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慢性乙肝患者杀伤性免疫细胞功能的研究 被引量:14

Study on the relationship between the cytotoxicity of killer cells and replication of virus in patients with chronic hepatitis B
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摘要 通过对44例病毒性肝炎患者T细胞亚群,NK细胞活性与LAK细胞活性的观察,探讨了在慢性乙型肝炎病毒复制与非复制状态下的杀伤性细胞活性。结果表明:在乙肝病毒的高复制状态下,CD8+细胞数增加,CD4+/CD8+比例显著下降;NK细胞活性与LAK细胞活性也明显低下,且在HBeAg与HBVDNA阳性组中,NK活性与LAK活性的改变与HBeAg的P/N值变化呈显著负相关,而NK活性与LAK活性变化则呈正相关。此外,在慢迁肝患者中,CD8+细胞也高于慢活肝,而NK活性和LAK活性则低于慢活肝。提示:杀伤性免疫细胞在抗乙肝病毒感染过程中具有重要作用,并为临床采用免疫细胞进行抗病毒治疗提供了一定的依据。 In order to investigate the cytotoxicity of killer cells in replication and non-replication conditions of chronic HBV infection, we determined the percentage of blood T cell subsets,natural killer(NK)activity,and lymphokine-activated killer(LAK) activity in 44 patients with viral hepatitis. The results showed that in high viral replication group,the percentage of CD T cells was increased and the ratio of CD4/CD8, NK and LAK activity were significantly decreased.The NK activity and LAK activity were inversely correlated with P/N value of HBeAg in HBeAg and HBV DNA positive group, positive correlation was also found between NK and LAK activity in this group. In addition,we had also observed that in chronic persistent hepatitis,the percentage of CD T cells were higher than that of chronic active hepatitis and NK, LAK activity were lower than CAH.These results suggested that the cytotoxicity of the killer cells has an important role in immune responses against HBV infection.
作者 范淳 刘林
出处 《免疫学杂志》 CAS CSCD 北大核心 1996年第1期43-47,共5页 Immunological Journal
关键词 乙型肝炎 免疫细胞功能 T细胞亚群 NK细胞 T cell subsets Natural killer cell Lymphokine-activated killer cells,Viral hepatitis
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参考文献3

  • 1吉昌华,国外医学遗传学分册,1994年,4期,169页
  • 2孙永良,中华传染病杂志,1992年,10卷,63页
  • 3范淳,中华内科杂志,1985年,24卷,增刊,20页

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