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重症肌无力患者外周血淋巴细胞表型的特点 被引量:2

Alteration of Surface Phenotypes of Peripheral Blood Lymphocytes from Patients with Myasthenia Gravis
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摘要 用单或双染色免疫荧光技术经流式细胞仪分析,研究一组重症肌无力(MG)患者外周血淋巴细胞表型的表达。结果表明志者组CD16,56阳性(CD16,56)细胞百分率显著低于健康对照组(分别为9.92±6.88和18.08±8.02,P<0.05)。未经治疗的患者,CD3^+,CD29^+ CD4^+细胞百分旱和CD4/CD8比值均高于对照(依次为69.48±10.43.和60.80±12.35,32.88±5.90和25.77±4.38,1.79±0.84和1.39±0.44.P值均<0.05)。CD8^+及CD16,56^+细胞百分率均低于对照组(分别为22.47±7.09和29.26±8.64.8.80±5.50和18.08±8.02.P<0.05和P<0.01。胸腺摘除患者,CD3^+和CD8^+细胞百分旱与对照组无显著性差异,CD16.56^+、CD29^+ CD4^+细胞百分率及CD4/CD8比值均低于对照组(依次为P<0.05,P<0.01和P<0.05)。随访7例患者胸腺摘除术前、后淋巴细胞表型的变化,进一步显示手术后CD3^+、CD4^+.CD29^+CD4^+细胞和CD4/CD8比值下降.而CD8^+细胞百分率升高. Surface phenotypes of peripheral blood lymphocytes from patients with myasthenia gravis(MG)were investigated by flow cytometry in single or dual color staining-direct immunofluorescence.The results showed that there was a significant decrease in the percentage of CD16, 56 ̄+ cells(9.92±6.88%)in MG patients.In the patients without immune therapy,a significant increase in the percentages of CD3 ̄+(69.38±10.43%),CD29 ̄+ CD4 ̄+(32.88±5. 90%)cells and the ratio of CD4/CD8(1.79±0.84),but a significant decrease in percentages of CD8 ̄+ (22. 47±7.09)and CD16, 56 ̄+(8.80±5.50)were found when compared to healthy controls(CD16, 56+ 18.08±8. 02%,CD3 ̄+ 60. 80±12. 35%,CD29+CD4+ 25.77±4. 38%,CD4/CD8 1.39±0. 44, respectively).In the patients treated by thymectomy,the percentage of CD16, 56 ̄+,CD29+CD4+ and CD4/CD8 ratio were significantly decreased compared to controls.There were no significant defferences in the percentages CD3 ̄+ and CD8 ̄+cells between patients with thymectomy and controls.The data,from 7 cases followed before and after operation showed that there was a significant decrease in the percentages of CD3 ̄+, CD4 ̄+, CD29 ̄+CD4 ̄+ cells and CD4/CD8 ratio, but a significant increase in percentage of CD8+ cells after thymectomy.
出处 《中国神经免疫学和神经病学杂志》 CAS 1994年第2期79-84,共6页 Chinese Journal of Neuroimmunology and Neurology
基金 卫生部研究经费资助
关键词 患者 CD16 对照组 CD4^+细胞 CD29 CD3^+ CD4/CD8比值 表型 百分率 胸腺 myasthenia gravis lymphocyte phenotype flow cytometry thymectomy
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  • 1黄煜敏,林嘉友,许贤豪,郭采青,谭铭勋,邬瑞华.重症肌无力患者自然杀伤细胞的研究[J].中国神经免疫学和神经病学杂志,1994,1(1):32-35. 被引量:1
  • 2杨波,祁岩超,卢敏莹,潘东晓,申鸿卓,祁中浩,史强.流式细胞术分析六类肿瘤患者外周血淋巴细胞绝对数值的变化[J].实用肿瘤学杂志,2006,20(2):81-83. 被引量:20
  • 3Lindstrom JM,Seybold ME,Lennon VA, et al. Antibody to acetylcholine receptor in myasthenia gravis, prevalence, clinical correlates, and diagnostic value[J]. Neurology, 1976,26:1054-1059. 被引量:1
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  • 5Engel AG,Lindstrom JM,Lambert EH, et al. Uhrastructural localization of the acetylcholine receptor in myasthenia gravis and in its experimental autoimmune model[J].Neurology, 1977,27:307-315. 被引量:1
  • 6Drachman DB,Angus CW,Adams RN, el al. Myasthenic antibodies cross-link acetylcholine receptors to accelerate degradation[J]. N Engl J Med, 1978,298:1116-1122. 被引量:1
  • 7Liu Z,Tugulea S,Cortesini R, et al. Inhibition of CD40 signaling pathway in antigen presenting cells by T suppressor cells[J]. Hum Immunol, 1999,60:568-574. 被引量:1
  • 8Vincent A. Unravelling the pathogenesis of myasthenia gravis[J]. Nat Rev lmmunol, 2002,2:797-804. 被引量:1
  • 9Hohlfeld R,Wekerle H. The thymus in myasthenia gravis[J]. Neurol Clin, 1994,52:331-342. 被引量:1
  • 10Kawanami S,Mori S,Kamei H, et al. Cellular immunity in myasthenia gravis after thymectomy and corticosteroid therapy [J]. Jpn J Med, 1990,29:138-145. 被引量:1

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