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Generation and Identification of Monoclonal Antibody Against Porcine Adipocyte Plasma Membrane Proteins 被引量:1
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作者 CAO Jin-ling CHEN Jian-jie +1 位作者 WANG Zhi-rui WANG Jun-dong 《Agricultural Sciences in China》 CAS CSCD 2007年第6期755-761,共7页
Production of monoclonal antibody against porcine adipocyte plasma membrane proteins to explore a new way of controlling body fat deposition and improving carcass quality is discussed in this article. Membrane protein... Production of monoclonal antibody against porcine adipocyte plasma membrane proteins to explore a new way of controlling body fat deposition and improving carcass quality is discussed in this article. Membrane proteins of pig adipocyte plasma membrane proteins were extracted with the help of sucrose density gradient centrifugation, and two kinds of proteins were obtained. The monoclonal antibody (designated 3B2 and 3F3) of IgG1 and IgG2b subclass against adipocyte membrane proteins were produced by immunization, with adipocyte membrane proteins as an antigen, and its titer was 1:105 detected by enzyme-linked immunoadsorbent assay (ELISA). The cell strains were identified by analyzing the number of chromosomes, the heat stability, the acid and alkali, the types and subtypes of immnoglobulin, and its peculiarities and affinities. Through identification, the chromosome number of hybridoma cell strains was from 80 to 100 and the strains formed good hybridomas colonies. The strains' affinity constants were 4.63 × 10^9 and 3.75 × 10^9 (mol L^-1)-1, respectively. At the same time, the McAb secreted was stable to environmental factors, such as, temperature, acid, alkali and so on. The monoclonal antibodies had been obtained and their specificity to porcine adipocyte plasma membrane proteins had been identified. 展开更多
关键词 porcine adipocyte plasma membrane protein HYBRIDOMA monoclonal antibody CHARACTERISTIC
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33例非O型ABOi肾移植受者围术期血型抗体的变化
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作者 靳慧芳 孔永奎 +5 位作者 刘欣 王书亚 陈李影慧 杨昊 李金峰 杨乾坤 《中国输血杂志》 CAS 2024年第5期534-540,共7页
目的统计分析非O型ABO血型不相合肾移植(ABOi-KT)受者围手术期结果资料,旨在探寻ABOi-KT患者血浆中血型抗体的变化情况。方法回顾性分析本院2021年1月—2023年10月首次肾移植、血型仅为A型和B型的33对ABOi-KT供、受体的临床资料,供者血... 目的统计分析非O型ABO血型不相合肾移植(ABOi-KT)受者围手术期结果资料,旨在探寻ABOi-KT患者血浆中血型抗体的变化情况。方法回顾性分析本院2021年1月—2023年10月首次肾移植、血型仅为A型和B型的33对ABOi-KT供、受体的临床资料,供者血型均为AB型,依据受者血型的不同,分为AB供A组(n=18)和AB供B组(n=15)。分析比较术前血浆置换对2组患者抗体效价的影响,术后2组患者血型抗体反弹和肾功能指标(术后d 1、3、7、14的尿素氮、肌酐和肾小球滤过率)的差异。依据术后血型抗体反弹与否,分为抗体反弹组(n=7)和非反弹组(n=26),分析比较初始效价在血型抗体反弹和非反弹组的差异。结果术前血浆置换对患者IgM抗体的清除率在2组间的差异无统计学意义(Z=-0.260,P>0.05);术后d 1、3、7、14,2组患者肾功指标均无统计学差异;AB供B组术后更易出现血型抗体效价反弹(P<0.05);初始IgM抗体效价在血型抗体反弹组和非反弹组有统计学差异(Z=-2.127,P<0.05),但是初始IgG抗体效价(Z=-1.835,P>0.05)在2组间无统计学意义。结论与AB供A组相比,术后AB供B的患者更易发生血型抗体效价反弹。 展开更多
