IVIG in the treatment of children with acute and chronic idiopathic thrombocytopenic purpura and the autoimmune cytopenias.

D J Nugent
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引用次数: 5

Abstract

IVIG has been shown to be useful in the treatment of acute and chronic ITP, immune neutropenia, and in some cases of AIHA. The mechanism of action of IVIG is owing to a number of factors, which include Fc blockade, immune modulation of T- and B-cell number and function, alterations in NK activity, and direct effects on autoantibody binding and production via the antiidiotypic antibody network. Current research efforts are directed toward elucidation of these modalities and determination of their relative importance in treating patients with immune-mediated cytopenias.

IVIG治疗儿童急慢性特发性血小板减少性紫癜及自身免疫性细胞减少症
IVIG已被证明可用于治疗急性和慢性ITP、免疫性中性粒细胞减少症和某些AIHA病例。IVIG的作用机制是由于许多因素,包括Fc阻断,T和b细胞数量和功能的免疫调节,NK活性的改变,以及通过抗独特型抗体网络对自身抗体结合和产生的直接影响。目前的研究工作旨在阐明这些模式,并确定它们在治疗免疫介导的细胞减少症患者中的相对重要性。
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