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GENE ENGINEERING EB VIRUS MEMBRANE ANTIGEN IN DETECTION OF MA-IgA ANTIBODY(COMPARISON WITH VCA-IgA AND EA-IgA ANTIBODIES)
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作者 刘孟忠 李振权 皮国华 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1991年第2期33-36,共4页
With gene engineering EB virus membrane antigen as the diagnostic antigen, indirect immunofluo-rescence (IF) assay was used to detect IgA antibody against EB virus membrane antigen (MA-IgA) in sera from 202 nasopharyn... With gene engineering EB virus membrane antigen as the diagnostic antigen, indirect immunofluo-rescence (IF) assay was used to detect IgA antibody against EB virus membrane antigen (MA-IgA) in sera from 202 nasopharyngeal carcinoma (NPC) patients and 315 controls (normal and patients with other tumors). MA-IgA antibody was positive in 96.8% of the pretreatment NPC patients with a GMT of 1:36.3. MA-IgA detection by this method was more sensitive than EA-IgA detection by IE. In contrast, patients with tumors other than NPC were negative for MA-IgA antibody. 9.1% of VCA-IgA positive persons were MA-IgA positive with a GMT of less than 1:5. No MA-IgA positive was found in VCA-IgA negatives. The results indicated that this method was relatively specific. In the treatment group, the positive rate and GMT of MA-IgA antibody declined with increase in survival time and the decline was faster than VCA-IgA. When recurrence or distant metastasis developed, similar to VCA-IgA and EA-IgA antibodies, the positive rate and GMT of MA-IgA antibody increased to its pretreatment level. Therefore, MA-IgA detection might be valuable in the early diagnosis and monitor of NPC. 展开更多
关键词 IgA COMPARISON WITH VCA-IgA AND EA-IgA ANTIBODIES GENE ENGINEERING EB VIRUS membrane ANTIGEN IN DETECTION OF MA-IgA antibody VCA MA EA
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Analysis of Sperm Membrane Protein Relevant to Antisperm Antibody by Two-Dimensional Gel Electrophoresis and Western Blotting 被引量:3
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作者 Hao-fei WANG 1, Zhu-qiong XIANG 2, Yi-xing WANG 2 1. Department of Urology, Ruijin Hospital, Shanghai Second Medical University, Shanghai 200025,China 2. Department of Urology, Renji Hospital, Shanghai Second Medical University, Shanghai 200025,China 《Journal of Reproduction and Contraception》 CAS 2003年第3期147-156,共10页
Objective To identify the sperm membrane proteins that are associated with antisperm antibody Methods Using antisperm antibody positive serum through unidimensional polyacrylamide gel electrophoresis and 2-dimensi... Objective To identify the sperm membrane proteins that are associated with antisperm antibody Methods Using antisperm antibody positive serum through unidimensional polyacrylamide gel electrophoresis and 2-dimensional gel electrophoresis followed by Western blot analysis to determine the molecular weights (MW) and isoelectric points (pI) of sperm membrane proteins that are associated with antisperm antibody. Results Eight kinds of MW with more than ten sperm membrane proteins can be recognized by antisperm antibody positive serum, of which the MWs and pI were 23 kD, 31 kD, 32 kD, 34 kD, 41 kD, 51 kD, 60 kD, 78 kD and 5.3, 5.5,5.7, 5.0, 5.3, 5.8, 6.0, 5.5~6.2, 4.6,5.1,5.5~5.8 respectively. The identification ratios of the sperm membrane proteins on 78 kD (60.7%), 60 kD (71.4%), 51 kD (14.9%) and 23 kD (14.29%) were higher. Conclusion The sperm membrane proteins with MW of 78 kD, 60 kD, 51 kD and 23 kD were associated with antisperm antibody and immunological infertility. Two- dimensional gel electrophoresis and Western blotting can precisely identify the sperm membrane proteins that are associated with antisperm antibody. 展开更多