关键词 ABO血型不相合肾移植 血浆置换 抗体效价 围术期
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双重膜滤过式血浆置换联合脱敏治疗单倍体相合造血干细胞移植供者特异性抗体的临床研究
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作者 王增胜 聂玉玲 +4 位作者 郎涛 张晓燕 蔺思颖 王晓敏 毛敏 《中国血液净化》 CSCD 2024年第1期22-25,共4页
目的探讨分析双重膜滤过式血浆置换(double filtration plasmapheresis,DFPP)联合脱敏治疗单倍体相合造血干细胞移植供者特异性抗体(donor specific antibody,DSA)的疗效。方法采用DFPP联合丙种免疫球蛋白(intravenous immunoglobulin,I... 目的探讨分析双重膜滤过式血浆置换(double filtration plasmapheresis,DFPP)联合脱敏治疗单倍体相合造血干细胞移植供者特异性抗体(donor specific antibody,DSA)的疗效。方法采用DFPP联合丙种免疫球蛋白(intravenous immunoglobulin,IVIG)、利妥昔单抗脱敏治疗DSA阳性患者,检测移植前后DSA水平,主要评估分析其植入情况。结果8例DSA性患者7例获得供者细胞稳定植入,嵌合率均为100%,1例血小板植入不良。经过DFPP、IVIG、利妥昔单抗脱敏处理后为平均荧光强度(mean fluorescence intensity,MFI)(3911±2499),均明显降低,差异均有统计学意义(t=2.101,P<0.001),8例患者中有3例转为弱阳性。干细胞回输第3天复测MFI(907士997),较干细胞回输前再次减低,差异均有统计学意义(t=2.145,P=0.002)。8例患者仅1例发生重度急性移植物抗宿主病。结论双重膜滤过式血浆置换脱敏联合大剂量IVIG和利妥昔单抗,尽量输注高剂量的干细胞,可以降低DSA水平促进供者干细胞植入。 展开更多
关键词 双重膜滤过式血浆置换 供者特异性抗体 单倍体相合造血干细胞移植
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复发性流产影响因素分析及预测模型的构建
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作者 李娜 李丹 《长治医学院学报》 2024年第4期277-281,共5页
目的:基于复发性流产影响因素构建预测模型并评估其效能。方法:选取复发性流产患者和同期入院体检的已生育健康女性各80例,分别作为观察组和对照组。比较2组自身免疫性抗体[抗精子抗体(ASAb)、抗子宫内膜抗体(AEMAb),抗心磷脂抗体(ACAb... 目的:基于复发性流产影响因素构建预测模型并评估其效能。方法:选取复发性流产患者和同期入院体检的已生育健康女性各80例,分别作为观察组和对照组。比较2组自身免疫性抗体[抗精子抗体(ASAb)、抗子宫内膜抗体(AEMAb),抗心磷脂抗体(ACAb)及抗卵巢抗体(AOAb)]、抗苗勒氏管激素(AMH)水平及男性伴侣中精浆生化三项差异;采用多因素Logistic回归构建预测模型,并绘制受试者工作特征(ROC)曲线评价其预测能力。结果:观察组女性血清ASAb、AEMAb、ACAb、AOAb水平高于对照组,而AMH水平低于对照组;观察组男性伴侣中果糖、精浆锌、α葡萄糖苷酶较对照组低(P<0.05);多因素Logistic回归结果显示,血清ASAb、AEMAb、ACAb、AOAb、AMH水平及果糖、精浆锌、α葡萄糖苷酶均是复发性流产发生的影响因素(OR=3.476、3.180、3.364、3.203、2.651、2.617、2.596、2.633,P<0.05);ROC曲线分析显示,自身免疫性抗体、AMH及精浆生化指标联合预测模型预测复发性流产的曲线下面积(0.985)最高,灵敏度、特异度分别为96.25%和91.25%。结论:自身免疫性抗体、AMH及果糖、精浆锌、α葡萄糖苷酶是复发性流产的影响因素,基于其构建的预测模型,对复发性流产具有较高的预测效能。 展开更多
关键词 复发性流产 自身免疫抗体 AMH 精浆指标 预测模型
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双重滤过血浆置换和血浆置换对ABO血型不容肾移植受者术前血型抗体去除效果单中心对比研究 被引量:1
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作者 杨昊 董树岭 +5 位作者 杨乾坤 韩月 王书亚 靳慧芳 郑露 唐悦 《临床输血与检验》 CAS 2024年第3期325-331,共7页
目的 对比研究双重滤过血浆置换(double filtration plasmapheresis,DFPP)和血浆置换(plasma exchange,PE)对ABO血型不相容肾移植(ABO incompatible kidney transplantation,ABOi-KT)术前血型抗体去除效果。方法 收集郑州大学第一附属医... 目的 对比研究双重滤过血浆置换(double filtration plasmapheresis,DFPP)和血浆置换(plasma exchange,PE)对ABO血型不相容肾移植(ABO incompatible kidney transplantation,ABOi-KT)术前血型抗体去除效果。方法 收集郑州大学第一附属医院2021年2月—2023年12月ABOi-KT术前36例单纯DFPP和27例单纯PE受者的临床资料以及每次治疗前后抗体效价,并对其进行差异化分析。结果 DFPP组和PE组分别进行了98次和82次治疗;DFPP和PE治疗后血型抗体效价均较治疗前显著降低(P<0.05);DFPP和PE均显示出对高效价抗体较好的去除效果,DFPP对效价≥32组IgG抗-A、IgG抗-B和IgM抗-B抗体去除效果优于效价≤16组(P<0.05),PE治疗对效价≥32组IgM抗-A和IgM抗-B抗体去除效果优于效价≤16组(P<0.05);整体上,DFPP和PE对不同类型抗体去除效果均无显著差异,但当效价≥32时,DFPP和PE均显示出对IgM类抗体较好的去除效果,PE更为明显;PE对抗-A抗体去除效果优于DFPP,这种优势主要表现为,当效价≤16时,PE较DFPP表现出对IgG抗-A抗体较好的去除效果(P<0.05),当效价≥32时,PE较DFPP表现出对IgM抗-A抗体较好的去除效果(P<0.05),两种方法对其他血型抗体的去除效果差异无统计学意义(P>0.05)。结论 DFPP和PE均可显著降低血型抗体效价,两种方法均对高效价抗体去除效果较好。除PE对低效价IgG抗-A和高效价IgM抗-A抗体去除效果较DFPP好外,两种方法对其他血型抗体去除效果无显著差异。 展开更多
