Klene U, Gollnick H, Bauer R, Orfanos C E
Hautarzt. 1986 Jan;37(1):17-22.
In 32 patients with widespread psoriasis (PS) and 23 patients with atopic dermatitis (AD) the numbers of peripheral blood pan-T-lymphocytes and their subsets, T-helper (Th) and T-suppressor (Ts) lymphocytes were estimated, using monoclonal antibodies, and compared with the corresponding values in 34 healthy controls. In PS patients, there was a trend towards lowered values (Th/Ts ratio: 1.0-2.6; median value: 1.6), but no other significant changes were seen. In patients with AD, however, the number of circulating pan-T-lymphocytes was increased, with significantly increased Th values and significantly lowered values for Ts lymphocytes (P less than 0.01). The calculated Th/Ts ratio, therefore, was significantly elevated in patients with AD (1.9-4.2; median value 2.8), compared to normal controls (1.4-2.0; median value 1.7). No significant correlation could be detected between Th/Ts ratio and IgE levels in 16 patients with severe AD (r = 0.451). We conclude that quantitative changes in circulating T-cell subsets may represent a characteristic feature of atopic dermatitis.
对32例泛发性银屑病(PS)患者和23例特应性皮炎(AD)患者,采用单克隆抗体估计外周血全T淋巴细胞及其亚群(辅助性T细胞(Th)和抑制性T细胞(Ts))的数量,并与34名健康对照者的相应数值进行比较。在银屑病患者中,数值有降低的趋势(Th/Ts比值:1.0 - 2.6;中位数:1.6),但未观察到其他显著变化。然而,在特应性皮炎患者中,循环全T淋巴细胞数量增加,Th值显著升高,Ts淋巴细胞值显著降低(P < 0.01)。因此,与正常对照者(1.4 - 2.0;中位数1.7)相比,特应性皮炎患者计算出的Th/Ts比值显著升高(1.9 - 4.2;中位数2.8)。在16例重度特应性皮炎患者中,未检测到Th/Ts比值与IgE水平之间存在显著相关性(r = 0.451)。我们得出结论,循环T细胞亚群的定量变化可能是特应性皮炎的一个特征。