Cao W, Zhang D, Gan J
Department of Plastic and Reconstructive Surgery, Ninth People's Hospital, Shanghai 200011.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Sep;15(5):357-9.
To elucidate the effects of microwave on the immunological cells in primary lymphedema.
The immunological cells including lymphocytes in the affected limb skin and peripheral blood of 10 patients with primary lower limb lymphedema were analysed using ABC and APAAP immunohistochemical methods before and after microwave baking and bandaging treatment.
It is demonstrated that in the peripheral blood of the patients there was an increase of CD8+ T lymphocytes as well as a decrease of CD4+ T lymphocytes and the ratio of CD4/CD8. It was found that there was significant perivascular infiltration of mononuclear cells (most were monocytes and macrophages) in the skin of the affected limb.
Microwave modulates the systemic immunological imbalance by its heating and complex biological effects on primary lymphedema patients through reversing the ratio of CD4/CD8 to normal level by increasing CD4+ T lymphocytes and decreasing CD8+ T lymphocytes. It can also decrease the perivascular T-lymphocyte infiltration of the affected dermis and enhance the phagocytic capabilities by promoting the proteolytic activities of macrophages, finally resulting in edema resolution.
阐明微波对原发性淋巴水肿中免疫细胞的影响。
采用ABC和APAAP免疫组织化学方法,对10例原发性下肢淋巴水肿患者患侧肢体皮肤及外周血中的免疫细胞(包括淋巴细胞)在微波烘绑治疗前后进行分析。
结果显示,患者外周血中CD8⁺ T淋巴细胞增多,CD4⁺ T淋巴细胞及CD4/CD8比值降低。发现患侧肢体皮肤有明显的血管周围单核细胞浸润(多数为单核细胞和巨噬细胞)。
微波通过对原发性淋巴水肿患者产生热效应及复杂的生物学效应,调节全身免疫失衡,使CD4/CD8比值恢复正常水平,即增加CD4⁺ T淋巴细胞,减少CD8⁺ T淋巴细胞。它还可减少患侧真皮血管周围T淋巴细胞浸润,并通过促进巨噬细胞的蛋白水解活性增强吞噬能力,最终导致水肿消退。