再生障碍性贫血患者淋巴细胞表型变化

被引:7
作者
傅晋翔
於葛华
张学光
机构
[1] 苏州大学第二附属医院
[2] 苏州大学生物技术研究所 (导师 )
关键词
再生障碍性贫血; 淋巴细胞异常活化; 细胞表型变化;
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 研究再生障碍性贫血 (AA)患者骨髓 (BM)及外周血 (PB)淋巴细胞及其活化相关分子的表达及临床意义。方法 采用单色和双色免疫荧光标记法、流式细胞仪分析AA患者的BM和PB中淋巴细胞膜分子的表达。结果 AA患者BM和BP中CD8+细胞增加 ,CD4 CD8比例下降 ,BM中CD2 5 +细胞和HLA DR+细胞增多 ,急性AA增加尤为显著 (P <0 .0 1) ,BM中CD16 +或CD5 6 +细胞也明显增多 (P <0 .0 5 ) ;双标记分析提示T细胞主要为CD8+细胞 ;急性AA患者CD8+ CD2 5 +细胞显著增多 (P <0 .0 1) ,AA患者BM中淋巴细胞活化相关分子表达增多 ,尤其是 4 1BB+、CD95L+和CD40L+细胞显著增多 (P <0 .0 1)。结论 AA患者BM中淋巴细胞活化相关膜分子增多 ,是AA免疫功能异常及最终导致造血功能衰竭的原因之一
引用
收藏
页码:36 / 39
页数:4
相关论文
共 9 条
[1]  
Ox-40 ligand: a potent costimulatory molecule for sustaining primary CD4 T cell responses. Gramaglia I,Weingerg AD,Lemon M,et al. J Immunol . 1998
[2]  
Immune mechanism of aplastic anemia. Nakao S. International Journal of Hematology . 1997
[3]  
Mechanism of action of antithymocyte globulin in the treatment of aplastic anemia: in vitro evidence for the presence of immunosuppressive mechanism. Teramura M,Kobayashi S,Iwabe K,et al. British Journal of Haematology . 1997
[4]  
Intensive immunosuppression with antithymocyte globulin and cyclosporine as treatment for severe acquired aplastic anemia. Rosenfeld SJ,Kimball J,Vining D,et al. Blood . 1995
[5]  
T-cell receptor beta chain variability in bone marrow and peripheral blood in severe acquired aplastic anemia. Manzs CY,Dietrich PY,Schnuriger V,et al. Blood Cells Molecules Diseases . 1997
[6]  
A two-step, two-signal model for the primary activation of precursor helper T cells. Bretscher PA. Proceedings of the National Academy of Sciences of the United States of America . 1999
[7]  
Isolation of a T-cell clone showing HLA-DRB1*0405-restricted cytotoxicity for hematopoietic cells in a patient with aplastic anemia. Nakao S,Takami A,Takamatsu H,et al. Blood . 1997
[8]  
B7h, a novel costimulatory homolog of B7-1 and B7-2, is induced by TNF alpha. Swallow MM,Wallin JJ,Sha WC. Immunity . 1999
[9]  
Costimulatory molecules and modulation. Monika CB. Immunologist . 1999