用吡喹酮治疗家兔血吸虫病时宿主免疫水平与疗效的关系
RELATIONSHIP, BETWEEN THE EFFICACY OF PRAZIQUANTEL ON RABBITS INFECTED WITH SCHISTOSOMA JAPONICUM AND IMMUNE LEVEL OF THE HOST
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摘要: 家兔感染日本血吸虫尾蚴3至10周,用吡喹酮40 mg/kg ig 1次治疗时,疗效以感染3周组的为最差,感染5周组的疗效明显增加,而以感染8及10周组的最好,全部或大部分受治兔的雌虫被杀灭。这一结果与宿主特异性抗体的有无和抗体水平的增长相一致,而与细胞的免疫水平则无密切的平行关系。进一步的试验结果表明,吡喹酮对虫龄为3周童虫的疗效与特异性抗体的存在有密切关系。Abstract: Rabbits infected with Schistosoma japoncium for 3 to 10 weeks were treated intragastrically with praziquantel at a single dose of 40 mg/kg. In the 3-week group worm reduction rate was only 14.3%, but increased to 46.1% in the 4-week group. When infected rabbits were dosed 5~10 weeks after the infection the therapeutic effect was enhanced apparently, especially in the 8 and 10-week groups. For these groups worm reduction rates of 84.2 and 87.6% were seen and most or all of the treated animals were free from female worms. These results indicated a good correlation between therapeutic effect and the emergence of specific antibody. Further studies indicate that the effect of praziquantel on 21-day old schistosomules is dependent on the presence of specific antibody in the host.
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