Abstract:
:The observation that endocardial fibroelastosis (EFE) can result from an immune response to maternal autoantibody deposition in the fetal myocardium raises the possibility that the fetal immune system may contribute to the pathogenesis of idiopathic EFE and dilated cardiomyopathy (DCM). This study sought to characterize myocardial immune cell presence in fetuses and neonates with idiopathic EFE + DCM, in those with EFE + structural heart disease, and in normal control subjects. Paraffin tissue sections from fetuses identified from the pathology database were stained for B cell, T cell, macrophage, and general hematopoietic cell surface markers. Of the 14 fetuses included in the study, 5 had EFE + DCM, 4 had EFE + structural heart disease, and 5 were normal control fetuses. The EFE + DCM group had fewer B cells than the control group (0.15 vs. 0.44 cells/mm(2); p = 0.005). The EFE + heart disease group had both fewer B cells (0.18 vs. 0.44 cells/mm(2); p = 0.08) and T cells (0.29 vs. 0.80 cells/mm(2); p = 0.04) than the control group. The CD4/CD8 ratio was similar in the EFE + DCM and EFE + heart disease groups (1.0 vs. 0.9; p = 0.17) but higher in the EFE + DCM group than in the control group (0.9 vs. 0.3; p = 0.03). The myocardium of fetuses with EFE contains fewer B and T lymphocytes than normal control fetuses.
journal_name
Pediatr Cardioljournal_title
Pediatric cardiologyauthors
Fernandes NM,Taylor GP,Manlhiot C,McCrindle BW,Ho M,Miner SE,Atkinson A,Jaeggi ET,Nield LEdoi
10.1007/s00246-011-9980-1subject
Has Abstractpub_date
2011-12-01 00:00:00pages
1088-95issue
8eissn
0172-0643issn
1432-1971journal_volume
32pub_type
杂志文章abstract::This retrospective study aimed to determine the superior vena cava (SVC) and left innominate vein (INV) normative cross-sectional area in children noninvasively using age as a predictor and also to compare the correlation of the area measured with the diameter on multidetector computed tomography (MDCT). Analysis of t...
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journal_title:Pediatric cardiology
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更新日期:1995-07-01 00:00:00
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journal_title:Pediatric cardiology
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journal_title:Pediatric cardiology
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journal_title:Pediatric cardiology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Pediatric cardiology
pub_type: 杂志文章,评审
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journal_title:Pediatric cardiology
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journal_title:Pediatric cardiology
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更新日期:2013-02-01 00:00:00
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doi:10.1007/s00246-014-0925-3
更新日期:2014-10-01 00:00:00
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journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/s00246-007-9016-z
更新日期:2008-01-01 00:00:00
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journal_title:Pediatric cardiology
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journal_title:Pediatric cardiology
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