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The expression and clinical value of immune globulin in patients with AECOPD |
Wu Yuan-xing, Huang Li-xue, Zhu Guang-fa |
Department of Pulmonary and Critical Care Medicine, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China |
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Abstract Objective To investigate the expression and clinical value of immune globulin in patients with AECOPD. Methods One hundred and twenty-two COPD patients were divided into four groups accoding to the evaluation of acute exacerbation from Jan 2016 to Jan 2017. Twenty-two patients were in A group, 39 patients were in B group, 35 patients were in C group, 26 patients were in D group and and another 30 healthy subjects as the control group. IgA,IgM, IgG, IgE and ALB were detected. Results There were significant differences in IgA, IgG, IgM and ALB among the five groups (P<0.05). Comparison of IgE in group B and C and was higher than that in health group, respectively P values 0.007, <0.001; comparison of IgA in the group A, B and D was lower than that in health group, respectively P values<0.001, 0.005, 0.036; comparison of IgG in the group A, B and D was lower than that in health group, respectively P values 0.004, <0.001, 0.001;comparison of IgM in the group A and B was lower than that in health group, respectively P values 0.004, <0.001; comparison of ALB in A, B, C and D group were all lower than that in health group, P<0.001. Conclusion Humoral immune dysfunction exists in COPD patients, at the same time, there is an increase in IgE, the treatment of immunotherapy and the use of hormone inhalation in accordance with IgE levels may be one of the ways of preventing and treating COPD.
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Corresponding Authors:
Zhu Guang-fa, E-mail:gfzhu6388@hotmail.com
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[1]GOLD Executive committee.Global strategy for the diagnosis,management,and prevention of chronic obstructiVe pulmonarydisease(Revised 2011)[EB/0L].[2013-03-05].http://www.goldcopd.com.
[2]Brug J,Schols A,Mesters I. Dietary change,nutrition education andchronic obstructive pulmonary disease[J]. Patient Educ Couns, 2004, 52(3):249-257.
[3]邱诗林,钟小宁. 免疫反应在慢性阻塞性肺疾病和肺气肿发生和发展过程中的作用[J]. 中华结核和呼吸杂志, 2010, 33(4): 289 -300.
[4]Siena L, Gjomarkaj M, Elliot J, et al. Reduced apoptosis of CD8+ T-lymphocytes in the airways of smokers with mild/ moderateCOPD[J]. Respir Med, 2011, 105(10): 1491-1500.
[5]Feghali Bostwick CA,Gadgil AS,Otterbein LE,et al.Autoantibodies in patients witlI chronic obstructive pulmanaty disease[J].Am J Respir Crit Care Med, 2008, 177(2):156-163.
[6]Leidinger P,Keller A,Heisel S,et al.Novel autoantigens immunogenic in COPD patients[J].Respir Res, 2009, 10: 20.
[7]Shirai T1, Suda T, Inui N, et al. Correlation between peripheral blood T-cell profiles and clinical and inflammatory parameters in stable COPD[J]. Allergol Int, 2010, 59(1): 75-82.
[8]Tzanakis N,Chrysofakis G,Tsoumakidou M,et al. Induced sputum CD8+T-lymphocyte subpopulations in chronic obstructive pulmonarydisease[J]. Respir Med, 2004, 98(1): 57 -65.
[9]陈昌枝,邵有和,覃家盟,等. 慢性阻塞性肺疾病患者免疫球蛋白的表达及与肺功能的关系[J]. 临床肺科杂志, 2015, 20(8):1404-1406.
[10]徐军.气道炎症标记物[J].中华结核和呼吸杂志, 2005, 28(11):789-790.
[11]Renkema TE,Kerstjens HA,Schouten JP,et al.The importance ofserum IgE for level and longitudinal charge in airways hyperrespons-iveness in COPD[J].Clinical and Expermental Allergy, 1998, 28(10):1210.
[12]刘云霞,黄家淼,宗晓福,等.COPD与哮喘体外过敏原血清特异性IgE检测的结果分析[J].东南国防医药, 2007, 9(2):84-85,104.
[13]Vogelmeier CF, Criner GJ, Martinez FJ,et al. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report[J].Am J Respir Crit Care Med, 2017, 195(5):557-582.
[14]Payne C, Wiffen PJ, Martin S. WITHDRAWN: Interventions for fatigue and weight loss in adults with advanced progressive illness[J].Cochrane Database Syst Rev, 2017, 4:CD008427.
[15]Cheng SL, Wang HH, Lin CH.Effect of allergic phenotype on treatment response to inhaled bronchodilators with or without inhaled corticosteroids in patients with COPD[J]. Int J Chron Obstruct Pulmon Dis, 2017, 31(12):2231-2238. |
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. [J]. Chinese Journal of Critical Care Medicine, 2019, 39(9): 819-824. |
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