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叶氏狼疮方诱导狼疮肾炎患者T细胞免疫耐受分子机制研究
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作者 董光富 张晓 +2 位作者 刘冠贤 雷云霞 张光锋 《中国中西医结合肾病杂志》 2009年第12期1059-1062,共4页
目的:探讨叶氏狼疮方在诱导狼疮肾炎(lupus nephritis,LN)患者外周血T淋巴细胞免疫耐受中有无作用。方法:密度梯度离心法提取LN患者及健康对照外周血单个核细胞(PBMCs),设立4个培养亚组:空白(blank)、植物血凝素(PHA)、狼疮方血清(lupus... 目的:探讨叶氏狼疮方在诱导狼疮肾炎(lupus nephritis,LN)患者外周血T淋巴细胞免疫耐受中有无作用。方法:密度梯度离心法提取LN患者及健康对照外周血单个核细胞(PBMCs),设立4个培养亚组:空白(blank)、植物血凝素(PHA)、狼疮方血清(lupus formula serum,LFS)、PHA+LFS组。双色标记流式细胞术检测PBMCs及其条件培养后CD3+T细胞表面分子CD28,CD40L,LFA-1a和CTLA-4的表达水平。多组间比较采用单因素方差分析。结果:活动性LN组外周血T细胞表面CD28、CD40L、LFA-1a和CTLA-4表达水平较健康对照组明显上调(P均<0.01);PHA可诱导健康对照T细胞表面CD28和CD40L表达明显上调(P均<0.01),但对其CTLA-4和LFA-1a的表达无明显影响(P均>0.05);而PHA对活动性LN组外周血T细胞表面上述指标表达均有明显上调作用(P均<0.05);叶氏狼疮方对健康人外周血T细胞表面上述指标的表达无明显影响,但可逆转活动性LN患者外周血T细胞表面的CD40L、LFA-1a过度表达(P均<0.05),对其CD28和CTLA-4过度表达无明显影响(P均>0.05);且叶氏狼疮方对PHA所诱导的活动性LN患者外周血T细胞表面CD28、CD40L和LFA-1a表达增加亦有明显抑制。结论:叶氏狼疮方可能主要通过下调T细胞CD40L和LFA-1a表达水平来诱导LN患者外周T细胞免疫耐受重建。 展开更多
关键词 狼疮肾炎 t细胞免疫耐受 叶氏狼疮方
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T细胞免疫耐受研究现状与探讨 被引量:1
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作者 陈慧 《国外医学(免疫学分册)》 2001年第6期312-317,共6页
免疫系统的耐受现象一直是困扰免疫学家的一大难题。当人们发现免疫系统可以通过细胞方式与体液方式识别外来抗原 ,并产生细胞毒作用或形成特异性与抗原结合的抗体来消灭外来抗原时 ,不禁迷惑 :为什么机体内有如此多的抗原却不会引起免... 免疫系统的耐受现象一直是困扰免疫学家的一大难题。当人们发现免疫系统可以通过细胞方式与体液方式识别外来抗原 ,并产生细胞毒作用或形成特异性与抗原结合的抗体来消灭外来抗原时 ,不禁迷惑 :为什么机体内有如此多的抗原却不会引起免疫系统的应答 ,即有自身耐受现象。为此科学家们开始了对免疫耐受机制展开了研究 ,并由此找到耐受的两种不同方式 :即胸腺选择形成的中枢耐受及外周耐受。 展开更多
关键词 阳性选择 阴性选择 克隆缺失 程序性死亡 t细胞免疫耐受
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诱导原发免疫性血小板减少症T细胞免疫耐受的新途径 被引量:8
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作者 冀学斌 侯明 《中华血液学杂志》 CAS CSCD 北大核心 2014年第9期862-865,共4页
原发免疫性血小板减少症(ITP)是一种以血小板过度破坏和(或)血小板生成减少为特点的自身免疫性出血性疾病.抗原特异性自身抗体介导的血小板破坏和(或)细胞毒性T细胞对血小板的直接溶解是血小板破坏增多的重要原因,而免疫介导的巨... 原发免疫性血小板减少症(ITP)是一种以血小板过度破坏和(或)血小板生成减少为特点的自身免疫性出血性疾病.抗原特异性自身抗体介导的血小板破坏和(或)细胞毒性T细胞对血小板的直接溶解是血小板破坏增多的重要原因,而免疫介导的巨核细胞成熟障碍和凋亡异常则是导致ITP患者血小板生成减少的重要原因.研究表明,ITP存在T细胞免疫异常,T细胞介导对血小板自身抗原免疫失耐受是ITP发病的重要原因,主要表现为血小板自身抗原反应性T细胞的过度活化及增殖、调节性T细胞数量和功能异常、辅助性T细胞异常等. 展开更多
关键词 免疫性血小板减少症 t细胞免疫耐受 自身免疫性出血性疾病 巨核细胞成熟障碍 细胞毒性t细胞 血小板破坏 血小板生成 细胞免疫异常
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协同刺激与 T 细胞免疫耐受在急性放射病治疗中的应用前景
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作者 克晓燕 贾廷珍 《中华放射医学与防护杂志》 CAS CSCD 北大核心 1997年第3期182-185,共4页
协同刺激与T细胞免疫耐受在急性放射病治疗中的应用前景克晓燕贾廷珍本文获第十一次全国中青年医学(放射医学与防护)学术交流会优秀论文二等奖作者单位:100083北京医科大学附属三院放射医学科协同刺激又称第二信号系统是T细... 协同刺激与T细胞免疫耐受在急性放射病治疗中的应用前景克晓燕贾廷珍本文获第十一次全国中青年医学(放射医学与防护)学术交流会优秀论文二等奖作者单位:100083北京医科大学附属三院放射医学科协同刺激又称第二信号系统是T细胞免疫活化与增生过程中所必需的因子... 展开更多
关键词 放射病 急性 协同刺激 t细胞免疫耐受 治疗
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Downregulation of CD4+CD25+ regulatory T cells may underlie enhanced Th1 immunity caused by immunization with activated autologous T cells 被引量:5
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作者 Qi Cao Li Wang +8 位作者 Fang Du Huiming Sheng Yan Zhang Juanjuan Wu Baihua Shen TianweiShen Jingwu Zhang Dangsheng Li Ningli Li 《Cell Research》 SCIE CAS CSCD 2007年第7期627-637,共11页
Regulatory T cells (Treg) play important roles in immune system homeostasis, and may also be involved in tumor immunotolerance by suppressing Th1 immune response which is involved in anti-tumor immunity. We have pre... Regulatory T cells (Treg) play important roles in immune system homeostasis, and may also be involved in tumor immunotolerance by suppressing Th1 immune response which is involved in anti-tumor immunity. We have previously reported that immunization with attenuated activated autologous T cells leads to enhanced anti-tumor immunity