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Immunologic Aspects of Heart DiseaseBelmont Medical Clinic, Bellflower, California All forms of heart disease, whether caused by streptococcus group A, aseptic heart injury, virus, hypersensitivity, autoimmune conditions, or graft- versus-host reactions, have in common allogenic transformation of the myocardial cell membrane and production of multifunctional autoantibodies, in addition to cause-specific antibodies, some of which cross-react with heart tissue. The outcome of this immunologic insult depends on the ability of the host's immunoregulatory mechanisms to dispose swiftly of the offending anti gen and antibody or their complexes. Heart disease often results when these mechanisms, exemplified here, are not intact or when they function inappro priately in genetic or acquired settings and in varying haplotype frames.
Angiology, Vol. 33, No. 7,
427-441 (1982) |
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