T 细胞亚群在原发性干燥综合征患者外周血中的表达水平及其意义

Expression level and significance of T cell subgroups in the peripheral blood of patients with primary Sj?gren′s syndrome

  • 摘要: 目的:探讨 T 细胞亚群在 PSS 患者外周血中的表达水平及其意义。方法采用流式细胞仪对32名原发性干燥综合征(PSS)患者及35名健康体检者外周血的 CD3+、CD3+CD4+CD8-、CD3+CD4-CD8+、CD3+CD4-CD8-及 CD4+CD25+high表达水平进行检测,并进行组间比较。结果2组患者的 CD3+、CD3+CD4-CD8+水平无显著差异(P >0.05),观察组的 CD4+/CD8+、CD3+CD4+CD8-亚群的比例较观察组有明显升高(P <0.01),CD3+CD4-CD8-双阴性 T 细胞与 CD4+CD25+high亚群的比例较观察组显著下降(P <0.01)。结论PSS 患者的 T 细胞亚群表达水平异常,过多的 CD4+细胞增殖与浸润会成为发生自身免疫性疾病的危险因素,CD3+CD4-CD8-双阴性 T 细胞与 CD4+CD25+high亚群水平的下降会造成对机体免疫耐受状态的破坏,可能是引发 PSS 发生的重要因素之一。

     

    Abstract: Objective To explore the expression levels and significance of T cell subgroups in the peripheral blood of patients with primary Sj?gren′s syndrome (PSS).Methods Flow cytometer was applied to detect CD3 +,CD3 +CD4 +CD8 -,CD3 +CD4 -CD8 +,CD3 +CD4 -CD8 - and CD4 +CD25 +high expression levels in 32 PSS patients (observation group)and another 35 healthy people tak-ing physical examination (control group),which were then compared between groups.Results There were no significant differences between two groups in CD3 + and CD3 + CD4 - CD8 + expressions (P >0.05).The ratios of CD4 +/CD8 + and CD3 +CD4 +CD8 - subgroups increased evidently (P <0.01), while those of CD3 + CD4 - CD8 - double-negative T cells and CD4 + CD25 +high subgroup decreased markedly in observation group (P <0.01).Conclusion T cell subgroup expressions are abnormal in PSS patients,and over proliferation and infiltration of CD4 + cells is the risk factor of auto-immunologi-cal diseases,while the decrease of CD3 +CD4 -CD8 - double-negative T cells and CD4 +CD25 +high sub-group can lead to the damage of body immunological tolerance,which may be one of the important fac-tors for the development of PSS.

     

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