[重型乙型肝炎前期的免疫学指标]。

中华实验和临床病毒学杂志 Pub Date : 2013-10-01
Chun-Hui Guo, Guo-Jiong Deng, Ting-Ting Sun
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引用次数: 0

摘要

目的:研究重症乙型肝炎(PSHB)前期的细胞免疫和体液免疫状态。方法:采用流式细胞术检测56例PSHB患者、40例慢性乙型肝炎(CHB)患者和20例健康志愿者外周血CD3+、CD4+、CD8+和CD3-/CD19+ (B细胞)淋巴细胞亚群。采用免疫比浊法检测血清IgG和补体C3,并进行统计学分析。结果:与CHB组和健康对照组比较,PSHB组淋巴细胞CD8+亚群百分比均显著或显著降低(P < 0.01或P < 0.05)。PSHB组淋巴细胞亚群CD4+百分比和CD4+/CD8+比值明显高于CHB组(P < 0.05)。+01或P < 0.05)。此外,PSHB组与CHB组的B细胞百分比和血清IgG水平差异无统计学意义(P > 0.05),血清补体C3水平显著低于CHB组和健康对照组(P < 0.01, P < 0.05)。结论:PSHB存在一定程度的细胞免疫功能障碍,表现为细胞免疫功能亢进和体液免疫抑制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Immunological parameters on prophase of severe hepatitis B].

Objective: To study cellular and humoral immune status on prophase of severe hepatitis B (PSHB).

Methods: 56 cases of PSHB patients, 40 cases of chronic hepatitis B (CHB) patients and 20 cases of healthy volunteers were enrolled for detection of CD3+, CD4+, CD8+ and CD3-/CD19+ (B cells) lymphocyte subsets in peripheral blood by flow cytometry. Serum IgG and complement C3 was detected by immunoturbidimetry and analyzed statistically.

Results: Compared with CHB group and healthy control group, percentage of lymphocyte subsets CD8+ were significantly lower in PSHB group (P < 0.01 or P < 0.05). While the percentage of lymphocyte subsets CD4+ and ratio of CD4+/CD8+ in PSHB group was obviously higher than those in CHB group (P < 0.+01 or P < 0.05). In addition, There was no significant difference on the percentage of B cell and level of serum IgG between PSHB group and CHB group (P > 0.05, while the level of serum complement C3 in PSHB group were significantly lower than those in CHB group and healthy control group (P < 0.01, P < 0.05).

Conclusion: PSHB has a certain degree of cellular immune dysfunction, which characterized by cellular immune function hyperfunction and humoral immune suppression.

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