Chemoattractant and opsonic activity in ascitic fluid. A study in 47 patients with cirrhosis or malignant peritonitis

J Hepatol. 1991 Jan;12(1):45-9. doi: 10.1016/0168-8278(91)90907-s.

Abstract

We studied prospectively the ascitic fluid of 47 patients. Thirty-five were cirrhotics (group A) and 12 had malignant peritonitis (group B). All ascitic fluid samples were initially uninfected. We measured opsonic activity by a chemiluminescent assay, and chemoattractant activity by the under agarose technique. We also measured ascitic concentrations of C3, C4, fibronectin, C-reactive protein, immunoglobulins G, A and M and total proteins. All patients were followed throughout the presence of ascites. None of the group B patients developed peritoneal infection, nor did 23 of the group A patients (group A2). Twelve group A patients (group A1) developed spontaneous bacterial peritonitis (SBP), four of them with recurrence. All indices except immunoglobulins A and M were significantly different between group A and group B patients. Comparing group A1 and group A2, only chemoattractant activity and concentrations of total proteins and C3 were significantly lower in group A1. Using a multivariate analysis with Cox's model, only C3 concentration had an independent predictive value for occurrence of SBP in cirrhotic patients.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Ascitic Fluid / chemistry*
  • Ascitic Fluid / metabolism
  • Chemotactic Factors / analysis*
  • Chemotactic Factors / metabolism
  • Chemotaxis / physiology
  • Complement C3 / metabolism
  • Female
  • Humans
  • Liver Cirrhosis / epidemiology
  • Liver Cirrhosis / metabolism*
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Opsonin Proteins / analysis*
  • Opsonin Proteins / metabolism
  • Peritonitis / epidemiology
  • Peritonitis / metabolism*
  • Prospective Studies

Substances

  • Chemotactic Factors
  • Complement C3
  • Opsonin Proteins