摘要
血管炎的诊断是基于组织学特征和抗中性粒细胞细胞质抗体(ANCA)的血清学检测。血管炎患者,两种类型的ANCA已确定:ANCA针对中性粒细胞丝氨酸蛋白酶proteinase-3 (PR3)导致细胞质免疫荧光模式(c-ANCA)和ANCA针对中性粒细胞髓过氧化物酶(MPO),结果在细胞核周围的免疫荧光模式(p-ANCA)。问题是ANCA的存在是否是中性粒细胞异常粘附、激活和凋亡的结果。或者,它是通过目前尚不完全清楚的机制引起血管炎的。在后一种情况下,必须假设ANCA自身抗原表达在活的、活化的或早期凋亡的中性粒细胞的细胞表面。
关键词: 抗中性粒细胞胞浆抗体(ANCA)、髓过氧化物酶(MPO)、中性粒细胞、多血管炎、蛋白酶-3 (PR3)、免疫荧光图(p-ANCA)、血管炎、抗中性粒细胞胞浆抗体、胞浆免疫荧光图(c-ANCA)。
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