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检测16例HDV(+)重肝患者PBMC膜上IL-2R、培养上清和血清中sIL-2R含量,以21例HDV(-)重肝为疾病对照,20例献血员为正常对照,探讨IL-2R在丁型肝炎中变化意义。结果:HDV(+)组IL-2R表达虽增强,但不如HDv(-)组明显;sIL-2R含量,两重肝组均非常显著增高,但之间无差异。提示HDV(+)重肝组T淋巴细胞被激活状态并未因增加HDV感染而加重,支持丁型肝炎肝损伤主要不是免疫介导的观点。
Serum levels of IL-2R and IL-2R in PBMC of 16 patients with HDV (+) severe hepatitis were detected. Twenty-one patients with HDV (-) severe liver disease as controls and 20 blood donors as controls were enrolled. -2R in hepatitis D changes. Results: Compared with HDv (-) group, the expression of IL-2R in HDV (+) group was significantly higher than that in HDv (-) group. The content of sIL-2R in both HDL group and control group was significantly increased. These results suggest that the activation of T lymphocytes in HDV (+) severe hepatitis group is not aggravated by the increase of HDV infection, and the support of hepatitis D liver injury is not mainly immune mediated.