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用酶联免疫斑点(Elispot)法计数乙酰胆碱受体(AChR)及其α-、β-、γ-和δ-4种亚单位的特异性IgG抗体分泌细胞,评价重症肌无力(MG)患者外周血B细胞免疫应答。与其他神经疾病(OND)组相比,MG组存在显著高水平的AChR及其4种亚单位的抗体分泌细胞,MG组4种AChR亚单位的抗体分泌细胞平均值为10/105~15/105外周血单个核细胞(MNC),OND组为0.6/105~1.4/105MNC(P<0.0001)。MG组AChR抗体分泌细胞数总是高于任何一种亚单位抗体分泌细胞数,且对α-亚单位的B细胞免疫应答占有明显优势,这可能是α-亚单位存在主要免疫源区(MIR)的间接证据。
The specific IgG antibody secreting cells of acetylcholine receptor (AChR) and its α-, β-, γ- and δ-4 subunits were counted by Elispot method to evaluate the peripheral performance of patients with myasthenia gravis Blood B cell immune response. Compared with other neuropathy (OND) groups, there was a significantly higher level of AChR and four subunit antibody secreting cells in MG group. The average number of antibody secreting cells in MG subtype was 10 / 105-15 / 105 peripheral blood mononuclear cells (MNC), OND group 0.6 / 105 ~ 1.4 / 105MNC (P <0.0001). The number of AChR antibody secreting cells in MG group was always higher than that of any one of the subunit antibody-secreting cells, and the B-cell immune response to the α-subunit had obvious advantages, which may be the main immunogenic region of the α-subunit (MIR ) Indirect evidence.