关键词 immunological infertility antisperm antibody sperm membrane protein 2-dimensional gel electrophoresis
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Effects of Monoclonal Antibody Against Adipocyte-Specific Membrane Protein on Lipid Metabolism in Pigs 被引量:1
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作者 GAO Shi-zheng LIU Ling-yun +4 位作者 ZHAO Su-mei HU Hong-mei GE Chang-rong LIU Yong-gang ZHANG Xi 《Agricultural Sciences in China》 CAS CSCD 2008年第2期232-238,共7页
This study was to investigate the regulation of monoclonal antibodies against adipocyte membrane proteins (McAb) on lipid metabolism in pigs. Forty Landrace x Saba pigs were randomly divided into eight groups; the c... This study was to investigate the regulation of monoclonal antibodies against adipocyte membrane proteins (McAb) on lipid metabolism in pigs. Forty Landrace x Saba pigs were randomly divided into eight groups; the control group was given 10 mL saline and the treat groups were given monoclonal antibody against adipocyte-specific membrane protein with 0.1, 0.5, and 1.0 mg kg-I body weight at 15 and 60 kg body weight, respectively, by intraperitoneal injection. The results showed that McAb could increase, significantly, serum lipoprotein lipase activity and reduce serum nonesterified fatty acid (NEFA) content. Meanwhile, McAb increased content of serum lipid, triglyceride (TG), cholesterol (CHO), high density lipoprotein (HDL), and low density lipoprotein (LDL) both at 15 and 60 kg body weight. However, McAb affected more significantly the lipid metabolism at 15 kg body weight than at 60 kg body weight. Moreover, this effect of McAb on lipid metabolism exhibited dose-dependent effect. These results suggested that this monoclonal antibody increased lipase activity, promoted lipolysis, and utilization of lipid so that McAb could be applied to restrain excessive fat deposition in porcine production through the regulation of fat metabolism. 展开更多
关键词 adipocyte membrane protein monoclonal antibody lipid metabolism PORCINE
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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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Antibody Therapies Targeting Complex Membrane Proteins 被引量:1
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作者 Georgina To’a Salazar Ziyi Huang +2 位作者 Ningyan Zhang Xue-Guang Zhang Zhiqiang An 《Engineering》 SCIE EI 2021年第11期1541-1551,共11页
In analyses of protein families that may serve as drug targets,membrane-associated G-protein-coupled receptors(GPCRs)dominate,followed by ion channels,transporters,and—to a lesser extent—membrane-bound enzymes.Howev... In analyses of protein families that may serve as drug targets,membrane-associated G-protein-coupled receptors(GPCRs)dominate,followed by ion channels,transporters,and—to a lesser extent—membrane-bound enzymes.However,various challenges put such membrane proteins among key groups of underutilized opportunities for the application of therapeutic antibodies.Antibodies hold the promise of exquisite specificity,as they are able to target even specific conformations of a particular membrane