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白蛋白修饰粉尘螨免疫治疗过敏性哮喘的观察 被引量:4

OBSERVATION ON ALBUMIN-MODIFIED DERMATOVHAGOIDES FARINAE FOR IMMUNOTHERAPY OF BRONCHIAL ASTHMA SENSITIVE TO DUST MITES
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摘要 采用白蛋白修饰粉尘螨免疫治疗29例尘螨过敏性哮喘息者,19例未修饰粉尘螨浸液为对照组。结果治疗组临床改善优于对照组(P<0.05),治疗组鼻腔粘膜敏感性降低,特异性IgG明显增高(P<0.01),对照组均无明显变化,嗜碱性粒细胞脱颗粒试验,两组治疗后均未见明显降低,治疗组特异性IgE无明显改变,而对照组轻度升高。肝肾功能未见异常,无过敏反应发生。初步研究表明;白蛋白修饰粉尘螨可降低变应原性,并维持其免疫原性,是一种安全有效的变应原制剂。 A controlled study on immunotherapy was carried out on 48 allergic asthmaticpatients sensitive to dust mite.of them 29 received inject.ions of albumin-modifiedDermatophagoides farinae,while 19 received injections of un-modified dust mite extract as cont.rol.The results showed that significant clinical improvement(P<0. 05)significant rise in specific serum Igs against the mite(P<0.01)and decrease in nasal sensitivity to the mite extraet(P<0.01)Were found in the treated group as compared with the control. No significant changes were observed in basophil degranulationtest.Serum Dermatophagoides farinae-special IgE was unchanged in the treated groupand slightly increased in the control group.There were no systemic reactions nor anysignificant ehange in clinieal laboratory parameter.This study demonstrated thatalbumin-modified Dermatophagoides farinae extract might decrease the allergenicitywhile retain the immunogenicity, being safe for clinical use.
出处 《上海免疫学杂志》 CSCD 北大核心 1994年第1期19-22,共4页 Shanghai Journal of Immunology
关键词 哮喘 粉尘螨 免疫疗法 清蛋白 Allergic asthma Dermatophagoides farinae Immunotherapy Albuminmodified Dermatophagoide farinae
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