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T 细胞疫苗接种对缓解和调节系统性红斑狼疮表现的影响。

The Impact of T Cell Vaccination in Alleviating and Regulating Systemic Lupus Erythematosus Manifestation.

机构信息

Department of Microbiology, West China School of Preclinical and Forensic Medicine, Sichuan University, Chengdu, China; West China School of Public Health, No. 4 West China Teaching Hospital, Sichuan University, Chengdu, China.

Department of Microbiology, West China School of Preclinical and Forensic Medicine, Sichuan University, Chengdu, China.

出版信息

J Immunol Res. 2016;2016:5183686. doi: 10.1155/2016/5183686. Epub 2016 Dec 4.

Abstract

. Systemic lupus erythematosus (SLE) is an autoimmune disease identified by a plethora of production of autoantibodies. Autoreactive T cells may play an important role in the process. Attenuated T cell vaccination (TCV) has proven to benefit some autoimmune diseases by deleting or suppressing pathogenic T cells. However, clinical evidence for TCV in SLE is still limited. Therefore, this self-controlled study concentrates on the clinical effects of TCV on SLE patients. . 16 patients were enrolled in the study; they accepted TCV regularly. SLEDAI, clinical symptoms, blood parameters including complements 3 and 4 levels, ANA, and anti-ds-DNA antibodies were tested. In addition, the side effects and drug usage were observed during the patients' treatment and follow-up. . Remissions in clinical symptoms such as facial rash, vasculitis, and proteinuria were noted in most patients. There are also evident reductions in SLEDAI, anti-ds-DNA antibodies, and GC dose and increases in C3 and C4 levels, with no pathogenic side effects during treatment and follow-up. . T cell vaccination is helpful in alleviating and regulating systemic lupus erythematosus manifestation.

摘要

. 系统性红斑狼疮(SLE)是一种自身免疫性疾病,其特征是大量自身抗体的产生。自身反应性 T 细胞可能在这一过程中发挥重要作用。减毒 T 细胞疫苗(TCV)已被证明通过删除或抑制致病性 T 细胞对一些自身免疫性疾病有益。然而,TCV 在 SLE 中的临床证据仍然有限。因此,本自我对照研究集中于 TCV 对 SLE 患者的临床疗效。. 16 名患者入组本研究;他们定期接受 TCV。检测 SLEDAI、临床症状、包括补体 3 和 4 水平、ANA 和抗 ds-DNA 抗体在内的血液参数。此外,在患者治疗和随访期间观察副作用和药物使用情况。. 大多数患者的面部皮疹、血管炎和蛋白尿等临床症状均有缓解。SLEDAI、抗 ds-DNA 抗体、GC 剂量降低,C3 和 C4 水平升高,治疗和随访期间无致病副作用。. T 细胞疫苗有助于缓解和调节系统性红斑狼疮的表现。

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