protein,as well as adaptability through engineering into various antibody formats.However,the ease of raising and isolating specific,effective antibodies targeting membrane proteins depends on many factors.In particular,the generation of specific antibodies is easier when targeting larger,simpler,extracellular domains with greater uniqueness of amino acid sequence.The rareness of such ideal conditions is illustrated by the limited number of approved biologics for targeting GPCRs and other complex membrane proteins.Challenges in developing antibodies to complex membrane proteins such as GPCRs,ion channels,transporters,and membrane-bound enzymes can be addressed by the design of the antigen,antibody-generation strategies,lead optimization technologies,and antibody modalities.A better understanding of the membrane proteins being targeted would facilitate mechanism-based drug discovery.This review describes the advantages and challenges of targeting complex membrane proteins with antibodies and discusses the preparation of membrane protein antigens and antibody generation,illustrated by select examples of success. 展开更多
关键词 antibody therapy Complex membrane protein Ion channels Transporters membrane-bound enzymes GPCRS Drug discovery
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Relationship Between the Efficacy of Low-Dose Glucocorticoids Combined with Tacrolimus in the Treatment of Adult Idiopathic Membranous Nephropathy and the Level of Serum Anti-PLA2R Antibodies
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作者 Shanshan Guo Li Guo +4 位作者 Jiandong Li Youlan Gong Yang Xu Hang Chen Xijie Zheng 《Journal of Clinical and Nursing Research》 2023年第3期107-111,共5页
Objective:To further evaluate the efficacy and safety of low-dose glucocorticoids combined with tacrolimus in the treatment of adult idiopathic membranous nephropathy(IMN)in a clinical setting.Methods:We carried out a... Objective:To further evaluate the efficacy and safety of low-dose glucocorticoids combined with tacrolimus in the treatment of adult idiopathic membranous nephropathy(IMN)in a clinical setting.Methods:We carried out a single-center prospective study of 88 patients with IMN who were admitted into the Affiliated Hospital of Hebei University from January 2019 to December 2021,and the participants were divided into two groups based on their serum anti-PLA2R antibody levels:the negative group and the positive group.46 patients were positive for anti-PLA2R antibodies and 42 were negative.Results:After 6 months of treatment,the serum albumin,cholesterol,and 24h urine protein quantification in the anti-PLA2R negative group improved more significantly compared to the positive group(P<0.05);after 6 months of treatment,the remission rate of the positive group was significantly lower than that of the negative group,and(P<0.05);Conclusion:After treatment with tacrolimus combined with low-dose glucocorticoids,patients with idiopathic membranous nephropathy who were tested positive for anti-PLA2R antibodies had a higher overall remission rate compared those who were tested negative for serum anti-PLA2R antibodies. 展开更多
关键词 TACROLIMUS Idiopathic membranous nephropathy PLA2R antibody
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Analysis of sperm membrane antigens relevant to antisperm antibody using Western blot
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作者 H.F.Wang, et al Department of Urology, Ruijing Hospital, Shanghai Second Medical University, Shanghai 200025, China 《Asian Journal of Andrology》 SCIE CAS CSCD 2002年第4期306-306,共1页
