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运用免疫过氧化物酶技术对B细胞慢性淋巴细胞白血病中T淋巴细胞亚群绝对数量进行计数:与临床分期的关系

Enumeration of absolute numbers of T lymphocyte subsets in B-chronic lymphocytic leukaemia using an immunoperoxidase technique: relation to clinical stage.

作者信息

Markey G M, Alexander H D, Agnew A N, McConnell R E, Morris T C, Robertson J H, Crockard A D, Bridges J M

出版信息

Br J Haematol. 1986 Feb;62(2):257-73. doi: 10.1111/j.1365-2141.1986.tb02929.x.

DOI:10.1111/j.1365-2141.1986.tb02929.x
PMID:3511946
Abstract

An immunoperoxidase technique has been used to identify and enumerate helper and suppressor T-cell subsets, as defined by reactivity with Coulter T4 and OKT8 monoclonal antibodies in 54 patients with B chronic lymphocytic leukaemia (B-CLL) and in the same number of matched controls. The ratio of T4+ to T8+ cells was significantly reduced in the B-CLL group as a whole (P less than 0.001) and in each stage of the three clinical staging systems. There was an increase in the median absolute level of T8+ cells in the whole CLL group (P less than 0.001). However, subdivision of the CLL group by clinical staging systems revealed a large group (28 patients) in which median T8+ cell levels were not raised and median T4+ cell levels were low (P less than 0.01). There was no significant decrease in T4+:T8+ ratio, increase in T8+ cells or decrease in T4+ cells with progression of clinical stage. Absolute numbers of E+ cells were significantly raised in all staging systems as were E+ T4- T8- cells (P less than 0.001). A significant alteration in either of these populations with progression of clinical stage was not present.

摘要

采用免疫过氧化物酶技术,根据与库尔特T4和OKT8单克隆抗体的反应性来鉴定和计数辅助性T细胞和抑制性T细胞亚群,研究对象为54例B细胞慢性淋巴细胞白血病(B-CLL)患者以及相同数量的匹配对照。在整个B-CLL组以及三种临床分期系统的各个阶段,T4+细胞与T8+细胞的比例均显著降低(P<0.001)。整个CLL组中T8+细胞的中位绝对水平有所升高(P<0.001)。然而,根据临床分期系统对CLL组进行细分后发现,有一大组(28例患者)的T8+细胞中位水平未升高,T4+细胞中位水平较低(P<0.01)。随着临床分期的进展,T4+:T8+比例无显著降低,T8+细胞无增加,T4+细胞无减少。在所有分期系统中,E+细胞的绝对数量以及E+T4-T8-细胞的绝对数量均显著升高(P<0.001)。随着临床分期的进展,这些细胞群体均未出现显著变化。

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2
Flow cytometric analysis of T-lymphocyte subpopulations in B-cell chronic lymphocytic leukemia: correlation with clinical stage.
Blut. 1987 Nov;55(5):447-52. doi: 10.1007/BF00367462.
3
Cytotoxic lymphocytes in B-cell chronic lymphocytic leukemia. A flow cytometric study of peripheral blood, lymph nodes and bone marrow.B 细胞慢性淋巴细胞白血病中的细胞毒性淋巴细胞。外周血、淋巴结和骨髓的流式细胞术研究。
Blut. 1990 Feb;60(2):81-7. doi: 10.1007/BF01720512.
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Immune and hormonal changes in early-stage chronic lymphocytic leukemia patients.早期慢性淋巴细胞白血病患者的免疫和激素变化
Ann Hematol. 1992 Nov;65(5):219-23. doi: 10.1007/BF01703948.