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呼吸道合胞病毒毛细支气管炎患儿外周血CD4^+CD25^+调节性T细胞与Th17细胞功能变化及意义 被引量:37

Changes and the clinical significance of CD4^+CD25^+ regulatory T cells and Th17 cells in peripheral blood of infants with respiratory syncytial virus bronchiolitis
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摘要 目的:探讨呼吸道合胞病毒(RSV)毛细支气管炎患儿外周血CD4+CD25+调节性T细胞和Th17细胞及其分泌细胞因子IL-10、TGF-β、IL-17水平变化与RSV毛细支气管炎发病的关系。方法:收集2010-09/2011-04在滨州医学院附属医院儿科住院的33例RSV毛细支气管炎患儿、28例做为阳性对照的非RSV感染性肺炎患儿(肺炎组)及26例正常对照组的健康体检儿外周血,采用流式细胞术(FCM)检测外周血CD4+CD25+调节性T细胞、Th17细胞百分率,酶联免疫吸附(ELISA)法检测血浆IL-10、TGF-β、IL-17的水平。结果:RSV毛细支气管炎患儿外周血CD4+CD25+调节性T细胞、IL-10、TGF-β水平显著低于肺炎患儿及健康体检儿(P<0.05),而Th17、IL-17水平则显著高于肺炎患儿与健康体检儿(P<0.05)。结论:RSV毛细支气管炎患儿外周血存在CD4+CD25+调节性T细胞与Th17细胞表达失衡,可能是RSV毛细支气管炎发病机制之一。 AIM: To observe the percentages of CD4^+ CD25^+ regulatory T cells (Tregs) and Th17 cells and the levels of IL-10, TGF-β and IL-17 in peripheral blood of infants with respiratory syncytial virus (RSV) bronchiolitis. The relationship between above cells, cytokines and RSV bronchiolitis was determined. METHODS: Thirty-three infants with RSV bronchiolitis, twenty-eight infants with nonRSV pneumonia and twenty-six healthy infants were enrolled. The percentages of Tregs and Th17 cells in peripheral blood were detected by flow cytometer (FCM), and the levels of IL-10, TGF-β and IL-17 in plasma were determined by ELISA. RESULTS: The percentage of Tregs and the levels of IL-10 and TGF-β in infants with RSV bronchiolitis were significantly lower than those in infants with non-RSV pneumonia and healthy infants ( P 〈 0. 05 ), while the percentage of Th17 cells and the level of IL-17 in infants with RSV bronchiolitis were significantly higher than those in infants with non-RSV pneumonia and healthy infants ( P 〈 0. 05 ). CONCLUSION: The imbalance between Tregs and Th17 cells in peripheral blood of infants with RSV bronchiolitis may be one of the pathogenesis of RSV bronchiolitis.
出处 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2012年第4期426-428,共3页 Chinese Journal of Cellular and Molecular Immunology
基金 山东省自然科学基金资助项目(ZR2009CL007)
关键词 毛细支气管炎 调节性T细胞 TH17 RSV 儿童 bronchiolitis regulatory T cells Th17 RSV child
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