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PD-L1在结肠癌患者CD4+CD25hiCD127low/-调节性 T 细胞中的表达及其临床意义
引用本文:梁姣姣,居颂文,高志欣.PD-L1在结肠癌患者CD4+CD25hiCD127low/-调节性 T 细胞中的表达及其临床意义[J].重庆医学,2015(31):4324-4326.
作者姓名:梁姣姣  居颂文  高志欣
作者单位:1. 南京医科大学附属苏州医院北区消化系疾病与营养研究中心,苏州,215008;2. 南京医科大学附属苏州医院北区消化科,苏州,215008
基金项目:国家自然科学基金资助项目,江苏省科技计划项目,苏州市科技计划项目资助
摘    要:目的:探讨PD‐L1在结肠癌患者外周血CD4+ CD25hi CD127low/‐T reg细胞上的表达及其与肿瘤病理分期之间的相关性。方法采用流式细胞术分析了47例结肠癌患者外周血中CD4+CD25hi CD127low/‐T reg细胞的含量及其PD‐L1的表达。结果和健康人比较,结肠癌患者外周血中CD4+CD25hi CD127low/‐T reg细胞的含量显著上升,并且PD‐L1的表达明显升高。进一步的分析表明,PD‐L1的表达和结肠癌的病理分期呈正相关,而术后患者CD4+ CD25hi CD127low/‐T reg细胞 PD‐L1的表达则显著下降。结论 CD4+CD25hi CD127low/‐T reg细胞数量及PD‐L1表达的升高可能导致了免疫抑制的增强,这可能是促进肿瘤免疫逃逸的重要因素。

关 键 词:PD-L1  结肠癌  CD4%2BCD25hi  CD127low/-T  reg细胞

The clinical expression significance of PD-L1 on the CD4+CD25hi CD127low/- Treg cells in the peripheral blood of colon cancer
Abstract:Objective To investigate the expression of PD‐L1 in the CD4+CD25hiCD127low/‐ Treg cells in the peripheral blood of colon cancer and the correlation with clinical stage .Methods The expression of PD‐L1 on CD4+CD25hiCD127low/‐Treg cells from 47 samples of the peripheral blood of colon cancer was analyzed by flow cytometry .Results Compared with those from healthy do‐nor ,the proportion of CD4+CD25hiCD127low/‐Treg cells and expression of PD‐L1 on these cells increased significantly (P<0 .01) . Further analysis showed that expression of PD‐L1 increased with the increase of clinical stage of colon cancer (P<0 .01) ,and de‐creased significantly after postoperation (P<0 .05) .Conclusion Increase of proportion of CD4+CD25hiCD127low/‐Treg cells and the expression of PD‐L1 may enhance the suppression of antitumor immunity ,and thereby promote tumor immunoescape .
Keywords:PD-L1  colonic neoplasms  T-lymphocytes  regulatory  CD4+CD25hiCD127low/-
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