尼日利亚阿布贾教学医院hiv -利什曼病合并感染者的白细胞和th相关细胞因子谱

Idris Nasir Abdullahi, Anthony Uchenna Emeribe, Hafeez Aderinsayo Adekola, Habiba Yahaya Muhammad, Abdurrahman El-Fulaty Ahmad, Abubakar Umar Anka, Yusuf Mohammed, Shamsuddeen Haruna, Bamidele Soji Oderinde, Halima Ali Shuwa, Adamu Babayo
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引用次数: 2

摘要

目的:t辅助细胞(Th)-1和-2细胞因子的内稳态控制或预测感染者的临床预后,特别是HIV /AIDS感染者。本病例对照研究评估了尼日利亚阿布贾大学教学医院有利什曼病血清学证据的HIV感染者的白细胞差异、tnf - α、白细胞介素(IL)-2和-10水平。材料与方法:选取28例多诺瓦利什曼原虫rK39和免疫球蛋白g (IgG)阳性的HIV感染者(1组)、30例年龄和性别匹配的无利什曼原虫抗体的HIV感染者(2组)和30例无利什曼原虫抗体的表面健康者(3组)的血液样本,分别采用全自动血液学分析仪和ELISA检测全血细胞计数、TNF α、IL-2和-10水平。采用结构化问卷来整理参与者的生物数据和临床表现。结果:1组治疗10例(35.7%),2组治疗15例(50%),3组治疗naïve。HIV/利什曼合并感染者嗜碱性粒细胞(4.4±2.5%)和嗜酸性粒细胞计数(12.9±3.8%)明显高于HIV/利什曼合并感染者。结论:HIV/利什曼合并感染者嗜酸性粒细胞、嗜碱性粒细胞计数和血清IL-10水平均较高,表现为寄生虫引起的过敏和免疫抑制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Leucocytes and Th-associated Cytokine Profile of HIV-Leishmaniasis Co-Infected Persons Attending Abuja Teaching Hospital, Nigeria.

Objective: T-helper cells (Th)-1& -2 cytokines homeostasis control or predict clinical outcome of infected persons, especially those with HIV /AIDS. This case-control study evaluated the leucocytes differentials, TNF-alpha, interleukin (IL)-2 and -10 levels among HIV infected persons with serological evidence of leishmaniasis attending University of Abuja Teaching Hospital, Nigeria.

Materials and methods: Blood samples from 28 HIV infected persons who had Leishmania donovani rK39 and Immunoglobulin-G (IgG) positive (group 1), 30 age- & -sex matched HIV infected persons without Leishmania antibodies (group 2) and 30 apparently healthy persons without HIV and Leishmania antibodies (group 3). Full blood counts, TNF alpha, IL-2 and -10 levels were analyzed using automated hematology analyzer and ELISA, respectively. Structured questionnaires were used to collate biodata and clinical presentations of participants.

Results: Ten (35.7%) participants in group 1 were on ART, 15 (50%) in group 2 were on ART, while group 3 were ART naïve. There were significantly higher values in basophil (4.4±2.5%) and eosinophil counts (12.9±3.8%) in HIV/leishmania coinfected persons (p<0.005). However, other white cells subpopulation was significantly lower in HIV/leishmania co-infected participants (p<0.05). There was significantly reduced CD4+ T cell counts ([119±26 versus 348±63 versus 605±116 cells/mm3]), TNF-alpha ([36.82±8.21 versus 64.67±12.54 versus 254.98±65.59 pg/mL]) and IL-2 levels ([142.14±20.91 versus 507.6±84.42 versus 486.62±167.87 pg/mL]) among HIV/Leishmania co-infected participants compared to group 2 and group 3 participants, respectively. However, higher IL-10 level (80.35±14.57 pg/mL) was found in HIV/Leishmania co-infected participants as opposed to the HIV monoinfected (62.2±10.43 pg/mL) and apparently healthy persons (23.97±4.88 pg/mL) (p<0.001).

Conclusion: Eosinophil, basophil counts and serum IL-10 level were high in HIV/Leishmania coinfected persons, demonstrating parasite-induced hypersensitivity and immunosuppression.

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