To identify the sperm membrane antigens associated with antisperm antibody. Methods: The antisperm antibody in serum was tested by ELISA. Antisperm antibody positive sera from 18 infertile men and 15 infertile women w... To identify the sperm membrane antigens associated with antisperm antibody. Methods: The antisperm antibody in serum was tested by ELISA. Antisperm antibody positive sera from 18 infertile men and 15 infertile women were used. The molecular weight (MW) of sperm membrane antigens associated with the antisperm antibody was analyzed with antisperm antibody positive serum using Western blot. Results: Eight kinds of MW of sperm membrane antigens were identified. The ratio of identification on the 78 KD(60.7 %), 60KD (71.4 %), 51 KD (14.9 %) and 23 KD (14.29 %) sperm antigen was higher than others. Conclusion: Sperm membrane antigens with MW of 78 KD, 60 KD, 51 KD and 23 KD were associated with antisperm antibody and immunological infertility. (Chin J Andro12002; 16: 345) 展开更多
关键词 immunological infertility antisperm antibody sperm membrane antigen
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Effects of Monoclonal Antibody Against Porcine 40-kDa Adipocyte-Specific Membrane Protein on Endocrine Secretion in Pigs
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作者 LIU Ling-yun HU Hong-mei +3 位作者 ZHAO Su-mei ZHANG Xi DUAN Gang GAO Shi-zheng 《Agricultural Sciences in China》 CSCD 2009年第8期1004-1009,共6页
The present study was to investigate the effect of monoclonal antibody against porcine 40-kDa adipocyte-specific membrane protein on endocrine secretion in pigs, in order to provide the evidence for application of thi... The present study was to investigate the effect of monoclonal antibody against porcine 40-kDa adipocyte-specific membrane protein on endocrine secretion in pigs, in order to provide the evidence for application of this antibody to reduce excessive fat deposition in pig production. 40 Landrace×Saba pigs were randomly divided into 8 groups: 2 control groups were given saline with 10 mL, respectively, and the 6 treatment groups were given monoclonal antibody against porcine 40-kDa adipocyte-specific membrane protein with 0.1, 0.5, and 1.0 mg ·kg^-1 body weight at 15 or 60 kg body weight, respectively, all treatments were performed by intraperitoneal injection. The results showed that this monoclonal antibody could significantly reduce serum insulin level and increase levels of serum growth hormone (GH), insulin-like growth factor-1(IGF-1), triiodothyronine (T3), and tetraiodothyronine (T4) either at 15 or 60 kg body weight injection. However, more marked effect was observed at 15 kg body weight treatment. Moreover, the dose-dependent effect of this monoclonal antibody on endocrine secretion was also observed. This result revealed that this monoclonal antibody increased secretion of hormones regulating fat lysis and reduced secretion of hormones regulating fat synthesis, suggests the reduction of porcine excessive fat deposition by this monoclonal antibody was carried out through affecting hormones regulating fat metabolism. 展开更多
关键词 adipocyte membrane protein monoclonal antibody ENDOCRINE pig
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Anti-VDAC3 recombinant antibody decreased human sperm motility and membrane integrity: A potential spermicide for contraception
