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中国防痨杂志 ›› 2006, Vol. 28 ›› Issue (6): 401-403.

• 论著 • 上一篇    下一篇

结核性胸膜炎胸液T淋巴细胞亚群、黏附分子变化分析

尹洪云;肖和平;史祥;吴福蓉;粟波;   

  1. 上海市肺科医院 上海 200433;
  • 出版日期:2006-06-10 发布日期:2006-11-03

The analysis of the change of T subset cells and adhesion molecules in the pleural effusion of the patients with tuberculous pleurisy

Yin Hongyun,Xiao Heping,Shi Xiang,et al.   

  1. Chest Hospital of Shanghai,Shanghai 200433,China
  • Online:2006-06-10 Published:2006-11-03

摘要: 目的回顾性分析结核性胸膜炎时胸膜腔局部的免疫反应和炎症状态。方法利用单克隆抗体、采用流式细胞仪测定35例结核性胸膜炎患者外周血和胸液中表面标记CD3、CD4、CD8I、CAM-1、23、、VCAM-1的淋巴细胞、进行比较。结果胸液中CD3、CD4类淋巴细胞及亚群CD4/CD8比值明显高于外周血,而CD8淋巴细胞则明显低于外周血。黏附分子ICAM-12、3、、VCAM-1在外周血和胸液中淋巴细胞表面表达比例并无差异。黏附分子和T淋巴细胞亚群的以上分布情况在病程不同的患者中无差异性。结论结核性胸膜炎胸腔积液中以CD4淋巴细胞反应为主,而淋巴细胞表面黏附分子表达则无明显变化。

关键词: 结核,胸膜/免疫学, T淋巴细胞亚群, 细胞黏附分子

Abstract: ObjectiveTo retrospectively study the local pleural immune and inflammatory responses of patients with tuberculous pleurisy. Methods Collecting the samples of blood and pleural effusion from 35 cases with tuberculous pleurisy,we determined different T cells number marked CD3,CD4,CD8 and ICAM-1,2,3,VCAM-1 above samples through flow cytometer,and compared the rate of T subtypes in blood with pleural effusion. Results There was a significant increase at rate of T cells marked CD3,CD4 and CD4/CD8 in pleural effusion compared with it in blood,while there was a significant decrease of T cell marked CD8,and there were no differences at the rate of T cells marked ICAM-1,2,3,VCAM-1.There was no change at those rates of T subset cells in patients with different interval duration from start of symptom to admission checks. Conclusion CD4 cells were main immune responding T cells.There was no variation in T cell expressing adhesion molecules.

Key words: Tuberculous pleurisy/immunology, T-lymphocyte subsets, Cell adhesion molecules