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Inflammatory bowel disease serology in Asia and the West 被引量:10
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作者 Lani Prideaux Michael A Kamm +3 位作者 Peter De Cruz Daniel R van Langenberg Siew C Ng Iris Dotan 《World Journal of Gastroenterology》 SCIE CAS 2013年第37期6207-6213,共7页
AIM:To study serological antibodies in Caucasians and Asians,in health and inflammatory bowel disease(IBD),in Australia and Hong Kong(HK).METHODS:Anti-glycan antibodies[anti-chitobioside(ACCA),anti-laminaribioside(ALC... AIM:To study serological antibodies in Caucasians and Asians,in health and inflammatory bowel disease(IBD),in Australia and Hong Kong(HK).METHODS:Anti-glycan antibodies[anti-chitobioside(ACCA),anti-laminaribioside(ALCA)],and anti-mannobioside(AMCA),anti-Saccharomyces cervisiae(gASCA);and atypical perinuclear anti-neutrophil cytoplasmic antibody(pANCA)were tested in IBD patients,their unaffected relatives,and healthy controls in Australia and HK(China).Antibody status(positive or negative)and titre was compared between subjects of different geography,ethnicity and disease state.RESULTS:Ninety subjects were evaluated:21 Crohn’s disease(CD),32 ulcerative colitis(UC),29 healthy controls,and 8 IBD patient relatives.Forty eight subjects were Australian(29 Caucasian and 19 ethnic Han Chinese)and 42 were from HK(all Han Chinese).Caucasian CD patients had a significantly higher antibody prevalence of gASCA(67%vs 3%,P<0.001),ALCA(44%vs 6%,P=0.005),and AMCA(67%vs 15%,P=0.002),whereas HK CD patients had a higher prevalence of only AMCA(58%vs 25%,P=0.035),when compared with UC and healthy subjects in both countries.Caucasian CD had significantly higher gASCA prevalence(67%vs 0%,P<0.001)and titre(median59 vs 9,P=0.002)than HK CD patients.Prevalence and titres of ALCA,ACCA and AMCA did not differ between CD in the two countries.Presence of at least one antibody was higher in Caucasian than HK CD patients(100%vs 58%,P=0.045).pANCA did not differ between countries or ethnicity.CONCLUSION:Serologic CD responses differ between HK Asian and Australian Caucasian patients.Different genetic,environmental or disease pathogenic factors may account for these differences. 展开更多
关键词 Crohn’s disease Ulcerative colitis SEROLOGICAL ANTIBODIES ASIA Ethnic Anti-Saccharomyces cervisiae ANTIBODIES Anti-chitobioside ANTIBODIES Antilaminaribioside ANTIBODIES Anti-mannobioside ANTIBODIES Atypical perinuclear anti-neutrophil cytoplasmic ANTIBODIES
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Crohn's disease with gastroduodenal involvement: Diagnostic approach 被引量:5
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作者 Sachin B Ingle Baban D Adgaonkar +2 位作者 Nawab P Jamadar Saleha Siddiqui Chitra R Hinge 《World Journal of Clinical Cases》 SCIE 2015年第6期479-483,共5页
