文章摘要
王海玮,柴丽丽,杨国青,司望利,陈 燕.胃癌患者外周血调节性T细胞水平与免疫抑制状态及病理特征的关系研究[J].,2018,(17):3365-3369
胃癌患者外周血调节性T细胞水平与免疫抑制状态及病理特征的关系研究
Research on Relationship Between Regulatory T Cell Levels in Peripheral Blood and Immunosuppressive Status and Pathological Features in the Patients with Gastric Cancer
投稿时间:2017-10-29  修订日期:2017-11-24
DOI:10.13241/j.cnki.pmb.2018.17.036
中文关键词: 胃癌  调节性T细胞  免疫抑制状态  相关性
英文关键词: Gastric cancer  Regulatory T cell  Immunological inhibition status  Correlation
基金项目:
作者单位E-mail
王海玮 西安市中心医院病理科 陕西 西安 710003 aqmelm@163.com 
柴丽丽 西安市中心医院病理科 陕西 西安 710003  
杨国青 西安市中心医院病理科 陕西 西安 710003  
司望利 西安市中心医院消化科 陕西 西安 710003  
陈 燕 西安市中心医院病理科 陕西 西安 710003  
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中文摘要:
      摘要 目的:探讨胃癌患者外周血中CD4+CD25+调节性T细胞(Treg)水平与免疫抑制状态和病理特征的关系。方法:选择2016年1月至2017年6月我院收治的胃癌患者73例作为胃癌组,另选同期在本院进行体格检查的健康者41例作为对照组,采用流式细胞仪检测其外周血中CD4+CD25+Treg水平,采用酶联免疫吸附试验(ELISA)检测血清γ-干扰素(IFN-γ)、白细胞介素-2(IL-2)、白细胞介素-4(IL-4)、白细胞介素-10(IL-10)水平,分析CD4+CD25+Treg水平与IFN-γ、IL-2、IL-4和IL-10的相关性及与病理特征的关系。结果:胃癌组CD4+CD25+Treg比例、IL-4和IL-10水平为(19.43±4.36)%、(9.76±2.41)pg/mL和(22.18±5.26)pg/mL,高于对照组的(10.34±2.16)%、(7.16±2.07)pg/mL和(9.52±3.47)pg/mL,差异有统计学意义(P<0.05);胃癌组IFN-γ和IL-2水平为(6.87±2.24)pg/mL和(2.43±0.54)pg/mL,低于对照组的(13.86±3.18)pg/mL和(12.79±2.16)pg/mL,差异有统计学意义(P<0.05)。CD4+CD25+Treg比例与IFN-γ和IL-2呈负相关关系(P<0.05),与IL-4和IL-10呈正相关关系(P<0.05)。CD4+CD25+Treg比例与胃癌患者的TNM分期、淋巴结转移有关(P<0.05),与病理类型、肿瘤直径、分化程度和肿瘤位置无关(P>0.05)。结论:胃癌患者外周血Treg水平增高,与免疫状态有明显的相关性,其参与了肿瘤的发生与发展过程。
英文摘要:
      ABSTRACT Objective: To investigate the relationship between the levels of CD4+CD25+ regulatory T cells (Treg) in peripheral blood of patients with gastric cancer and the immunosuppressive state and pathological features. Methods: 73 patients with gastric cancer who were treated in our hospital from January 2016 to June 2017 were selected as gastric cancer group, 41 healthy persons who under- went physical examination in our hospital were selected as control group in the same period.The levels of CD4+CD25+Treg in peripheral blood were detected by flow cytometry,serum levels of interferon-γ(IFN-γ), interleukin-2 (IL-2), interleukin -4 (IL-4) and interleukin -10 (IL-10) were measured by enzyme linked immunosorbent assay(ELISA), the correlation between CD4+CD25+Treg level and IFN-γ, IL-2, IL-4 and IL-10 and the relationship with the pathological features were analyzed. Results: The ratio of CD4+CD25+Treg, the levels of IL-4 and IL-10 in the gastric cancer group were (19.43±4.36)%, (9.76±2.41)pg/mL and (22.18±5.26)pg/mL, which were higher than (10.34±2.16)%, (7.16±2.07)pg/mL and (9.52±3.47)pg/mL of the control group, the differences were statistically significant(P<0.05). The level of IFN-γ and IL-2 in gastric cancer group were (6.87±2.24)pg/mL and (2.43±0.54)pg/mL, which were lower than(13.86±3.18)pg/mL and (12.79±2.16)pg/ml of the control group,the differences were statistically significant(P<0.05). The proportion of CD4+CD25+Treg was negatively correlated with IFN-γ and IL-2(P<0.05), and there was a positive correlation with IL-4 and IL-10(P<0.05). The ratio of CD4+CD25+Treg was related to TNM stage and lymph node metastasis in gastric cancer patients (P<0.05), which was in- dependent of pathological type, tumor diameter, differentiation degree and tumor location (P>0.05). Conclusion: The level of Treg in pe- ripheral blood of patients with gastric cancer is higher, and it is closely related to the immune status, which is involved in the process of tumor develop- ment.
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