两次随访的康复期SARS患者T细胞亚群及其相关活化分子的研究

目的 :探讨康复期SARS患者外周血T细胞亚群及其相关活化分子的变化。方法 ::对出院后的SARS患者 ,采用统一调查问卷及实验室检测进行随访研究。两次随访中 ,应用流式细胞仪检测了我院 70余例经中西医结合治疗的康复期SARS患者外周血中CD3 、CD4 、CD8 、CD8 CD2 8 、CD8 CD2 8-、CD3 CD2 5 、CD3 CD6 9 、CD3 HLA DR T细胞的百分率及CD4 /CD8 T细胞的比率的改变 ,并以描述性分析及t检验进行比较分析。结果 :两次随访中 ,CD3 、CD4 和CD8 CD2 8 T细胞的百分率 (均值 )及CD4 /CD8 T细胞的比率 ,均明显低于正常值 (P <0 .0 5 ) ,而CD8 CD2 8-T细胞的百分率则显著增高 (P <0 .0 1)。第 2次随访中 ,检测的CD3 、CD8 、CD3 CD2 5 、CD3 CD6 9 及CD3 HLA DR T细胞的百分率 (均值 ) ,及CD4 /CD8 T细胞的比率 ,与第 1次的相比较差异较显著 (P <0 .0 1) ,其余项目差异均不明显。结论 :随着康复期的延长 ,患者的免疫功能逐渐恢复 ,病毒对T细胞活化的影响逐渐减少。

The Study on T cell subsets and their activated molecules from the convalescent SARS patients during two follow-up surveys

AIM: To explore the changes of peripheral blood T cell subsets and their activated molecules in convalescent SARS patients. METHODS: In two follow-up surveys of the SARS patients discharged from our hospital, the changes of CD3(+), CD4(+), CD8(+), CD8(+) CD28(+), CD8(+) CD28(-), CD3(+) CD25(+), CD3(+) CD69(+), CD3(+) HLA-DR(+)T cells and the ratio of CD4(+)/CD8(+) T cells in peripheral blood of SARS patients treated unitedly with Chinese and Western medicines were detected by flow cytometry. RESULTS: In two follow-up surveys, the percentages of CD3(+), CD4(+), CD8(+) CD28(+) T cells and the ratio of CD4(+)/CD8(+) T cells were remarkably lower than those of normal values(P<0.05), while the percentage of CD8(+) CD28 (-) T cells was higher(P<0.01). As for the percentages of CD3(+), CD8(+), CD4(+)/CD8(+), CD3(+) CD25(+), CD3(+) CD69(+) and CD3(+) HLA-DR(+) T cells, there was marked difference between 1st and 2nd follow-up results, but for other molecules there was no notable difference. CONCLUSION: The convalescent SARS patients' immune function gradually recovers, and the effect of SARS virus on activation of T cells gradually disappears.