中华皮肤科杂志

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银屑病患者骨髓CD34+细胞体外定向分化的T细胞活性研究

尹国华1, 李新华1, 张开明1, 刘玉峰2   

  1. 1. 太原市中心医院皮肤科, 030009;
    2. 第四军医大学西京医院全军皮肤性病中心
  • 收稿日期:2005-07-11 出版日期:2006-03-15 发布日期:2006-03-15
  • 通讯作者: 张开明, email:zhangkaiming@sina.com E-mail:zhangkaiming@sina.com
  • 基金资助:
    山西省自然科学基金资助项目(20031110)

The activity of T cells differentiated from the bone marrow CD34+ cells of psoriatic patients with family histories

YIN Guo-hua1, LI Xin-hua1, ZHANG Kai-ming1, LIU Yu-feng2   

  1. Department of Dermatology, Taiyuan Central Hospital, Taiyuan 030009, China
  • Received:2005-07-11 Online:2006-03-15 Published:2006-03-15

摘要: 目的 研究有家族发病倾向的银屑病患者骨髓CD34+细胞体外定向发育的T细胞活性.方法 免疫磁珠法分离家族史阳性银屑病患者及正常对照骨髓CD34+细胞,在骨髓基质细胞条件培养液构建的微环境下,在胸腺基质细胞的支持下,使其在体外向T细胞定向分化,免疫磁珠法收集CD3+T细胞,流式细胞仪检测CD4+CD8-细胞及CD4-CD8+细胞比例.分别采用MTT法及ELISA法检测自然增殖组及链球菌超抗原刺激后T细胞增殖活性及分泌细胞因子水平.结果 ①经骨髓CD34+细胞定向分化并扩增的CD3+T细胞中可检测到CD4+CD8-、CD4-CD8+T细胞,且银屑病患者组与正常对照组CD4+CD8-及CD4-CD8+T细胞比例无显著差异.②银屑病患者骨髓CD34+细胞定向分化的T细胞自然增殖组及链球菌超抗原刺激组增殖活性均显著高于正常人对照组.③银屑病患者T细胞自然增殖组培养上清白介素4、白介素8及干扰素γ与正常对照组差异无统计学意义,链球菌超抗原刺激后白介素4表达水平无显著改变,而白介素8及干扰素γ水平却显著高于正常人.结论 有家族发病倾向的银屑病患者外周血T细胞活性异常可能与骨髓造血细胞相关.

关键词: 骨髓细胞, 抗原,CD34, T淋巴细胞, 白细胞介素4, 白细胞介素8, 干扰素Ⅱ型

Abstract: Objective To study the in vitro activity of T cells differentiated from bone marrow CD34+ cells of psoriatic patients with family histories. Methods Bone marrow CD34+ cells were isolated from psoriatic patients with family history and normal persons by immunomagnetic cell selection and induced to differentiate to T cells in thymic stromal microenvironment in vitro. CD3+ T cells were obtained by CD3+ cell selection system and the proportions of CD4+CD8- and CD4-CD8+ cells were measured by flow cytometry. The proliferation activity of T cells was measured by MTT colorimetry in both spontaneous proliferating group and superantigen (SAg)-stimulated group. And the levels of IL-4, IL-8 and IFN-γ were quantified by enzyme-linked immunosorbent assay in culture supernatant. Results Mature CD4+CD8- cells and CD4-CD8+ cells were detected from CD3+ cells, which were derived from bone marrow CD34+ cells. When the psoriatic patients and normal controls were compared, there was no significant difference in the proportion of CD4+CD8- cells or that of CD4-CD8+ cells in CD3+ cells. The proliferation activity of T cells was significantly higher in the psoriatic patients than that in the normal controls. There was no statistical difference of IL-4,IL-8 or IFN-γ levels in the supernatant of T cells between the spontaneous group and the normal control. However, the IFN-γ and IL-8 levels in the supernatant of T cells were higher in the psoriatic patients than those in the normal controls after the SAg stimulation. Conclusion The abnormal activity of peripheral blood T cells from psoriatic patients with family history may be related to the bone marrow hematopoietic cells.

Key words: Interleukin-4, Interleukin-8, Interferon typeⅡ, Bone marrow cells, Antigens,CD34, T lymphocytes