神经元抗体和S100β蛋白含量变化是职业性神经中毒的危险因素

G. Bodienkova, E. Boklazhenko, N. V. Guruleva
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摘要

氯乙烯(VC)的生产在当今世界许多国家仍然非常流行。本研究的目的是研究作为神经系统调节因子的S100β蛋白和神经组织蛋白抗体在氯乙烯生产工人中含量的变化,这取决于病理过程的严重程度。对从事VC生产的男性进行了调查。53名健康的训练有素的工人无神经精神状态障碍的迹象,其中26名患者有氯乙烯神经中毒的初步表现。采用固相酶免疫法测定血清中S100β蛋白和神经营养抗体(NAB)的浓度。与训练有素的健康工人相比,在有神经中毒初始表现的人群中发现S100β蛋白的增加更为明显。自身免疫反应通过产生针对神经组织某些结构的抗体(AB)参与神经系统的调节过程已被证明。研究表明,自身免疫反应的强度和产生的抗体谱在VC的产生中起作用,取决于暴露的持续时间和神经中毒的发展阶段。还确定,神经组织特定蛋白质的NAB合成的变化与训练有素的健康工人的神经状况恶化有关。获得的结果使我们能够评估神经组织的某些结构的兴趣程度-神经系统的生物调节剂在神经系统疾病的发展。显示NAB对MAG的血清浓度升高,在临床表现为衰弱障碍伴自主神经功能障碍的人群中- NAB对DNA, NAB对S100β在训练有素的健康工人中升高。这些指标可视为职业性神经中毒的危险因素。所获得的结果将提高诊断质量,特别是在疾病的早期阶段,从而形成最优的治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Changes in Neuronal Antibody and S100β Protein Content as a Risk Factor for Occupational Neurointoxication
The production of the vinyl chloride (VC) still extremely popular in many countries of the world today. The aim of this research was to study changes in the content of S100β protein and antibodies to nerve tissue proteins as regulators of the nervous system in workers in the production of vinyl chloride, depending on the severity of the pathological process. Men working in the production of VC were examined. There are 53 healthy trained workers without signs of disorders of neuro-mental status and 26 patients with initial manifestations of neurointoxication with vinyl chloride among them. The concentration of S100β protein and neurotrophic antibodies (NAB) in blood serum was determined by solid-phase enzyme immunoassay. The more pronounced increase in S100β protein was found in persons with initial manifestations of neurointoxication, compared with trained healthy workers. The involvement of autoimmune reactions in the processes of regulation of the nervous system through the production of antibodies (AB) to certain structures of the nervous tissue has been proved. It is shown that the intensity of autoimmune reactions and the spectrum of produced AB working in the production of VC depend on the duration of exposure and the stage of development of the neurointoxication. It was also established that the change in the synthesis of NAB to specific proteins of nervous tissue is associated with the deterioration of neurological status in trained healthy workers. The obtained results allow us to assess the degree of interest of certain structures of the nervous tissue – bioregulators of the nervous system in the development of neurological disorders. Revealed an increase in serum concentrations of NAB to MAG, and in persons with clinical manifestations of asthenic disorder with autonomic dysfunction – NAB to DNA, NAB to S100β in trained healthy workers. These indicators can be regarded as a risk factor for occupational neurointoxication. The results obtained will improve the quality of diagnosis, especially in the early stages of the disease and, as a result, the formation of the most optimal treatment tactics.
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