Anti-neutrophil antibodies in chronic hepatitis and the effect of α-interferon therapy

作者: Michel Warny , Reginald Brenard , Chantal Cornu , Jean-Paul Tomasi , André-Pierre Geubel

DOI: 10.1016/S0168-8278(05)80208-9

关键词:

摘要: In 34 patients with non-A non-B, 28 type B and 11 autoimmune chronic hepatitis, anti-neutrophil antibodies were investigated using indirect immunofluorescence anti-myeloperoxidase by enzyme-linked immunosorbent assay. Granulocyte-specific antinuclear antibodies, detected in 14 advanced stages of non-A, non-B hepatitis (41%). Their presence correlated histological features disease activity but not response to interferon therapy. Within 24 h after the first dose interferon, 9 these became negative 3 more 1, 5 months. Myeloperoxidase-positive perinuclear neutrophil cytoplasmic a single patient increased reaching peak level 8 weeks decreasing thereafter. B, all before during 6 months (55%), myeloperoxidase-negative high titers. The association granulocyte-specific anti-nuclear support hypothesis that C virus infection might trigger humoral response. appear as another marker autoimmunity.

参考文章(33)
IH Frazer, JS Pedersen, IR Mackay, HJ Alter, BH Toh, Absence of autoimmune serological reactions in chronic non A, non B viral hepatitis. Clinical and Experimental Immunology. ,vol. 61, pp. 39- 43 ,(1985)
A. S. Wilkman, J. C. Jennette, R. J. Falk, Anti-neutrophil cytoplasmic autoantibody-associated glomerulonephritis and vasculitis. American Journal of Pathology. ,vol. 135, pp. 921- 930 ,(1989)
F Miglio, G F Stefanini, G Gasbarrini, R Meliconi, M Baraldini, M Garagnani, M V Stancari, Occurrence and significance of IgG liver membrane autoantibodies (LMA) in chronic liver diseases of different aetiology. Clinical and Experimental Immunology. ,vol. 51, pp. 565- 571 ,(1983)
Deborah Doniach, M. Rizzetto, G. Swana, Microsomal antibodies in active chronic hepatitis and other disorders. Clinical and Experimental Immunology. ,vol. 15, pp. 331- ,(1973)
C. de Duve, B. C. Pressman, R. Gianetto, R. Wattiaux, F. Appelmans, Tissue fractionation studies. 6. Intracellular distribution patterns of enzymes in rat-liver tissue* Biochemical Journal. ,vol. 60, pp. 604- 617 ,(1955) , 10.1042/BJ0600604
H Rabin, L Goldstein, R H Neubauer, N Stebbing, Stimulation of in vitro immunoglobulin production by interferon-alpha. Journal of Immunology. ,vol. 134, pp. 299- 304 ,(1985)
Richard H. Duerr, Stephan R. Targan, Carol J. Landers, Nicholas F. Larusso, Karen L. Lindsay, Russell H. Wiesner, Fergus Shanahan, Neutrophil cytoplasmic antibodies: A link between primary sclerosing cholangitis and ulcerative colitis Gastroenterology. ,vol. 100, pp. 1385- 1391 ,(1991) , 10.1016/0016-5085(91)70028-V
J H Hoofnagle, M Peters, G L Davis, K Kelly, D M Walling, J G Waggoner, Immunologic effects of interferon-alpha in man: treatment with human recombinant interferon-alpha suppresses in vitro immunoglobulin production in patients with chronic type B hepatitis. Journal of Immunology. ,vol. 137, pp. 3147- 3152 ,(1986)
J H Hoofnagle, M Peters, J L Ambrus, D Walling, A Zheleznyak, Effect of interferon-alpha on immunoglobulin synthesis by human B cells. Journal of Immunology. ,vol. 137, pp. 3153- 3157 ,(1986)
G. Saracco, A. Touscoz, M. Durazzo, F. Rosina, E. Donegani, L. Chiandussi, V. Gallo, R. Petrino, A.G. De Micheli, A. Solinas, A. Deplano, A. Tocco, P.A. Cossu, C. Pintus, G. Verme, M. Rizzetto, Autoantibodies and response to α-interferon in patients with chronic viral hepatitis Journal of Hepatology. ,vol. 11, pp. 339- 343 ,(1990) , 10.1016/0168-8278(90)90218-G