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移植物抗宿主病的简易诊断

Simple diagnosis of graft-versus-host disease.

作者信息

Hiraoka A, Kawakami M, Fukuda H, Nakamura H, Karasuno T, Teshima H, Masaoka T

机构信息

Osaka Medical Center for Cancer and Cardiovascular Diseases, Japan.

出版信息

J Allergy Clin Immunol. 1997 Dec;100(6 Pt 2):S70-2. doi: 10.1016/s0091-6749(97)70008-3.

DOI:10.1016/s0091-6749(97)70008-3
PMID:9440548
Abstract

BACKGROUND

Among patients undergoing allogeneic bone marrow transplantation, we previously detected an increase of CD8+S6F1+ and CD8+CD57- cells with the onset of acute graft-versus-host disease.

OBJECTIVE

This study was an attempt to develop a simple laboratory test for graft-versus-host disease.

METHODS

We analyzed the percentage of the two lymphocyte subsets in the peripheral blood mononuclear cells of healthy volunteers, patients with posttransfusion graft-versus-host disease, and recipients of allogeneic bone marrow transplants.

RESULTS

Two patients with posttransfusion graft-versus-host disease showed a high percentage of both subsets. When the graft-versus-host disease pattern was defined as 45% or more CD8+S6F1+ cells and 35% or more CD8+CD57- cells, it was found in none of 17 recipients without acute graft-versus-host disease, 9 of 16 recipients with grade I disease, and 8 of 9 recipients with grade II or worse disease had this pattern.

CONCLUSIONS

Our test may be useful for the laboratory diagnosis of acute graft-versus-host disease.

摘要

背景

在接受异基因骨髓移植的患者中,我们之前检测到随着急性移植物抗宿主病的发生,CD8+S6F1+和CD8+CD57-细胞增多。

目的

本研究试图开发一种用于移植物抗宿主病的简单实验室检测方法。

方法

我们分析了健康志愿者、输血后移植物抗宿主病患者以及异基因骨髓移植受者外周血单个核细胞中这两种淋巴细胞亚群的百分比。

结果

两名输血后移植物抗宿主病患者的这两个亚群百分比均较高。当将移植物抗宿主病模式定义为CD8+S6F1+细胞占45%或更多且CD8+CD57-细胞占35%或更多时,17名无急性移植物抗宿主病的受者中无一例出现这种模式,16名I级疾病受者中有9例出现,9名II级或更严重疾病受者中有8例出现。

结论

我们的检测方法可能有助于急性移植物抗宿主病的实验室诊断。

相似文献

1
Simple diagnosis of graft-versus-host disease.移植物抗宿主病的简易诊断
J Allergy Clin Immunol. 1997 Dec;100(6 Pt 2):S70-2. doi: 10.1016/s0091-6749(97)70008-3.
2
Marked increase of CD8+S6F1+ and CD8+CD57+ cells in patients with graft-versus-host disease after allogeneic bone marrow transplantation.
Bone Marrow Transplant. 1994 Feb;13(2):181-5.
3
Impact of cytomegalovirus and grafts versus host disease on the dynamics of CD57+CD28-CD8+ T cells after bone marrow transplant.巨细胞病毒和移植物抗宿主病对骨髓移植后CD57+CD28-CD8+ T细胞动态变化的影响。
Clinics (Sao Paulo). 2008 Oct;63(5):667-76. doi: 10.1590/s1807-59322008000500016.
4
Expansion of CD8+CD57+ T cells after allogeneic BMT is related with a low incidence of relapse and with cytomegalovirus infection.异基因骨髓移植后CD8+CD57+ T细胞的扩增与低复发率及巨细胞病毒感染有关。
Br J Haematol. 1995 Jun;90(2):300-7. doi: 10.1111/j.1365-2141.1995.tb05150.x.
5
Ligation of 4-1BB (CDw137) regulates graft-versus-host disease, graft-versus-leukemia, and graft rejection in allogeneic bone marrow transplant recipients.4-1BB(CDw137)的结扎调节异基因骨髓移植受者的移植物抗宿主病、移植物抗白血病和移植物排斥反应。
J Immunol. 2001 Mar 1;166(5):3174-83. doi: 10.4049/jimmunol.166.5.3174.
6
Peripheral blood lymphocyte subsets after allogeneic bone marrow transplantation: reconstitution and correlation with the occurrence of acute graft-versus-host disease.
Asian Pac J Allergy Immunol. 1994 Dec;12(2):117-23.
7
Low-dose donor CD8+ cells in the CD4-depleted graft prevent allogeneic marrow graft rejection and severe graft-versus-host disease for chronic myeloid leukemia patients in first chronic phase.在首次慢性期的慢性髓性白血病患者中,去除CD4的移植物中低剂量供体CD8 +细胞可预防异基因骨髓移植排斥反应和严重的移植物抗宿主病。
Bone Marrow Transplant. 1997 Dec;20(11):945-52. doi: 10.1038/sj.bmt.1701008.
8
Allospecific CD8+ Tc1 and Tc2 populations in graft-versus-leukemia effect and graft-versus-host disease.移植物抗白血病效应和移植物抗宿主病中的同种特异性CD8 + Tc1和Tc2细胞群
J Immunol. 1996 Dec 1;157(11):4811-21.
9
[Remarkable increase of CD8+ CD11a+ and CD8+ CD57- T cells in patients with post-transfusion graft-versus-host disease].[输血后移植物抗宿主病患者中CD8+ CD11a+和CD8+ CD57- T细胞显著增加]
Rinsho Ketsueki. 1998 Sep;39(9):716-8.
10
The role of purified CD8+ T cells in graft-versus-leukemia activity and engraftment after allogeneic bone marrow transplantation.纯化的CD8 + T细胞在异基因骨髓移植后移植物抗白血病活性及植入中的作用。
Transplantation. 1995 Aug 27;60(4):355-61. doi: 10.1097/00007890-199508270-00010.