and upregulated Thl responses in vivo. However, the underlying molecular mechanisms are not well understood. Here we show that Treg function was significantly downregulated in mice that received immunization of attenuated activated autologous T cells. We found that Foxp3 expression decreased in CD4+CD25+ T cells from the immunized mice. Moreover, CD4+CD25+Foxp3+ Treg obtained from immunized mice exhibited diminished immunosuppression ability compared to those from naive mice. Further analysis showed that the serum of immunized mice contains a high level ofanti-CD25 antibody (about 30 ng/ml, p〈0.01 vs controls). Consistent with a role ofanti-CD25 response in the downregulation of Treg, adoptive transfer of serum from immunized mice to naive mice led to a significant decrease in Treg population and function in recipient mice. The triggering of anti-CD25 response in immunized mice can be explained by the fact that CD25 was induced to a high level in the ConA activated autologous T cells used for immunization. Our results demonstrate for the first time that immunization with attenuated activated autologous T cells evokes anti-CD25 antibody production, which leads to impeded CD4+CD25+Foxp3+ Treg expansion and function in vivo. We suggest that dampened Treg function likely contributes to enhanced Thl response in immunized mice and is at least part of the mechanism underlying the boosted anti-tumor immunity. 展开更多
关键词 immunization with activated autologous t cells CD4+CD25+Foxp3+ treg anti-CD25 antibody serum adoptive transfer
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Mechanism of Immune Hyporesponsiveness Induced by Recipientderived Immature Dendritic Cells in Rat Liver Transplantation
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作者 LI Li ZHANG Sheng-ning RAN Jiang-hua LIU Jing LI Zhu ZHAO Yong-heng LI Lai-bang 《Chinese Journal of Biomedical Engineering(English Edition)》 2011年第1期36-46,共11页
Objective: The use of donor-derived immature dendritic cells (imDC) has become a promising approach to induce immune tolerance or immune hyporesponsiveness. However, donor-derived imDC needs to be harvested for a f... Objective: The use of donor-derived immature dendritic cells (imDC) has become a promising approach to induce immune tolerance or immune hyporesponsiveness. However, donor-derived imDC needs to be harvested for a few days and transfused into the recipient in 5-10 days before transplantation, which is practically impossible in a clinical setting where donor organs are mainly harvested from cadavers. Moreover, donor-derived imDC might be cleared by allogeneic reaction offsetting induced immune tolerance or immune hyporesponsiveness. In our study, we further explored the underlying mechanism of immune hyporesponsiveness induced by donor-antigen-unloaded recipient-derived imDC by transfusing these imDC into rats in 1 day before liver transplantation. This paper is to study the mechanism of immune hyporesponsiveness induced by donor-antigen-unloaded recipient-derived imDC and its protection of liver grafts in rats. Methods: 40 SD rats (donor) and 40 male Wistar rats (recipient) were randomly divided into 4 groups: control, cyclosporine A (CsA), mature DC (mDC), and imDC; with 10 SD rats and 10 Wistar rats for each group. Animal models of acute graft rejection were established with these rats. Corresponding treatments were given before or after transplantation. In the control group, Wistar rats received no treatment other than liver transplantation. In the CsA group, Wistar rats underwent liver transplantation plus CsA