关键词 双重滤过血浆置换 血浆置换 ABO血型不相容 肾移植 抗体效价
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血清学及质谱鉴定抗-Jr^(a)
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作者 凌止发 曾小莉 +1 位作者 袁学文 沈伟 《中国输血杂志》 CAS 2024年第7期827-830,共4页
目的 报告1例无输血史但产生高频抗体抗-Jr^(a)的孕妇抗体特异性鉴定过程。方法 采用盐水介质法和间接抗人球蛋白法(微柱凝胶卡、PEG)进行抗体筛选及抗体鉴定;检测患者除ABO血型外其他血型来排除相应的高频抗体;采用各种酶处理过的细胞... 目的 报告1例无输血史但产生高频抗体抗-Jr^(a)的孕妇抗体特异性鉴定过程。方法 采用盐水介质法和间接抗人球蛋白法(微柱凝胶卡、PEG)进行抗体筛选及抗体鉴定;检测患者除ABO血型外其他血型来排除相应的高频抗体;采用各种酶处理过的细胞与患者血浆反应,进一步判定抗体类型;采用人源抗-Jr^(a)检测患者Jr^(a)抗原,MALDI-TOF质谱检测体系对患者进行JR血型基因分型;测定抗体效价。结果 患者血型为O型RhD(+)、CcDEe,患者血浆与抗筛细胞以及抗体鉴定细胞盐水介质反应均阴性,抗人球蛋白介质反应均阳性,自身对照为阴性;患者Jr^(a)抗原血清学检测和质谱血型基因分型阴性;患者血浆抗-Jr^(a)效价为1∶2。质谱发现其4号外显子存在纯合无义突变(c.376C>T)。结论 该患者因妊娠免疫产生同种高频抗原抗体抗-Jr^(a)。 展开更多
关键词 血浆 Jr^(a)抗原 抗-Jr^(a)
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抗神经束蛋白186抗体阳性的郎飞结区/结旁疾病的临床特点(附1例报告)
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作者 董思语 孙美 +3 位作者 陈聪 王静 金庆文 程虹 《临床神经病学杂志》 CAS 2024年第1期37-40,共4页
目的 探讨抗神经束蛋白186(NF186)抗体阳性的郎飞结区/结旁疾病(NPP)的临床特点。方法 回顾性分析1例抗NF186抗体阳性的NPP致颅神经损害患者的临床资料。结果 患者为70岁男性,1个月前突发言语、吞咽困难,糖皮质激素治疗好转后停药。患者... 目的 探讨抗神经束蛋白186(NF186)抗体阳性的郎飞结区/结旁疾病(NPP)的临床特点。方法 回顾性分析1例抗NF186抗体阳性的NPP致颅神经损害患者的临床资料。结果 患者为70岁男性,1个月前突发言语、吞咽困难,糖皮质激素治疗好转后停药。患者5 d前再次出现言语、吞咽、咀嚼、鼓腮、转头和抬头动作费力,并进行性加重。肢体EMG检查正常,血清及CSF抗NF186抗体阳性。给予糖皮质激素治疗疗效不明显,改用血浆交换治疗后症状明显改善。结论 抗NF186抗体阳性的NPP发病年龄较晚、病情较重,可伴颅神经受损,常规糖皮质激素治疗效果可能不佳,血浆交换治疗有效。 展开更多
关键词 抗神经束蛋白抗体 颅神经损害 郎飞结 血浆交换
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基于低效价O型全血及A型血浆建立战备血库的可行性分析 被引量:3
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作者 罗圆圆 马春娅 +3 位作者 刘丽 付丽辉 易萌 于洋 《中国实验血液学杂志》 CAS CSCD 北大核心 2024年第2期541-545,共5页
目的:探索用低效价O型全血及A型血浆建立战备血库的可行性。方法:应用Galileo全自动血型分析仪检测O型献血者样本的IgM抗A、抗B抗体效价和A型献血者样本的IgM抗B效价,选取抗A、抗B效价同时低于128的O型献血者纳入战备流动血库,抗B效价低... 目的:探索用低效价O型全血及A型血浆建立战备血库的可行性。方法:应用Galileo全自动血型分析仪检测O型献血者样本的IgM抗A、抗B抗体效价和A型献血者样本的IgM抗B效价,选取抗A、抗B效价同时低于128的O型献血者纳入战备流动血库,抗B效价低于128的A型血浆和抗A、抗B效价同时低于128的O型全血纳入战备实体血库。结果:共选取1452个O型献血者,检测抗A/B抗体效价,两种抗体效价均分布于512以下,且样本分布峰值均处于效价4,两种抗体效价>128的样本比例均较低;两种抗体效价存在明显正相关(r=0.383),且IgM抗A效价高于IgM抗B效价的样本比例较高;同时满足IgM抗A和抗B抗体效价<128的献血者1335人(91.94%),可纳入流动血库。检测512例A型献血者抗B效价,结果显示,随着抗体效价的增高,样本比例逐渐降低;抗B抗体效价<128的献血者占99.8%,仅有1例不符合纳入条件。结论:O型献血者全血符合低效价标准的比例较高,A型献血者血浆几乎均符合低效价标准,提高了突发情况下的血液供应率。 展开更多
关键词 战备血库 流动血库 抗体效价 O型全血 A型血浆 IgM抗A/B
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慢性前列腺炎/慢性盆腔疼痛综合征患者精浆成分和相应精子质量改变的研究进展
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作者 徐文龙(综述) 马文明(综述) 梁朝朝(审校) 《中华男科学杂志》 CAS CSCD 2024年第5期444-449,共6页