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作者 Asmarinah Tri Panjiasih Susmiarsih +3 位作者 Amalia Shari Putri Ratri Dwi Ari Pujianto Endang Winiati Bachtiar 《Asian pacific Journal of Reproduction》 2017年第6期257-263,共7页
Objective:To express recombinant protein that comprises an important fragment of human sperm specific voltage dependent anion channel 3 (VDAC3) protein as a potential molecule for generation of antibody, which can aff... Objective:To express recombinant protein that comprises an important fragment of human sperm specific voltage dependent anion channel 3 (VDAC3) protein as a potential molecule for generation of antibody, which can affect sperm function, aiming at spermicide development. Methods: The produce of VDAC3 recombinant protein encoded by cDNA sequence of human VDAC3 exon 5-8, based on experimental design of VDAC3 knock-out mice study. And after the purification of various human sperm VDAC3 recombinant proteins, epitope has been predicted in our recombinant protein determined by ElliPro program. Polyclonal antibody was produced for 14 wk. Then anti-VDAC3-exon 5-8 recombinant antiserum was inoculated to human sperm. After the process, antibody VDAC3 protein in human sperm was incubation with anti-VDAC3 recombinant antibody. Finally evaluation the effect of VDAC3 antiserum to human sperm motility and plasma membrane integrity was proceeded.Results: Human VDAC3 recombinant protein was successfully over-expressed in Escherichia coli and purified by affinity chromatography method. Purified human sperm VDAC3 recombinant protein could stimulate immune response in rabbit producing an antibody against VDAC3. Anti-VDAC3 recombinant antibody recognized VDAC3 antigen in human sperm could decrease human sperm motility and membrane integrity significantly.Conclusions:Anti-VDAC3 recombinant polyclonal antibody that we produced in rabbit by ourselves could decrease sperm motility and sperm membrane integrity. The authors suggest this polyclonal antibody could be used as a candidate agent for male contraception in the future. Furthermore, the authors intend to explore the effect of this antibody into sperm function aiming at male contraceptive vaccine development. 展开更多
关键词 RECOMBINANT VDAC3 antibody SPERM MOTILITY membrane integrity SPERMICIDE
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Development and Evaluation of a MAb-Based ELISA for Detection of Chlamy- dophila pneumoniae Infection with Variable Domain 2 and 3 of the Major Outer Membrane protein 被引量:2
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作者 ZHOU Zhou WU Yi Mou CHEN Li Li LIU Guang Chao LIU Liang Zhuan ZHOU An Wen ZHANG Jun Hua 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2012年第6期690-696,共7页
Objective This paper aims to develop a monoclonal antibodies (MAbs)- based ELISA for detecting Chlamydophila pneumoniae (C. pneumonioe) antigens in humans with the variable domains (VD) 2 and 3 of the major oute... Objective This paper aims to develop a monoclonal antibodies (MAbs)- based ELISA for detecting Chlamydophila pneumoniae (C. pneumonioe) antigens in humans with the variable domains (VD) 2 and 3 of the major outer membrane protein (MOMPvD2-VD~) and to assess its sensitivity and specificity by comparing with a widely used MAb that is able to recognize the elementary bodies of C. pneumoniae. Methods MOMPvo2-vo3were overexpressed in Escherichia coil and purified by affinity chromatography. Mice