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Comparison on the differences of T cell subsets in pulmonary tuberculosis patients during active and quiescent stages |
LI Yong |
Department of Infectious Diseases, Yingtan City People′s Hospital, Jiangxi Province, Yingtan 335000, China |
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Abstract Objective To explore the differences of T cell subsets in pulmonary tuberculosis patients during active and quiescent stages. Methods A total of 33 pulmonary tuberculosis patients in active stages admitted to Yingtan City People′s Hospital from January 2019 to March 2021 were retrospectively selected as the active group, while 33 patients with pulmonary tuberculosis in quiescent stages in the same period were selected as the quiescent group. The levels of CD3+, CD4+, CD8+ and CD4+/CD8+ T cell subsets in all objects were detected by flow cytometry. The value of the CD3+, CD4+, CD8+ and CD4+/CD8+ T cell subsets and combined detection in the differential diagnosis of pulmonary tuberculosis in active and quiescent stages were analyzed by receiver operating characteristic (ROC) curves. Results The levels of CD3+, CD4+ and CD4+/CD8+ T cell subsets in the active group were lower than those in the quiescent group, while the level of CD8+ T cell subsets in the active group was higher than that in quiescent group, the differences were statistically significant (P<0.05). The results of ROC curve analysis showed that the area under curve (AUC) values under the ROC curve of CD3+, CD4+, CD8+, CD4+/CD8+ T cell subsets and combined detection in the differential diagnosis of pulmonary tuberculosis in active and quiescent stages were 0.592, 0.632, 0.657, 0.816 and 0.897, respectively. Conclusion The immune function is declined in pulmonary tuberculosis patients in active stages. In clinical practice, peripheral blood T lymphocyte subsets can be applied in the differential diagnosis of pulmonary tuberculosis in active and quiescent stages.
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[1] |
葛哲,卢思萍,付仕忠,等.全血γ-干扰素释放试验联合T淋巴细胞亚群检测在肺结核诊断中的初步应用[J].昆明医科大学学报,2021,42(9):108-113.
|
[2] |
梁建琴,白雪娟,王金河,等.肺结核并发糖尿病患者临床特征及淋巴细胞亚群检测结果分析[J].中国防痨杂志,2020,42(10):1075-1079.
|
[3] |
Bartolomé-Casado R,Landsverk OJB,Chauhan SK,et al.CD4+ T cells persist for years in the human small intestine and display a TH1 cytokine profile[J].Mucosal Immunol,2021,14(2):402-410.
|
[4] |
Li L,Li J,Chai C,et al.Association of CD4 T cell count and optimal timing of antiretroviral therapy initiation with immune reconstitution inflammatory syndrome and all-cause mortality for HIV-infected adults with newly diagnosed pulmonary tuberculosis: a systematic review and meta-analysis[J].Int J Clin Exp Pathol,2021,14(6):670-679.
|
[5] |
肖红亮,郭述良.浅析肺结核介入诊疗现状及进展[J].临床肺科杂志,2018,23(10):1891-1898.
|
[6] |
周颖,董伟毅,倪佩青,等.肺结核患者血清维生素D与外周血T淋巴细胞亚群水平变化及临床意义[J].中国防痨杂志,2017,39(8):890-893.
|
[7] |
赵慈余,陆玲娜,邱莲女,等.肺结核患者外周血T细胞活化亚群和细胞因子的变化[J].中国卫生检验杂志,2019, 29(6):705-708,712.
|
[8] |
尤英霞,闫莎莎,黄庆红,等.肺结核患者肺泡灌洗液及外周血中T淋巴细胞亚群的表达[J].中国实验诊断学,2017, 21(9):1561-1562.
|
[9] |
邓威.结核病患者外周血T细胞亚群检测的临床价值研究[J].中国卫生检验杂志,2017,27(18):2677-2678,2685.
|
[10] |
徐海亮,冯喜英,王玉清,等.肺结核患者多种相关免疫细胞因子的研究进展[J].中华肺部疾病杂志(电子版),2017,10(2):220-222.
|
[11] |
Silveira-Mattos PS,Barreto-Duarte B,Vasconcelos B,et al.Differential expression of activation markers by mycobacterium tuberculosis-specific CD4+ T cell distinguishes extrapulmonary from pulmonary tuberculosis and latent infection[J].Clin Infect Dis,2020,71(8):1905-1911.
|
[12] |
马维兰,韩芳,牛敏.肺结核患者免疫细胞、炎症因子及凝血功能的变化及意义[J].海南医学院学报,2017,23(1):85-88.
|
[13] |
沈洁,吴妹英,李苏梅.初治和复治肺结核患者外周血淋巴细胞亚群的变化及其临床意义[J].临床肺科杂志,2019,24(2):208-212.
|
[14] |
王起,黄移生,陈红梅,等.草分枝杆菌辅助治疗对耐多药肺结核患者临床疗效、免疫功能的影响[J].临床肺科杂志,2021,26(1):81-85.
|
[15] |
阳艳.川芎嗪注射液对肺结核肺功能及纤维化状态的影响[J].实用临床医药杂志,2017,21(5):39-41.
|
|
|
|