Crohn's disease(CD) is a chronic idiopathic inflammatory disease of gastrointestinal tract characterizedby segmental and transmural involvement of gastrointestinal tract. Ileocolonic and colonic/anorectal is a mos... Crohn's disease(CD) is a chronic idiopathic inflammatory disease of gastrointestinal tract characterizedby segmental and transmural involvement of gastrointestinal tract. Ileocolonic and colonic/anorectal is a most common and account for 40% of cases and involvement of small intestine is about 30%. Isolated involvement of stomach is an extremely unusual presentation of the disease accounting for less than 0.07% of all gastrointestinal CD. To date there are only a few documented case reports of adults with isolated gastric CD and no reports in the pediatric population. The diagnosis is difficult to establish in such cases with atypical presentation. In the absence of any other source of disease and in the presence of nonspecific upper gastrointestinal endoscopy and histological findings, serological testing can play a vital role in the diagnosis of atypical CD. Recent studies have suggested that perinuclear anti-neutrophil cytoplasmic antibody and anti-Saccharomycescervisia antibody may be used as additional diagnostic tools. The effectiveness of infliximab in isolated gastric CD is limited to only a few case reports of adult patients and the long-term outcome is unknown. 展开更多
关键词 Gastrointestinal tract Crohn’s disease Isolated gastric INVOLVEMENT perinuclear anti-neutrophil CYTOPLASMIC ANTIBODY Anti-Saccharomycescervisia ANTIBODY
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Dynamics of perinuclear actin ring regulating nuclear morphology
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作者 Haoxiang YANG Houbo SUN +2 位作者 Jinghao SHEN Hao WU Hongyuan JIANG 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2024年第8期1415-1428,共14页
Cells are capable of sensing and responding to the extracellular mechanical microenvironment via the actin skeleton.In vivo,tissues are frequently subject to mechanical forces,such as the rapid and significant shear f... Cells are capable of sensing and responding to the extracellular mechanical microenvironment via the actin skeleton.In vivo,tissues are frequently subject to mechanical forces,such as the rapid and significant shear flow encountered by vascular endothelial cells.However,the investigations about the transient response of intracellular actin networks under these intense external mechanical forces,their intrinsic mechanisms,and potential implications are very limited.Here,we observe that when cells are subject to the shear flow,an actin ring structure could be rapidly assembled at the periphery of the nucleus.To gain insights into the mechanism underlying this perinuclear actin ring assembly,we develop a computational model of actin dynamics.We demonstrate that this perinuclear actin ring assembly is triggered by the depolymerization of cortical actin,Arp2/3-dependent actin filament polymerization,and myosin-mediated actin network contraction.Furthermore,we discover that the compressive stress generated by the perinuclear actin ring could lead to a reduction in the nuclear spreading area,an increase in the nuclear height,and a decrease in the nuclear volume.The present model thus explains the mechanism of the perinuclear actin ring assembly under external mechanical forces and suggests that the spontaneous contraction of this actin structure can significantly impact nuclear morphology. 展开更多
