首页|带状疱疹患者水痘-带状疱疹病毒再激活阶段免疫机制分析

带状疱疹患者水痘-带状疱疹病毒再激活阶段免疫机制分析

Cellular and cytokine immune responses during varicella zoster virus reactivation of herpes zoster infection

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目的 研究带状疱疹患者水痘-带状疱疹病毒(varicella-zoster virus,VZV)再激活阶段的免疫细胞与细胞因子的变化规律.方法 选取西安市第九医院2022年5月至2022年10月期间50例带状疱疹患者和30例健康对照者.采用流式细胞技术检测外周血CD3+、CD4+、CD8+T细胞及B细胞和NK细胞比例,以及血清中细胞因子IL-2、IFN-γ、IL-10和IL-6水平.分析带状疱疹患者VZV再激活阶段免疫机制.结果 与健康对照组相比,带状疱疹患者CD3+和CD4+T细胞比例下降明显;NK细胞比例显著升高;血清中IFN-γ、IL-10以及IL-6水平显著升高;CD8+T细胞、B细胞比例和IL-2含量有升高的趋势,但差异并无统计学意义.此外,带状疱疹患者神经受累严重程度可能影响细胞因子水平的变化.结论 在VZV再激活期间,免疫细胞比例和细胞因子水平的变化与带状疱疹的发生和发展密切相关.
Objective To study changes in immune cells and cytokines during the reactivation stage of varicella-zoster virus(VZV)in patients with herpes zoster.Methods A total of 50 patients with herpes zoster and 30 healthy individuals were selected from Xi'an Ninth Hospital between May 2022 and October 2022.Flow cytometry was used to detect the proportion of peripheral blood CD3+cells,CD4+cells,CD8+T cells,B cells and NK cells,as well as levels of cytokines IL-2,IFN-γ,IL-10 and IL-6.We analyzed the immune mechanism of VZV reactivation stage in herpes zoster patients.Results Compared with the healthy control group,the proportion of CD3+cells and CD4+T cells in herpes zoster patients decreased significantly;the proportion of NK cells significantly increased;the levels of IFN-γ,IL-10 and IL-6 significantly increased;the proportion of CD8+T cells,B cells and IL-2 content showed an increasing trend,but there was no significant difference.In addition,the severity of neurological involvement in herpes zoster patients might affect changes in cytokine levels.Conclusion During the reactivation period of VZV,changes in the proportion of immune cells and cytokine expression levels are closely related to the occurrence and development of herpes zoster.

herpes zostercellular immunitycytokineT cellNK cell

来艳君、张国超、王翔、高琪、梁丽斯、梁阳、杨玉琮

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西安交通大学第一附属医院,陕西西安 710061

西安市第九医院,陕西西安 710054

带状疱疹 细胞免疫 细胞因子 T细胞 NK细胞

陕西省自然科学基础研究计划

2019JQ-1000

2024

西安交通大学学报(医学版)
西安交通大学

西安交通大学学报(医学版)

CSTPCD北大核心
影响因子:1.144
ISSN:1671-8259
年,卷(期):2024.45(1)
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