胃癌患者外周血记忆T细胞和调节性T细胞的检测及临床意义

Detection of memory T cells and Treg cells in peripheral blood of patients with gastric cancer

  • 摘要: 目的 探讨胃癌患者外周血记忆T细胞和调节性T细胞的分布规律及其与临床病理因素的关系。 方法 选取2013年1月- 2014年6月我院普通外科140例胃癌患者为胃癌组,62例健康人为对照组,取外周血10 ml,分离单个核细胞,以荧光标记抗CD4、CD8、CD45RO和CD62L 4种抗体染色,运用流式细胞术检测两组患者外周血中CD4+中央型记忆T细胞(CD4+TCM,CD4+CD45RO+CD62L+)、CD8+中央型记忆T细胞(CD8+TCM,CD8+CD45RO+CD62L+)比例以及调节性T细胞(Treg,CD3+CD4+CD25+FOXP3+)比例,比较胃癌组与对照组的差异及TCM和Treg比例与临床病理因素的关系。 结果 与健康对照组相比,胃癌组CD4+TCM显著升高(43.32%±9.86% vs 36.97%±6.72%,P=0.022),平均CD8+TCM比例显著升高(16.79%±9.43% vs 11.41%±4.67%,P=0.028),外周血平均Treg细胞比例显著升高(1.19%±0.24% vs 0.18%±0.09%,P=0.000),三者均与淋巴结转移情况相关。 结论 胃癌患者在荷瘤状态下体内呈现为免疫抑制状态,但存在一定数量的抗肿瘤预存免疫。

     

    Abstract: Objective To analyze thedistribution law of memory T cells and Treg cells in patients with gastric cancer and their relationship with clinicpathologic characteristics. Methods From January 2013 to June 2014, there were 140 patients with gastric cancer in our hospital served as gastric cancer group and 62 healthy volunteers as control group. 10 ml of peripheral blood was extracted and mononuclear cells were separated. The percentage of CD4+TCM(CD4+CD45RO+CD62L+) and CD8+TCM(CD8+CD45RO+CD62L+) and Treg (CD3+CD4+CD25+FOXP3+) in the peripheral blood wasdetected by flow cytometry, the immune memory characteristics of gastric cancer patients and normal subjects were compared, and the relationship of memory T cells and Treg cells with clinicpathologic characteristics of gastric cancer was analyzed. Results Compared with healthy volunteers, the mean percentage of CD4+TCMand CD8+TCMand Treg in gastric cancer patients increased significantly (CD4+TCM: 43.32%±9.86% vs 36.97%±6.72%, P=0.022; CD8+TCM: 16.79%±9.43% vs 11.41%±4.67%, P=0.028; Treg: 1.19%±0.24% vs 0.18%±0.09%, P=0.000), which was related to the lymph nodes involvement. Conclusion Patients with gastric cancer show immune suppression status with limited pre-exist anti-tumor immunity.

     

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