关键词 mechanical force actin dynamics perinuclear actin ring compressive stress NUCLEUS
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Serologic and laboratory markers in prediction of the disease course in inflammatory bowel disease 被引量:3
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作者 Marla Cindy Dubinsky 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第21期2604-2608,共5页
The search for biologic markers that can assess the natural history and perhaps predict the course of individual's disease including response to treatments over time has become an important focus of inflammatory b... The search for biologic markers that can assess the natural history and perhaps predict the course of individual's disease including response to treatments over time has become an important focus of inflammatory bowel disease research.The knowledge of an individual's prognosis can help physicians and patients make important management decisions and aid communication on risk and benefits of disease and treatment. 展开更多
关键词 Inflammatory bowel disease Ulcerative colitis Crohn’s disease perinuclear anti-neutrophil antibody Anti-Saccharomyces cerevisiae antibody POUCHITIS Internal penetrating Fibrostenosing
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Perinuclear anti-neutrophil cytoplasmic antibodies (p-anca) in chronic ulcerative colitis: Experience in a Mexican institution 被引量:3
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作者 Jesus K Yamamoto-Furusho Takeshi Takahashi-Monroy +2 位作者 Omar Vergara-Fernandez Edgardo Reyes Luis Uscanga 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第21期3406-3409,共4页
AIM: To assess the prevalence and clinical value of p-ANCA in a sample of Mexican ulcerative colitis (UC) patients. METHODS: In a prospective, IRB-approved protocol, p-ANCA was determined in 80 patients with UC (... AIM: To assess the prevalence and clinical value of p-ANCA in a sample of Mexican ulcerative colitis (UC) patients. METHODS: In a prospective, IRB-approved protocol, p-ANCA was determined in 80 patients with UC (mean age, 32 ± 12.9 years). The severity and extension of disease were determined by clinical methods, searching a statistical association with p-ANCA status. RESULTS: p-ANCA were detected in 41 (51%) patients. Severity of disease was the only clinical variable statistically associated with their presence (P 〈 0.0001; OR = 9; CI 95% = 3.2-24.7). CONCLUSION: The prevalence of p-ANCA was similar to that reported in other countries. Their presence was associated to UC severity, but offered no more information than the obtained by clinical methods. 展开更多
关键词 Ulcerative colitis Inflammatory bowel disease perinuclear anti-neutrophil cytoplasmic antibodies
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Ultrastructural Pathology of Nerve Cells in Mouse Brain Infected with Epidemic B Encephalitis Virus