were immunized with the recombinant antigen, and hybridomas secreting MAbs were screened. Three stable hybridomas clones were selected and named 5D6, 7G3, and 8C9. The MAbs-based ELISA was scrutinized for species-specific recognition with a number of human throat swab samples from Group I (156 patients with typical respiratory illness clinically confirmed before) and Group II (57 healthy donors). Results In Group I, 55 positive cases were detected by anti-EB MAb-based ELISA, 51 cases were positive by MAbs 5D6-based ELISA, and 33 and 38 cases were positive by MAb 8C9 and 7G3-based ELISA respectively. Of the 57 samples from Group II "healthy donors", 5 were positive and 52 were negative with both anti-EB and 5D6-based tests, while 2 and 3 positive cases were identified by the other two MAb-based ELISAs respectively. Conclusion The novel MOMPvD2.VD3 MAb-based assay may have higher specificity than the anti-EB MAb, which may possibly be used as an alternative tool for the diagnosis of C. pneumoniae infection. 展开更多
关键词 Chlamydophila pneumoniae Major outer membrane protein Monoclonal antibody ELISA
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Management of an Adult with Goodpasture’s Syndrome Following Brain Trauma with Extracorporeal Membrane Oxygenation: A Case Report 被引量:1
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作者 王珊 尹海燕 +4 位作者 主有峰 陶佩 张锐 马永辉 韦建瑞 《Chinese Medical Sciences Journal》 CAS CSCD 2019年第3期226-229,共4页
A 22-year-old man suffered from acute pulmonary hemorrhage and deteriorated renal function occurred within 3 days after traumatic brain injury.Mechanical ventilation cannot correct his severe hypoxemia,therefore,venoa... A 22-year-old man suffered from acute pulmonary hemorrhage and deteriorated renal function occurred within 3 days after traumatic brain injury.Mechanical ventilation cannot correct his severe hypoxemia,therefore,venoarterial extracorporeal membrane oxygenation(VA-ECMO)support was initiated and finally resolved his hypoxemia.Concomitantly,continuous renal replacement therapy was performed to improve his kidney function.Although no anti-glomerular basement membrane(anti-GBM)antibody was detected in serum,Goodpasture’s syndrome was considered.After treated with methylprednisolone pulse therapy and plasmapheresis,his renal function was significantly improved.ECMO was eventually discontinued after 60 hours of treatment and extubated on day 10.He was discharged home with normal pulmonary and renal functions. 展开更多
关键词 EXTRACORPOREAL membrane OXYGENATION pulmonary HEMORRHAGE Goodpasture's Syndrome anti-glomerular BASEMENT membrane antibody
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原发与继发免疫性血小板减少症患者血小板膜糖蛋白特异性抗体及其与出血评分关系的研究 被引量:1
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作者 王秀娟 孙明玲 +2 位作者 马金忠 宋梦婷 郭新红 《中国现代医学杂志》 CAS 2024年第1期78-83,共6页
目的探讨原发与继发免疫性血小板减少症(ITP)患者抗GPⅡb/Ⅲa及GPΙb/Ⅸ抗体的表达、抗体阳性表达与出血评分的关系,以及不同抗体类型出血评分的差异,为原发与继发ITP患者的诊治和出血严重程度提供临床依据。方法选取2013年10月—2020年... 目的探讨原发与继发免疫性血小板减少症(ITP)患者抗GPⅡb/Ⅲa及GPΙb/Ⅸ抗体的表达、抗体阳性表达与出血评分的关系,以及不同抗体类型出血评分的差异,为原发与继发ITP患者的诊治和出血严重程度提供临床依据。方法选取2013年10月—2020年8月在新疆医科大学第一附属医院诊断为原发ITP患者(42例)及继发ITP患者(42例)为研究对象,所有患者入院时采用ITP出血评分量表行出血评分。应用改良MAIPA法检测患者抗GPⅡb/Ⅲa和抗GPΙb/Ⅸ抗体。结果原发与继发组患者抗GPⅡb/Ⅲa抗体、抗GPΙb/Ⅸ抗体阳性率比较,差异无统计学意义(P>0.05),原发组患者抗体表达以抗GPⅡb/Ⅲa抗体为主,继发组抗体表达以抗GPΙb/Ⅸ抗体为主,两者抗体阳性构成比较,差异有统计学意义(P<0.05)。继发组患者整体出血程度较原发组重(P<0.05)。抗体阳性表达与出血程度的关系:(1)抗GPⅡb/Ⅲa抗体阳性患者出血程度较抗体阴性患者重(P<0.05)。(2)抗GPΙb/Ⅸ抗体阳性患者出血程度较抗体阴性患者重(P<0.05),双抗体阳性患者出血程度较抗体阴性患者重(P<0.05)。结论抗GPⅡb/Ⅲa抗体、抗GPΙb/Ⅸ抗体阳性表达对原发与继发ITP无鉴别意义,但原发ITP患者抗体表达以抗GPⅡb/Ⅲa抗体为主,继发ITP患者抗体表达以抗GPΙb/Ⅸ抗体为主。继发ITP患者临床出血程度较原发ITP患者重。抗GPⅡb/Ⅲa抗体、抗GPΙb/Ⅸ抗体及抗体双阳性患者出血程度较抗体阴性患者重。 展开更多
