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采用胃粘膜体外培养技术和免疫印迹技术研究了51例慢性胃炎和消化性溃疡患者胃粘膜局部抗幽门螺杆菌(Hp)抗体IgA,同时对其中10例Hp阳性患者的血清IgA作了分析。结果表明:40例Hp阳性患者除1例外,其粘膜抗HpIgA抗体均为阳性;11例Hp阴性患者中,2例胃粘膜局部IgA阳性,9例为阴性。该方法与常规方法检测Hp的符合率为92.2%。粘膜局部IgA识别5条左右条带,且识别条带具多样性。10例Hp阳性且局部IgA阳性患者的血清IgA亦为阳性,但血清IgA的识别条带较局部IgA少,且染色浅,说明抗HgIgA抗体以局部为主,该局部IgA的作用值得进一步研究。
Gastric mucosa local anti-Helicobacter pylori (Hp) IgA was assayed in 51 chronic gastritis and peptic ulcer patients by gastric mucosa in vitro culture and Western blotting, and serum IgA was analyzed in 10 Hp positive patients. The results showed that the anti-HpIgA antibody was positive in all the 40 Hp-positive patients except for 1 patient. Of 11 Hp-negative patients, 2 had local IgA positive in gastric mucosa, and 9 were negative. The coincidence rate of this method with the conventional method for detecting Hp was 92.2%. Local mucosal IgA recognition about 5 bands, and identification of bands with diversity. Serum IgA was also positive in 10 cases of Hp positive and local IgA positive patients. However, the serum IgA recognition band was less than that of local IgA and was stained lightly, indicating that the local anti-HgIgA antibody was localized and the role of this local IgA deserved further study.