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作者 盛鹏 晏良遂 《Journal of Medical Colleges of PLA(China)》 CAS 1989年第2期151-157,共7页
An animal model of epidemic(Japanese)B encephalitis was estabilisged by injecting theJin Wei Yah 1 stain of B encephalitis virus into the peritoneal cavity of mice.The ultrastructuralchanges of the nerve cells in thei... An animal model of epidemic(Japanese)B encephalitis was estabilisged by injecting theJin Wei Yah 1 stain of B encephalitis virus into the peritoneal cavity of mice.The ultrastructuralchanges of the nerve cells in their brains were studied,special attention being paid to some types ofnerve cell in the cerebellar cortex.The infectet Purkinje cells and especially the granular cells showedspecial and inter,sting pathological features.These were compared with the changes found in the in-fected nerve cells in the cerebral cortex,diencephalon and mesencephalon.A radiating structure consisting of a microveside-microtubule aggregation body at the centerand endoplastic reticulum or virus replication multivesicular structures around it was often found in thein fected nerve cells.Its morphological features were described in detail,and its significance and the se-quenoe of events of its development discussed.In the late stage of infection,virus particles were found in the nuclei of part of the necroticcells.It is considered that they entered the nuclei from the cytoplasm during or after the death of theinfected cells.The observation smade in this study have comfimed in the granular cell of the cerebellum theidea of Chert et al.that the encephalitis B virus particle can he formed in the perinudear cistem ofthe infected nerve cell,and have brought forth further information in this respect.The way of releaseof the virus particles from the infected nerve cells observed in this study is fundamentally consistentwith that observed by Chen et al.but most of the virus particles left the nerve cell via the cell pro- 展开更多
关键词 NERVE CELL ultrastructural pathology experimental B ENCEPHALITIS mice VIRUS replication perinuclear cistern radiating structure VIRUS particles necrotic CELL nucleus
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Isolated gastric Crohn's disease
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作者 Sachin B Ingle Chitra R Hinge +1 位作者 Sarita Dakhure Smita S Bhosale 《World Journal of Clinical Cases》 SCIE 2013年第2期71-73,共3页
Crohn's disease(CD) is a chronic idiopathic inflammatory disease of gastrointestinal tract characterized by segmental and transmural involvement of gastrointestinal tract. Ileocolonic and colonic/anorectal is a mo... Crohn's disease(CD) is a chronic idiopathic inflammatory disease of gastrointestinal tract characterized by segmental and transmural involvement of gastrointestinal tract. Ileocolonic and colonic/anorectal is a most common and account for 40% of cases and involvement of small intestine in about 30%. The stomach is rarely the sole or predominant site of CD. To date there are only a few documented case reports of adults with isolated gastric CD and no reports in the pediatric