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岭南现代临床外科 ›› 2017, Vol. 17 ›› Issue (03): 365-367.DOI: 10.3969/j.issn.1009-976X.2017.03.029

• 论著与临床研究 • 上一篇    下一篇

尖锐湿疣复发患者的细胞因子及淋巴细胞亚群的变化规律研究

莫友 王建琴 方锐华 吴江 许剑荣 李群   

  1. 广州市第一人民医院皮肤科
  • 通讯作者: 王建琴

Study on the changes of cytokines and lymphocyte subsets in recurrent patients with condyloma acuminatum

MO You,WANG Jianqin,FANG Yuehua,WU Jiang,XU Jianrong,LI Qun.   

  1. 1 Department of Dermatology,Guangzhou First People′ s Hospital,Guangzhou,510180; 2 Guangzhou Institute of Dermatology,Guangzhou 510095,China.
  • Online:2017-06-20 Published:2017-06-20
  • Contact: WANG Jianqin

摘要:

目的 探讨尖锐湿疣复发患者的细胞因子及免疫功能的变化规律。方法 选取我院皮肤科收治的87例尖锐湿疣患者。将患者分为初发组与复发组。初发组48, 复发组39选取同期体检的42名健康者作为对照组。对3组人员的血清细胞因子IL?2IL?4IL?6及外周血T淋巴细胞亚群CD4+CD8+CD4+/CD8+分布水平进行检测及统计分析结果 3组患者的IL?2IL?4IL?6CD4+细胞CD8+细胞CD4+/CD8+水平之间比较差异均具有显著P<0.05。两两比较后发现复发组患者的血清IL?2IL?6CD4+CD4+/CD8+水平均显著低于初发组与对照P<0.05血清IL?4CD8+细胞水平均显著高于初发组与对照P<0.05初发组患者的血IL?2IL?4IL?6CD4+细胞CD8+细胞CD4+/CD8+水平与对照组比较差异均无显著P>0.05结论 尖锐湿疣复发患者存细胞免疫功能的失衡细胞免疫功能低下可能是导致其反复发作的一个原因。

关键词: T 细胞亚群 , 人类乳头瘤病毒, 尖锐湿疣, 细胞因子, 细胞免疫

Abstract:

 Objective To investigate the changes of cytokines and immune function in patients with recurrent condyloma acuminatum. Methods A total of 87 patients with condyloma acuminatum were included in this study, and were assigned to two groups, primary groupn=48, recurrent groups n=39. Another 42 healthy subjects were selected as controls control group. The peripheral blood levels of CD4+ T?lymphocyte, CD8+ T?lymphocyte, CD4+/CD8+ ratio and the levels of IL-2, IL?4, IL?6 were detected and analyzed statistically. Results There were significant differences in the levels of IL ?2, IL?4, IL?6, CD4+ T?lymphocyte, CD8+?T lymphocyte, CD4+/CD8+ ratio between the three groupsall P values were less than 0.05. Serum IL?2, IL?6, CD4+/CD8+ ratio in the patients with relapse were sig-nificantly lower than those in the control groupall P values were less than 0.05. There was no signifi-cant difference in serum IL?2, IL?4, IL?6, CD4+, CD8+, CD4+/CD8+ levels between the initial group and the control groupall P values were more than 0.05. Conclusion In patients with recurrent condylo-ma acuminatum, there is an imbalance of cellular immune function, and this cellular immune dysfunc-tion may be a cause of recurrent attacks

Key words: cytokines, cellular immunity, human papillomavirus, T cell subsets, condyloma acuminata

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