陶叶海. 抗结核急性药物性肝损伤患者外周血CD8+T细胞上CD28表达及意义[J]. 上海预防医学, 2014, 26(11): 626-628.
引用本文: 陶叶海. 抗结核急性药物性肝损伤患者外周血CD8+T细胞上CD28表达及意义[J]. 上海预防医学, 2014, 26(11): 626-628.
TAO Ye-hai. CD8+ T cells in peripheral blood of patients with acute antituberculosis drug-induced liver injury on the expression and significance of CD28[J]. Shanghai Journal of Preventive Medicine, 2014, 26(11): 626-628.
Citation: TAO Ye-hai. CD8+ T cells in peripheral blood of patients with acute antituberculosis drug-induced liver injury on the expression and significance of CD28[J]. Shanghai Journal of Preventive Medicine, 2014, 26(11): 626-628.

抗结核急性药物性肝损伤患者外周血CD8+T细胞上CD28表达及意义

CD8+ T cells in peripheral blood of patients with acute antituberculosis drug-induced liver injury on the expression and significance of CD28

  • 摘要: 目的 通过对抗结核急性药物性肝损伤患者外周血CD8+CD28-、CD8+CD28+细胞百分率检测,探讨其在抗结核急性药物性肝损伤中表达及意义。方法 应用流式细胞术检测抗结核急性药物性肝损伤组42例、抗结核治疗肝功能正常组232例外周血中CD8+CD28-、CD8+CD28+细胞百分率;两组间均数的比较采用t检验,P<0.05为差异有统计学意义。结果 抗结核急性药物性肝损伤组外周血CD8+CD28-细胞百分率低于抗结核肝功能正常组(12.2±7.7%和23.6±10.4%),两组间差异有统计学意义(t=4.782,P<0.01);抗结核急性药物性肝损伤组CD8+CD28+细胞高于抗结核肝功能正常组(23.5±9.1%和10.2±6.7%),两组间差异有统计学意义(t=5.356,P<0.01)结论 抗结核急性药物性肝损伤外周血CD8+CD28-T细胞百分率减少,CD8+CD28+T细胞百分率增加;CD8+T细胞上CD28表达可作为抗结核急性药物性肝损伤免疫学检测标志。

     

    Abstract: Objective To detect the percentage of CD8+CD28-、CD8+CD28+ cells in patients with antituberculosis drug-induced liver injury and investigate their expression on acute liver injury by antituberculosis drugs and clinical significance.Methods The flow cytometry was used to detect the percentages of CD8+CD28- and CD8+CD28+ in peripheral blood of 42 patients with antituberculosis drug-induced acute liver injury, and 232 normal liver function patients with antituberculosis treatment. The mean amount of T cells between the two groups were compared by t-test and when P<0.05 the difference found in comparison was thought to be statistically significant.Results The percentage of CD8+CD28- cells of antituberculosis drug-induced acute injury group was lower than that of antituberculosis with normal liver function group (12.2±7.7% and 23.6±10.4%), and the difference was of statistical significance (t=4.782,P<0.01). And the amount of CD8+CD28+ cells in antituberculosis drug-induced acute injury group was higher than that in antituberculosis with normal liver function group (23.5±9.1% and 10.2±6.7%), the difference being statistically significant (t=5.356,P<0.01) too.Conclusion The amount of CD8+CD28- cells is reduced in peripheral blood of patients with antituberculosis drug-induced acute injury, while the amount of CD8+CD28+ cells is increased. It is held that CD28 expression on CD8+ T cells can be used as a marker of immunological detection in antituberculosis drug-induced acute liver injury.

     

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