population. Isolated stomach involvement is very unusual presentation accounting for less than 0.07% of all gastrointestinal CD. The diagnosis is difficult to establish in cases of atypical presentation as in isolated gastroduodenal disease. In the absence of any other source of disease and in the presence of nonspecific upper GI endoscopy and histological findings, serological testing can play a vital role in the diagnosis of atypical CD. Recent stud-ies have suggested that perinuclear anti-neutrophil cytoplasmic antibody and anti-Saccharomycescervisia antibody may be used as additional diagnostic tools. The effectiveness of infliximab in isolated gastric CD is limited to only a few case reports of adult patients and the long-term outcome is unknown. 展开更多
关键词 Gastrointestinal TRACT Crohn’s disease perinuclear anti-neutrophil CYTOPLASMIC ANTIBODY Anti-Saccharomycescervisia ANTIBODY
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类风湿性关节炎中医辨证分型与实验室指标的研究 被引量:23
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作者 于秀明 刘学明 +1 位作者 侯云峰 栗洪波 《中华中医药学刊》 CAS 2007年第7期1462-1464,共3页
目的:将类风湿性关节炎(RA)中医辨证分型与客观检测指标相结合,为中医诊断客观化提供参考。方法:将210例RA患者按中医辨证分型分为湿热痹阻、寒湿痹阻、肾气虚寒、肝肾阴虚、瘀血痹阻5组。血清类风湿因子(RF)检测采用乳胶凝集法,抗瓜氨... 目的:将类风湿性关节炎(RA)中医辨证分型与客观检测指标相结合,为中医诊断客观化提供参考。方法:将210例RA患者按中医辨证分型分为湿热痹阻、寒湿痹阻、肾气虚寒、肝肾阴虚、瘀血痹阻5组。血清类风湿因子(RF)检测采用乳胶凝集法,抗瓜氨酸合成蛋白抗体(CPA)检测采用酶联免疫吸附实验法(ELISA),抗核周因子(APF)检测采用间接免疫荧光法(ⅡF),肿瘤坏死因子-α(TNF-α)检测采用放射免疫法(RIA),各组间数据进行比较及相关分析。结果:RA湿热痹阻型CPA阳性率显著高于寒湿痹阻型和肝肾阴虚型,有高度统计学意义(P<0.01);湿热痹阻型APF阳性率高于瘀血痹阻型,有统计学意义(P<0.05);TNF-α检测结果在各证型组间进行比较,寒湿痹阻型高于肝肾阴虚型和瘀血痹阻型,有统计学意义(P<0.05)。结论:CPA和APF可作为RA辨证分型的客观指标,TNF-α可作为RA活动期或进展期的参考指标。 展开更多
关键词 类风湿性关节炎 辨证分型 抗瓜氨酸合成蛋白抗体 抗核周因子 肿瘤坏死因子-Α 痹证
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CCP、AKA、APF联合RF检测对类风湿性关节炎的诊断意义 被引量:21
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作者 孙文平 宋来玉 +2 位作者 綦霞 陈艳君 高小平 《中国微生态学杂志》 CAS CSCD 2019年第6期670-672,679,共4页
目的探究抗环瓜氨酸肽(CCP)抗体、抗角质蛋白(AKA)抗体、抗核周围因子(APF)抗体联合类风湿因子(RF)检测对类风湿性关节炎(RA)的临床诊断价值。方法检测94例RA患者和69例非RA自身免疫疾病患者血清中该4项指标,并将该4种指标的敏感度、特... 目的探究抗环瓜氨酸肽(CCP)抗体、抗角质蛋白(AKA)抗体、抗核周围因子(APF)抗体联合类风湿因子(RF)检测对类风湿性关节炎(RA)的临床诊断价值。方法检测94例RA患者和69例非RA自身免疫疾病患者血清中该4项指标,并将该4种指标的敏感度、特异度、阳性预测值以及阴性预测值进行比对分析。结果 RA组患者该4项指标的阳性率均明显高于非RA组(P<0.05)。RA组中CCP、AKA、APF和RF的敏感度分别为79.79%、45.74%、48.94%、75.53%,特异性分别为95.65%、94.20%、91.30%、79.71%,其中抗CCP与RF比较差异有统计学意义(P<0.05)。RA组中CCP、AKA、APF和RF阳性预测值分别为96.15%、91.49%、88.46%、83.53%。4项指标联合检测中,任一指标阳性即判定RA阳性的敏感度为89.36%,4项指标均为阳性即判定RA阳性的特异度高达98.55%,阳性预测值达96.77%。结论抗CCP抗体具有较高的灵敏度和特异性。4项指标联合检测可提高RA诊断的准确性,有利于RA患者早期诊断和治疗。 展开更多
关键词 CCP抗体 AKA抗体 APF因子 RF因子 类风湿性关节炎
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RF、抗CCP抗体、抗APF抗体、抗AKA抗体、抗MCV抗体联合检测诊断类风湿关节炎的价值 被引量:20
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作者 孙佳颖 王鑫 +3 位作者 谢科杰 岳丽霞 汪佳佳 俞钟明 《浙江医学》 CAS 2017年第21期1891-1894,共4页
目的探讨类风湿因子(RF)、抗环瓜氨酸(CCP)抗体、抗核周因子(APF)抗体、抗角蛋白(AKA)抗体、抗突变型瓜氨酸波形蛋白(MCV)抗体联合检测诊断类风湿关节炎(RA)的价值。方法检测RA组(196例)、非RA组(157例)、健康对照组(73例)上述5种指标... 目的探讨类风湿因子(RF)、抗环瓜氨酸(CCP)抗体、抗核周因子(APF)抗体、抗角蛋白(AKA)抗体、抗突变型瓜氨酸波形蛋白(MCV)抗体联合检测诊断类风湿关节炎(RA)的价值。方法检测RA组(196例)、非RA组(157例)、健康对照组(73例)上述5种指标的阳性率、灵敏度和特异度,以及不同方案联合检测后的灵敏度和特异度。结果 RF、抗CCP抗体、抗APF抗体、抗AKA抗体、抗MCV抗体灵敏度分别为76.02%、75.00%、45.92%、44.39%、72.45%,特异度分别为79.57%、96.52%、94.78%、96.09%、94.78%。RF与抗CCP抗体联合检测灵敏度为93.37%,特异度78.26%,RF、抗CCP抗体、抗APF抗体、抗AKA抗体、抗MCV抗体5个指标联合检测灵敏度为96.43%,特异度为75.65%。结论在5种指标中,RF、抗CCP抗体、抗MCV抗体灵敏度相对较高,除RF外,抗CCP抗体、抗APF抗体、抗AKA抗体、抗MCV抗体特异度均很高。5种指标联合检测后,灵敏度大大提高,特异度略有下降。 展开更多
