Takeda A
First Department of Surgery, Osaka City University Medical School, Japan.
Nihon Geka Gakkai Zasshi. 1987 Nov;88(11):1542-53.
The T lymphocytes and their subsets in the peripheral blood and spleen of the patients with idiopathic portal hypertension (IPH) and liver cirrhosis were analysed using OK and Leu series monoclonal antibodies. The healthy subjects showed no difference between the OK series (OKT3, OKT4, OKT8) and the Leu series (Leu3a, Leu2a). In the patients with IPH or liver cirrhosis, the percentages of OKT3 and Leu 4 positive lymphocytes (pan T), and OKT4 and Leu3a positive lymphocytes (H/I T) were similar, but the percentages of OKT8 and Leu2a positive lymphocytes (S/C T) in the patients with IPH were slightly decreased. The changes in the T lymphocyte subsets differed among the patients, but the patients with IPH and liver cirrhosis showed a slight decrease in the mean number of H/I T and a slight increase in that of S/C T after splenectomy. Pan T and H/I T in the IPH cases were similar to those of the normal spleen, but S/C T was slightly higher than that of the normal spleen. The distribution of the lymphocytes in the spleen examined by the ABC method showed that in the normal spleen, the OKT-positive lymphocytes were concentrated around the artery. The B1-positive lymphocytes were distributed on the outer portion of the OKT3-positive lymphocytes aggregate in a mantle shape. The distribution of the OKT4-positive subset and that of the OKT3-positive subset were almost the same. OKT8-staining was seen sporadically in the medullary cord, but there were slightly more OKT8-positive lymphocytes in the medullary cord in these spleens than in the normal spleen.
应用OK和Leu系列单克隆抗体,分析特发性门静脉高压症(IPH)和肝硬化患者外周血及脾脏中的T淋巴细胞及其亚群。健康受试者的OK系列(OKT3、OKT4、OKT8)和Leu系列(Leu3a、Leu2a)之间无差异。在IPH或肝硬化患者中,OKT3和Leu 4阳性淋巴细胞(全T细胞)以及OKT4和Leu3a阳性淋巴细胞(辅助/诱导T细胞)的百分比相似,但IPH患者中OKT8和Leu2a阳性淋巴细胞(抑制/细胞毒T细胞)的百分比略有下降。T淋巴细胞亚群的变化在患者之间有所不同,但IPH和肝硬化患者脾切除术后辅助/诱导T细胞的平均数略有下降,抑制/细胞毒T细胞的平均数略有增加。IPH病例中的全T细胞和辅助/诱导T细胞与正常脾脏相似,但抑制/细胞毒T细胞略高于正常脾脏。采用ABC法检测脾脏中淋巴细胞的分布,结果显示,正常脾脏中,OKT阳性淋巴细胞集中在动脉周围。B1阳性淋巴细胞呈套状分布于OKT3阳性淋巴细胞聚集区的外侧。OKT4阳性亚群和OKT3阳性亚群的分布几乎相同。OKT8染色在髓索中散在可见,但这些脾脏髓索中的OKT8阳性淋巴细胞略多于正常脾脏。