Detection of Immune Cell Subsets of Peripheral Blood in Hepatocellular Carcinoma before
Liver Transplantation[J]. Journal of Sun Yat-sen University (Medical Sciences), 2018, 39(2).
Detection of Immune Cell Subsets of Peripheral Blood in Hepatocellular Carcinoma before
Liver Transplantation[J]. Journal of Sun Yat-sen University (Medical Sciences), 2018, 39(2).DOI:
: 【目的】探讨肝癌患者肝移植前外周血免疫细胞表型的特征。【方法】通过多色流式细胞术对6例准 备接受肝移植的肝癌患者及6例健康对照组外周血中T细胞、B细胞、单核细胞亚群、树突状细胞(DC)及NK细 胞进行免疫表型分析。【结果】与健康对照组比较,肝癌肝移植受者组患者外周血CD4 + PD-1 + T细胞、调节T细胞 (CD4 + CD25 + CD39 + )、B细胞、浆母细胞(CD27 high CD38 high IgD - IgM - )、经典型单核细胞(CD14 high CD16 - )及未成熟NK 细胞(CD3 - CD56 high )均升高,差异具有统计学意义(P<0.05);边缘区 B 细胞(CD27 + IgD + )、非类型转换 B 细胞 (CD27 + CD38 dim IgM + )、中间型单核细胞(CD14 high CD16 + )及NK细胞(CD3 - CD56 + )比例降低,差异具有统计学意义 (P<0.05);其余细胞比例未见明显差异。【结论】等待肝移植的肝癌患者外周血免疫细胞的表型与健康人有差异, 对监测患者移植后的免疫状态及指导免疫抑制剂的使用有重要作用。
Abstract
: 【Objective】To investigate the characteristics of immunophenotypes in hepatocellular carcinoma(HCC) before liver transplantation.【Methods】The immunophenotypes of T-,B- cells,monocytes,dendritic cells(DC)and NK-cells in peripheral blood from 6 HCC patient who were ready to have liver transplantation and 6 healthy volunteers were analyzed by multicolor flow cytometry.【Results】In the patients,the proportions of CD4 + PD-1 + T cells,Treg cell (CD4 + CD25 + CD39 + T cells),CD19 + B cells,Plasmablasts(CD27 high CD38 high IgD - IgM - ),classical monocytes(CD14 high CD16 - )and mature NK-cells(CD3 - CD56 high )were all higher than those in the healthy controls(all P<0.05). However, marginal zone B cell(CD27 + IgD + ),Non-switched B cells(CD27 + CD38 dim IgM + ),intermediate monocytes(CD14 highCD16 + )and immature NK-cells(CD3 - CD56 + )were lower than those in the healthy controls(all P<0.05). And there wasn’t any obvious difference in quantity being observed among other cell types.【Conclusion】There was difference in the immunophenotypes of immune cells in peripheral blood between HCC patients before liver transplantation and healthy people. And this finding exerts important effects on monitoring the immune status of the patients after liver transplantation and guiding the administrations of immunosuppressors.