关键词 免疫性血小板减少症 血小板膜糖蛋白特异性抗体 出血评分
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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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膜性肾病患者抗磷脂酶A2受体抗体定量水平与肾损伤标志物的相关性
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作者 黄宇 付美珍 +1 位作者 戴淑惠 李珣 《检验医学与临床》 CAS 2024年第20期2990-2993,共4页
目的探讨膜性肾病(MN)患者抗磷脂酶A2受体(PLA2R)抗体定量水平与肾损伤标志物的相关性。方法回顾性选取2020年5月至2021年4月就诊于厦门大学附属第一医院的79例MN患者作为MN组。另选取同期45例临床诊断非MN患者作为对照组。比较两组抗PL... 目的探讨膜性肾病(MN)患者抗磷脂酶A2受体(PLA2R)抗体定量水平与肾损伤标志物的相关性。方法回顾性选取2020年5月至2021年4月就诊于厦门大学附属第一医院的79例MN患者作为MN组。另选取同期45例临床诊断非MN患者作为对照组。比较两组抗PLA2R抗体定量水平的差异及不同截断值下的诊断性能。收集MN组血清和尿液标志物检测结果,包括尿液24 h尿蛋白(24 h-UTP)、尿微量清蛋白(ALB)与肌酐(Cr)比值(ACR)以及血清总蛋白(TP)、ALB、尿素氮(BUN)、Cr、半胱氨酸蛋白酶抑制剂胱抑素C(Cys C)水平。根据改善全球肾脏病预后组织(KDIGO2012)指南以抗PLA2R抗体定量150 RU/mL为截断值分成低浓度组(≤150 RU/mL)和高浓度组(>150 RU/mL),分析比较各肾损伤标志物差异。绘制受试者工作特征(ROC)曲线评价诊断效能。采用Spearman相关分析抗PLA2R抗体水平与24 h-UTP、ACR、ALB、BUN的相关性。结果MN组抗PLA2R抗体水平[79.80(21.70,206.70)RU/mL]高于对照组[1.54(1.36,1.74)RU/mL],差异有统计学意义(Z=-8.47,P<0.01)。<40岁、40~60岁、>60岁抗PLA2R抗体水平分别为40.9(21.4,84.9)RU/mL、73.2(5.1,202.5)RU/mL、171.6(40.9,460.2)RU/mL,抗PLA2R抗体水平随年龄升高而升高,差异有统计学意义(H=10.44,P<0.05)。截断值≥20 RU/mL时,抗PLA2R抗体诊断MN的特异度为100.0%,但灵敏度仅78.5%。ROC曲线分析结果显示,最佳截断值为2.16 RU/mL时,灵敏度为92.4%,特异度为95.6%,约登指数为0.880。高浓度组纳入27例患者,低浓度组纳入52例患者。高浓度组24 h-UTP、ACR、BUN水平明显高于低浓度组,ALB水平明显低于低浓度组,差异均有统计学意义(P<0.05)。Spearman相关分析结果显示,抗PLA2R抗体与24 h-UTP、ACR、BUN呈正相关(r=0.635、0.628、0.240,P<0.05),与ALB呈负相关(r=-0.344,P<0.05)。结论抗PLA2R抗体定量水平对于MN患者具有较好诊断价值,抗PLA2R抗体定量水平与肾损伤标志物存在一定相关性,研究结果为本地区MN的临床诊断治疗提供参考。 展开更多
关键词 膜性肾病 抗磷脂酶A2受体抗体 蛋白尿 24 h尿蛋白 尿微量清蛋白与肌酐比值
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儿童原发性免疫性血小板减少症回顾性临床分析
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作者 王兆辉 王绪栋 +5 位作者 罗荣华 孙燕 常光妮 孙俊霞 刘亚蒙 高婷婷 《中国医药科学》 2024年第16期76-79,共4页
目的提高对儿童原发性免疫性血小板减少症(ITP)临床特点及预后的再认识,为儿童ITP诊疗提供依据。方法回顾性分析泰安市中心医院2019年10月至2021年6月收治的150例初诊为ITP的患儿,并随访至发病后6个月。根据血小板计数分为两组:非重型IT... 目的提高对儿童原发性免疫性血小板减少症(ITP)临床特点及预后的再认识,为儿童ITP诊疗提供依据。方法回顾性分析泰安市中心医院2019年10月至2021年6月收治的150例初诊为ITP的患儿,并随访至发病后6个月。根据血小板计数分为两组:非重型ITP为单用糖皮质激素(GCs)组,重型ITP为GCs联合静脉注射免疫球蛋白(IVIG)组。对年龄、性别、初诊血小板膜蛋白特异性抗体、初诊骨髓巨核细胞数目、治疗反应、预后等数据进行分析。结果150例初诊ITP患儿发病年龄为[4.50(0.25,13.00)]岁,其中男82例(54.67%),女68例(45.33%)。血小板膜蛋白特异性抗GPⅠb抗体阳性32例(21.33%),抗GPⅨ抗体阳性15例(10.00%),抗GPⅡb抗体阳性86例(57.33%),抗GPⅢa抗体阳性76例(50.67%),抗GMP-140抗体阳性23例(15.33%),血小板膜蛋白特异性抗体阴性42例(28.00%);完全反应(CR)+反应(R)组初诊巨核细胞数为[476.00(259.00,684.00)]个/骨髓片,无效(NR)组初诊巨核细胞数为[58.00(47.00,89.00)]个/骨髓片。住院时间为[5.00(4.00,12.00)]d;单用GCs组反应时间为[4.00(3.00,10.00)]d,GCs联合IVIG组反应时间为[3.00(2.00,8.00)]d。随访至6个月,CR 86例(57.33%),R 58例(38.67%),NR 6例(4.00%)。单用GCs组及GCs联合IVIG组比较,GCs联合IVIG组反应时间明显较短,差异有统计学意义(P<0.05);随访至6个月,两组患儿疗效差异无统计学意义(P>0.05)。巨核细胞数较多者,预后较好,差异有统计学意义(P<0.05)。结论ITP患儿以学龄前儿童更为常见,男孩多于女孩。GCs联合IVIG比单用GCs治疗反应时间短,预后无明显差异。初诊时骨髓巨核细胞数目低,提示预后不良。不同血小板膜蛋白特异性抗体阳性预后有差异,其中GPⅡb/GPⅢa阳性预后较好,GPⅠb/GPⅨ阳性预后欠佳。 展开更多
关键词 儿童 原发性免疫性血小板减少症 血小板膜蛋白特异性抗体 预后
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靶向PSMA诊疗一体化:应用与进展
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作者 张召奇 赵新明 《肿瘤影像学》 2024年第5期475-484,共10页
前列腺特异性膜抗原(prostate-specific membrane antigen,PSMA)最早在前列腺癌细胞中发现,是前列腺癌等高表达PSMA肿瘤诊疗的重要靶点。多种显像和治疗核素标记的PSMA不同配体在前列腺癌诊疗一体化中显示出重要作用。本文就靶向PSMA诊... 前列腺特异性膜抗原(prostate-specific membrane antigen,PSMA)最早在前列腺癌细胞中发现,是前列腺癌等高表达PSMA肿瘤诊疗的重要靶点。多种显像和治疗核素标记的PSMA不同配体在前列腺癌诊疗一体化中显示出重要作用。本文就靶向PSMA诊疗一体化的相关研究和临床应用进展进行述评。 展开更多
