慢性乙型肝炎患者外周血中T淋巴细胞亚群和CD4+CD25+调节性T淋巴细胞的表达水平与HBV DNA定量的相关分析
DOI: 10.3969/j.issn.1001-5256.2015.04.016
Correlation analysis of percentages of T lymphocyte subsets and CD4~+CD25~+ regulatory T cells and HBV DNA level in peripheral blood of chronic hepatitis B patients
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摘要: 目的探讨慢性乙型肝炎(CHB)患者外周血中T淋巴细胞亚群(CD3+T、CD4+T、CD8+T、CD4+/CD8+T)和CD4+CD25+调节性T淋巴细胞(Treg)表达水平与HBV DNA定量的相关性。方法选取2012年7月-12月在兰州市第二人民医院就诊的175例HBV感染者作为研究对象,分为CHB组(63例)、HBV携带者(ASC组)(112例),以同期50例健康体检者作为对照组。采用流式细胞术检测3组患者血清中的CD3+T、CD4+T、CD8+T、CD4+T/CD8+T和CD4+CD25+Treg表达水平,实时荧光定量PCR法检测HBV DNA载量。多组间均数比较采用方差分析,进一步两两比较采用LSD-t检验,计数资料组间比较采用χ2检验;采用Pearson进行相关性分析。结果 CHB患者外周血CD4+CD25+Treg表达水平(30.97±18.78)%显著高于对照组(27.30±17.59)%,差异具有统计学意义(P<0.05);与对照组相比,CHB组、ASC组的CD3+T、CD4+T淋巴细胞百分数和CD4+与CD8+T淋巴细胞百分数比值显著降低,差异均有统计学意义(P...Abstract: Objective To investigate the correlation between the percentages of T lymphocyte subsets( CD3+T,CD4+T,CD8+T,and CD4+/ CD8+T) and CD4+CD25+regulatory T cells( Treg cells) and hepatitis B virus( HBV) DNA level in the peripheral blood of chronic hepatitis B( CHB) patients. Methods We chose 175 patients with HBV infection,who visited The Second People' s Hospital of Lanzhou from July to December,2012. The patients were divided into CHB group( n = 63) group and asymptomatic carrier( ASC) group( n =112). In the same period,50 healthy examinees served as control group. The percentages of CD3+,CD4+,CD8+,and CD4+/ CD8+T lymphocytes and CD4+CD25+Treg cells in the serum of three groups were measured by flow cytometry. HBV DNA level was analyzed by quantitative real- time PCR. The comparison of means between multiple groups was performed by analysis of variance. Further comparison between any two means was performed by LSD- t test. Correlation analysis was performed by Pearson's correlation test. Results The percentage of CD4+CD25+Treg( 30. 97% ± 18. 78%) in the peripheral blood of CHB patients was significantly higher than that of the control group( 27. 30% ± 17. 59%)( P < 0. 05). Compared with the control group,the CHB and ASC groups had significantly reduced percentages of CD3+and CD4+T lymphocytes and CD4+/ CD8+T lymphocyte ratio( P < 0. 05) and a significantly increased percentage of CD8+T lymphocytes( P < 0. 05). There was a positive correlation between the percentage of CD4+CD25+Treg cells and HBV DNA level in the ASC and CHG groups( r = 0. 501 and 0. 682,P < 0. 05 for both). Conclusion There are normal percentages of T lymphocyte subsets in HBV infection patients. HBV DNA can lead to an increased percentage of CD4+CD25+Treg cells,indicating that the imbalance of CD4+CD25+Treg and CD4+/ CD8+T cells plays an important role in the chronic progression of hepatitis B.
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Key words:
- hepatitis B,chronic /
- T-lymphocytes,regulatory /
- T-lymphocyte subsets /
- viral buralen
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