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1. (南方医科大学南方医院1.临床检验中心
2. 风湿免疫科,广州,510515
纸质出版日期:2012,
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王红霞, 裘宇容, 包杰, 等. 类风湿关节炎患者外周血TCRαβ+CD4-CD8-T细胞与FAS介导的凋亡关系研究[J]. 重庆医科大学学报, 2012,37(4):311-314.
WANG Hongxia, QIU Yurong, BAO Jie, et al. Relationship between peripheral TCRαβ+CD4-CD8-T cells and FAS-mediated apoptosis in patients with rheumatoid arthritis[J]. Journal of Chongqing Medical University, 2012,37(4):311-314.
王红霞, 裘宇容, 包杰, 等. 类风湿关节炎患者外周血TCRαβ+CD4-CD8-T细胞与FAS介导的凋亡关系研究[J]. 重庆医科大学学报, 2012,37(4):311-314. DOI:
WANG Hongxia, QIU Yurong, BAO Jie, et al. Relationship between peripheral TCRαβ+CD4-CD8-T cells and FAS-mediated apoptosis in patients with rheumatoid arthritis[J]. Journal of Chongqing Medical University, 2012,37(4):311-314. DOI:
目的:检测类风湿关节炎(Rheumatoid arthritis
RA)患者外周血中TCRαβ+细胞、CD4-CD8- 细胞、TCRαβ+CD4-CD8-T细胞(Double negative T cells
DNT细胞)及各细胞亚群表面凋亡相关蛋白FAS的表达情况,探讨RA患者TCRαβ+CD4-CD8-T细胞与FAS介导的凋亡之间的关系。方法:选取24例RA患者以及24例同期健康查体者作为研究对象,检测所有研究对象外周血TCRαβ+细胞、CD4-CD8- 细胞、TCRαβ+CD4-CD8-细胞、TCRαβ+细胞、CD4-CD8-细胞、TCRαβ+CD4-CD8-T细胞的数量及表面凋亡相关蛋白FAS的表达情况,并分析以上指标与类风湿因子(Rheumatoid factors
RF)、白细胞数(White blood cell
WBC)、急性时相反应蛋白(C-reactive protein
CRP)以及血沉(Erythrocyte sedimentation rate
ESR)之间的相关性。结果:RA患者外周血TCRαβ+细胞、CD4-CD8-细胞与健康对照相似,TCRαβ+CD4-CD8-T细胞数量显著高于健康对照(0.82±0.38 vs.0.57±0.26
P=0.013),TCRαβ+CD4-CD8-T细胞表面的FAS的表达增高(1.23±0.69 vs.0.80±0.45
P=0.016),并与TCRαβ+CD4-CD8-T细胞数量呈显著正相关关系(r=0.809
P=0.000);TCRαβ+细胞及其表面表达的FAS受体、CD4-CD8-细胞及其表面表达的FAS受体、TCRαβ+CD4-CD8-T细胞及其表面表达的FAS受体与RF、WBC、CRP以及ESR之间均无相性(P>0.05)。结论:RA患者外周血中TCRαβ+CD4-CD8-T细胞及其表面表达的FAS受体显著增加,表明TCRαβ+CD4-CD8-T细胞对FAS介导的凋亡敏感性增加,可能会导致免疫反应性T细胞的比例失调。RA患者中TCRαβ+CD4-CD8-T细胞及其表面表达的FAS受体与疾病活动性指标之间无相关关系,TCRαβ+CD4-CD8-T细胞及其表面表达的FAS受体在RA患者的发病机制中的作用还有待于进一步探讨。
Objective:To investigate the expression of FAS receptor on idiosyncratic T cell subsets
including TCRαβ+cells
CD4-CD8-cells and TCRαβ+CD4-CD8-T cells
and to discuss the relationship between FAS-mediated apoptosis and peripheral TCRαβ+CD4-CD8-T cells in patients with rheumatoid arthritis(RA).Methods:Totally 24 RA patients and 24 normal controls were included.Flow cytometry was used to detect the percentages of T cell subsets and the expression of FAS receptor.The relationships between the percentages of T cell subsets and the expression of FAS receptor with RF
WBC
CRP and ESR were analyzed respectively by spearman relativity analysis.Results:The percentages of peripheral TCRαβ+ cells and CD4-CD8-cells from RA patients were similar to those in normal controls (P>0.05).Strikingly higher levels of TCRαβ+CD4-CD8-T cells in the peripheral blood of RA patients were detected compared with those in normal controls (0.82±0.38 vs.0.57±0.26
P=0.013).The expressions of FAS receptor on TCRαβ+CD4-CD8-T cells were significantly increased in RA patients compared with those in normal controls (1.23±0.69 vs.0.80±0.45
P=0.016).Positively relationship was found between TCRαβ+CD4-CD8-T cells and TCRαβ+CD4-CD8-FAS+ cells(r=0.809
P=0.000).There was no significant relationship between the percentages of TCRαβ+CD4-CD8-Tcells
the level of FAS receptor expression and RF
WBC
CRP or ESR
respectively.TCRαβ+ cells as well as CD4-CD8- cells had no significant association with RF
WBC
CRP and ESR
respectively.Conclusion: The preliminary results suggest that the significantly upregulated percentages of DNT cells and its FAS receptor expression may increase the sensitivity to FAS-mediated apoptosis.It may lead to the imbalance of immune respective T cells in RA patients.There is no significant relationship between the percentages of TCRαβ+CD4-CD8-T cells
FAS receptor and the indicators of disease activity
though the percentages of them are markedly increased in the Chinese RA patients.The role of TCRαβ+CD4-CD8-T cells in the pathogenesy of RA patients remains to be further studied.
类风湿性关节炎TCRαβ+CD4-CD8-T细胞Fas细胞凋亡
rheumatoid arthritis(RA)TCRαβ+CD4-CD8-TcellsFasapoptosis
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