RESUMO
Nonspecific and specific immunity values were studied in 70 children before and in various periods after 74 operations on the anterior segment of the eyeball. In children with persistent autosensitization to ocular tissue autoantigens (alpha-crystalline and S-antigen) postoperative uveitis presented as an immunocomplex disease with signs of exhaustion of the functional potential of the phagocytosis and complement systems. In children without autosensitization uveitis was associated with immunity activation. Phagocytosis system and cooperation of lymphocyte subpopulations, including normal killers (CD16+), play an important role in prevention of sensitization to ocular tissue autoantigens. Therefore, complex immunological examinations of children before surgery and regular check-ups after it will help differentiate immunodeficiency from compensatory immunosuppression preventing autoimmune disease, which is important in prescription of immunostimulating therapy.
Assuntos
Segmento Anterior do Olho/cirurgia , Autoantígenos/imunologia , Doenças Autoimunes/imunologia , Oftalmopatias/cirurgia , Sistema Imunitário/imunologia , Procedimentos Cirúrgicos Oftalmológicos , Adolescente , Segmento Anterior do Olho/imunologia , Arrestina/imunologia , Doenças Autoimunes/prevenção & controle , Criança , Pré-Escolar , Cristalinas/imunologia , Oftalmopatias/imunologia , Técnica Indireta de Fluorescência para Anticorpo , Humanos , Imunossupressores/uso terapêutico , Fagocitose/imunologia , Receptores de IgG/imunologia , Linfócitos T/imunologiaRESUMO
It has been shown that patients with nonspecific aortoarteritis undergoing acute and subacute stages of the process demonstrate sensitization to collagen, types I and III. The activity of inflammation was discovered to affect the disease progression and involvement of new arterial areas. Marked suppression of leukocyte migration in response to collagen, types I and III, in patients with nonspecific aortoarteritis points to a high probability of further disease progression.