[Show abstract][Hide abstract] ABSTRACT: Detection of the genetic markers determining a predisposition to pulmonary tuberculosis is a necessary condition for the warranted formation of risk groups in the populations. On this basis, the authors used immunogenetic studies to examine 60 patients with pulmonary tuberculosis and 96 healthy individuals of Tuvinian nationality, who lived in the Barum-Khemchiksky District, Republic of Tyva. The microlymphocytotoxic test was used to determine class I HLA antigens and polymerase chain reaction was employed to reveal the specificity of class II HLA-DRB1 gene. The study revealed a positive association of HLA-B27 antigen and the specificities of HLA-DRB1 13(6) HLA-DRB1 14(6) with tuberculosis, which permits tuberculosis risk groups to be formed, by taking into account the immunogenetic data obtained in this district of the Republic of Tyva.
No preview · Article · Feb 2007 · Problemy tuberkuleza i bolezneĭ legkikh
[Show abstract][Hide abstract] ABSTRACT: Polymerase chain reaction-RFLP was used to distribute two polymorphic markers (SNP) PARK2-e01 (-697) and rs1333955 located at the common promoter site of the PARK2 and PACRG genes in order to reveal assumed associations with the incidence of pulmonary tuberculosis in the Barum-Khemchiksky and Ovyursky Districts of the Republic of Tyva. No significant differences were found in the frequencies of these two polymorphic markers between the groups of patients with tuberculosis and healthy individuals, residing in the above districts, and between the total control samples from both districts. The total group of patients with tuberculosis from the two districts from the Republic of Tyva showed a significant surplus of heterozygotes in both study markers, as compared with the group of healthy individuals, which was also observed for the marker rs1333955 in the Barum-Khemchksky District alone. The observed features of genotypic distribution by the two study markers point to the influence of the considered markers on the incidence of tuberculosis.
No preview · Article · Feb 2007 · Problemy tuberkuleza i bolezneĭ legkikh
[Show abstract][Hide abstract] ABSTRACT: The paper presents the results of a study of the distribution of Class I HLA antigens in an ethnic Tatar group (in patients with pulmonary tuberculosis and healthy individuals) in 4 districts of Tatarstan. It has been ascertained that an association with HLA-B22 antigen exists in patients with active pulmonary tuberculosis.
No preview · Article · Feb 2004 · Problemy tuberkuleza i bolezneĭ legkikh
[Show abstract][Hide abstract] ABSTRACT: Clinical, X-ray, and immunogenetic parameters were comparatively assessed in two groups of first identified patients diagnosed at annual fluorographic studies in groups at risk for tuberculosis and in individuals visiting general health care facilities for symptoms of inflammatory bronchopulmonary disease. Great differences were established in the clinical and X-ray manifestations, the course of the disease, and the patients' immunogenetic status in these groups. Tuberculosis in the patients identified on their referral to general health care facilities is characterized by more severe clinical manifestations, a greater spread of inflammatory and destructive changes in the lung, and massive bacterial isolation. There were certain associations of the HLA antigens A2 and A 11 as markers indicative of tuberculosis resistance with the antigens B35 and Cw4 suggestive of predisposition to tuberculosis in patients with chronic bronchitis.
No preview · Article · Feb 2002 · Problemy tuberkuleza
[Show abstract][Hide abstract] ABSTRACT: Kipferon that is a combination of recombinant human (2-interferon and a complex of immunoglobulins G, M and A, was used in suppositories as an auxiliary agent in the routine chemotherapy in 36 new cases of pulmonary tuberculosis. A control group included 19 patients identical in sex, age, and the pattern of pulmonary tuberculosis. The clinical, X-ray, and laboratory indices (primarily cellular immunity) were studies before and 1 and 3 months after treatment. The beneficial effect of kipferon was manifested by a more rapid arrest of symptoms of total intoxication eliminated after 2 weeks in 39% of patients in the experimental group and only in 21% in the controls. Normalization of blood parameters occurred following a month in 58.3 and 47% of patients, respectively. Mycobacteria tuberculosis disappeared in the sputum smears following a month of treatment in 62% of those isolating bacteria in the experimental group and only in 37.5% in the controls (P > 0.1; t = 1.6). Positive lung X-ray changes as resolved infiltration, the reduction and closure of caverns were more pronounced in the patients of the experimental group. The most characteristic change in the parameters of cellular immunity during kipferon was a short (as long as 1-1.5 months) decrease in RBT to FGA, which was noted in 47% and 6.7% of patients in the experimental and control groups, respectively (P < 0.01) and which was followed by an increase in the count of CD8+ cytotoxic lymphocytes. This is indicative of the enhancement of these mechanisms of immunity and a reduced need of enhancing or maintaining the activity of proliferative reactions of immunocompetent cells under the conditions of a favourable influence on the course of tuberculous infection.
No preview · Article · Jan 2002 · Problemy tuberkuleza
[Show abstract][Hide abstract] ABSTRACT: Todja is a secluded region of northern Tuva-situated in the Sayany Mountains, Siberia. The aboriginal population of Todja is Tuvan. A total of 128 healthy Tuvans living in Todja were typed for HLA-A, -B and -C antigens and several plasma and erythrocyte protein polymorphisms (Hp, Tf, Gc, ESD, ACP, PGM1, PGD and ADA). The observed frequencies of all 8 blood protein and HLA genotypes were in agreement with Hardy-Weinberg expectations. The most frequent HLA antigens in Todjans are A2 (0.36), A3 (0.24), A9 (0.50), B15 (0.34) and B40 (0.50). HLA haplotypes A2B5, A2B40, A9B15 and A9B40 are most common in this population. The observed frequencies of protein polymorphisms and HLA antigens and haplotypes in Todjans are similar to those of other Mongoloid populations. A comparison of HLA frequencies currently observed in Todjans with those obtained 20 years ago at the same locality showed minor changes attributable to the effect of migration.
[Show abstract][Hide abstract] ABSTRACT: An immunogenetic study of 71 patients with essential hypertension associated with no signs of heart or renal failure, and 276 normal Russian male residents of Moscow demonstrated a significantly increased frequency of antigens HLA-B13 (p less than 0.01) and HLA-B22 (p less than 0.05), as well as HLA-A11 (p less than 0.05), in the hypertensive sample. Aggravated heredity (familial hypertension) was established in 64% of hypertensive carriers of antigens HLA-B13 and HLA-B22.
[Show abstract][Hide abstract] ABSTRACT: Altogether 337 patients with tuberculosis, 63 patients with sarcoidosis, 41 with exogenous allergic alveolitis, and 36 with chronic bronchitis were examined. Four hundred and 30 healthy persons comprised the control group. It was established that HLA genes play an important part as factors which control the level of susceptibility to some pulmonary diseases (tuberculosis, sarcoidosis, exogenous allergic alveolitis). Hypersusceptibility to different pulmonary diseases is associated with different HLA genes, namely with HLA-B14 in tuberculosis, HLA-B7 in sarcoidosis, and with HLA-B8 in exogenous allergic alveolitis. The susceptibility to pulmonary diseases may be under polygenic control; in particular during tuberculosis, both HLA-B14 gene and HLA-B15 gene play a role in the resistance control. The development of a disseminated chronic process coupled with disintegration may be associated with the latter gene, which may be due to a lower resistance. It stands to reason that in addition to HLA genes, other genetic systems are likely to determine the character of susceptibility to tuberculosis.
No preview · Article · Feb 1985 · Terapevticheskii arkhiv