Post-vakcinační odpověď u pacientů se syndromem diGeorge
Post-vaccination response in patients with diGeorge syndrome
bachelor thesis (DEFENDED)
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http://hdl.handle.net/20.500.11956/46371Identifiers
Study Information System: 112750
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- Kvalifikační práce [1715]
Author
Advisor
Referee
Šedivá, Anna
Faculty / Institute
Second Faculty of Medicine
Discipline
Medical Laboratory Technician
Department
Department of Medical Chemistry and Clinical Biochemistry
Date of defense
23. 5. 2012
Publisher
Univerzita Karlova, 2. lékařská fakultaLanguage
Czech
Grade
Excellent
Syndrom DiGeorge je autozomálne dominantne dedicné onemocnení s incidencí 1 : 4 000. Jeho charakteristické fenotypové projevy se souhrnne oznacují jako asociace CATCH 22. Svým nositelum muže zpusobovat závažné klinické obtíže. Z imunologického hlediska se syndrom radí mezi primární vrozené deficity bunecné imunity. Dle závažnosti imunodeficience lze rozlišovat DiGeorguv syndrom kompletní a cástecný. U pacientu je vlivem nesprávného vývoje thymu postižena T bunecná imunita. Práce se zabývá humorální imunitou pacientu se syndromem DiGeorge, která by teoreticky nemela být postižena. Je zamerena zejména na postvakcinacní protilátky a jejich dynamiku a na imunoglobuliny trídy A, G, E a M. Sledování pacientu z databáze pacientu se syndromem DiGeorge vyšetrených na Ústavu imunologie 2. LF UK a FN v Motole v letech 1995 - 2011 ukazuje, že postvakcinacní odpoved u syndromu DiGeorge není výrazne ovlivnena. Patologické hodnoty hladin základních sledovaných imunoglobulinu byly pozorovány.
DiGeorge syndrome is an autosomal dominantly inherited disease with an incidence of 1: 4 000. Its distinctive phenotypic manifestations are collectively referred to as CATCH 22. Its holders can cause serious clinical problems. One of the primary syndrome congenital deficits of cellular immunity from an immunological point of view. According to the severity of immunodeficiency DiGeorge syndrome can distinguish complete and partial. Patients due to improper development of thymic T cell immunity has affected. The work deals with the humoral immunity of patients with DiGeorge syndrome, which should theoretically not be affected. It is mainly focused on post-vaccination antibodies and their dynamics, and immunoglobulins A, G, E and M. Monitoring patients from the database of patients with DiGeorge syndrome examined at the Institute of Immunology, 2nd Charles University Medical Faculty and University Hospital Motol in the years 1995 - 2011 shows that post-vaccination response in DiGeorge syndrome is not significantly affected. Abnormal levels of immunoglobulins were observed fundamental observed.