福建医药杂志2024,Vol.46Issue(2) :10-13.DOI:10.20148/j.fmj.2024.02.003

CD4+Foxp3+调节性T细胞在急性髓系白血病中的变化及其预后意义

Changes of regulatory T Cells in acute myeloid leukemia and its prognostic signifi-cance

林俊生 林慧洁 戴炜 黄晓宇 陈君涵 张鑫 陈加弟
福建医药杂志2024,Vol.46Issue(2) :10-13.DOI:10.20148/j.fmj.2024.02.003

CD4+Foxp3+调节性T细胞在急性髓系白血病中的变化及其预后意义

Changes of regulatory T Cells in acute myeloid leukemia and its prognostic signifi-cance

林俊生 1林慧洁 2戴炜 1黄晓宇 2陈君涵 1张鑫 2陈加弟1
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作者信息

  • 1. 福建医科大学附属协和医院检验科,福州 350001
  • 2. 福建医科大学医学技术与工程学院医学检验系,福州 350004
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摘要

目的 探究CD4+Foxp3+调节性T细胞(Tregs)在急性髓系白血病(AML)中的变化,并研究其与AML预后的关系.方法 采用流式细胞术检测来我院就诊的初诊AML患者和健康对照组外周血Tregs水平;根据细胞核型将AML分为预后较好组、预后中等组和预后较差组,比较各组患者Tregs占CD4+T细胞比例,研究外周血Tregs对AML预后的意义.结果 AML患者外周血CD4+Foxp3+Tregs占CD4+T细胞比例高于健康对照组(6.171%±0.292%vs.2.437%±0.144%,P<0.000 1);但是各AML亚型中Tregs占CD4+T细胞比例差异无统计学意义(P>0.05);预后较差组AML患者外周血Tregs占CD4+T细胞比例高于预后较好组(7.316%±0.592%vs.5.179%±0.429%,P<0.01).结论 AML患者外周血CD4+Foxp3+Tregs占CD4+T细胞比例提高,对AML患者预后评估有一定的意义.

Abstract

Objective To investigate the changes of CD4+Foxp3+regulatory T cells(Tregs)in acute myeloid leukemia(AML)and its relationship with the prognosis of AML.Methods Flow cytometry was used to detect the percentages of Tregs among CD4+T cells in peripheral blood of newly diagnosed AML patients and healthy controls.AML patients were divided into good prognosis group,medium prognosis group and poor prognosis group by cytogentic karyotype.Then,the difference in the percentages of Tregs among CD4+T cells among each group was analyzed to explore the potential prognostic significance of Tregs in AML.Results The percentages of circulating CD4+Foxp3+Tregs in AML patients was significantly higher than that of healthy controls(6.171%±0.292%vs.2.437%±0.144%,P<0.000 1).There was no significant difference in the per-centages of Tregs among CD4+T cells among different subtypes of AML(P>0.05).We found that the ratio of circulating Tregs in the poor prognosis group was significantly higher than that in the better prognosis group(7.316%±0.592%vs.5.179%±0.429%).Conclusion The percentages of CD4+Foxp3+Tregs among CD4+T cells are significantly increased in pa-tients with AML,which has certain significance for prognostic evaluation.

关键词

急性髓系白血病/调节性T细胞/流式细胞术/预后

Key words

acute myeloid leukemia/regulatory T cells/flow cytometry/prognosis

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基金项目

福建省自然科学基金(2021J05049)

出版年

2024
福建医药杂志
中华医学会福建分会

福建医药杂志

影响因子:0.525
ISSN:1002-2600
参考文献量17
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