山东大学学报(医学版) ›› 2014, Vol. 52 ›› Issue (11): 60-64.doi: 10.6040/j.issn.1671-7554.0.2014.303
庄泳1, 李栋2, 付金秋1, 时庆2, 鞠秀丽1
ZHUANG Yong1, LI Dong2, FU Jinqiu1, SHI Qing2, JU Xiuli1
摘要: 目的 体外诱导培养正常儿童与B系急性淋巴细胞白血病(B-ALL)儿童的树突状细胞(DC),比较二者的生物学特性.方法 分离10例B-ALL初诊患儿(ALL组)和10例正常儿童(对照组)的外周血单个核细胞,以rhGM-CSF(20 ng/mL)、rhIL-4(10 ng/mL)及TNF-α(10 ng/mL)联合培养8 d,显微镜下观察细胞形态,流式细胞仪检测细胞免疫表型(CD11c、CD80、CD83、CD86),ELISA检测培养上清中IL-12的浓度,混合淋巴细胞反应(MLR)检测抗原递呈功能,电化学法检测上清中葡萄糖浓度.结果 ALL组细胞未表现出DC的典型形态,CD11c、CD80、CD83、CD86表达均较对照组细胞低(P< 0.05),分泌IL-12的能力弱于对照组细胞(P<0.05),刺激T淋巴细胞增殖的能力弱于对照组细胞,ALL组细胞培养上清中的葡萄糖浓度高于对照组(P<0.05).结论 B-ALL来源的DC成熟度异常,功能减弱,葡萄糖代谢异常可能是其成熟异常的原因之一.
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