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[健康中国成年人外周血自然杀伤细胞及其亚群正常范围的流式细胞术分析]

[Flow cytometry analysis of normal range of natural killer cells and their subsets in peripheral blood of healthy Chinese adults].

作者信息

Tian Jiayi, Guo Yixue, Zhang Xia, Sun Xiaolin, He Jing

机构信息

Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing 100044, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2024 Oct 18;56(5):839-844. doi: 10.19723/j.issn.1671-167X.2024.05.014.

Abstract

OBJECTIVE

To study the distribution characteristics of natural killer (NK) cells and their subsets in normal peripheral blood in China, and to explore their normal value and significance.

METHODS

In this study, peripheral blood was collected from 200 healthy adults. Their age range was 18-87 years. All the subjects were divided into 6 age groups: 18-30, 31-40, 41-50, 51-60, 61-70, and 71-87 years. With CD16, CD56, CD4, CD19, as surface markers, fluid cytology detection techniques were used to detect NK cells and the relative and absolute counts. SPSS 27.0 was used for systematic analysis of the data, and the measurement data were expressed as mean±standard deviations. A test, variance analysis or rank sum test were performed to compare the differences between the age groups and the sex groups. The significance level was set at α=0.05, and < 0.05 was considered statistically significant.

RESULTS

The range of NK B cells in the 200 healthy adult subjects was (0.46±0.24)×10/L, that of CD3CD56NK cells was (13.14±7.56)×10/L, that of CD56CD16NK cells was (5.23±3.12)×10/L, that of CD56NK cells was (85.61±7.40)×10/L, and that of NK T cells was (4.16±3.34)×10/L. There were no statistically significant differences in CD3CD56NK cells and NK T cells with respect to age (= 0.417, =0.217). However, there was a decreasing trend in the number of NK B cells and CD56CD16NK cells with increasing age (=0.234, < 0.001; =0.099, < 0.001), particularly after the age of 50. Conversely, CD56NK cells showed an increasing trend with age (=0.143, < 0.001).

CONCLUSION

The detection of NK cells and their subsets has significant reference value for the diagnosis, treatment, and prognosis of autoimmune diseases, infectious diseases, and tumors. This study provides a preliminary reference range for clinical detection of NK cell subsets, but further research with a larger sample size and multi-center trials are needed to confirm these findings.

摘要

目的

研究我国正常外周血中自然杀伤(NK)细胞及其亚群的分布特征,探讨其正常参考值及意义。

方法

本研究收集了200名健康成年人的外周血,年龄范围为18 - 87岁。所有受试者分为6个年龄组:18 - 30岁、31 - 40岁、41 - 50岁、51 - 60岁、61 - 70岁和71 - 87岁。以CD16、CD56、CD4、CD19作为表面标志物,采用流式细胞术检测技术检测NK细胞及其相对计数和绝对计数。使用SPSS 27.0对数据进行系统分析,计量资料以均数±标准差表示。采用t检验、方差分析或秩和检验比较各年龄组和性别组之间的差异。显著性水平设定为α = 0.05,P < 0.05认为差异有统计学意义。

结果

200名健康成年受试者中,NK B细胞范围为(0.46±0.24)×10⁹/L,CD3⁻CD56⁺NK细胞为(13.14±7.56)×10⁹/L,CD56⁺CD16⁺NK细胞为(5.23±3.12)×10⁹/L,CD56⁺NK细胞为(85.61±7.40)×10⁹/L,NK T细胞为(4.16±3.34)×10⁹/L。CD3⁻CD56⁺NK细胞和NK T细胞在年龄方面差异无统计学意义(F = 0.417,P = 0.217)。然而,NK B细胞和CD56⁺CD16⁺NK细胞数量随年龄增长呈下降趋势(r = 0.234,P < 0.001;r = 0.099,P < 0.001),尤其是50岁以后。相反,CD56⁺NK细胞随年龄增长呈上升趋势(r = 0.143,P < 0.001)。

结论

NK细胞及其亚群的检测对自身免疫性疾病、感染性疾病和肿瘤的诊断、治疗及预后具有重要参考价值。本研究为临床检测NK细胞亚群提供了初步参考范围,但需要更大样本量的进一步研究和多中心试验来证实这些结果。

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