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对44例原发性单纯型肾病综合征患儿及28例相应性别、年龄的健康儿童的过敏史、血清免疫球蛋白E类(IgE)及T辅助细胞分泌的白细胞介素4(IL一4)进行研究。发现:患儿既往和家族过敏史均高于健康儿童;IgE和IL一4在极期均明显增高,且两者呈显著性直线正相关;IL一4与24小时尿蛋白也呈显著性正相关。提示:T辅助细胞活化后分泌的高水平IL一4可能是IgE增高的原因;IL一4有可能参与了导致蛋白尿的病理过程,但尚须进一步证明。
The allergic history, serum immunoglobulin E (IgE) and interleukin-4 (IL-4) secreted by T helper cells in 44 children with primary nephrotic syndrome and 28 healthy children of corresponding age and gender were analyzed. )research. The results showed that both past and family history of allergy in children were higher than those in healthy children. The levels of IgE and IL-4 were significantly increased in the polar phase, and both were significantly positive linear correlation. The levels of IL-4 and 24-hour urinary protein were also significantly positive Related. It is suggested that the high level of IL-4 secreted by T-helper cells may be responsible for the increased IgE. IL-4 may be involved in the pathological process leading to proteinuria, but further evidence is needed.