促红细胞生成素和其他生长因子的免疫原性。

Francesco Indiveri, Giuseppe Murdaca
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摘要

促红细胞生成素(Erythropoietin, EPO)是一种165个氨基酸序列的糖蛋白,在维持红细胞的正常生成中起着重要作用,Jacobs等人描述了人类促红细胞生成素的克隆,重组促红细胞生成素已被引入肾脏疾病患者贫血的治疗。大量使用促红细胞生成素可诱导产生中和性的促红细胞生成素抗体,这已在非感染性的纯红细胞发育不全(NI-PRCA)患者中得到证实。NI-PRCA是一种以红细胞成熟和生成突然抑制为特征的自身免疫性疾病。本文对EPO的分子结构、遗传谱以及中和EPO抗体与NI-PRCA之间的关系等方面的文献进行了综述。
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Immunogenicity of erythropoietin and other growth factors.

Erythropoietin (EPO) is a 165 amino-acid sequence glycoprotein which plays an important role in maintaining regular generation of erythrocytes, Jacobs et al. describe the cloning of the human EPO and recombinant EPO has been introduced for the treatment of anemia in patients with renal diseases. The extensive utilization of EPO can induce the production of neutralizing EPO antibodies, which have been proved in patients with the non-infectious form of pure red cell aplasia (NI-PRCA), an autoimmune disease characterized by a sudden inhibition of erythrocyte maturation and production. In this review, the literature concerning the molecular structure and the genetic profile of EPO as well as the relationship between neutralizing EPO antibodies and NI-PRCA have been analyzed.

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