Immunological features of endemic goiter
Autor: | P. Borelli, E. Fadda, C. Ricci, U. Dario, B. Torchio, G. Varvello, P. Fragapane, V. De Filippis, A. Costa, V. Benedetto, N. Ravarino |
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Rok vydání: | 1986 |
Předmět: |
Male
endocrine system Pathology medicine.medical_specialty Goiter endocrine system diseases T-Lymphocytes medicine.medical_treatment Immunology Immunoglobulins Thyroglobulin Thyroiditis Pathology and Forensic Medicine Pathogenesis Immune system Antigen Microsomes Humans Immunology and Allergy Medicine Autoantibodies biology business.industry Complement C4 Complement C3 HLA-DR Antigens Middle Aged medicine.disease Killer Cells Natural biology.protein Female Antibody business Goiter Endemic Lymphocytic Thyroiditis |
Zdroj: | Clinical Immunology and Immunopathology. 41:265-272 |
ISSN: | 0090-1229 |
DOI: | 10.1016/0090-1229(86)90110-8 |
Popis: | Some immune aspects of simple endemic goiter have been studied through a comparison of IgG, IgA, IgM, k and λ chains, and C3 and C4 in the peripheral blood of 59 patients operated on for goiter and the peripheral blood of 49 normal controls. The median IgM was lower in the goiter blood. The incidence of thyroglobulin (Tg) and microsomal (Mi) antibodies (Abs) was 20.3% in goiter blood and that of nonthyroid autoAbs was 37%. Active and total rosetted blood lymphocytes were counted and OKT3, OKT4, OKT8. Leu 1, Leu3a, Leu2b, T DR+, and NK cell populations were classified. Helper T cells were occasionally decreased when goiter was associated with lymphocytic thyroiditis. The NK percentage was sometimes higher in goiter blood, whereas the T DR+ percentage was not significantly different in the two groups. Lymphocyte infiltration (LI) was noted in 32% of goiters (about 5% with a diffuse and nodular pattern). A prevalence of helper/inducer cells was observed among the infiltrating T cells. HLA-DR antigen (Ag) positive epithelial cells were seen, not only in LI areas. Granular deposits of IgG, IgA, IgM, and C3 on the follicular basal membrane were stained in 6.7% of goiters Patterns histologically and immunologically similar to those in Hashimoto's thyroiditis may therefore be observed in long-standing simple endemic goiter, suggesting that an autoimmune mechanism may be involved in its pathogenesis. |
Databáze: | OpenAIRE |
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