[The host-opportunistic protozoa system. The incidence of mixed infections (Pneumocystis and cytomegalovirus) in children living in radionuclide-contaminated areas]. / Sistema "khoziain-uslovno-patogennye prosteishie". Chastota smeshannykh infektsii (pneumotsistnoi i tsitomegalovirusnoi) u detei, prozhivaiushchikh na zagriaznennykh radionuklidami territoriiakh.

The purpose of our study was to determine the influence of ionized radiation onto the frequency of mixed infections (P. carinii and Cytomegalovirus) in children inhabitants of the settlements affected with radionuclide after Chernobyl accident. Two groups of children were under survey. 1) 103 inhabitants of Novozybkov (Bryansk Province, Russia) and 38 patients under observation in Moscow paediatric hospital from another affected villages (5-15 Ci/km2) were examined serologically by the diagnostic system "Pneumo-test" and "Cytomegatest" (Nyarmedic, Moscow, Russia). Cut-off titers for P. carinii were IgM-1: 200, IgG-1: 20, for CMV IgG-1: 200, 2) Retrospective study of 563 patients with respiratory pathology and 1809 died children after acute pneumonia during 14 years period. Sputum and mucus of the patients taken by laryngoscopy and bronchoscopy were studied for P. carinii by microscopy, the section of lungs--histologically. The sediments of urine and saliva were examined for CMV by microscopy and section of different organs_-histologically. Examinations were performed by one and the same highly qualified pathologist. The results of the study were as follows. 1. Of 563 children examined for both P. carinii and CMV 186 (33%) were positive for P. carinii and 189 (33.7%) for CMV. Both pathogens were found in 46 children (8.2%), mainly among 1-2 and 6-12 month age (8.5 and 14.5%, respectively). Retrospective analysis of 1809 autopsy results shows, that in 73 cases (4%) were found only P. carinii, in 200 (11.1%) only CMV and in 24 (1.3%) two pathogens simultaneously. 2. Of 103 children surveyed serologically P. carinii monoinfection was found in 7 (8.8%), CMV-in 25 (24.3%) and coinfection in 55 (53.4%). Estimated frequency for coinfection (if combination of two infections were to be accidental) should equal 46.8%. In control group consisted of 30 children from clean Moscow region the rate of coinfection was 16.7% and estimated rate 15% (the difference between empiric and estimated rates are statistically significant, t > 4). Thus it is clear that the rate of coinfection of P. carinii and CMV is always high either in clean or in affected by ionized radiation regions. This rate determined by microscopy was higher in patients (8.2%) than in autopsy cases (1.3%) and much higher in children from affected region (53.3%) than in control (16.7%), being determined serologically. Separate interest present geometric mean titers found in the cases of coinfection. The titer for anti-CMV IgG in children from affected regions was rather high (5884 vs. 1246 in control) and on the contrary titers for anti-P. carinii IgM and IgG were lower than in control (512 vs. 1245 and 58 vs. 159 respectively). We are incline to interpret the results of our study as evidence of increased susceptibility to P. carinii and CMV in those children whose immune system was suppressed by premorbid factors or ionized radiation and peculiar symbiotic relationships of P. carinii and CMV resulting in enhancement of their infectiousness.

[The host-opportunistic protozoa system. The effect of ionizing radiation on the prevalence of cryptosporidiosis and pneumocystosis]. / Sistema "khoziain-uslovno-patogennye prosteishie". Vliianie ioniziruiushchei radiatsii na rasprostranenie kriptosporidioza i pnevmotsistoza.

The aim of this study was to determine an influence of ionized radiation on the prevalence of Cryptosporidium and Pneumocystis carinii (P. c.) infections in children inhabitants of settlements affected by radionuclides after Chernobyl accident. Survey of children from day-care centers for prevalence of Cryptosporidium was carried out in Bryansk region, Russia, and Gomel and Mogilev regions, Belarus; children from cities Mogilev and Gomel as well as small town Pochep, Bryansk region, serve as control clean zones. Survey for P. c. seroprevalence was carried out in town Novozybkov, Bryansk region, Specific Ab to P. c. determined by "Pneumo-test" system (Nyarmedic. Moscow. Russia), an evaluation of immune status included assessment of Ig in serum and saliva by Manchini method. Results of the study were as follows: 1) of 432 healthy children surveyed for Cryptosporidium oocysts 352 were from affected regions: the prevalence in Bryansk region was 8% vs. 2.8% in control, in Gomel and Mogilev 4.1% vs. 2.8%. 2) Prevalence anti-P.c. Ab accounts 56.3% in children and 78.2% in adult inhabitants of Novozybkov vs. 30% in children of control group. Special interest presents an relationship of seroprevalence P.c. and secretory immunity examined twice with 2 month interval. At the first survey IgG in seropositive for P. c. children was found in 36.8% (vs. 23.1% in control) and secretary IgA in 13.2% vs. 5.8% in control. At the second survey IgG was found in 53.4% vs. 21.8% and IgA in 2.7% vs. 1.8% in control. Taking into consideration the known fact that IgG and IgA in saliva are result of their transudation from blood through the inflammatory mucosa we consider that long ionized radiation impairs the barrier function of mucosae.

