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慢性淋巴细胞白血病中的T淋巴细胞和B淋巴细胞:与疾病临床及免疫状态的相关性

T- and B-lymphocytes in chronic lymphocytic leukemia: correlation with clinical and immunologic status of the disease.

作者信息

Han T, Moayeri H, Minowada J

出版信息

J Natl Cancer Inst. 1976 Sep;57(3):477-81. doi: 10.1093/jnci/57.3.477.

Abstract

T- and B-lymphocyte count were correlated with clinical and immunologic status of 59 patients with chronic lymphocytic leukemia. The mean total T-cell count was slightly lower than normal in patients in complete remission, within normal limits in those in partial remission, and significantly higher in those with active disease. The mean total B-cell count, however, was slightly elevated in patients in complete remission and those in partial remission, and markedly elevated in those with active disease. The T-cell count correlated well with the duration of disease in patients in remission: The mean count was within normal range in those patients with disease of less than 3 years, whereas for those patients with disease of 3-12 years, a significant reduction was observed. The T-cell count was well correlated with the status of skin test response of patients with either complete or partial remission; the B-cell count did not correlate with immunoglobulin levels in patients with this disease.

摘要

对59例慢性淋巴细胞白血病患者的T淋巴细胞和B淋巴细胞计数与临床及免疫状态进行了相关性研究。完全缓解患者的平均总T细胞计数略低于正常水平,部分缓解患者的平均总T细胞计数在正常范围内,而疾病活动期患者的平均总T细胞计数显著升高。然而,完全缓解和部分缓解患者的平均总B细胞计数略有升高,疾病活动期患者的平均总B细胞计数则显著升高。缓解期患者的T细胞计数与病程密切相关:病程小于3年的患者平均计数在正常范围内,而病程为3 - 12年的患者平均计数则显著降低。完全缓解或部分缓解患者的T细胞计数与皮肤试验反应状态密切相关;该疾病患者的B细胞计数与免疫球蛋白水平无关。

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