首页|肺结核患者外周血T细胞协同刺激分子表达和NK细胞比例

肺结核患者外周血T细胞协同刺激分子表达和NK细胞比例

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目的 检测肺结核(PTB)患者外周血协同刺激分子CD28、CD152/细胞毒性T淋巴细胞相关蛋白4(CTLA4)、程序性死亡受体1(PD-1)和自然杀伤(NK)细胞的水平,探讨PTB患者T细胞亚群活化和NK细胞功能,以及T细胞协同刺激信号分子在PTB发病机制中的作用。方法 募集32名PTB患者(PTB组)和同期健康体检人员15名(对照组)。流式细胞术检测外周血T淋巴细胞CD28、CD152的表达,采用受试者工作特征(ROC)曲线分析两者之间的关系,流式细胞术检测外周血调节性T细胞(Treg)表面分子PD-1的表达以及NK细胞的比例。结果 与对照组相比,PTB组CD8+CD28+T细胞比例、CD8+CD152+T细胞比例显著偏低。ROC曲线显示,变量CD8+CD152+T细胞比例对PTB的预测能力有一定准确性(AUC=0。800,CI=0。664~0。936)。CD4+CD28+T细胞以及CD4+CD152+T细胞比例无预测价值。PTB患者的CD4+CD28+T细胞和CD8+CD28+T细胞具有正相关关系(r=0。563)。与对照组相比,PTB组患者NK细胞比例显著降低。结论 PTB患者CD8+CD152+T细胞、CD8+CD28+T细胞、NK细胞比例显著降低。
The expression of T cell costimulatory molecules and the proportion of NK cells in peripheral blood of patients with pulmonary tuberculosis
Objective To investigate the levels of costimulator molecules CD28,CD152/CTLA4,PD-1 and NK cells in peripheral blood of patients with pulmonary tuberculosis(PTB),and to explore the activation of T cell subsets and function of NK cell in PTB patients,as well as the role of T cell costimulatory signaling molecules in the pathogenesis of PTB.Methods Thirty-two PTB patients(PTB group)and 15 health examiners(control group)were recruited.The expression of CD28 and CD152 on peripheral blood T lymphocytes was detected by flow cytometry.The relationship between the two group was analyzed using receiver operating characteristic(ROC)curves.The expression of PD-1 on regulatory T cells(Tregs)and the proportion of NK cells in peripheral blood were detected by flow cytometry.Results Compared with the control group,the proportions of CD8+CD28+T cells and CD8+CD152+T cells were significantly lower in the PTB group.The ROC curve showed that the variable CD8+CD152+T cell proportion had some predictive value in PTB(AUC=0.800,Cl=0.664-0.936).The proportions of CD4+CD28+T cells and CD4+CD152+T cells had no predictive value.There was a positive correlation between CD4+CD28+T cells and CD8+CD28+T cells in PTB group(r=0.563).Compared with the control group,the proportion of NK cells was significantly reduced in the PTB group.Conclusion The proportions of CD8+CD152+T cells,CD8+CD28+T cells,and NK cells significantly reduced in PTB patients.

pulmonary tuberculosisNK cellsCD28CD152programmed death-1(PD-1)

杨晨晨、如克亚木·阿不都沙拉木、徐茜

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无锡太湖学院健康与护理学院,江苏无锡 214064

新疆医科大学第八附属医院结核一科,新疆乌鲁木齐 830000

新疆医科大学基础医学院免疫学教研室,新疆乌鲁木齐 830011

新疆医科大学基础医学院新疆地方病分子生物学重点实验室,新疆乌鲁木齐 830011

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肺结核 自然杀伤(NK)细胞 CD28 CD152 程序性死亡受体1(PD-1)

省部共建中亚高发病成因与防治国家重点实验室开放课题江苏省青蓝工程资助项目江苏省无锡市滨湖区"滨湖之光"人才计划

SKL-HIDCA-2018-8苏教师函[2021]11号苏滨科人领[2021]2号

2024

细胞与分子免疫学杂志
中国免疫学会,第四军医大学

细胞与分子免疫学杂志

CSTPCD北大核心
影响因子:0.817
ISSN:1007-8738
年,卷(期):2024.40(7)