[Manifestations of pseudo-allergy in different diseases in children]. / Proiavleniia psevdoallergii pri razlichnykh zabolevaniiakh u detei.

Fifty-seven children aged 1 to 14 years with pseudoallergic reactions were followed up. The reactions manifested in the form of eczema, neurodermatitis, urticaria, and Quincke's edema. All the patients showed different pathology associated with the above-indicated skin reactions. The infants presented with the hypertensive hydrocephalic syndrome whereas the elder children with vegetovascular dystonia, biliary and gastrointestinal diseases. The treatment of the revealed pathological process, that included administration of histaglobulin or zaditen, brought about well-defined positive clinical changes.

[Human IgG subclass study. II. The levels of the individual IgG subclasses in paired sera from mothers and newborn infants as well as in the blood sera of inhabitants of an isolated northern village]. / Issledovanie subklassov IgG cheloveka. Soobshchenie II. Urovni otdel'nykh subklassov IgG v parnykh syvorotkakh materei i novorozhdennykh, a takzhe v syvorotkakh krovi zhitelei severnogo sela-izoliata.

The levels of the first 3 subclasses of IgG, as determined by the radial immunodiffusion test, proved to be similar in the blood sera obtained from mothers and newborns in Moscow. The concentration of IgG4 was 0.64 +/- 0.02 g/l iently indicative of a limited passage of IgG4 molecules through the placenta. The inhabitants of an isolated northern village were found to have the inheritable combined deficit of IfG2 and IgG3 synthesis in their blood sera, which was probably due to the prolonged processes of inbreeding and the progenitor effect.

[Determination of human IgI allotypes by using a set of stable erythrocyte antigenic diagnostica of varying specificity]. / Opredelenie allotipov IgG cheloveka s pomoshch'iu nabora stabil'nykh éritrotsitarnykh antigennykh diagnostikumov raznoi spetsifichnost.

Technology of preparing a set of stable antigenic diagnostic agents of commercial type for determination of genetic determinants of human IgG and antibodies to them in the human blood sera and in the animal hyperimmune sera was worked out. Antisera against some human IgG allotypes were prepared. The frequency of detection of individual IgG allotypes and antibodies to them in human sera was studied.

[Subclasses of human IgG. I. Production of antisera to IgG subclasses]. / Issledovanie subklassov IgG cheloveka. Soobshchenie I. Poluchenie antisyvorotok k subklassam IgG.

Guinea pigs were used for preparing antisera to human IgG subclasses for anti-IgG1, and rabbits--for anti-IgG2, anti-IgG3, and anti-IgG4. Schemes of laboratory animals immunization with myeloma paraproteins of four IgG subclasses were determined. Methods of antisera absorption for bringing them up to strict monospecificity were worked out. Antisera specificity were determined by the precipitation test after Ouchterlony with standard myeloma proteins in the concentration of 1 mg/ml, and in the passive hemagglutination test with erythrocytic antigenic diagnostic agents. Precipitating antisera to four human IgG subclasses were obtained.

[Certain characteristics of isolation of human myelomic IgG of different subclasses and their distribution according to the allotypes, subclasses and types of light chain]. / Nekotorye osobennosti vydeleniia mielomnykh IgG cheloveka razlichnykh subklassov i ikh raspredelenie po allotipam, subklassam i tipam legkikh tsepei.

A combination of the methods of preparative electrophoresis in agar gel and of the ion-exchange chromatography on DE-32 cellulose permitted to obtain 32 immunochemically pure human myelomic IgG. The proteins of the first three subclasses were obtained by elution in the 0.01 phosphate buffer at pH 7.6. IgG4 was eluted with the increase of the gradient to 1 M NaCl in the phosphate buffer. Of the 32 human myelomic IgG 26 represented IgG1,4--IgG2, 1--IgG3, and 1--IgG4. Among the 26 IgG1 11 were of the Gm(a) allotype, and 15 proteins had the Gm(f) determinant; one IgG2 protein was Gm(n+) and 3--Gm(n-). One IgG3 protein was referred to the Gm(b) variant. The majority of the IgG proteins of the subclass I had chi-type of the L-chains, and the chi: lambda ratio constituted 2.71.