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• 临床研究 • 上一篇    下一篇

慢性肝病患者T淋巴细胞亚群、IL-10和IL-12变化的意义

李东复,闫 峻,周晓琦,申吉子   

  1. 吉林大学第二医院消化内科,吉林 长春130041
  • 收稿日期:2002-10-08 修回日期:1900-01-01 出版日期:2004-07-28 发布日期:2004-07-28

Significance of changes in T lymphocyte subsets, IL-10and IL-12 levels in patients with chronic hepatic diseases

LI Dong-fu, YAN Jun,ZHOU Xiao-qi, SHEN Ji-zi   

  1. Department of Digestive Medicine, Second Hospital, Jilin University, Changchun 130041, China
  • Received:2002-10-08 Revised:1900-01-01 Online:2004-07-28 Published:2004-07-28

摘要: 目的:观察慢性肝病患者T淋巴细胞亚群、IL-10和IL-12与临床表现的关系。 方法:采用双抗体夹心ELISA法与抗体致敏的红细胞花环试验法,对68例慢性乙肝病毒性肝病患者T淋巴细胞亚群、IL-10和IL-12进行平行测定。 结果:不同临床类型慢性肝病患者CD4+、CD4+/CD8+明显低于对照组,而CD8+明显高于对照组;慢性肝炎组IL-10、IL-12明显高于对照组;慢性HBeAg阳性肝炎患者CD4+、CD4+/CD8+及IL-12明显低于HBeAg阴性患者,CD8+及IL-10明显高于HBeAg阴性患者。 结论:慢性乙肝病毒性肝病患者细胞免疫功能低下,免疫调节紊乱,IL-10、IL-12水平及T淋巴细胞亚群变化与患者HBV携带状态即HBV的复制活跃程度有关。

关键词: 血液, T淋巴细胞亚群, 白细胞介素10, 血液, 白细胞介素12, 血液

Abstract: Objective To examine the changes of T lymphocyte subsets, IL-10 and IL-12 levels in patients with chronic hepatic diseases. Methods Serum IL-10, IL-12 and T lymphocyte subsets in 68 patients with various clinic types of viral hepatic diseases were detected by double-sandwich ELISA and erythrocyte garland test, respectively. Results CD4+,CD4+/CD8+ in patients with different clinic types of chronic hepatic disease were significantly decreased, and CD8+ cells were significantly increased compared with control, and IL-10, IL-12 levels in patients with chronic hepatitis B and hepatocirrhosis markedly increased. CD4+, CD4+/CD8+, and IL-12 in HBeAg positive hepatitis group were markedly lower than those in HBeAg negative hepatitis group. The number of CD8+ cells and IL-10 level were significantly higher than those in HBeAg negative hepatitis group. Conclusion The immunological function is disorder in patients with chronic HBV hepatic disease, and CD4+, CD4+/ CD8+, IL-10, and IL-12 levels are related to state of HBV replication carrier or the active degree of HBV in patients with chronic hepatic disease.

Key words: blood, T-lymphocyte subsets, interleukin-10, blood, interleukin-12, blood

中图分类号: 

  • R512.6