found positive when the antigen corresponding to the specificity of the TF administered to the patient was used (P < 0.001). When the data were stratified following pathology, a significant increased incidence of positive tests during specific treatment was also observed (0.0001 < P < 0.05). In the LST (1174 tests), a significant increase of thymidine uptake was observed in the absence of antigen (control cultures), during treatment with both specific and unspecific TF, but also in the presence of antigen and/or autologous serum during specific TF administration (P < 0.0001). TF administration also significantly increased the soluble HLA class I antigens level in 40 patients studied to this effect.

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