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对比观察60例SLE病人血浆脂质过氧化物(LPO)、红细胞超氧化物歧化酶(SOD)及过氧化氢酶(CAT)含量与ANA、ds-DNA、Sm和U1RNP自身抗体的变化。活动期病人活性氧基(OR)水平增高,以致SOD及CAT活性下降,LPO含量增高;非活动期SOD及CAT活性相对增高,LPO含量降低,提示体内OR水平下降。抗ds-DNA抗体滴度与红细胞SOD、CAT、血浆LPO含量及疾病的严重程度密切相关。内源性OR的增加可导致T抑制细胞功能下降,B淋巴细胞异常增殖,以致体内产生多种自身抗体,诱发免疫炎症反应
The levels of plasma lipid peroxides (LPO), erythrocyte superoxide dismutase (SOD) and catalase (CAT) and the changes of autoantibodies against ANA, ds-DNA, Sm and U1RNP in 60 SLE patients were compared. During the active phase, the level of reactive oxygen species (ROS) increased, the activity of SOD and CAT decreased and the content of LPO increased. The activity of SOD and CAT increased in inactive phase and the level of LPO decreased, which suggested that OR decreased. The titer of anti-ds-DNA antibody is closely related to the level of SOD, CAT, plasma LPO and the severity of the disease. Increased endogenous OR can lead to T suppress cell function decline, abnormal proliferation of B lymphocytes, resulting in a variety of autoantibodies in vivo, induced immune inflammatory reaction