肺癌射频消融后cd4+t细胞亚群变化及其临床意义的初步探讨-preliminary study on changes of cd4 + t lymphocyte subsets after radiofrequency ablation of lung cancer and its clinical significance.docxVIP
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肺癌射频消融后cd4t细胞亚群变化及其临床意义的初步探讨-preliminarystudyonchangesofcd4tlymphocytesubsetsafterradiofrequencyablationoflungcanceranditsclinicalsignificance
AbstactPurposePreliminarystudyonperipheralfourdistinctCD4+T-cellsubsetsincludingTh1,Th2,Th17andTreginhealthyindividual.AndpreliminarystudyontheclinicalsignificanceanddynamicchangeofCD4+T-cellsubsetsinlungcancerpatientsbeforeandaftertheRadiofrequencyablation(RFA)therapy.MaterialsandMethodTheperipheralheparinizedbloodsampleswereobtainedfrom30healthycontrolsand6patientswithlungcancerbeforeand0.5,1,2,3monthafterRFA.PercutaneousRFAwereperformedundercomputedtomographic(CT)-guidedandintravenousanesthesia.FourdistinctCD4+T-cellsubsetsTh1,Th2,Th17,Tregwereassessedbyflowcytometry.IFN-γ,IL-4,IL-17wereusedasmarkersforthedifferentiationofTh1,Th2,Th17subsets,respectively,usingthewholebloodintracellularstainingassaytoanalyzethecytokines.ThesebloodsampleswereaddedPMA,Ionomycin,Brefeldin,thenincubated6hours.Thesethreesubsetswerelabeledfluorochrome-coupledantibodysCD3—PE-Cy5,CD8—APC-Cy7,IFN-γ—APC,IL-17—FITC,IL-4—PE,anddetectedbyBDFACSCanto,analyzedbyFACSDivasoftware.ThecharacteristicofTregsubsetwasCD3+CD4+CD25+foxp3+,labeledfluorochrome-coupledantibodysCD3—APC,CD4—PE-Cy5,CD25—FITC,foxp3—PE,detectedbyBDFACSCanto,andanalyzedbyFACSDivasoftware.Dataofhealthycontrolswerepresentedasmeans±SD,analysisedbyStatisticalsoftwareSPSS13.0.ResultThelevelsofTh1,Th2,Th17andTregsubsetsinperipheralbloodofhealthyindividualswere:36.88%±9.43,1.01%±0.56,3.03%±1.00,1.83%±1.07,respectively,andTh1/Th2ratioswas53.09±38.35.BeforeRFAtherapy,thelevelofTh1cellandTh1/Th2ratioofpatientswerelowerthanhealthycontrol,whileTh2,Th17,Tregcellsubsetswerehigher.HalfmonthafterRFAtherapy,ThelevelofThlcellincreased,whileTh2,Th17andTregcellsdecreasedcomparedwithpreoperativelevels.Afterthen,Thetendencyfluctuate.However,thelevelofThlcellswasstillhigherthanpreoperativelevels,andTh2,Th17andTregwerestilllower.Th1/Th2ratioalsoincreased0.5monthafterRFAtherapy.ConclusionTheperipherallevelofTh1cellinhealthyindividualwashigherthanTh2,Th17,Treg.Inpatientswithlungcancer,thelevelsofTh1decreaseandTh2increase,leadingtotheimbalancestateofThl/Th2
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