Rotavirus is an acute enteric pathogen in infants and children. We reported a rare case of a 6-mo-old infant with protein-loosing enteropathy (PLE) caused by rotavirus gastroenteritis, and evaluated the immunological ...Rotavirus is an acute enteric pathogen in infants and children. We reported a rare case of a 6-mo-old infant with protein-loosing enteropathy (PLE) caused by rotavirus gastroenteritis, and evaluated the immunological profile in peripheral blood lymphocytes. Laboratory examinations showed lymphopenia, hypoproteinemia, hypoalbuminemia, hypogammaglobulinemia, and elevation of alpha-1-antitrypsin (α1-AT) clearance. Lymphocytes subpopulation study revealed the reversal of CD4+/CD8+ ratio with the selective decrease of CD4- positive lymphocytes. Moreover, the excessive increase of T cells producing IFN-gamma (IFN-γ) was found, which plays an important role in the protection against viral infection. The primary or secondary activation of immune system by rotavirus may influence structural integrity and vascular permeability, which may play a triggering role in protein-loosing enteropathy.展开更多
目的:观察温阳补肾方治疗肾病综合征的临床治疗效果及其对免疫系统的调节作用。方法:选取肾病综合征患者86例,随机分为对照组及观察组,每组各43例。两组患者均采用强的松+雷公藤多苷片治疗,观察组在此基础上加服温阳补肾方,两组均连续治...目的:观察温阳补肾方治疗肾病综合征的临床治疗效果及其对免疫系统的调节作用。方法:选取肾病综合征患者86例,随机分为对照组及观察组,每组各43例。两组患者均采用强的松+雷公藤多苷片治疗,观察组在此基础上加服温阳补肾方,两组均连续治疗6个月。观察比较治疗前后两组患者T细胞的亚群(CD_4^+、CD_8^+、CD_4^+/CD_8^+、CD_4^+CD_(25)^+)的比例,及IL-2、IFN-γ、IL-4、IL-6细胞因子的含量,比较两组治疗后临床疗效。结果:观察组总有效率86.0%,对照组总有效率69.8%,具有显著差异(P<0.05)。两组治疗后24 h尿蛋白定量(24 h Pro)、血浆白蛋白(ALB)、血肌酐(BUN)、血尿素氮(Scr)、谷草转氨酶(AST)、总胆固醇(TC)、甘油三酯(TG)、全血黏度、血浆黏度、纤维蛋白原(Fib)均下降(P<0.05),并且观察组较对照组下降幅度更为明显(P<0.05)。两组治疗后CD_4^+、CD_4^+/CD_8^+及CD_4^+CD_(25)^+均升高(P<0.05),CD_8^+、IFN-γ、IL-2、IL-4、IL-6均降低(P<0.05),观察组较对照组变化更为明显(P<0.05)。结论:温阳补肾方治疗肾病综合征具有良好的临床疗效,可以维持机体的免疫功能和细胞因子的平衡,还能调节脂质代谢及肾功能紊乱,值得在临床上推广。展开更多
文摘Rotavirus is an acute enteric pathogen in infants and children. We reported a rare case of a 6-mo-old infant with protein-loosing enteropathy (PLE) caused by rotavirus gastroenteritis, and evaluated the immunological profile in peripheral blood lymphocytes. Laboratory examinations showed lymphopenia, hypoproteinemia, hypoalbuminemia, hypogammaglobulinemia, and elevation of alpha-1-antitrypsin (α1-AT) clearance. Lymphocytes subpopulation study revealed the reversal of CD4+/CD8+ ratio with the selective decrease of CD4- positive lymphocytes. Moreover, the excessive increase of T cells producing IFN-gamma (IFN-γ) was found, which plays an important role in the protection against viral infection. The primary or secondary activation of immune system by rotavirus may influence structural integrity and vascular permeability, which may play a triggering role in protein-loosing enteropathy.
文摘目的:观察温阳补肾方治疗肾病综合征的临床治疗效果及其对免疫系统的调节作用。方法:选取肾病综合征患者86例,随机分为对照组及观察组,每组各43例。两组患者均采用强的松+雷公藤多苷片治疗,观察组在此基础上加服温阳补肾方,两组均连续治疗6个月。观察比较治疗前后两组患者T细胞的亚群(CD_4^+、CD_8^+、CD_4^+/CD_8^+、CD_4^+CD_(25)^+)的比例,及IL-2、IFN-γ、IL-4、IL-6细胞因子的含量,比较两组治疗后临床疗效。结果:观察组总有效率86.0%,对照组总有效率69.8%,具有显著差异(P<0.05)。两组治疗后24 h尿蛋白定量(24 h Pro)、血浆白蛋白(ALB)、血肌酐(BUN)、血尿素氮(Scr)、谷草转氨酶(AST)、总胆固醇(TC)、甘油三酯(TG)、全血黏度、血浆黏度、纤维蛋白原(Fib)均下降(P<0.05),并且观察组较对照组下降幅度更为明显(P<0.05)。两组治疗后CD_4^+、CD_4^+/CD_8^+及CD_4^+CD_(25)^+均升高(P<0.05),CD_8^+、IFN-γ、IL-2、IL-4、IL-6均降低(P<0.05),观察组较对照组变化更为明显(P<0.05)。结论:温阳补肾方治疗肾病综合征具有良好的临床疗效,可以维持机体的免疫功能和细胞因子的平衡,还能调节脂质代谢及肾功能紊乱,值得在临床上推广。