前列腺炎是前列腺三大常见疾病之一,此外分别是前列腺增生和前列腺癌。约50%的男性一生之中曾患前列腺炎。慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)患者中不育症的发生率显著高于正常患者,这主要与慢性前列腺炎患者精液成分的改变有... 前列腺炎是前列腺三大常见疾病之一,此外分别是前列腺增生和前列腺癌。约50%的男性一生之中曾患前列腺炎。慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)患者中不育症的发生率显著高于正常患者,这主要与慢性前列腺炎患者精液成分的改变有关。本综述通过使用“慢性前列腺炎”、“慢性盆腔疼痛综合征”、“精子”、“精液”和“精浆”等关键词及术语,在PubMed和医学线检索了截至2024年之前发表的人类和动物研究的综述文章、临床试验和病例报告及相关引文。综合回顾了既往对于慢性前列腺炎与精浆变化及精子质量相关研究和调查,通过CP/CPPS患者前列腺液的成分的改变导致精浆成分发生变化的角度,讨论其对精子质量的影响。 展开更多
关键词 慢性前列腺炎 慢性盆腔疼痛综合征 精浆 精子 锌离子 抗精子抗体
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ABO血型不相容肝移植策略 被引量:1
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作者 张晓峰 朱震宇 《器官移植》 CSCD 北大核心 2024年第1期33-39,共7页
随着器官移植的高速发展,全球性器官短缺问题日益凸显。肝移植是目前治疗终末期肝病最有效的手段,但供者短缺一直是制约肝移植发展的关键问题,我国是乙型病毒性肝炎大国,供肝短缺问题尤为显著,很多危重症患者往往因为无法及时获得匹配... 随着器官移植的高速发展,全球性器官短缺问题日益凸显。肝移植是目前治疗终末期肝病最有效的手段,但供者短缺一直是制约肝移植发展的关键问题,我国是乙型病毒性肝炎大国,供肝短缺问题尤为显著,很多危重症患者往往因为无法及时获得匹配的供肝,而失去最佳时机甚至死亡。ABO血型不相容(ABOi)肝移植作为一种扩大供者资源的策略,为那些等待合适供者的患者提供了新的希望。然而,由于ABOi肝移植术后更容易发生严重感染、抗体介导的排斥反应(AMR)、胆道并发症、血栓性微血管病以及急性肾损伤等并发症,因此备受争议。本文综述了ABOi肝移植的术前、术中和术后策略研究进展,旨在为ABOi肝移植临床应用及研究提供参考。 展开更多
关键词 ABO血型不相容肝移植 感染 抗体介导的排斥反应 胆道并发症 血浆置换 免疫抑制 静脉注射免疫球蛋白 利妥昔单抗
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CLIA、RPR、TPPA检测血清中梅毒螺旋体抗体的价值分析
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作者 赵颖 马跃 《中国现代药物应用》 2024年第5期72-74,共3页
目的 分析化学发光免疫测定法(CLIA)、快速血清反应素试验(RPR)、梅毒螺旋体明胶颗粒凝集试验(TPPA)检测血清中梅毒螺旋体抗体的结果。方法 100例疑似梅毒患者血清样本为研究对象,均采用CLIA、RPR、TPPA进行检测,并以重组免疫印迹法(RI... 目的 分析化学发光免疫测定法(CLIA)、快速血清反应素试验(RPR)、梅毒螺旋体明胶颗粒凝集试验(TPPA)检测血清中梅毒螺旋体抗体的结果。方法 100例疑似梅毒患者血清样本为研究对象,均采用CLIA、RPR、TPPA进行检测,并以重组免疫印迹法(RIBA)检测结果为金标准,分析三种检测方式的检测结果 ,并比较三种检测方式的诊断效能。结果 CLIA检出阳性59例,阴性41例。RPR检出阳性73例,阴性27例。TPPA检出阳性59例,阴性41例。CLIA诊断准确率为69.00%(69/100),敏感度为68.92%(51/74),特异度为69.23%(18/26);RPR诊断准确率为97.00%(97/100),敏感度为97.30%(72/74),特异度为96.15%(25/26);TPPA诊断准确率为77.00%(77/100),敏感度为74.32%(55/74),特异度为84.62%(22/26)。RPR的诊断准确率、敏感度显著高于CLIA、TPPA(P<0.05);RPR的特异度高于CLIA(P<0.05);CLIA与TPPA的诊断准确率、敏感度、特异度差异较小(P>0.05)。结论 RPR在梅毒螺旋体抗体的临床诊断中具有更佳的诊断准确率,可为梅毒患者的治疗提供可靠的诊疗依据。 展开更多
关键词 化学发光免疫测定法 快速血清反应素试验 梅毒螺旋体明胶颗粒凝集试验 梅毒螺旋体抗体
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抗体清除血液净化技术治疗抗中性粒细胞胞质抗体相关血管炎的研究进展
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作者 杨悦(综述) 葛永纯(审校) 《肾脏病与透析肾移植杂志》 CAS CSCD 2024年第2期182-186,共5页
抗中性粒细胞胞质抗体相关血管炎(AAV)是一类累及多系统的自身免疫性疾病,有较高的病死率和进展至终末期肾病的风险。体外循环血液净化技术已成为除糖皮质激素和免疫抑制剂之外治疗AAV的重要辅助手段,包括血浆置换、双重滤过血浆置换和... 抗中性粒细胞胞质抗体相关血管炎(AAV)是一类累及多系统的自身免疫性疾病,有较高的病死率和进展至终末期肾病的风险。体外循环血液净化技术已成为除糖皮质激素和免疫抑制剂之外治疗AAV的重要辅助手段,包括血浆置换、双重滤过血浆置换和免疫吸附。本文系统综述了抗体清除血液净化技术治疗AAV的研究进展以及指南推荐的变化,为临床应用提供参考。 展开更多
关键词 抗中性粒细胞胞质抗体相关血管炎 血浆置换 双重滤过血浆置换 免疫吸附 抗体清除
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梅毒螺旋体抗体检测联合快速血浆反应素环状卡片试验在梅毒血清学检测中的临床价值
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作者 雷云飞 张婷 宋影 《实用医技杂志》 2024年第6期429-432,共4页
