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[不明原因复发性自然流产女性外周血中T淋巴细胞及CD4 +辅助性T细胞亚群的变化]

[Changes of T lymphocyte and CD4+ T helper subsets in peripheral blood from women with unexplained recurrent spontaneous abortion].

作者信息

Mao L, Yang P, Yan Y

机构信息

Department of Immunology, Tainjin Medical University, Tianjin 300070, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2000 Dec;35(12):722-3.

Abstract

OBJECTIVE

To investigate the relationship between occurrence of unexplained recurrent spontaneous abortion(URSA) and immune function of T lymphocytes.

METHODS

T lymphocyte subsets and CD4+ T helper subsets (including T helper 1 and T helper 2 cells) in peripheral blood from 30 cases with URSA and 24 healthy women (controls) were detected by enzyme-linked immunospot assay (ELISPOT).

RESULTS

The percentage of CD4+ positive T lymphocytes in URSA group was higher than that in the controls (60% vs 45%, P < 0.05). Compared with the normal group, the percentage of Th1 cells increased (26% vs 14%, P < 0.01) but the percentage of Th2 cells decreased (7% vs 20%, P < 0.05), the ratio of Th1 to Th2 increased (3.80 vs 0.73, P < 0.01) in the URSA group.

CONCLUSIONS

The occurrence of URSA might be associated with proliferation of the CD4+ positive T cells and enhancement of cellular immune function mediated by Th1 cells.

摘要

目的

探讨原因不明复发性自然流产(URSA)的发生与T淋巴细胞免疫功能之间的关系。

方法

采用酶联免疫斑点法(ELISPOT)检测30例URSA患者和24例健康女性(对照组)外周血中的T淋巴细胞亚群及CD4⁺辅助性T细胞亚群(包括辅助性T细胞1和辅助性T细胞2)。

结果

URSA组CD4⁺阳性T淋巴细胞百分比高于对照组(60%对45%,P<0.05)。与正常组相比,URSA组Th1细胞百分比升高(26%对14%,P<0.01),而Th2细胞百分比降低(7%对20%,P<0.05),Th1/Th2比值升高(3.80对0.73,P<0.01)。

结论

URSA的发生可能与CD4⁺阳性T细胞增殖及Th1细胞介导的细胞免疫功能增强有关。

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