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类风湿关节炎患者外周血CD4+CD25+CD127-调节T细胞的检测及临床意义
引用本文:王庆保,刘健,万磊.类风湿关节炎患者外周血CD4+CD25+CD127-调节T细胞的检测及临床意义[J].安徽医学,2010,31(2):131-134.
作者姓名:王庆保  刘健  万磊
作者单位:安徽中医学院第一附属医院检验中心,合肥,230031;安徽中医学院第一附属医院检验中心,合肥,230031;安徽中医学院第一附属医院检验中心,合肥,230031
摘    要:目的探讨CD4+CD25+CD127-调节T细胞(Treg)在类风湿关节炎中的诊断价值及临床意义。方法选取42例类风湿关节炎(RA)患者和20正常健康者分为两组,采用流式细胞仪检测两组调节T细胞的表达频率,检测两组实验室指标,观察两组实验室指标与调节T细胞的关系。结果与正常对照组相比,RA组白细胞(WBC)、免疫球蛋白A(IgA)、抗链球菌溶血素O(ASO)、类风湿因子(RF)、糖酸蛋白(α1-AGP)、C反应蛋白(CRP)、血沉(ESR)显著升高(P〈0.05或P〈0.01);血红蛋白(Hb)、CD25+T细胞、CD4+CD25+T细胞、CD4+CD25+CD127-T细胞的表达频率降低(P〈0.05)。Spearman相关分析显示,CD25+T细胞与Hb、IgM、ESR呈正相关,CD4+CD25+CD127-T细胞与IgM呈正相关(P〈0.01或P〈0.05);CD25+T细胞与RBC、IgA呈负相关,CD4+CD25+T细胞与补体C4呈负相关,CD4+CD25+CD127-T细胞与ASO呈负相关(P〈0.05)。结论CD4+CD25+CD127-Treg在RA患者的外周血中显著降低,并且与疾病的活动性高度相关,说明调节T细胞可能参与了RA的发病,早期检测可能为RA的诊断及治疗提供依据。

关 键 词:类风湿关节炎  CD4+CD25+CD127-调节T细胞  流式细胞术  免疫学机制

Detection of regulatory CD4+CD25+CD127-T cells in asthma patients and its clinical significance
Wang Qinbao,Liu Jian,Wan Lei.Detection of regulatory CD4+CD25+CD127-T cells in asthma patients and its clinical significance[J].Anhui Medical Journal,2010,31(2):131-134.
Authors:Wang Qinbao  Liu Jian  Wan Lei
Institution:Wang Qinbao,Liu Jian,Wan Lei Clinical Laboratory Center the First Affliated Hospital of Anhui college of TCM,Hefei 230031,China
Abstract:Objective To evaluate the diagnosis and clinical significance of T cells(Treg) in rheumatoid arthritis.Methods Forty-two cases of rheumatoid arthritis(RA) patients and twenty normal healthy volunteers were chosen for this study.The proportion of CD4+CD25+CD127T cells population in total T cells was evaluated by flow cytometric analysis.Detect two groups of laboratory indexes,The relationship between T-cell and two sets of laboratory indicators was observed.Results Compared with normal control group,white bl...
Keywords:Rheumatoid arthritis  CD4+CD25+CD127-regulating T-cell  Flow cytometry  Immunological mechanisms  
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