论文摘要:
[摘要] 目的 探讨CD4
+ CD28
-T细胞及Th1细胞因子在小腹主动脉瘤患者血清中的数量变化及临床意义。
方法 腹主动脉瘤患者20例,其中小腹主动脉瘤10例,大腹主动脉瘤10例,正常健康对照组10例,采用流式细胞术测定3组受检者外周血CD4
+ 、CD8
+ 、CD4
+ CD28
-T亚群数量及占淋巴细胞的比例,运用酶联吸附实验(ELISA)方法检测上述各组人群血浆中Th1细胞因子(IFN-

、TNF-α)表达水平。
结果 腹主动脉瘤组CD4
+ CD28
-T细胞表达水平显著升高,其中CD4
+ CD28
-T细胞在小腹主动脉瘤组升高最为显著(P<0.05)。Th1细胞因子(IFN-

、TNF-α)表达水平亦呈显著升高,且与腹主动脉瘤直径呈正相关性。
结论 不同发展阶段腹主动脉瘤患者血清中CD4
+ CD28
-T细胞表达升高,AAA患者外周血T淋巴细胞处于活化状态,在AAA发生发展的过程中,机体存在全身免疫反应的激活,外周血中T细胞亚组发生改变,导致炎症及自身免疫反应性扩展。
[关键词] T淋巴细胞;炎症;免疫;主动脉瘤 ;腹
Expression Change of CD4+ CD28-T cell and Th1 in peripheral blood of patients with abdominal aortic aneurysm
[Abstract] Objective To study the role of CD4
+ CD28
-T cell and Th1 at the early phase of abdominal aortic aneurysm (AAA).
Methods The total of 20cases were recruited in the study ,10 cases of small AAA, 10cases of large AAA, 15 healthy controls, CD4
+ CD28
-T cells, the serum level of IFN-

、TNF-αwere measured with enzyme-linked immunosorbent assays (ELISA).
Result Compared with healthy controls, the serum level of CD4
+ CD28
-T cells and IFN-

、TNF-αin AAA patients were higher than that in controls (P<0.05), the expression levels of IFN-

、TNF-αwe re positively correlated with the diameter of abdominal aortic.
Conclusion Expression levels of CD4
+ CD28
-T cells and IFN-

was significantly increased in AAA patients , suggesting a potential role of CD4
+ CD28
-T cells and IFN-

on pathophysiology of AAAs, especially during the early development of AAAs.