Flt3配体促进再生障碍性贫血患者淋巴细胞向TH1表型分化

被引:5
作者
傅晋翔
施小凤
李军
陈萍
机构
[1] 苏州大学附属二院
关键词
再生障碍性贫血; T细胞分化; Flt3配体;
D O I
暂无
中图分类号
R556 [贫血病];
学科分类号
1002 ; 100201 ;
摘要
目的 探讨Flt3配体 (FL)对再生障碍性贫血 (AA)辅助性T细胞 (TH)分化的影响及与造血功能衰竭的相关性。方法 应用流式细胞仪分析AA患者骨髓及外周血中TH 亚群 ,并观察植物血凝素 (PHA)和白细胞介素 2 (IL 2 )对AA患者TH 亚群影响 ;体外培养研究FL对骨髓和外周血T细胞分化及细胞因子分泌的作用。结果 AA患者骨髓及外周血中TH1细胞比例明显增高 ,且以急性AA更为显著 (P <0 .0 1) ,TH1与TH2细胞比例失衡 ,TH1 TH2比例显著高于正常对照 (2 .1± 0 .8和 1.4± 0 .7,P <0 .0 5) ;AA及正常人淋巴细胞经PHA和IL 2激发后TH1比例并无明显变化 ,而正常人骨髓细胞经与FL共同孵育 10d后 ,培养上清中IFN γ含量增高 ,表型分析提示 ,除TH1细胞比例增加外 ,树突状细胞及自然杀伤细胞阳性率也有明显增加。结论 FL通过树突状细胞诱导淋巴细胞向TH1表型分化 ,是AA造血功能衰竭的原因之一。
引用
收藏
页码:28 / 31
页数:4
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