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[霍奇金病脾切除和未脾切除患者外周血中T淋巴细胞和B淋巴细胞的比例及绝对计数,以及丝裂原诱导的其母细胞转化]

[Proportions and absolute count of T- and B-lymphocytes in peripheral blood and their blastic transformation induced by mitogens in splenectomized and non-splenectomized patients with Hodgkin's disease].

作者信息

Pluzańska A

出版信息

Acta Haematol Pol. 1978 Jan-Mar;9(1):37-44.

PMID:307325
Abstract

Investigations were carried out on the effects of splenectomy on the immune state of patients with Hodgkin's disease during remission. In similarly treated non-splenectomized and splenectomized patients the proportions and absolute count of T and B lymphocytes were determined in peripheral blood. For identification of T cells the rosette test E was applied. B cells were identified by the method of EAC rosette test and by determination of immunoglobulins on their surface. For functional assessment of lymphocytes their blastic transformation was determined after stimulation with PHA, Con A and PWM. It was found that the proportions and counts of T and B lymphocytes in preripheral blood were not different in both groups. The values of blastic index in the cultures of lymphocytes stimulated with mitogens were higher, on the other hand, in non-splenectomized patients in relation to splenectomized ones. In the light of these investigations it is suggested that splenectomy in patients with Hodgkin's disease caused functional disturbances of lymphocytes. Further investigations are indispensable for establishing whether lymphocyte function impairment manifests itself with clinically detectable disorders of immune processes.

摘要

对霍奇金病缓解期患者脾切除对其免疫状态的影响进行了研究。在接受类似治疗的未行脾切除和已行脾切除的患者中,测定外周血中T淋巴细胞和B淋巴细胞的比例及绝对计数。采用E玫瑰花结试验鉴定T细胞。通过EAC玫瑰花结试验方法及测定其表面免疫球蛋白来鉴定B细胞。为评估淋巴细胞的功能,在用PHA、Con A和PWM刺激后测定其母细胞转化情况。结果发现,两组外周血中T淋巴细胞和B淋巴细胞的比例及计数无差异。另一方面,与脾切除患者相比,未行脾切除患者中用有丝分裂原刺激的淋巴细胞培养物中的母细胞指数值更高。根据这些研究结果,提示霍奇金病患者脾切除会导致淋巴细胞功能紊乱。对于确定淋巴细胞功能损害是否表现为临床上可检测到的免疫过程紊乱,进一步的研究是必不可少的。

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