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阵发性睡眠性血红蛋白尿症病态红细胞的研究

Study on acetylcholinesterase deficient erythrocyte in paroxysmal nocturnal hemoblobinuria
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摘要 本文用AE-1单克隆抗体和细胞亲和层析技术,从阵发性睡眠性血红蛋白尿症(paroxysmalnocturnalhemoglobinuria,PNH)患者外周血混合红细胞群中分离得到有膜缺陷的PNH病态红细胞──缺乏乙酰胆碱脂酶[AchE(-)]PNH红细胞,并首次对这类纯化的病态细胞做了多方面的观察,结果显示AchE(-)PNH红细胞对补体溶血敏感、细胞变形性下降、细胞自氧化损伤明显、细胞膜上与AchE结合的肌醇磷脂缺陷。提示PNH溶血机制与PNH红细胞膜内在缺陷导致多种病态特征有关。 A cell-affinity chromatography with AE-1 monoclonal antibody wasemployed to separate acetylcholinesterase deficient(AchE(-))PNH erythrocyte which were then explored the abnormalities in many aspects to identify the defect of the PNHerythrocytes leading to hemolysis.It was found for the first time that AchE (-)PNHerythrocytes were very susceptible to the complement,much decresed in cell deformability,and liable to be injured during auto-oxidization of the cell.Moreover,defect of phospha-tidylinositol(PI)which would be linked to variable membrane proteins like AchE,wasdetected as well.In conclusion,it is suggested that mechanism of hemolysis in PNHmight be pertinent to multi-abnormalities of PNH erythrocytes, and the membranedefect of the cell may play a crucial role in the pathophysiology of PNH.
出处 《中国病理生理杂志》 CAS CSCD 北大核心 1994年第4期425-428,共4页 Chinese Journal of Pathophysiology
基金 国家自然科学基金 博士学科点专项科研基金
关键词 血红蛋白尿 红细胞 溶血 Erythrocyte Hemoglobinuria Hemolysis
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