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特发性血小板减少性紫癜患者治疗前后CD8^+T细胞的KIR 3DL1表达改变
引用本文:寿红,张慧英,潘月芬,方遒,曹丹,陈颖. 特发性血小板减少性紫癜患者治疗前后CD8^+T细胞的KIR 3DL1表达改变[J]. 全科医学临床与教育, 2009, 7(6): 582-583,586
作者姓名:寿红  张慧英  潘月芬  方遒  曹丹  陈颖
作者单位:湖州市中心医院血液科,浙江湖州,313000
摘    要:目的探讨杀伤细胞免疫球蛋白样受体3DL1(KIR 3DL1)与特发性血小板减少性紫癜(ITP)发病的相关性。方法采用流式细胞术检测38例ITP患者治疗前、缓解后及20例对照组外周血CD8^+T细胞表面KIR 3DL1的表达。结果ITP患者治疗前外周血CD8^+T细胞KIR 3DL1(中位数=2.30%,四分住数=1.71%)表达低于ITP患者缓解后(中住数=3.11%,四分位间距:2.18%),差异有统计学意义(Z=3.95,P〈0.05);ITP患者治疗前外周血CD8^+T细胞KIR 3DL1表达亦低于对照组(中位数=4.03%,四分位间距=2.47%),差异有统计学意义(Z=3.45,P〈0.05)。结论ITP患者外周血CD8^+T细胞KIR 3DL1表达下调,血小板破坏增加。KIR 3DL1在ITP发病中起一定作用。

关 键 词:特发性血小板减少性紫癜  杀伤细胞免疫球蛋白样受体  T淋巴细胞

Expression of killer Ig-like receptors 3DL1 on CD8+ T lymphocytes in patients with idiopathic thrombocytopenic purpura
Affiliation:SHOU Lihong, ZHANG Huiying, PAN Yuefen, et al. (Department of Hematology, Huzhou Central Hospital, Huzhou 313000, China )
Abstract:Objective To analyze the relationship between killer Ig-like receptors 3DLI (KIR3DL1) and idiopathic thrombocytopenic purpura (ITP). Methods KIR3DLI expressed on the surface of CD8^+ T lymphocytes were determined by flow cytometry in 38 ITP patients and 20 cases blood donors. Results The expression of KIR 3DL1 on CD8^+T lymphoeytes in ITP patients before treatment was significantly lower (M=2.30%, Q=1.71%) than that of cured patients (M=3.11%, Q=2.18%)(Z=3.95,P〈0.05).The expression of KIR 3DL1 on CD8^+T lymphocytes of patients before treatment was significantly lower than that of blood donors too (M=4.03%, Q=2.47%)(Z=3.45,P〈0.05). Conclusions The expression of KIR 3DL1 on CD8^+T lymphocytes decreased in ITP patients, and the destruction of platelets increased. KIR 3DL1 are associated with ITP.
Keywords:idiopathic thrombocytopenic purpura  killer Ig-like receptors  T lymphocytes
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