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本文对16例慢性支气管炎病人的粘膜分泌性IgA(SIgA)免疫、细胞免疫和体液免疫状态与21例正常人进行了对照研究。结果显示:慢性支气管炎病人的唾液SIgA与总IgA含量(p<0.05,P<0.05)、外周血淋巴细胞PWM刺激培养上清液中IgA与IgM含量(P<0.005,P<0.001)、血清IgG与IgM含量(P<0.001,P<0.005)以及外周血CD8 ̄+与CD8 ̄+T淋巴细胞数目(P<0.05,P<0.05)均较正常人明显降低,而患者鼻分泌液中SIsA、IgA与总IgA含量(P<0.001,P<0.005,P<0.001)、外周血IL-2R ̄+(活化)T细胞数目(P<0.05)均较正常人显著增加。表明慢性支气管炎病人从粘膜免疫到外周血细胞免疫与体液免疫状态的低下,但不排除由于慢性感染或潜在的炎症引起的某些免疫指征的反应性增强。
In this paper, mucosal secretory IgA (SIgA) immunization, cellular immunity and humoral immunity in 16 patients with chronic bronchitis were compared with 21 healthy controls. The results showed that the content of SIgA and total IgA in salivary fluid of patients with chronic bronchitis (p <0.05, P <0.05), the content of IgA and IgM in culture supernatant of peripheral blood lymphocytes stimulated by peripheral blood lymphocytes (P <0.005, (P <0.001, P <0.005) and the number of CD8 + and CD8 + T lymphocytes in peripheral blood (P <0.05, P <0.05) ) Were significantly lower than those in normal subjects, while the levels of SIsA, IgA and total IgA in nasal secretion (P <0.001, P <0.005, P <0.001) ) T cells (P <0.05) than the normal significantly increased. It indicates that patients with chronic bronchitis have mucosal immunity to peripheral blood cell immunity and low humoral status, but do not rule out the reactivity of some immune indications due to chronic infection or potential inflammation.