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利用寡核苷酸探针杂交技术及聚合酶链反应技术,检测了临床表现为肾病综合征的36例患儿人类白细胞抗原(HLA)-DR基因频率的分布;其中9例为IgA肾病,27例为非IgA系膜增殖性肾炎。分别与255例正常汉族人HLA-DR基因频率进行比较,发现IgA肾病患儿HLA-DR4基因频率明显高于正常人[DR4:19.4%vs9.0%,Pc<0.05,相对危险系数(OR)=2.98];而非IgA系膜增殖性肾炎HLA-DR12(5)基因频率明显高于正常人[DR12(5):13.9%vs3.9%,Pc<0.01,OR=4.52]。提示HLA-DR4、HLA-DR12(5)分别与临床表现为肾病综合征的儿童IgA肾病和非IgA系膜增殖性肾炎具有明显相关性。
The distribution of human leukocyte antigen (HLA) -DR gene frequency in 36 children with nephrotic syndrome was detected by oligonucleotide probe hybridization and polymerase chain reaction (PCR), of which 9 were IgA nephropathy, 27 Cases of non-IgA mesangial proliferative glomerulonephritis. Compared with 255 cases of normal Han HLA-DR gene frequencies were found in children with IgA nephropathy HLA-DR4 gene frequency was significantly higher than normal [DR4: 19.4% vs9.0%, Pc <0.05, the relative risk (OR = 2.98). The frequency of HLA-DR12 (5) gene in non-IgA mesangial proliferative glomerulonephritis was significantly higher than that in normal subjects [DR12 (5): 13.9% vs 3.9% 01, OR = 4.52]. These results suggest that HLA-DR4 and HLA-DR12 (5) are significantly associated with IgA nephropathy and non-IgA mesangial proliferative glomerulonephritis in children with nephrotic syndrome.