Smogorzewska E, Kunicka A, Siwińska-Gołebiowska H, Chazan B
Probl Med Wieku Rozwoj. 1981;10:21-9.
The study of the ontogenesis of immunity in man is still in progress and development. In this paper the two major subpopulations of human lymphocytes--T (thymus dependent) and B (bursal equivalent or thymus independent) were examined during the ontogenetic development of man. These subpopulations can be examined in vitro by the methods distinguishing superficial receptors on these cells--namely by the rosseting methods. B lymphocytes with the receptor for Fc of immunoglobulin can be distinguished by the EA test, and with receptor for C3 by the the EAC test. T lymphocytes can be detected in blood by the E test using their capacity to bind sheep red cells forming rossetes. This phenomena is very dependent upon temperature changes during the experimental procedures and this may partly explain the widely different proportions of E rosseting forming cells found by different authors ranging from 37% to 81% in blood of healthy adults. So there is a great necessity for each laboratory to have their own normal value in the healthy children in different age to compare it with those estimated in different states of the disease. Percentages of T and B lymphocytes were evaluated in children in 5 different age groups: below 1 year, 2-3 years, 4-5 years and over 10 years. Moreover the number of T and B lymphocytes was evaluated in the peripheral blood of pregnant women (2 and 3 trimester), of women at delivery, in the cord blood and the blood of newborns on 5-th day of life. The normal control group consisted of 71 healthy adults. In some children of four age groups the absolute counts of T and lymphocytes were estimated. The results are presented in Tabl. I, II and. fig. 1, 2. We found significantly decreased percentage of T lymphocytes in some estimated groups versus control--it is in peripheral blood of pregnant women, women at delivery, in cord blood, in newborns at 5-th day of life (p less than 0.001) and in the groups of children below 5 years (0,01 less than p less than 0,02 and 0,02 less than p less than or equal to 0,05). In children older than 5 years the number of T lymphocytes was within normal limits. Total number of peripheral T lymphocytes was significantly increased in children age 2-5 years (p less than 0.001) and in children below 10 years (0.02 less than p less than or equal to 0.05). Percent of B lymphocytes estimated by the EA and EAC tests was elevated in pregnant women and women at delivery. The statistical difference between these two groups from one site and the group of healthy adults was highly significant (p less than 0.001). In some newborns we found also elevated percent-age of B lymphocytes with the receptor for C3 (EAC test) on 5-th day of life. The difference between this group and adults was not so great (0,02 less than p less than or equal to 0.05). It was also stated that absolute counts of B lymphocytes estimated by EA and EAC tests was elevated in children below 10 years of age.
人类免疫发生学的研究仍在不断推进和发展。在本文中,对人类淋巴细胞的两个主要亚群——T(胸腺依赖性)细胞和B(类囊依赖性或胸腺非依赖性)细胞,在人类个体发育过程中进行了研究。这些亚群可以通过区分这些细胞表面受体的方法在体外进行检测——即通过花环形成法。具有免疫球蛋白Fc受体的B淋巴细胞可通过EA试验进行区分,具有C3受体的则通过EAC试验进行区分。T淋巴细胞可利用其结合绵羊红细胞形成花环的能力,通过E试验在血液中检测出来。这一现象在很大程度上取决于实验过程中的温度变化,这可能部分解释了不同作者在健康成年人血液中发现的E花环形成细胞比例差异巨大的原因,其范围从37%到81%不等。因此,每个实验室都非常有必要确定不同年龄段健康儿童的正常值,以便与疾病不同状态下的估计值进行比较。对5个不同年龄组的儿童进行了T和B淋巴细胞百分比的评估:1岁以下、2 - 3岁、4 - 5岁以及10岁以上。此外,还对孕妇(妊娠中期和晚期)、分娩期妇女、脐带血以及出生后第5天新生儿的外周血中的T和B淋巴细胞数量进行了评估。正常对照组由71名健康成年人组成。在四个年龄组的部分儿童中,还估计了T和淋巴细胞的绝对计数。结果列于表I、II以及图1、2中。我们发现,与对照组相比,在一些评估组中T淋巴细胞百分比显著降低——这些组包括孕妇外周血、分娩期妇女、脐带血、出生后第5天的新生儿(p小于0.001)以及5岁以下儿童组(0.01小于p小于0.02和0.02小于p小于或等于0.05)。5岁以上儿童的T淋巴细胞数量在正常范围内。2 - 5岁儿童以及10岁以下儿童外周T淋巴细胞总数显著增加(p小于0.001和0.02小于p小于或等于0.05)。通过EA和EAC试验估计的B淋巴细胞百分比在孕妇和分娩期妇女中升高。这两个组与健康成年人组在同一部位的统计差异高度显著(p小于0.001)。在一些新生儿中,我们还发现出生后第5天具有C3受体(EAC试验)的B淋巴细胞百分比升高。该组与成年人之间的差异没有那么大(0.02小于p小于或等于0.05)。研究还表明,通过EA和EAC试验估计的10岁以下儿童B淋巴细胞绝对计数升高。