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B细胞型慢性淋巴细胞白血病中的T淋巴细胞亚群与白血病克隆上的免疫球蛋白同种型及临床特征的关系

T lymphocyte subpopulations in chronic lymphocytic leukemia of B cell type in relation to immunoglobulin isotype(s) on the leukemic clone and to clinical features.

作者信息

Kimby E, Mellstedt H, Nilsson B, Björkholm M, Holm G

出版信息

Eur J Haematol. 1987 Mar;38(3):261-7. doi: 10.1111/j.1600-0609.1987.tb01174.x.

DOI:10.1111/j.1600-0609.1987.tb01174.x
PMID:3496238
Abstract

Total blood T lymphocytes and subpopulations (OKT4+ and OKT8+ cells) were studied in 59 patients with B cell chronic lymphocytic leukemia (B-CLL). In 48 previously untreated patients, total T lymphocytes were higher as compared to healthy controls (p less than 0.001). T-cells and OKT8+ cells were significantly increased in patients in advanced clinical stage and with progressive disease in comparison to patients with low stage and indolent disease. High numbers of OKT8+ lymphocytes were also seen in patients with a dominance of mu heavy chains on the leukemic clone. Moreover, in this patient group the OKT8+ subpopulation correlated with total B cells (r = 0.68, p less than 0.001) while in patients with a mu delta phenotype no such correlation was seen. After successful cytostatic therapy there was a reduction in total numbers of both OKT4+ and OKT8+ cells, in particular, with a concomitant increase in OKT4/OKT8 ratios.

摘要

对59例B细胞慢性淋巴细胞白血病(B-CLL)患者的全血T淋巴细胞及其亚群(OKT4+和OKT8+细胞)进行了研究。在48例未经治疗的患者中,全血T淋巴细胞数量高于健康对照组(p<0.001)。与低分期和惰性疾病患者相比,晚期临床分期和疾病进展患者的T细胞和OKT8+细胞显著增加。在白血病克隆上以μ重链为主的患者中也观察到大量OKT8+淋巴细胞。此外,在该患者组中,OKT8+亚群与总B细胞相关(r=0.68,p<0.001),而在具有μδ表型的患者中未观察到这种相关性。成功的细胞抑制治疗后,OKT4+和OKT8+细胞总数减少,尤其是OKT4/OKT8比值随之增加。

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