Lu J, Li J, Han Q Y, Lu X X, Hu Y, Chen H C, Hu J
Department of Medical laboratory, Medical College, Anhui University of Science and Technology, Huainan 232001, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 May 20;36(5):353-356. doi: 10.3760/cma.j.issn.1001-9391.2018.05.007.
To preliminary analysis of the characteristics of lymphocyte subsets in peripheral blood among 135 cases of coal worker's pneumoconiosis patients in Huainan mining area. The peripheral bloods of 135 cases of coal worker's pneumoconiosis patients and 112 cases of health examiners were collected. Flow cytometry was used to detect peripheral blood lymphocytes, T cell subsets and CD4(+)CD25(+) regulatory T cells. Compared with the control group, CD64 index of granulocytes and lymphocytes was slightly higher. The total T cells (CD3(+)) increased in peripheral blood, CD4(+) expression was reduced and CD8(+) expression was increased in infection group, CD4(+)/CD8(+) ratio was inverted, the differences between the infection group and the control group were statistically significant (<0.05) . There were significantly fewer NK (nature killer) and B cells, significantly more double negative T cells (DNT, CD3(+)CD4(-)CD8(-)) than the control group (<0.05) . There was no statistically significant difference of CD4(+)CD25(+)CD127(+low)、CD4(+)CD25(+)CD127(+hi) and the ration of Treg/CD4(+)CD25(+)CD127(+hi) protein expression in peripheral blood in two groups (>0.05) . The analysis of peripheral blood lymphocyte and subgroup is an ideal index to monitor the immune status of coal worker's pneumoconiosis patients. It has theoretical significance for studying the immune mechanism of pneumoconiosis and guiding clinical treatment.
对淮南矿区135例煤工尘肺患者外周血淋巴细胞亚群特征进行初步分析。收集135例煤工尘肺患者及112例健康体检者的外周血。采用流式细胞术检测外周血淋巴细胞、T细胞亚群及CD4(+)CD25(+)调节性T细胞。与对照组相比,粒细胞和淋巴细胞的CD64指数略高。感染组外周血总T细胞(CD3(+))升高,CD4(+)表达降低,CD8(+)表达升高,CD4(+)/CD8(+)比值倒置,感染组与对照组差异有统计学意义(<0.05)。NK(自然杀伤)细胞和B细胞明显减少,双阴性T细胞(DNT, CD3(+)CD4(-)CD8(-))明显多于对照组(<0.05)。两组外周血CD4(+)CD25(+)CD127(+低)、CD4(+)CD25(+)CD127(+高)及Treg/CD4(+)CD25(+)CD127(+高)蛋白表达比值差异无统计学意义(>0.05)。外周血淋巴细胞及其亚群分析是监测煤工尘肺患者免疫状态的理想指标。对研究尘肺免疫机制及指导临床治疗具有理论意义。