非耐药与耐多药肺结核患者外周血T淋巴细胞亚群及细胞因子的变化
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何纲

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R521

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广东省医学科研基金项目(B2011322)


Change in peripheral blood T lymphocyte subsets and cytokines in patients with drugsensitive and multidrugresistant pulmonary tuberculosis
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    摘要:

    目的对非耐药(DS)及耐多药(MDR)肺结核患者外周血T淋巴细胞亚群及细胞因子的变化及意义进行探讨。方法 对某医院及某结核病防治所2011年7月—2012年7月住院的肺结核患者(其中DS肺结核患者20例,MDR肺结核患者15例)以及医院同期26例健康体检者(对照组)外周血的CD3+、CD4+、CD8+T淋巴细胞亚群进行检测;同时检测外周血干扰素(IFN)γ、白细胞介素(IL)10,对3组数据进行比较。结果DS肺结核组、MDR肺结核组及对照组CD3+、CD4+、CD8+T淋巴细胞亚群的表达率比较,差异无统计学意义(P>0.05);3组患者CD3+、CD4+、CD8+T淋巴细胞绝对值比较,差异有统计学意义(P<0.01);各组间两两比较,差异亦有统计学意义(P<0.05),其中对照组CD3+[(1 426±485)/μL]、CD4+[(825±306)/μL]、CD8+T淋巴细胞[(516±213)/μL]绝对值最高,MDR肺结核组最低[分别为(746±358)/μL、(461±204)/μL、(213±101)/μL]。3组间IFNγ浓度比较,差异有统计学意义(P<0.01);各组间两两比较,差异亦有统计学意义(P<0.05),其中对照组浓度 [(65.04±36.31)pg/mL]最高,MDR肺结核组 [(23.32±14.04)pg/mL]最低。3组间IL10浓度比较,差异无统计学意义(P>0.05)。结论人类痰菌阳性肺结核及MDR肺结核患者外周血CD3+、CD4+、CD8+T淋巴细胞绝对值及血清IFNγ有不同程度下降,其下降可能促进了结核病情进展,且可能为耐药肺结核形成的原因之一。

    Abstract:

    ObjectiveTo evaluate the changes and significance of T lymphocyte subsets and cytokines in peripheral blood of patients with drugsensitive and multidrugresistant pulmonary tuberculosis(MDR pulmonary TB).MethodsFrom July 2011 to July 2012, T lymphocyte subsets (CD3+,CD4+,and CD8+T)and cytokines(IFNγ and IL10) were detected in patients with drugsensitive pulmonary TB (DS group, 20 cases),MDR pulmonary TB (MDR group, 15 cases) and healthy physical examination persons (control group,26 cases) in a hospital, data of three groups were compared.ResultsNo significant differences were found in percentages of CD3+,CD4+,and CD8+T among three groups(P>0.05);there were significant differences in absolute counts of CD3+,CD4+,and CD8+T among three groups(P<0.01),and the difference between every two groups was also significant (P<0.05), which was highest in control group(CD3+[1 426±485]/μL;CD4+[825±306]/μL;CD8+T[516±213]/μL)and lowest in MDR group(CD3+ [746±358]/μL;CD4+ [461±204]/μL;CD8+T [213±101]/μL). There were significant differences in IFNγ value among three groups(P<0.01), and the difference between every two groups was also significant (P<0.05), which was highest in control group ([65.04±36.31]pg/mL) and lowest in MDR group([23.32±14.04]pg/mL). No significant differences were found in IL10 among three groups(P>0.05).ConclusionThe absolute counts of T lymphocyte subsets CD3+,CD4+,and CD8+T as well as IFNγ declined in drugsensitive pulmonary TB patients and MDR pulmonary TB patients, which may accelerate the progress of TB and be one of the causes of MDR pulmonary TB.

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何纲,丁佩佩,甄沛林,等.非耐药与耐多药肺结核患者外周血T淋巴细胞亚群及细胞因子的变化[J]. 中国感染控制杂志,2013,12(5):326-329. DOI:10.3969/j. issn.1671-9638.2013.05.002.
HE Gang, DING Peipei, ZHEN Peilin, et al. Change in peripheral blood T lymphocyte subsets and cytokines in patients with drugsensitive and multidrugresistant pulmonary tuberculosis[J]. Chin J Infect Control, 2013,12(5):326-329. DOI:10.3969/j. issn.1671-9638.2013.05.002.

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  • 收稿日期:2012-12-25
  • 最后修改日期:2013-03-22
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  • 在线发布日期: 2013-09-30
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