关键词 类风湿关节炎 联合检测 类风湿因子 抗环瓜氨酸抗体 抗核周因子抗体 抗角蛋白抗体 抗突变型瓜氨酸波形蛋白抗体
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抗酿酒酵母抗体和抗中性粒细胞胞质抗体对炎症性肠病的诊断价值 被引量:19
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作者 李骥 吕红 +3 位作者 钱家鸣 张茹 李永哲 张蜀澜 《中华消化杂志》 CAS CSCD 北大核心 2008年第10期666-668,共3页
目的了解抗酿酒酵母抗体(ASCA)和核周型抗中性粒细胞胞质抗体(pANCA)的分布,观察其在炎症性肠病(1BD)诊断及鉴别诊断中的意义。方法选择2002年9月至2007年7月在北京协和医院就诊并行ASCA、pANCA检查的IBD患者175例,其中克罗恩病... 目的了解抗酿酒酵母抗体(ASCA)和核周型抗中性粒细胞胞质抗体(pANCA)的分布,观察其在炎症性肠病(1BD)诊断及鉴别诊断中的意义。方法选择2002年9月至2007年7月在北京协和医院就诊并行ASCA、pANCA检查的IBD患者175例,其中克罗恩病(CD)62例、溃疡性结肠炎(UC)97例、未定型16例。另取对照者167例。采用酶联免疫吸附法测定血清ASCA水平,间接免疫荧光法测定血清pANCA水平。结果在CD、UC、未定型者、对照者中,ASCA的阳性率分别为45.2%、14.4%、11/16、29.3%,pANCA的阳性率分别为4.8%、56.7%、1/16、4.8%。对照者中,ASCA在恶性肿瘤、嗜酸性粒细胞增多症、自身免疫性肝病、弥漫性结缔组织病及肠结核中的阳性率较高(分别为42.1%、2/5、4/10、4/19、4/14)。ASCA诊断CD的敏感性、特异性及阳性预测值分别为45.2%、85.6%、66.7%。pANCA诊断UC的敏感性、特异性及阳性预测值分别为56.7%、95.2%、94.8%。联合检测ASCA+/pANCA-诊断CD的敏感性、特异性及阳性预测值分别为41.9%、93.8%、81.3%。联合检测ASCA-/pANCA+诊断UC的敏感性、特异性和阳性预测值分别为48.5%、98.4%、97.9%。结论ASCA和pANCA不适于作为IBD筛查指标,联合检测有利于UC与CD的鉴别诊断。 展开更多
关键词 克罗恩病 溃疡性结肠炎 抗酿酒酵母抗体 核周型抗中性粒细胞胞质抗体
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炎症性肠病血清学抗体的临床意义 被引量:14
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作者 朱兰香 陈彦君 +1 位作者 严苏 金月红 《胃肠病学》 2017年第4期233-237,共5页
背景:对于炎症性肠病(IBD),迄今尚无疾病诊断和监测的金标准。鉴于免疫系统在IBD发病中的重要作用,检测血清免疫特异性抗体水平对于IBD的诊断和鉴别诊断可能有一定价值。目的:探讨血清抗酿酒酵母抗体(ASCA)和核周型抗中性粒细胞胞质抗体... 背景:对于炎症性肠病(IBD),迄今尚无疾病诊断和监测的金标准。鉴于免疫系统在IBD发病中的重要作用,检测血清免疫特异性抗体水平对于IBD的诊断和鉴别诊断可能有一定价值。目的:探讨血清抗酿酒酵母抗体(ASCA)和核周型抗中性粒细胞胞质抗体(pANCA)在IBD中的临床意义。方法:连续纳入2015年2月—2016年5月苏州大学附属第一医院收治的IBD患者91例,其中克罗恩病(CD)52例,溃疡性结肠炎(UC)39例,36例排除IBD的胃肠道疾病患者作为对照组。分别采用ELISA法和间接免疫荧光法检测血清ASCA-IgG、IgA和pANCA。以临床诊断为金标准,采用四格表对ASCA、pANCA进行诊断试验评价;采用ROC曲线、Pearsonχ2检验、Fisher精确检验分析两种血清学抗体与IBD、CD、UC以及病变部位的关系。结果:血清ASCA-IgG和IgA均与CD相关(AUC=0.626和0.614),而UC仅与ASCA-IgA相关(AUC=0.486)。血清pANCA与IBD(r=0.342)、CD(r=-0.262)、UC(r=0.614)均相关,对IBD和UC的诊断敏感性和特异性优于CD(P<0.05)。CD患者的ASCA-IgG与病变累及回肠末端相关(P<0.05),pANCA与病变累及结肠相关(P<0.05);UC患者的ASCA-IgG、IgA均与病变累及回肠末端相关(P<0.05)。结论:血清ASCA、pANCA有助于在IBD诊断确立的基础上区分CD与UC,并可能对病变部位具有提示作用。ASCA可能与病变累及回肠末端相关,而pANCA则可能与病变累及结肠相关。 展开更多
关键词 炎症性肠病 CROHN病 结肠炎 溃疡性 抗酿酒酵母抗体 核周型抗中性粒细胞胞质抗体 诊断 鉴别
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联合检测炎症性肠病患者抗酿酒酵母细胞抗体和抗中性粒细胞抗体的临床意义 被引量:12
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作者 张蜀澜 李永哲 +4 位作者 李磊 佟大伟 胡朝军 何纯 李骥 《中华检验医学杂志》 CAS CSCD 北大核心 2008年第10期1142-1146,共5页
目的探讨联合检测炎症性肠病(IBD)患者血清中抗酿酒酵母细胞抗体(ASCA)和抗中性粒细胞胞浆抗体(ANCA)对IBD诊断和鉴别诊断的应用价值。方法用ELISA法和间接免疫荧光法分别测定159例IBD患者[溃疡性结肠炎(UC)97例,克罗恩病(CD... 目的探讨联合检测炎症性肠病(IBD)患者血清中抗酿酒酵母细胞抗体(ASCA)和抗中性粒细胞胞浆抗体(ANCA)对IBD诊断和鉴别诊断的应用价值。方法用ELISA法和间接免疫荧光法分别测定159例IBD患者[溃疡性结肠炎(UC)97例,克罗恩病(CD)62例],167例主诉为腹痛、腹泻并除外IBD的患者和25名健康人血清中IgG型与IgA型ASCA和ANCA。结果ASCA-IgA/IgG在CD组、UC组、疾病对照组和健康对照组中的阳性率分别为43.5%、14.4%、29.3%和0;CD组的阳性率显著高于UC组和疾病对照组(χ^2值分别为16.76、4.12,P分别〈0.01、〈0.05)。ANCA在以上各组中的阳性率分别为8.1%、56.7%、4.8%和0;UC组中阳性率显著高于CD组和疾病对照组(χ^2值分别为38.08、90.47,P均〈0.01);ASCA^+/ANCA^-组合诊断CD的敏感度、特异度、阳性预测值分别为40.3%,93.8%和80.6%;而ANCA^+/ASCA^-组合诊断UC的敏感度、特异度和阳性预测值分别为48.5%,98.4%和97.9%;ASCA在手术治疗与未手术治疗CD患者中的阳性率差异具有统计学意义(P=0.03)。结论ASCA或ANCA单项检测不能有效的筛选IBD患者,但2项指标联合检测有助于对UC和CD进行鉴别诊断。同时检测IgA型和IgG型ASCA可提高CD诊断的敏感度。中国人群中ASCA阳性可能与手术治疗相关。 展开更多
