慢性乙型重型肝炎患者外周血各亚群淋巴细胞绝对值的特点
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国家自然科学基金(30571749).


Characteristics of peripheral circulating lymphocyte subsets and their clinical implication in severe hepatitis patients with chronic HBV infection
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    目的:分析慢性乙型重型肝炎(以下简称慢重肝)患者外周血各亚群淋巴细胞绝对值的特点.方法:慢重肝患者61例,乙肝引起的肝硬化26例,慢性乙型肝炎21例,健康志愿者10例.采用流式细胞仪检测各自外周血淋巴细胞CD3+、CD4+、CD8+、NK细胞(CD3-/CD16+/CD56+)、NKT细胞(CD3+/CD16+CD56+)等亚群表达百分比,计算各淋巴细胞亚群绝对值,并进行统计学分析.结果:与乙肝引起的肝硬化、慢性乙型肝炎患者以及健康志愿者相比,慢重肝患者CD3+、CD4+及CD8+T淋巴细胞的绝对值均明显降低(P<0.01或P<0.05);与存活者相比,慢重肝死亡患者外周血淋巴细胞、CD3+、CD4+、CD8+、NK细胞、NKT细胞绝对值均有一种降低的趋势但尚未达到统计学意义.结论:慢重肝患者存在一定程度的细胞免疫功能紊乱,可能与其预后存在一定的相关性.

    Abstract:

    Objective:To investigate the characteristics of peripheral circulating lymphocyte subsets in severe hepatitis patients with chronic HBV infection(SHPCHI). Methods: The numbers of circulating lymphocyte subsets, including CD3^+, CD4^+ and CD8^+ , NK cells (CD3^- /CD16^+/CD56^+ ), and NKT cells (CD3^+/CD16^+ CD56^+ ), were determined in SHPCHI (n = 61 ), patients with chronic hepatitis B (CHB, n = 21 ), patients with cirrhosis ( LC, n = 26) and healthy volunteers ( n = 10) by flow cytometry. The absolute values of each lymphocyte subset were calculated and statistically analyzed. Results: The absolute numbers of circulating CD3^+ , CD4^+ and CD8^+ T cells were significantly reduced in SHPCHI group compared with those in the other 3 groups (P〈0.01 or P〈0.05). There was a decreasing trend in the absolute numbers of peripheral CD3^+ , CD4^+ , CD8^+ and NK cells in non-surviving SHPCHI compared with surviving SHPCHI,but the decrease was not statistically significant. Conclusion: SHPCHI has an disorderd cellular immune function, which might be related to the prognosis of SHPCHI.

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