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孢子丝菌病患者外周血中CD8 + T细胞的百分比更低。

Lower percentage of CD8+ T cells in peripheral blood of patients with sporotrichosis.

作者信息

Zhu Mingji, Xu Yaqin, An Lin, Jiang Jinlan, Zhang Xu, Jiang Rihua

机构信息

Department of Dermatology, China-Japan Union Hospital Of Jilin University, 126 Xiantai St, Erdao, Changchun, Jilin 130033, China.

Research Center, China-Japan Union Hospital of Jilin University, 126 Xiantai St, Erdao, Changchun, Jilin 130033, China.

出版信息

Hum Immunol. 2016 Jul;77(7):576-9. doi: 10.1016/j.humimm.2016.05.008. Epub 2016 May 12.

Abstract

PURPOSE

To characterize the peripheral immunity and immunity response of patients with sporotrichosis, in this study we determined the lymphocyte subsets in the peripheral blood of Chinese patients with sporotrichosis.

METHODS

In this retrospective study, peripheral blood was collected from 69 sporotrichosis patients (37, fixed cutaneous form; 32 lymphocutaneous) and 66 healthy controls. Lymphocyte subsets were analyzed using flow cytometry.

RESULTS

Compared to controls, the percentage of CD8+ T cells was lower in sporotrichosis patients. The percentage of CD8+ T cells in peripheral blood tended to become lower with disease duration and disease severity, although the difference was not statistically significant for either acute, subacute and chronic patients or fixed cutaneous and lymphocutaneous patients.

CONCLUSION

Our data indicate that the decrease of CD8+ T cells in peripheral blood of patients with sporotrichosis is associated with disease severity, although the difference was not statistically significant for either duration or clinical forms of the disease. Combining antifungal agents and immunomodulators in patients with long disease duration and lymphocutaneous may be more beneficial than antifungal monotherapy.

摘要

目的

为了表征孢子丝菌病患者的外周免疫和免疫反应,在本研究中我们测定了中国孢子丝菌病患者外周血中的淋巴细胞亚群。

方法

在这项回顾性研究中,收集了69例孢子丝菌病患者(37例固定皮肤型;32例淋巴皮肤型)和66例健康对照者的外周血。使用流式细胞术分析淋巴细胞亚群。

结果

与对照组相比,孢子丝菌病患者中CD8+T细胞的百分比更低。外周血中CD8+T细胞的百分比倾向于随着病程和疾病严重程度而降低,尽管对于急性、亚急性和慢性患者或固定皮肤型和淋巴皮肤型患者而言,差异均无统计学意义。

结论

我们的数据表明,孢子丝菌病患者外周血中CD8+T细胞的减少与疾病严重程度相关,尽管对于疾病病程或临床类型而言差异均无统计学意义。对于病程长的淋巴皮肤型患者,联合使用抗真菌药物和免疫调节剂可能比抗真菌单药治疗更有益。

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