Determination of proportions of T cell subsets and levels of interleukin-15 and interleukin-16 in peripheral blood of patients with chronic hepatitis B virus infection and correlation between them
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摘要:
目的分析慢性HBV感染者外周血T淋巴细胞(CD3+、CD4+、CD8+和CD4+/CD8+)及细胞因子白细胞介素(IL)15、IL-16表达水平的变化及临床意义。方法选择2014年7-12月在兰州市第二人民医院治疗的慢性乙型肝炎患者63例(CHB组),慢性HBV携带者112例(ASC组),健康对照者84例(对照组),运用流式细胞术检测3组患者血清中T淋巴细胞亚群水平,酶联免疫法检测IL-15、IL-16表达水平,运用聚合酶链反应检测HBV DNA载量。多组间比较采用方差分析,组内数据的相关分析采用Pearson相关法。结果与健康对照组相比,ASC组和CHB组CD3+、CD4+T淋巴细胞百分数以及CD4+/CD8+T淋巴细胞百分数比值均显著降低,CD8+T淋巴细胞百分数显著升高,差异均有统计学意义(P值均<0.05);ASC组和CHB组IL-15、IL-16表达水平均显著高于健康对照组,差异均有统计学意义(P值均<0.05)。CHB患者中HBV DNA高载量组CD3+、CD4+、CD4+/CD8+T淋巴细胞百分数比值较HBV DNA低载量组显著降低,CD8+T淋巴细胞百分数显...
Abstract:Objective To investigate the variation and clinical significance of T cell subsets( CD3+,CD4+,CD8+,and CD4+/ CD8+)and levels of cytokines,interleukin( IL)-15 and IL-16,in peripheral blood of patients with chronic hepatitis B virus( HBV) infection.Methods A total of 63 patients with chronic hepatitis B( CHB),112 asymptomatic carriers( ASC) of HBV,and 84 healthy controls who were treated in our hospital from July to December,2014,were assigned to CHB group,ASC group,and control group,respectively. In the three groups,the serum T cell subset populations were determined using flow cytometry; the expression of cytokines,IL-15 and IL-16,was measured by enzyme-linked immunosorbent assay; the HBV DNA load was measured by polymerase chain reaction. Comparison of data between multiple groups was made by analysis of variance. The data in each group were subjected to Pearson correlation analysis. Results Compared with the control group,the CHB and ASC groups had significantly lower CD3+,CD4+,and CD4+/ CD8+T cell proportions but a significantly higher CD8+T cell proportion( all P < 0. 05). The CHB and ASC groups also had significantly higher expression of IL-15 and IL-16 than the control group( all P < 0. 05). In the CHB group,patients with a high HBV DNA load had significantly lower CD3+,CD4+,and CD4+/ CD8+T cell proportions but a significantly higher CD8+T cell proportion than those with a low HBV DNA load( all P <0. 05). In the ASC group,patients with a high HBV DNA load had significantly lower CD4+and CD4+/ CD8+T cell proportions but a significantly higher CD8+T cell proportion than those with a low HBV DNA load( all P < 0. 05). In the peripheral blood of patients in the CHB group,the expression of CD4+was positively correlated with the expression of IL-15( r = 0. 516,P < 0. 05),while the expression of CD8+was positively correlated with the expression of IL-16( r = 0. 665,P < 0. 05). In the peripheral blood of patients in the ASC group,the expression of CD3+was positively correlated with the expression of IL-15( r = 0. 618,P < 0. 05). Conclusion Patients with HBV infection have abnormal proportions of T cell subsets. Cytokines,IL-15 and IL-16,may induce different degrees of cellular immune dysfunction and dysregulation.
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Key words:
- hepatitis B,chronic /
- T-lymphocyte subsets /
- interleukin 15 /
- interleukin 16
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