关键词 炎症性肠病 抗酿酒酵母细胞抗体 抗中性粒细胞胞浆抗体
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抗酿酒酵母菌和中性粒细胞胞浆抗体联合测定鉴别炎症性肠病的意义 被引量:10
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作者 庞智 皇甫照 郑家驹 《中华消化杂志》 CAS CSCD 北大核心 2004年第12期745-747,共3页
目的 联合测定血清抗酿酒酵母菌抗体 (ASCA) IgG、ASCA IgA和核周型抗中性粒细胞胞浆抗体 (pANCA)水平 ,探索其对克罗恩病 (CD)和溃疡性结肠炎 (UC)的诊断和鉴别诊断意义。 方法 分别应用标准化ELISA法和间接免疫荧光法对 19例炎症... 目的 联合测定血清抗酿酒酵母菌抗体 (ASCA) IgG、ASCA IgA和核周型抗中性粒细胞胞浆抗体 (pANCA)水平 ,探索其对克罗恩病 (CD)和溃疡性结肠炎 (UC)的诊断和鉴别诊断意义。 方法 分别应用标准化ELISA法和间接免疫荧光法对 19例炎症性肠病 (IBD ,UC10例 ,CD9例 )患者和 18名健康对照者血清ASCA IgG、ASCA IgA和pANCA水平进行测定。 结果  9例CD患者 (末段回肠和结肠均累及 )血清ASCA IgG和ASCA IgA水平 (酶单位 )分别为18.5 1± 6 .38和 11.74± 5 .4 6 ,显著高于10例UC患者 (6 .98± 5 .2 4和 3.88± 3.5 2 )和 18名健康对照者 (5 .90± 4 .12和 4 .6 2± 3.2 1,P值均 <0 .0 5 ) ,pANCA诊断UC的敏感性为 80 % ,而CD患者和健康对照者的阳性检测率均为 0 %。结论 AS CA是一种对CD具有特异性的抗体 ,pANCA是与UC显著正相关的一个免疫学指标。它们均有助于CD与UC的诊断和鉴别诊断 ,是IBD非创伤性鉴别诊断方法之一。 展开更多
关键词 抗酿酒酵母菌 中性粒细胞胞浆抗体 联合测定 鉴别 溃疡性结肠炎 克罗恩病
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类风湿关节炎患者RA33/36抗体,角质蛋白抗体及抗核周因子的相关性初步研究 被引量:8
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作者 田新平 蒋明 +2 位作者 宋琴芳 李永哲 崔京涛 《中华微生物学和免疫学杂志》 CAS CSCD 北大核心 1998年第2期135-137,共3页
目的对类风湿关节炎(RA)患者血清中的RA33/36抗体,角质蛋白抗体(AKA)及抗核周因子(APF)进行检测,并对这些抗体间的相关性进行探讨。方法采用免疫印迹法检测血清RA33/36抗体;采用IF法检测AKA及AP... 目的对类风湿关节炎(RA)患者血清中的RA33/36抗体,角质蛋白抗体(AKA)及抗核周因子(APF)进行检测,并对这些抗体间的相关性进行探讨。方法采用免疫印迹法检测血清RA33/36抗体;采用IF法检测AKA及APF抗体;采用卡方检验及Fishers检验对结果进行统计学比较。结果RA患者血清中RA33/36抗体阳性率为35.6%(16/45),AKA(180)阳性率为31.1%(14/45),APF的阳性率为53.3%(24/45)。结论虽然RA患者血清中可出现上述三种抗体,但三者间无相关性。 展开更多
关键词 类风湿性关节炎 RA33/36抗体 角质蛋白
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抗环瓜氨酸肽抗体与抗角蛋白抗体检测在类风湿关节炎诊断中的应用价值 被引量:10
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作者 林洁 高会广 张立 《实用临床医药杂志》 CAS 2019年第15期110-111,115,共3页
目的探讨抗环瓜氨酸肽抗体(抗CCP抗体)与抗角蛋白抗体(AKA)检测在类风湿关节炎(RA)诊断中的应用价值.方法选取64例RA患者为A组,同期64例非RA患者为B组,同期64名健康体检者为C组.3组均采用抗CCP抗体与AKA检测法,比较3组检测结果.结果在... 目的探讨抗环瓜氨酸肽抗体(抗CCP抗体)与抗角蛋白抗体(AKA)检测在类风湿关节炎(RA)诊断中的应用价值.方法选取64例RA患者为A组,同期64例非RA患者为B组,同期64名健康体检者为C组.3组均采用抗CCP抗体与AKA检测法,比较3组检测结果.结果在特异性方面,抗CCP抗体检测与AKA检测结果有显著差异(P<0.05);在灵敏度方面,抗CCP抗体检测与AKA检测结果无显著差异(P>0.05);联合检测结果方面,特异性与灵敏度均较单独的抗CCP抗体检测、AKA检测有显著差异(P<0.05);在阳性预测值上,抗CCP抗体检测显著更高(P<0.05);在阴性预测值上,联合检测显著较高(P<0.05).结论随着实验操作技术的发展,多项指标联合检测将会在RA的诊断中得到推广与应用,进一步提高诊断的准确性. 展开更多
关键词 瓜氨酸 抗角蛋白抗体 抗核周因子抗体 类风湿关节炎 诊断
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AKA、APF、抗-CCP抗体与RF各亚型联合检测在类风湿关节炎早期诊断中的应用 被引量:9
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作者 白志瑶 吕金娥 +2 位作者 尹春琼 包艳 冷丽 《实用检验医师杂志》 2017年第1期49-52,共4页