目的分析梅毒螺旋体抗体检测(TPAB)联合快速血浆反应素环状卡片试验(RPR)在梅毒血清学检测中的临床价值。方法选定本院2021年1月至2022年12月门诊就诊的150例高度疑似梅毒患者,分别给予TPAB、RPR检查,将梅毒螺旋体明胶颗粒凝集试验(TPPA... 目的分析梅毒螺旋体抗体检测(TPAB)联合快速血浆反应素环状卡片试验(RPR)在梅毒血清学检测中的临床价值。方法选定本院2021年1月至2022年12月门诊就诊的150例高度疑似梅毒患者,分别给予TPAB、RPR检查,将梅毒螺旋体明胶颗粒凝集试验(TPPA)作为诊断金标准,比较TPAB、RPR、TPAB+RPR诊断准确率、灵敏度、特异度,并进行Kappa一致性检验结果分析。结果TPPA检测阳性、阴性者分别116例、34例;TPAB+RPR诊断准确率(97.3%)、灵敏度(99.1%)均高于TPAB(90.7%、88.0%)、RPR(91.4%、88.8%)(P<0.05),TPAB+RPR诊断特异度(91.2%)与TPAB(88.2%)、RPR(85.3%)比较差异无统计学意义(P>0.05);TPAB与TPPA对比一致性一般,Kappa值为0.603;RPR与TPPA对比无一致性,Kappa值为0.297;TPAB+RPR与TPPA对比一致性较好,Kappa值为0.933。结论TPAB、RPR联合可提高梅毒诊断准确率、灵敏度,具有重要的参考价值。 展开更多
关键词 梅毒血清诊断 梅毒螺旋体抗体检测 快速血浆反应素环状卡片试验
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Convalescent plasma: A potential therapeutic option for COVID-19 patients 被引量:2
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作者 Swee Li Ng Tsuey Ning Soon +5 位作者 Wei Hsum Yap Kai Bin Liew Ya Chee Lim Long Chiau Ming Yin-Quan Tang Bey Hing Goh 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2020年第11期477-486,共10页
The new coronavirus disease(COVID-19)outbreak has challenged us to take unprecedented steps to bring this pandemic under control.In view of the urgency of this situation,convalescent plasma which was used in previous ... The new coronavirus disease(COVID-19)outbreak has challenged us to take unprecedented steps to bring this pandemic under control.In view of the urgency of this situation,convalescent plasma which was used in previous coronavirus outbreaks has emerged as one of the treatment options in this current pandemic.This is mainly due to the fact that convalescent plasma has been studied in a few case series with promising outcomes.In addition,on-going large clinical trials aimed to further evaluate the effectiveness,safety,and optimal dosage,duration and timing of administration of convalescent plasma are indeed revealing a certain level of promising results.Therefore,this article aims to provide an overview of possible mechanisms of actions of convalescent plasma,its benefits and its level of usage safeness by summarizing the existing evidence on the use of convalescent plasma in COVID-19 patients. 展开更多
关键词 CORONAVIRUS Convalescent plasma COVID-19 SARS-COV-2 Neutralizing antibody IMMUNOMODULATION Convalescent plasma transfusion
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Antineutrophil cytoplasmic antibody associated vasculitides with renal involvement: Open challenges in the remission induction therapy 被引量:1
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作者 Maurizio Salvadori Aris Tsalouchos 《World Journal of Nephrology》 2018年第3期71-83,共13页
