Characteristics of peripheral circulating lymphocyte subsets and their clinical implication in severe hepatitis patients with chronic HBV infection
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    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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