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为探讨胚胎胸腺细胞(FTC)移植的作用机理,采用单克隆抗体免疫荧光法检测了19例淋巴细胞癌变患者FTC移植前后T淋巴细胞亚群分布。结果表明:FTC移植前患者CD+3,CD+4,CD+4/CD+8低于正常对照组(P<001),CD+8高于对照组(P<001);FTC移植后CD+3,CD+4较移植前明显增高(P<001);CD+8显著降低(P<001),CD+4/CD+8比值亦有显著提高(P<001);小淋巴细胞总数增加与CD+3的变化一致。这些变化在FTC移植后2个月更为显著。同时,临床疗效表明:患者症状明显改善,生活质量明显提高,随访一年,无复发现象。作为认为FTC移植后,T前体细胞在胸腺组织内实现免疫重建,有效地升高CD+4降低CD+8,恢复CD+4/CD+8比值。
In order to investigate the mechanism of embryonic thymocyte (FTC) transplantation, the distribution of T lymphocyte subsets before and after FTC transplantation in 19 lymphocyte cancerous patients was detected by monoclonal antibody immunofluorescence assay. The results showed that CD+3,CD+4,CD+4/CD+8 in patients before FTC transplantation were lower than those in normal control group (P<001), and CD+8 was higher than in control group (P<001). CD+3 and CD+4 after FTC transplantation were more obvious than before transplantation. Increased (P<001); CD+8 decreased significantly (P<001), CD+4/CD+8 ratio also increased significantly (P<001); the increase in total number of small lymphocytes was consistent with that of CD+3. These changes were more pronounced 2 months after FTC transplantation. At the same time, the clinical efficacy showed that the symptoms of the patients were significantly improved and their quality of life was significantly improved. There was no recurrence after one year of follow-up. It is believed that after FTC transplantation, T precursor cells achieve immune reconstitution in the thymus tissue, effectively increasing CD+4 and decreasing CD+8, restoring the CD+4/CD+8 ratio.