Renal involvement with rapidly progressive glomeru-lonephritis is a common manifestation of antineutrophil cytoplasmic antibody(ANCA) associated vasculitides, which is characterized by end-stage renal disease and high... Renal involvement with rapidly progressive glomeru-lonephritis is a common manifestation of antineutrophil cytoplasmic antibody(ANCA) associated vasculitides, which is characterized by end-stage renal disease and high mortality rates in untreated and/or late referral patients. The long-term renal survival has improved dramatically since the addition of cyclophosphamide(CYC) and recently of rituximab(RTX) in association with corticosteroids in the remission induction thera-peutic regimens. However, renal prognosis remains unfavorable for many patients and the mortality rate is still significantly high. In this review, we analyze the open challenges to be addressed to optimize the induction remission therapy, principally in patients with advanced kidney failure. This concern the first-line therapy(CYC or RTX) based on different parameters(estimated glomerular filtration rate at baseline, new or relapsed disease, ANCA specificity, tissue injury, safety), the role of plasma exchange and the role of new therapies. Indeed, we discuss future perspectives in induction remission therapy by reporting recent advances in new targeted therapies with particular reference to avacopan, an orally administered selective C5a receptor inhibitor. 展开更多
关键词 Rapidly progressive GLOMERULONEPHRITIS REMISSION induction therapy Antineutrophil cytoplasmic antibody ASSOCIATED VASCULITIDES CYCLOPHOSPHAMIDE Rituximab CORTICOSTEROIDS plasma exchange Avacopan
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Understanding neutralising antibodies against SARS-CoV-2 and theirimplications in clinical practice 被引量:1
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作者 Natalie Yan-Lin Pang Alexander Shao-Rong Pang +1 位作者 Vincent T.Chow De-Yun Wang 《Military Medical Research》 SCIE CSCD 2022年第2期215-230,共16页
Severe acute respiratory syndrome coronavirus (SARS-CoV-2) is a newly identified member of the coronavirus family that has caused the coronavirus disease 2019 (COVID-19) pandemic. This rapidly evolving and unrelenting... Severe acute respiratory syndrome coronavirus (SARS-CoV-2) is a newly identified member of the coronavirus family that has caused the coronavirus disease 2019 (COVID-19) pandemic. This rapidly evolving and unrelenting SARS-CoV-2has disrupted the lives and livelihoods of millions worldwide. As of 23 August 2021, a total of 211,373,303 COVID-19cases have been confirmed globally with a death toll of 4,424,341. A strong understanding of the infection pathway of SARS-CoV-2, and how our immune system responds to the virus is highly pertinent for guiding the development and improvement of effective treatments. In this review, we discuss the current understanding of neutralising antibodies(NAbs) and their implications in clinical practice. The aspects include