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用狼疮凝集抑制物(LCI)阳性的病人血清、亲和分离的IgG和脂质体亲和纯化的抗心磷脂抗体(ACA)作用于人内皮细胞(EC),测定EC释放的前列环素(PGI_2)。结果表明,对照组PGI_2的平均释放量为1305±240pg/ml,实验组为1246±287pg/ml,差别为4.5%(P>0.05)。经人α-凝血酶(1U/ml)刺激后,对照组EC释放PGI_2的量平均增加2.1倍,实验组为1.36倍,差别为35.2%(P(0.05)。上述三种成份均能明显抑制低浓度凝血酶(1U/ml)介导EC释放PGI_2,但并不抑制高浓度凝血酶(10U/ml)和花生四烯酸(20μmol/ml)介导EC释放PGI_2(P>0.05)。因此,具有LCI活性的ACA对凝血酶介导的EC释放PGI_2的抑制是引发血栓形成的机制之一;也是现所知的直接沟通免疫和凝血两大系统的唯一抗体。
Human endothelial cells (ECs) were treated with sera from patients positive for lupus-coagulation inhibitor (LCI), affinity-separated IgG, and liposome-affinity purified anti-cardiolipin antibodies (ACA) PGI_2). The results showed that the average release of PGI_2 in the control group was 1305 ± 240 pg / ml, and the experimental group was 1246 ± 287 pg / ml, with a difference of 4.5% (P> 0.05). After stimulated by human α-thrombin (1U / ml), the amount of PGI2 released by the control group increased by an average of 2.1-fold and 1.36-fold, respectively, with a difference of 35.2% (P <0.05). All of the above three components could significantly inhibit the release of PGI2 by low concentration of thrombin (1U / ml), but did not inhibit the release of EC by high concentration of thrombin (10U / ml) and arachidonic acid (20μmol / ml) PGI_2 (P> 0.05). Therefore, inhibition of PGI_2 by thrombin-mediated EC release by ACA with LCI activity is one of the mechanisms that lead to thrombosis. It is also known that the direct communication of immune and coagulation of two major systems The only antibody.