IL-10＋CDl9＋调节性B淋巴细胞在慢性乙型肝炎患者外周血中的表达  

Expression of IL-10＋ CD19＋ regulatory B cells in peripheral blood of patients with chronic hepatitis B infection

作　　者：龚燕萍 张红星 赵超[2] 崔燕红 熊怀民 仲人前[3] 蒋廷旺 

机构地区：[1]常熟市医学检验所科研实验室,215500 [2]常熟市第二人民医院消化科 [3]第二军医大学附属长征医院实验诊断科

出　　处：《中华检验医学杂志》2014年第2期100-104,共5页Chinese Journal of Laboratory Medicine

基　　金：苏州市科技发展计划应用基础研究项目（SYSD2011011）;常熟市科技发展计划社会发展项目（CS201113）

摘　　要：目的分析慢性乙型肝炎患者外周血中IL-10＋CDl9＋调节性B淋巴细胞（Breg）的表达及其免疫调节机制。方法病例对照研究。收集2011年6月-2012年10月常熟市第二人民医院住院患者，急性乙型肝炎（AHB）患者28例，慢性乙型肝炎（CHB）患者31例和健康对照25名。分离外周血单个核细胞（PBMC），经含CpG序列的寡脱氧核苷酸CpGODN2006和佛波醇酯（PMA）体外作用后，流式细胞术分析IL-10＋CD19＋Breg、CD4＋CD25high调节性T淋巴细胞（Treg）的表达及其相关性，ELISA分析培养上清IL-10水平。Mann—WhitneyU检验分析两组问差异，Spearman相关分析两组连续变量问的相关性。结果CHB组外周血Breg[1．28％（1．05％～2．20％）]高于AHB组[0．87％（0．55％一1．22％）]和HCs组[0．89％（0．51％-1．37％）]（P值分别为0．001和0．006），AHB和HCs组间差异无统计学意义（P=0．669）。CpGODN2006和PMA作用后CHB组Bregl14．30％（10．70％-16．70％）]较AHB组[10．30％（7．05％～13．30％）]和HCs组[10．40％（6．85％～12．60％）]显著升高（P值分别为0．003和0．001）；CHB组Treg[5．80％（4．20％～9．10％）]较AHB组[4．05％（2．53％～5．40％）]和14Cs组[4．50％（2．55％～5．50％）]也显著增高（P值分别为〈0．001和0．005）。AHB和HCs组间差异均无统计学意义（Breg：P=0．796；Treg：P=0．227）。Spenrman相关性分析发现CHB组Breg与Treg存在正相关关系（r=0．50，P=0．004），而AHB和HCs组无此相关性（r=-0．15，P=0．462；r=0．09，P=0．669）。CHB组IL-10表达高于AHB和HCs组（P〈0．001）。AHB和HCs组间差异无统计学意义（P=0．341），Spearman相关性分析表明CHB组IL-10与Breg存在正相关关系（r=0．409，P=0．005）。结论B淋巴细胞Breg和调节性T淋巴细胞在慢性乙型肝炎患者中表达升高，Breg可能通过IL—10的分泌在HBV慢性感染过程中发挥免疫调节作用。Objective To investigate the population and role of IL-10＋ CD19~ regulatory B cell （Breg） in patients with chronic hepatitis B. Methods Patients with acute hepatitis B （ AHB ） （ n = 28 ）, chronic hepatitis B （CHB） （n = 31 ） and normal subjects （n =-25） were collected from Changshu No. 2 People＇s Hospital between 2011 June and 2012 October. Peripheral blood mononuelear cells （PBMC） were isolated and stimulated with CpG ODN 2006 and PMA. Flow cytometry was used to analyze the population of IL-10＋CD19＋ Breg, CIM＋ CD25high Treg, and ELISA was used to analyze the concentration of IL-10 in culture supernatant. Results The population of Breg in Peripheral blood of the CHB group [ 1.28% （ 1.05% -2.20% ） ] was higher than that in the AHB group [0. 87% （0. 55% - 1.22% ） ] and the HCs group [0. 89% （0. 51% -1. 37% ） ] （P =0. 001, 0. 006）, and the difference between the AHB group and the HCs group was not statistically significant （P = 0. 669）. Breg in the CHB group [ 14. 30% （10. 70% - 16. 70% ） ] was higher than that in the AHB group [ 10. 30% （ 7.05% - 13.30% ） ] and the HCs group [10.40% （6.85% - 12. 60%）] （P =0.003, 0.001）, treg in the CHB group [5.80% （4.20% - 9. 10% ）] was also higher than that in the AHB group [4. 05% （2. 53% -5.40% ）] and the HCs group [4. 50% （2. 55% -5.50% ） ] （P 〈0. 001, P =0. 005）, and there was no significantly difference between the AHB group and the HCs group （ Breg： P = 0. 796 ; Treg： P = 0. 227 ）. Spearman correlation analysis showed that Breg was positively correlated with Treg in the CHB group （ r = 0. 50, P = 0. 004）, however there was no significantly correlation in the AHB group and the HCs group （r = - 0. 15, P = 0. 462 ; r = 0. 09, P = 0. 669）. The concentration of IL-10 in the CHB group was higher than that in the AHB group and the HCs group （ P 〈 0. 001 ）, and the difference between the AHB group and the HCs group was not statistically significant （P = 0. 341 ）. Spe

关 键 词：肝炎 乙型 慢性 B淋巴细胞 调节性 T淋巴细胞 调节性 白细胞介素10 抗原 CDl9 

分 类 号：R512.62[医药卫生—内科学]