the pathophysiology of the immune response,particularly humoral adaptive immunity and the roles of NAbs from B cells in infection clearance. We summarise the onset and persistence of IgA, IgM and IgG antibodies, and we explore their roles in neutralising SARS-CoV-2, their persistence in convalescent individuals, and in reinfection. Furthermore, we also review the applications of neutralising antibodies in the clinical setting—from predictors of disease severity to serological testing to vaccinations, and finally in therapeutics such as convalescent plasma infusion. 展开更多
关键词 Severe acute respiratory syndrome coronavirus Coronavirus disease 2019 Neutralising antibodies PERSISTENCE Spike glycoprotein Receptor-binding domain B cells T cells Convalescent plasma
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Direct passive hemagglutination test for rapid quantification of plasma load of the <i>Human Immunodeficiency Virus</i>
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作者 Maduike C. O. Ezeibe Augustine A. Ngene +4 位作者 Ifeanyichukwu Anene Bridget Amechi Peter Olowoniyi James I. Eze Paul C. Animoke 《Health》 2013年第9期1351-1354,共4页
An inexpensive and rapid test for determining titers of Human Immunodeficiency Virus (HIV) in plasmas was developed. Washed sheep red blood cells were applied onto HIV positive plasmas, in V-bottomed microtiter plates... An inexpensive and rapid test for determining titers of Human Immunodeficiency Virus (HIV) in plasmas was developed. Washed sheep red blood cells were applied onto HIV positive plasmas, in V-bottomed microtiter plates, to complement the HIV antigens and antibodies present in plasmas. The setup was incubated for 30 minutes at 37℃. Reciprocal of the highest dilution of each plasma which gave passive agglutination of the RBCs was read as its HIV titer. Mean HIV load of five samples, was ≥ 4096.00 ± 0.00 after one day of storage at 4℃ but it reduced to 256.00 ± 70.10, 28.80 ± 3.20, 7.20 ± 0.80 and 1.60 ± 0.98 on days 2, 3, 4 and 7, respectively. HIV antibodies were still detectable, by ELISA, in plasma dilutions that were tested negative with the new test. It was concluded that when HIV antibodies have been confirmed, or added to plasmas, passive hemagglutination test can be applied to assess their viral loads. 展开更多
关键词 HIV ANTIBODIES ANTIGENS plasma SHEEP Red Blood Cells
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Emergent Serum Therapy and Antibody Medicine to Counteract Sudden Attacks of COVID-19 and Other Pathogenic Epidemics
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作者 Peter K. Law 《Open Journal of Regenerative Medicine》 2020年第1期1-7,共7页
The science behind two life-saving protocols to combat COVID-19 and future pathogenic epidemics is presented for immediate implementation.
