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山东大学学报(医学版) ›› 2010, Vol. 48 ›› Issue (9): 89-.

• 论文 • 上一篇    下一篇

慢性HCV感染患者外周血CD81、CD4表达的观测

程广霞1,2,张玲1,刘靓雯2,冯照雷2,李翠玲1   

  1. 1.山东省医学科学院基础医学研究所, 山东省医药卫生肿瘤免疫与中药免疫重点实验室,
    山东省现代医用药物与技术重点实验室, 济南 250062;
    2.济南市传染病医院检验中心, 济南 250021)摘要:目的研究慢性丙型肝炎病毒(HCV)感染患者外周血CD81、CD4的表达,探讨CD81对患者机体免疫系统的调节作用。方法选择HCV感染患者55例(感染组
  • 收稿日期:2010-03-29 出版日期:2010-09-16 发布日期:2010-09-16
  • 通讯作者: 张玲(1950- ),女,研究员,主要从事免疫调控和抗肿瘤研究。 E-mail:zhlnln@tom.com
  • 作者简介:程广霞(1980- ),女,医学硕士,主管检验师,主要从事免疫学研究。

Peripheral  expressions CD81 and CD4 in chronic HCV  patients

CHENG Guang-xia1,2, ZHANG Ling1, LIU Jing-wen2, FENG Zhao-lei2, LI Cui-ling1   

  1. 1. Institute of Basic Medicine Shandong Academy of Medical Sciences; Medical Health Key Laboratory for Tumor Immunology
    and  Chinese Medicine Immunology of Shandong Province; Key Laboratory  for Modern Medicine and Technology of
    Shandong Province, Jinan 250062, China; 2. Laboratory Center of Jinan Infectious Disease Hospital, Jinan 250021, China
  • Received:2010-03-29 Online:2010-09-16 Published:2010-09-16

摘要:

目的    研究慢性丙型肝炎病毒(HCV)感染患者外周血CD81、CD4的表达,探讨CD81对患者机体免疫系统的调节作用。方法    选择HCV感染患者55例(感染组),健康对照25例(健康对照组),采用流式细胞术检测其外周血CD81、CD4的表达水平,ELISA法检测血清中白介素 2(IL2)的含量, RT-PCR法检测血清中HCV RNA的含量。结果    感染组CD81分子的表达水平与血清中HCV RNA的含量呈正相关(r=0.474, P<0.01)。感染组外周血淋巴细胞中CD81+细胞和CD3+CD4+T细胞中CD3+CD4+CD81+T细胞的数量均高于健康对照组(P<0.01),且二者呈正相关(r=0.581, P<0.01);感染组CD3+CD4+T细胞的数量和血清中IL2的含量均显著低于健康对照组(P<0.05),且两者呈正相关(r=0.378,P<0.05)。结论    HCV感染后,HCV RNA的持续存在可能促进细胞表面CD81分子的表达;CD81分子高表达的同时,伴随CD3+CD4+T细胞数量降低,且分泌的细胞因子IL-2减少,参与患者机体的免疫调节。

关键词: 丙型肝炎病毒;白细胞分化抗原81;CD3+CD4+T细胞;白细胞介素2;丙型肝炎病毒RNA

Abstract:

 Objective     To investigate peripheral CD81 and CD4 expressions in patients infected by chronic Hepatitis C Virus (HCV),  and explore the modulation effect of CD81 on the immune system. Methods      Samples were collected from 55 chronic hepatitis C patients (infection group) and 25 healthy persons (control group). Peripheral expression of CD81 and CD4 were measured by flow cytometry. Serum level of IL2 and  HCV RNA were detected by ELISA and RTPCR, respectively. Results    The peripheral level of  CD81+ cells and the serum level of HCV RNA were positively correlated(r=0.474, P<0.01) in the infection group. The numbers of the peripheral CD81+  lymphocytes and the CD3+CD4+ CD81+T cells among CD3+CD4+ T cells in the infection group were higher than those in the control group (P<0.01). Both were positively correlated(r=0.581,P<0.01). Also, the number of peripheral CD3+CD4+T cells and the serum level of IL2 in the infection group were considerably lower than those in the control group (P<0.05). Both were also positively correlated(r=0.378, P<0.05). Conclusion    After HCV infection, the consistent presence of HCV RNA can promote expression of CD81 while number of CD3+CD4+T cells and secretion of  IL-2 decline, which participate in the immuno-regulation of the patients.

Key words: Hepatitis C virus; Cluster of differentiation 81; CD3+CD4+T cells; Interleukin-2; Hepatitis C virus RNA

中图分类号: 

  • R512.63
[1] 徐皖苏,刘靓雯,秦晓华,刘宗清. 山东地区丙型肝炎病毒基因型及相关因素分析[J]. 山东大学学报(医学版), 2010, 48(2): 140-.
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