CD4+CD25high+CD127low调节性T 细胞在毛细支气管炎患儿外周血中的表达改变及其临床意义

王秀芳,郭智兰,雷瑞瑞,韩影

中国当代儿科杂志 ›› 2013, Vol. 15 ›› Issue (1) : 46-49.

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中国当代儿科杂志 ›› 2013, Vol. 15 ›› Issue (1) : 46-49. DOI: 10.7499/j.issn.1008-8830.2013.01.012
论著·临床研究

CD4+CD25high+CD127low调节性T 细胞在毛细支气管炎患儿外周血中的表达改变及其临床意义

  • 王秀芳,郭智兰,雷瑞瑞,韩影
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Changes to CD4+CD25high+CD127low regulatory T cells in peripheral blood from children with bronchiolitis, and its clinical significance

  • WANG Xiu-Fang, GUO Zhi-Lan, LEI Rui-Rui, HAN Ying
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摘要

目的:探讨CD4+CD25high+CD127low调节性T 细胞(regulatory T cell, Treg)在毛细支气管炎患儿外周血中的数量变化及其临床意义。方法:随机选取31例2岁以下毛细支气管炎患儿作为毛细支气管炎组,同期住院的同年龄段支气管肺炎患儿25例和患有疝气、肾结石等非感染性疾病患儿25例分别作为支气管肺炎组和对照组,采用流式细胞术检测3组患儿外周血中CD4+CD25high+CD127lowTreg 占CD4+T 细胞百分比。结果:毛细支气管炎组患儿外周血中CD4+CD25high+CD127lowTreg 占总CD4+T 细胞的8.0%±2.1%,低于支气管肺炎组(9.6%±2.6%)及对照组(11.3%±2.9%),差异有统计学意义(P<0.05)。结论:毛细支气管炎患儿外周血CD4+CD25high+CD127lowTreg水平可能是一个较好的反映毛细支气管炎患儿免疫功能状态的参考指标,其在外周血中数量下降提示Treg细胞可能参与毛细支气管炎的发生发展。

Abstract

OBJECTIVE: To study changes to CD4+CD25high+CD127low regulatory T cells (Treg) in peripheral blood from children with bronchiolitis, and to explore its clinical significance. METHODS: Thirty-one children with bronchiolitis and aged under two years were randomly enrolled as the bronchiolitis group, and 25 under two-year-olds with bronchopneumonia were randomly enrolled as the bronchopneumonia group. A further twenty-five children with non-infectious diseases such as hernia and renal calculus served as the control group. The level of CD4+CD25high+CD127lowTreg in peripheral blood was measured by multi-color detection and multi-parameter flow cytometry. RESULTS: The proportion of CD4+CD25high+CD127lowTreg in peripheral blood in the bronchiolitis group (8.0%±2.1%) was significantly lower than in the bronchopneumonia (9.6%±2.6%; P<0.05) and control groups (11.3%±2.9%; P<0.05). CONCLUSIONS: CD4+CD25high+CD127lowTreg level in peripheral blood may be an index of immunological function in infants. A decreased level of CD4+CD25high+CD127lowTreg in peripheral blood suggests that Treg cells may be involved in the pathogenesis and development of bronchiolitis.

关键词

毛细支气管炎 / CD4+CD25high+CD127low调节性T细胞 / 流式细胞术 / 婴幼儿

Key words

Bronchiolitis / CD4+CD25high+CD127low regulatory T cell / Flow cytometry / Infant

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王秀芳,郭智兰,雷瑞瑞,韩影. CD4+CD25high+CD127low调节性T 细胞在毛细支气管炎患儿外周血中的表达改变及其临床意义[J]. 中国当代儿科杂志. 2013, 15(1): 46-49 https://doi.org/10.7499/j.issn.1008-8830.2013.01.012
WANG Xiu-Fang, GUO Zhi-Lan, LEI Rui-Rui, HAN Ying. Changes to CD4+CD25high+CD127low regulatory T cells in peripheral blood from children with bronchiolitis, and its clinical significance[J]. Chinese Journal of Contemporary Pediatrics. 2013, 15(1): 46-49 https://doi.org/10.7499/j.issn.1008-8830.2013.01.012

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