首页|肺癌患者外周血淋巴细胞亚群计数水平的比较分析

肺癌患者外周血淋巴细胞亚群计数水平的比较分析

Comparative analysis of lymphocyte subsets in peripheral blood of patients with different pathological types of lung cancer

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目的 探究肺癌患者外周血淋巴细胞亚群计数水平变化及临床意义.方法 收集长春肿瘤医院2021年1月至2021年12月收治的190例肺癌患者,并选择同期体检的24例健康人作为对照组.应用流式细胞术检测外周血淋巴细胞亚群细胞(包括CD3+、CD3+CD4+、CD3+CD8+、CD3-CD19+与CD3-CD56+)绝对计数与百分比,分析肺癌患者与健康人群之间,不同病理类型、不同临床分期肺癌患者的淋巴细胞亚群计数水平的差异.结果 肺癌患者淋巴细胞各亚群绝对计数均低于健康人群(P<0.05),CD3+细胞与CD3+CD4+T细胞百分比低于健康人群,而CD3+CD8+T细胞百分比高于健康人群(P<0.05).非小细胞肺癌患者淋巴各亚群绝对计数水平明显高于小细胞肺癌患者(P<0.05),CD3+细胞百分比低于健康人群和小细胞肺癌患者而CD3-CD56+细胞百分比高于健康人群和小细胞肺癌患者(P<0.05).随临床分期的进展,在非小细胞肺癌CD3+细胞与CD3+CD4+T细胞百分比呈现递减趋势(P<0.05),在小细胞肺癌无差异.结论 肺癌患者的免疫功能较健康人群减弱,且随着肺癌分期的进展其免疫功能减弱的程度递增,非小细胞肺癌患者的免疫功能减弱以T淋巴细胞主导的细胞免疫功能低下为主,而小细胞肺癌患者免疫功能减弱以NK自然杀伤细胞功能低下更为显著.
Objective Exploring the changes and clinical bignificance of peripheral blood lymphocyte subset count levels in lung cancer patients.Methods A total of 190 patients with lung cancer admitted to Changchun Cancer Hospi-tal from January 2021 to December 2021 were collected,and 24 healthy people who underwent physical examination during the same period were selected as the control group.Flow cytometry was used to detect the absolute count and percentage of peripheral blood lymphocyte subsets(including CD3+,CD3+CD4+,CD3+CD8+,CD3-CD19+and CD3-CD56+),and to analyze the differences in lymphocyte subsets between lung cancer patients and healthy people,different pathological types and different clinical stages of lung cancer patients.Results The absolute count of lymphocyte sub-sets in lung cancer patients was lower than that in healthy people(P<0.05),the percentage of CD3 and CD3 CD4+T cells was lower than that in healthy people,and the percentage of CD3+CD8+T cells was higher than that in healthy people(P<0.05).The absolute count level of lymphosubsets in NSCLC patients was significantly higher than that in small cell lung cancer(P<0.05),and the percentage of CD3+was lower than that in healthy people and small cell lung cancer patients,while the percentage of CD3-CD56+was higher than that in healthy people and small cell lung cancer patients(P<0.05).With the progression of clinical stage,the percentage of CD3+cells and CD3+CD4+T cells showed a decreasing trend in non-small cell lung cancer(P<0.05),and there was no difference in small cell lung cancer.Con-clusion The immune function of lung cancer patients is weaker than that of healthy people,and the degree of immune function weakening increases with the progression of lung cancer stage.The immune function weakening of non-small cell lung cancer patients is mainly caused by T lymphocyt-led cellular immune function,while the immune function weakening of small cell lung cancer patients is more significant by NK natural killer cell function.

lung cancerlymphocyte subsetspathological typeclinical stage

郭静、杜珍武、杨静、尹杭、张桂珍

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长春肿瘤医院基因检测中心,吉林长春 130012

吉林大学第二医院骨科研究所,吉林长春 130041

肺癌 淋巴细胞亚群 病理类型 临床分期

吉林省科学技术厅项目吉林省发展与改革委员会项目吉林省发展与改革委员会项目吉林省教育厅项目

YDZJ202201ZYTS1272023C041-62023C011JJKH20221088KJ

2024

中国实验诊断学
吉林大学中日联谊医院 上海交通大学医学院附属瑞金医院

中国实验诊断学

CSTPCD
影响因子:1.273
ISSN:1007-4287
年,卷(期):2024.(9)