关键词 前列腺癌 前列腺特异性膜抗原 抗体 小分子抑制剂 正电子发射体层成像 单光子发射体层成像
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不同剂量利妥昔单抗治疗特发性膜性肾病的有效性和安全性 被引量:1
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作者 涂志辉 杨定平 《临床肾脏病杂志》 2024年第2期89-95,共7页
目的对比两种不同剂量利妥昔单抗方案治疗特发性膜性肾病患者的临床疗效。方法选取2019年12月1日至2021年12月31日经武汉大学人民医院诊断为特发性膜性肾病的患者,共79例。利妥昔单抗两剂方案组(49例):1 g/次,第1、15天各用1次,如随访6... 目的对比两种不同剂量利妥昔单抗方案治疗特发性膜性肾病患者的临床疗效。方法选取2019年12月1日至2021年12月31日经武汉大学人民医院诊断为特发性膜性肾病的患者,共79例。利妥昔单抗两剂方案组(49例):1 g/次,第1、15天各用1次,如随访6个月时仍有肾病范围的蛋白尿,重复该方案1次;利妥昔单抗四剂方案组(30例):375 mg/m^(2),每周1次,共4次;2组均联合小剂量糖皮质激素。对比两组患者在治疗前后不同时间的24 h尿蛋白定量、血清白蛋白、血肌酐、外周血CD19^(+)细胞计数、抗PLA2R抗体滴度、疾病缓解率、不良反应等方面的差异。结果2组患者治疗前在性别、年龄、体重指数、血压、24 h尿蛋白定量、血清白蛋白、血肌酐、估算肾小球滤过率、抗PLA2R抗体、外周血CD19^(+)细胞计数等方面,差异均无统计学意义(P>0.05)。12个月后,2组24 h尿蛋白定量较治疗前均有显著下降(P<0.01),血清白蛋白水平较治疗前均明显有所升高[两剂方案组:(25.34±4.64)g/L比(37.33±8.33)g/L,四剂方案组:(22.76±4.62)g/L比(35.47±5.90)g/L,P<0.01]。然而,治疗后降低尿蛋白和恢复血清白蛋白方面,2组比较差异无统计学意义(P>0.05)。在血肌酐方面,2组患者总体肾功能均能保持稳定,差异无统计学意义(P>0.05)。2组抗PLA2R-Ab水平治疗后较治疗前均能有效降低,且差异无统计学意义(P>0.05)。在疾病缓解方面,在12个月时总有效率达到75.95%,而两剂方案组的临床缓解率(85.71%)显然高于四剂方案组(60%),差异有统计学意义(P<0.01)。同时,两剂方案组的复发率(18.37%)不高于四剂方案组(23.33%)。在不良反应方面,两组比较差异无统计学意义(P>0.05)。结论较高剂量的利妥昔单抗方案的临床缓解率更高,同时不良反应发生率并没有增加,更适用于IMN的治疗,但药物可能引起严重低钾血症的不良反应仍然需要重视。 展开更多
关键词 肾小球肾炎 膜性 抗CD20单抗 利妥昔单抗 不良反应
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靶向治疗药物在膜性肾病中的研究进展
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作者 丘宝珍 朱兴华 +1 位作者 杜春荔 陈璐 《中国现代医学杂志》 CAS 2024年第22期49-53,共5页
膜性肾病是一种常见的成人肾小球疾病,其特征为免疫复合物在肾小球基底膜上的沉积,导致蛋白尿和肾功能减退。近年来,针对膜性肾病的治疗策略发生了显著变化,特别是在靶向治疗药物的开发和应用方面取得了进展。这些靶向治疗主要集中在特... 膜性肾病是一种常见的成人肾小球疾病,其特征为免疫复合物在肾小球基底膜上的沉积,导致蛋白尿和肾功能减退。近年来,针对膜性肾病的治疗策略发生了显著变化,特别是在靶向治疗药物的开发和应用方面取得了进展。这些靶向治疗主要集中在特定的分子和途径上,提供了一种更为精准的治疗选择,能够直接作用于疾病的病理机制,从而减少传统免疫抑制治疗的副作用,并提高治疗效果。该文检索国内外最新文献,并对靶抗原及相应的靶向治疗药物的相关资料进行整合,希望能为临床治疗提供理论依据。 展开更多
关键词 膜性肾病 靶抗原 靶向治疗 单克隆抗体
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小剂量利妥昔单抗改善早期中高风险膜性肾病疾病进展:一项探索性研究
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作者 徐秋郁 艾三喜 +6 位作者 王淦淦 贾淳钰 王佳慧 郑可 秦岩 陈罡 李雪梅 《中国临床药理学与治疗学》 CAS CSCD 北大核心 2024年第7期744-751,共8页
膜性肾病(membranous nephropathy,MN)是成人原发性肾病综合征(nephrotic syndrome,NS)最常见的病因,近年来研究发现PLA2R是MN的关键致病靶抗原,且其发现给利妥昔单抗(rituximab,RTX)等靶向B细胞的治疗提供了理论基础,然而针对抗体的早... 膜性肾病(membranous nephropathy,MN)是成人原发性肾病综合征(nephrotic syndrome,NS)最常见的病因,近年来研究发现PLA2R是MN的关键致病靶抗原,且其发现给利妥昔单抗(rituximab,RTX)等靶向B细胞的治疗提供了理论基础,然而针对抗体的早期干预是否能有效地阻止MN的进展仍有待进一步探索。我们系统分析了2019年10月至2023年3月在我中心接受RTX治疗的13例PLA2R抗体相关早期中高危MN患者的临床特征和随访。早期中高危MN定义为基线或入院时抗PLA2R抗体滴度超过50 RU/mL,但尚未出现NS状态。患者在基线评估中位时间4.1个月(IQR 1-7.7)启动RTX治疗,此后中位随访时间为27个月(IQR 23-45),期间均未发展至NS,12例(92.3%)在随访2年或末次随访时评估为完全或部分缓解。随访期间未发生死亡、严重感染或其他严重不良反应。RTX对早期中高危MN患者具有良好的疗效和安全性,适时启动抗体清除治疗可能有利于长期疾病控制和远期肾脏预后。 展开更多
关键词 特发性膜性肾病 成人肾病综合征 B细胞耗竭疗法 抗CD20单抗 抗M型磷脂酶A2受体抗体
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猪流行性腹泻病毒S蛋白和M蛋白截短表达及多克隆抗体制备
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作者 李德龙 周建方 +9 位作者 余远迪 丁鸿飞 肖奇奇 黄庄 李悦林 罗丽娜 黄涵 刘辉鑫 杨婧婧 付利芝 《动物医学进展》 北大核心 2024年第8期41-44,共4页
为制备猪流行性腹泻病毒(PEDV)S蛋白和M蛋白的多克隆抗体,用蛋白结构分析软件对S和M基因序列进行分析,截取2个基因的相关抗原片段,依据大肠埃希氏菌偏好密码子进行密码子优化、序列合成。将合成的片段克隆至pET-32a(+),转化入大肠埃希氏... 为制备猪流行性腹泻病毒(PEDV)S蛋白和M蛋白的多克隆抗体,用蛋白结构分析软件对S和M基因序列进行分析,截取2个基因的相关抗原片段,依据大肠埃希氏菌偏好密码子进行密码子优化、序列合成。将合成的片段克隆至pET-32a(+),转化入大肠埃希氏菌BL21(DE3),IPTG诱导表达后进行SDS-PAGE检测。大量表达重组蛋白,免疫昆明小鼠制备多克隆抗体。结果表明,成功表达大小约为38ku和32ku的重组蛋白Sm和Mm,免疫小鼠后制备的抗Sm多克隆抗体效价超过1:25600,抗Mm多克隆抗体效价超过1:51200,且Westernblot表明多克隆抗体特异性良好。研究制备的多克隆抗体可以为建立PEDV检测方法和开发亚单位疫苗提供材料。 展开更多
关键词 猪流行性腹泻病毒S蛋白 M蛋白 抗原表位 多克隆抗体
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