关键词 SERUM THERAPY plasma THERAPY COVID-19 CORONAVIRUS Vaccine antibody MEDICINE
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Antibody administration in experimental influenza increases survival and enhances the effect of oseltamivir
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作者 Brit N.J.Pourroy Hans Jorn Kolmos Lars P.Nielsen 《Health》 2012年第10期933-940,共8页
Anti-viral chemotherapy plays an important part in treating and preventing influenza illness. However, its effectiveness in severe infections can be debated and a reoccurring problem is the emergence of resistant viru... Anti-viral chemotherapy plays an important part in treating and preventing influenza illness. However, its effectiveness in severe infections can be debated and a reoccurring problem is the emergence of resistant virus. Passive immunisation has for a long time been and is still used for prophylaxis and treatment of a number of infectious diseases. In this experimental study anti-influenza antibodies were passively administrated to mice, subsequently they were infected with influenza virus and treated with oseltamivir. The aim was to investigate, if anti-influenza antibodies influenced the out come of oseltamivir treatment and development of resistance towards oseltamivir. We show, that oseltamivir alone was not able to effectively prevent a fatal outcome, but that oseltamivir administered together with a limited amount of antibodies, resulted in improvement of the clinical condition of the mice. The results also showed that a higher dosage of antibodies alone were able to protect the mice from a lethal dose of virus. These findings suggest that the effectiveness of oseltamivir depends on the host’s immune response to the influenza virus, and that that passive immunization is an option that should be considered in the in control of influenza. 展开更多
关键词 Experimental Influenza Passively Administrated Antibodies Convalescent plasma Passive Immunisation OSELTAMIVIR Lethal Infection Polyclonal IgG Pandemic Control
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Utility of convalescent plasma for addressing the COVID-19 infection: brief review and case reports
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作者 Fazli Azim Md Shahidul Islam +7 位作者 Ashraful Hoque Muhammad Javed Aneela Hayat Kaniz Fatema Molla Amiruzzaman Md.Nasir Uddin Kajal Kumar Karmakar Syed A.A.Rizvi 《Life Research》 2022年第1期3-8,共6页
Novel coronavirus,SARS-CoV-2 is responsible for causing a pandemic that has affected individuals worldwide,over 192 million people and about 4.1 million people died so far.The spread is ongoing and the numbers are sti... Novel coronavirus,SARS-CoV-2 is responsible for causing a pandemic that has affected individuals worldwide,over 192 million people and about 4.1 million people died so far.The spread is ongoing and the numbers are still increasing.Numerous therapeutic approaches have been explored and developed during this pandemic.Immunotherapy with virus-specific antibodies in convalescent plasma(CP)has shown potential benefits for various pathogenic diseases.In many instances,it is the only available and safe management option for the COVID-19 patients.Here we describe two confirmed cases of COVID-19 from two different geographical areas that were managed with standard treatment modalities initially.Both of the patients were presented with high-grade fever,dry cough,and sore throat.Lab reports showed increased values of D-dimer,serum ferritin,leukocyte count(LC),Lactate dehydrogenase(LDH),and C-reactive protein(CRP).Chest X-ray showed bilateral infiltration(multifocal and bilateral ground-glass opacities and consolidations with peripheral and basal predominance),consistent with the previous reports on COVID-19 infection.The patients received conservative treatment according to the hospital's protocol.The convalescent plasma(from recovered patients)infusion was the last treatment given to both patients.After the convalescent plasma transfusion,both patients showed a reduction of viral load,an increase of anti-SARS-CoV-2 IgG and IgM antibodies,reduction in lung infiltration,with no adverse events.However,further randomized controlled trials are needed to investigate the full scope of safety and efficacy(both short and long-term)of convalescent plasma therapy for COVID-19 and other related infections. 展开更多
关键词 SARS-CoV-2 COVID-19 pandemic convalescent plasma therapy critical care neutralizing antibody titer acute respiratory distress syndrome
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