中国当代儿科杂志
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CN 43-1301/R
 
中国当代儿科杂志  2016, Vol. 18 Issue (8): 726-730    DOI:10.7499/j.issn.1008-8830.2016.08.011
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哮喘患儿外周血中CD4+LAP+调节性T细胞比例及功能变化研究
罗景华1, 杨良安2, 李国林1
1. 南昌大学第二附属医院儿科, 江西 南昌 330006;
2. 乐平市妇幼保健院儿科, 江西 乐平 333300
Changes in proportion and function of peripheral CD4+LAP+ regulatory T cells in children with asthma
LUO Jing-Hua1, YANG Liang-An2, LI Guo-Lin1
Department of Pediatrics, Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
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摘要 目的 测定哮喘患儿外周血中CD4+LAP+调节性T细胞 (CD4+LAP+Treg细胞) 比例和功能的改变,探讨CD4+LAP+Treg细胞在哮喘发病中的作用。方法 选取2014年3月至2015年9月确诊为哮喘的患儿75例为研究对象,依据病情将哮喘患儿分为哮喘急性期组 (n=40) 和哮喘缓解期组 (n=35);另选取行健康体检儿童30例为健康对照组。采用流式细胞仪检测各组儿童外周血CD4+LAP+Treg细胞百分比;采用3H-脱氧胸腺嘧啶苷法检测各组CD4+LAP+Treg细胞的免疫抑制情况。结果 哮喘急性期组患儿体内CD4+LAP+Treg比例 (2.0%±1.0%) 较缓解期组 (4.1%±2.4%) 及健康对照组 (4.6%±3.0%) 均降低 (P +LAP+Treg细胞免疫抑制率 (21%±4%) 较缓解期组 (55%±9%) 及健康对照组 (62%±11%) 均降低 (P 结论 哮喘患儿外周血中CD4+LAP+Treg数量降低和抑制功能减弱可能参与了哮喘的急性发病过程。
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关键词 CD4+LAP+调节性T细胞哮喘儿童    
Abstract:Objective To investigate the changes in the proportion and function of peripheral CD4+LAP+regulatory T cells (CD4+LAP+Treg cells) in children with asthma, as well as the role of CD4+LAP+Treg cells in the pathogenesis of asthma. Methods A total of 75 children who were diagnosed with asthma from March 2014 to September 2015 were enrolled as study subjects, and according to their conditions, they were divided into acute-stage asthma group (40 children) and remission-stage asthma group (35 patients). Another 30 children who underwent physical examination were enrolled as the healthy control group. Flow cytometry was used to determine the percentage of peripheral CD4+LAP+Treg cells, and[3H]-thymidine incorporation assay was performed to analyze the immunosuppression of CD4+LAP+Treg cells in each group. Results The acute-stage asthma group showed significant reductions in the proportion of CD4+LAP+Treg cells compared with the remission-stage asthma group and the healthy control group (2.0%±1.0% vs 4.1%±2.4%/4.6%±3.0%; P +LAP+Treg cells compared with the remission-stage asthma group and the healthy control group (21%±4% vs 55%±9%/62%±11%; P Conclusions In children with asthma, the reduction in the number and inhibitory function of peripheral CD4+LAP+Treg cells may be involved in the pathogenesis of asthma.
Key wordsCD4+LAP+regulatory T cell    Asthma    Child   
收稿日期: 2016-04-30     
基金资助:江西省卫生计生委科技计划项目(20161070)。
作者简介: 罗景华,女,硕士,主治医师。
引用本文:   
罗景华,杨良安,李国林. 哮喘患儿外周血中CD4+LAP+调节性T细胞比例及功能变化研究[J]. 中国当代儿科杂志, 2016, 18(8): 726-730.
LUO Jing-Hua,YANG Liang-An,LI Guo-Lin. Changes in proportion and function of peripheral CD4+LAP+ regulatory T cells in children with asthma[J]. CJCP, 2016, 18(8): 726-730.
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