目的探讨抗角蛋白抗体(AKA)、抗核周因子抗体(APF)、抗环瓜氨酸肽抗体(抗-CCP抗体)和类风湿因子(RF)各种亚型联合检测在类风湿关节炎(RA)早期诊断中的应用及意义。方法选择曲靖市第二人民医院就诊的127例RA患者,进行血清AKA、APF抗体、... 目的探讨抗角蛋白抗体(AKA)、抗核周因子抗体(APF)、抗环瓜氨酸肽抗体(抗-CCP抗体)和类风湿因子(RF)各种亚型联合检测在类风湿关节炎(RA)早期诊断中的应用及意义。方法选择曲靖市第二人民医院就诊的127例RA患者,进行血清AKA、APF抗体、抗-CCP抗体与RF各亚型水平检测,AKA、APF抗体检测采用间接免疫荧光法定性,抗-CCP抗体与RF各亚型水平检测采用酶联免疫吸附试验(ELISA)定量;以同期96例疑似RA的患者为对照。结果 127例RA确诊组中RF(包括IgM、IgG、IgA)阳性116例,阳性率为91.34%;96例RA疑似组中RF(包括IgM、IgG、IgA)阳性47例,阳性率为48.96%;两组比较差异有统计学意义(P<0.01)。RF各亚型出现的阳性率依次为IgA+IgM>IgM>IgM+IgG>IgA+IgM+IgG,与疑似组比较差异无统计学意义(P>0.01);敏感性依次为RF-IgM>CCP>RF-IgA>AKA>APF>RF-IgG,而特异性依次为RF-IgG>APF>AKA>RF-IgA>CCP>RF-IgM。结论 APF、AKA、抗-CCP抗体3种自身抗体对RA具有高度特异性,且在RA早期即可出现;RF-IgM敏感性较高,但特异性较差,多种抗体联合检测有助于RA的早期诊断。 展开更多
关键词 抗环瓜氨酸肽抗体 抗角蛋白抗体 抗核周因子抗体 类风湿因子及亚型 类风湿关节炎
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血清自身抗体P-ANCA及GAB检测在溃疡性结肠炎中的临床诊断价值探讨 被引量:8
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作者 王璋 吴泉峰 《检验医学与临床》 CAS 2016年第16期2288-2289,2291,共3页
目的测定血清自身抗体核周型抗中性粒细胞胞质抗体(P-ANCA)和抗小肠杯状细胞抗体(GAB)在溃疡性结肠炎(UC)中的表达情况,探讨其对UC的临床诊断价值。方法以2010年8月至2012年12月入住该院治疗的患者为研究对象,分为UC患者60例、其他肠道... 目的测定血清自身抗体核周型抗中性粒细胞胞质抗体(P-ANCA)和抗小肠杯状细胞抗体(GAB)在溃疡性结肠炎(UC)中的表达情况,探讨其对UC的临床诊断价值。方法以2010年8月至2012年12月入住该院治疗的患者为研究对象,分为UC患者60例、其他肠道疾病患者60例和健康对照组60例,UC组根据病变部位不同又分为远端受累组36例和广泛结肠受累组24例。分别检测3组血清自身抗体P-ANCA和GAB的表达情况,并进行联合检测。结果 UC组P-ANCA和GAB的阳性率分别为58.3%、33.3%,高于其他肠道疾病组6.7%、3.3%和健康对照组0、0,差异有统计学意义(P<0.05)。两指标联合检测后的阳性率上升为66.7%,但特异度为下降为91.7%。结论血清自身抗体P-ANCA、GAB单独检测及两者联合检测对UC的临床诊断有一定指导作用,同时联合检测相对于单独检测可以提高诊断的灵敏度。 展开更多
关键词 溃疡性结肠炎 P-ANCA GAB 联合检测
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白介素-6、核周型抗中性粒细胞胞浆抗体与抗酿酒酵母抗体在克罗恩病中的临床价值 被引量:7
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作者 王志远 李可 +1 位作者 庞楠楠 张瑞 《胃肠病学和肝病学杂志》 CAS 2016年第4期452-456,共5页
目的探讨白介素-6(IL-6)、核周型抗中性粒细胞胞浆抗体(p ANCA)与抗酿酒酵母抗体(ASCA)在克罗恩病(Crohn’s disease,CD)中的诊断价值。方法共有CD患者67例,健康对照者30名。分别用间接免疫荧光法(IIF)测定p ANCA,酶联免疫吸附法(ELISA... 目的探讨白介素-6(IL-6)、核周型抗中性粒细胞胞浆抗体(p ANCA)与抗酿酒酵母抗体(ASCA)在克罗恩病(Crohn’s disease,CD)中的诊断价值。方法共有CD患者67例,健康对照者30名。分别用间接免疫荧光法(IIF)测定p ANCA,酶联免疫吸附法(ELISA)测定IL-6和ASCA,计算各项指标在CD及其亚型中的灵敏度、特异度及阳性预测值,并进行统计学分析。结果 CD活动期患者血清IL-6水平显著高于缓解期及健康对照组,且与病情严重程度呈正相关。p ANCA在CD组与健康对照组中灵敏度差异无统计学意义(P>0.05)。ASCA、ASCA Ig A和ASCA Ig G在两组中阳性率差异均有统计学意义(χ2=16.58、5.69、14.09,P均<0.05),单项检测ASCA Ig A、ASCA Ig G,两种方法间差异无统计学意义(P>0.05)。联合检测IL-6、p ANCA和ASCA可以提高CD诊断的灵敏度、特异度和阳性预测值,对阳性率影响不大。CD各亚型中p ANCA、ASCA灵敏度组间差异均无统计学意义(P>0.05),两种抗体与病情严重程度无明显相关。结论促炎因子IL-6与CD病情进展相关,对CD的诊断和临床评估具有重要意义。ASCA可以作为CD诊断的一个重要血清学指标,而p ANCA对CD的诊断价值相对较小。 展开更多
关键词 克罗恩病 白介素-6 抗中性粒细胞胞浆抗体 抗酿酒酵母抗体
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四种抗体联合检测在类风湿关节炎早期诊断中的应用价值 被引量:4
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作者 孟庆松 刘小信 杨宜娥 《山东医药》 CAS 北大核心 2004年第28期1-3,共3页
目的 探讨抗核周因子抗体 (APF)、抗角蛋白抗体 (AKA)、类风湿因子 (RF)、抗环瓜氨酸肽抗体(抗 - CCP抗体 )联合检测在类风湿关节炎 (RA)早期诊断中的临床应用价值。方法 对 RA患者 12 7例、非 RA其他风湿病患者 10 2例及正常对照组 ... 目的 探讨抗核周因子抗体 (APF)、抗角蛋白抗体 (AKA)、类风湿因子 (RF)、抗环瓜氨酸肽抗体(抗 - CCP抗体 )联合检测在类风湿关节炎 (RA)早期诊断中的临床应用价值。方法 对 RA患者 12 7例、非 RA其他风湿病患者 10 2例及正常对照组 4 3例 ,采用速率散射免疫比浊法检测 RF;酶联免疫吸附法定量检测抗 - CCP抗体 ;免疫荧光法检测 AKA、APF,并采用四格表法计算敏感度及特异性。结果  RA组的 RF、APF、AKA、抗 -CCP抗体敏感度分别为 6 5 .4 %、4 8.8%、32 .3%、83.5 % ,特异性分别为 73.5 %、92 .2 %、93.1%、94 .1% ,同时出现三种抗体和四种抗体的特异性为 99.0 %、10 0 % ;非 RA组无四种抗体同时出现的情况。结论  RF敏感性较高 ,但特异性较差 ;APF、AKA、抗 - CCP抗体三种自身抗体对 RA具有高度特异性 ,且在 RA早期即可出现。四种抗体联合检测有助于提高 RA的早期诊断率。 展开更多
关键词 RA 抗体 抗-C 联合检测 特异性 类风湿关节炎 AKA 结论 情况 应用价值
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