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为了解过敏性紫癜(HSP)患儿糖皮质激素受体(GCR)及T细胞亚群的改变,采用放射配基结合一点分析法,测定了患儿和健康儿童(各35 例)的外周血T淋巴细胞亚群及GCR。结果:患儿外周血CD+3 ,CD+4 细胞及CD+4 /CD+8 细胞比值分别为46.03% ±9.40% ,31.06% ±6.80% 和1.23±0.33,淋巴细胞GCR值为3060±2153结合位点/细胞。健康对照儿童外周血CD+3 ,CD+4 细胞及CD+4 /CD+8 细胞比值分别为53.11% ±5.40% , 35.01±4.41% 及1.52±0.26,淋巴细胞GCR为5210±1639 结合位点/细胞。患儿的CD+3 ,CD+4 及CD+4 / CD+8 水平较健康儿童低,GCR水平也低于对照儿童(P< 0.001),提示过敏性紫癜儿童具有免疫调节紊乱,GCR水平减少,可能在一定程度上导致了免疫调节紊乱,从而参予了过敏性紫癜的发病。
In order to understand the changes of glucocorticoid receptor (GCR) and T cell subsets in children with Henoch-Schonlein purpura (HSP), the peripheral blood of children and healthy children (35 cases each) were determined by radioligand binding assay T lymphocyte subsets and GCR. Results: The ratios of CD + 3, CD + 4 and CD + 4 / CD + 8 in peripheral blood were 46.03% ± 9.40%, 31.06% ± 6.80% and 1.23 ± 0.33, respectively. The lymphocyte GCR 3060 ± 2153 binding sites / cell. The ratio of CD + 3, CD + 4 and CD + 4 / CD + 8 cells in peripheral blood of healthy controls were 53.11% ± 5.40%, 35.01 ± 4.41% and 1.52 ± 0.26, respectively. The GCR of lymphocytes was 5210 ± 1639 binding site / cell. Children with CD + 3, CD + 4 and CD + 4 / CD + 8 levels lower than healthy children, GCR levels are also lower than the control children (P <0.001), suggesting that children with allergic purpura immune regulation disorders, GCR levels may be reduced to some extent Leading to immune regulation disorders, which participated in the incidence of allergic purpura.