treatment (10 mg/kg·d) in the starting day 2 after transplantation. For the mDC group, recipient-derived mDC (1 × 10^6/rat) were infused intravenously via the dorsal vein of the penis to recipient rats. For the imDC group, imDC (1× 10^6/rat) were injected into recipient rats via the dorsal vein of the penis. In each group, 5 recipients were executed at 10 days after transplantation; the remaining five recipients were kept for the observation of survival time. Blood samples were collected for the measurement of ALT and TBIL; IL-2, IFN-γ, IL-4 and IL-10 and levels were measured with double-antibody sandwich ELISA. Liver tissue was harvested for HE staining and the observation of histological features. Acute rejection was evaluated with Banff classification. Expression levels of Fas-L/Fas in the grafts were detected by iminunohistochemieal staining; and western blot was used to detect the expression level of Scurfin. Results: The median survival times (MST) of the liver allografls in the CsA and imDC group were significantly longer than those in the control or mDC group (P〈0.05). The serum levels of ALT and TBIL in the control and mDC groups were significantly higher than those of the CsA or imDC group (P〈0.05). Compared with the CsA anti imDC group, the levels of IL-2 and IFN-γ were higher but the levels of IL-4 and IL-10 were lower than those of the control and mDC groups (P〈0.01). Slight or no rejection reaction was found in the CsA anti imDC groups (P〈0.05). The expression level of Scurfin protein in CD4^+ CD25^+ T cells of the imDC group was significantly higher than that of three other groups (P〈 0.05). Conclusion: Donor-antigen-unloaded recipient- derived imDC is an effective treatment in inducing immune hyporesponsiveness by blocking indirect recognition in rat liver transplantation model. Survival span was significantly prolonged by its protective effect. The mechanism of immune hyporesponsiveness induced hy imDC transfusion may involve the preprocesses of T cell apoptosis induction, immune tolerance or hyporesponsiveness in T cells, induction of the shift in TH1/TH2 balance, selection activation of Th2 subset, or induction of regulatory T cell. 展开更多
关键词 RAt liver transplantation REJECtION immature dendritic cell immune hyporesponsiveness
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HBV不同感染状态患者CD4+T细胞功能的差异研究 被引量:6
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作者 张丹 李明慧 +8 位作者 屈晓晶 靳丽 张璐 路遥 谢尧 刘顺爱 成军 华文浩 宋淑静 《中华实验和临床病毒学杂志》 CAS CSCD 2016年第2期185-188,共4页
目的 探讨适应性免疫应答(adaptive immune response)中CD4+T淋巴细胞在不同HBV感染状态患者中功能的差异.方法 采集健康成人(healthy individuals,HI)、急性乙型肝炎(acute hepatitis B,AHB)、慢性HBV感染免疫耐受期(immune to... 目的 探讨适应性免疫应答(adaptive immune response)中CD4+T淋巴细胞在不同HBV感染状态患者中功能的差异.方法 采集健康成人(healthy individuals,HI)、急性乙型肝炎(acute hepatitis B,AHB)、慢性HBV感染免疫耐受期(immune tolerance phase,IT)和免疫清除期(immune clearance phase,IC)患者的外周静脉全血.应用流式细胞术检测外周血CD4+T细胞频数,表面功能分子CD69表达,Th1、Th2亚群细胞频数及Th1/Th2比值,并分析其在HBV感染不同状态患者中的差异.结果 共收集健康人、急性乙型肝炎、慢性HBV感染免疫耐受期和免疫清除期患者各12、33、30、49例.急乙肝组CD4+T细胞频数(AHB,39.99±8.00%)显著高于免疫耐受组(IT,33.86±6.87%)和免疫清除组(IC,34.52±9.17%)(F =4.584,P=0.004),其余各组差异无显著性;急乙肝组的CD69分子的平均荧光强度(mean fluorescence intensity,MFI) (25.56±9.01)也显著高于免疫清除组(21.66±3.38)和免疫耐受组(21.57±5.58)(F=3.291,P=0.023),而AHB、IC、IT、HI各组的CD69分子绝对分子数(absolute molecular count,ABC)依次降低,且差异均有统计学意义(F=15.201,P=0.000).HBV各感染状态的Th2/Th1比值均无显著性差异(1.76±0.54,1.57±0.59,1.76±0.67,P>0.05).结论 急性乙型肝炎患者的CD4+T细胞频数及细胞表面活化分子CD69均显著高于慢性HBV感染组;Th2型应答在HBV各感染状态的CD4+T细胞应答中均占主导地位. 展开更多
关键词 肝炎 乙肝病毒 CD4+t淋巴细胞免疫耐受 免疫清除期
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揭开HBeAg血清学转换的神秘面纱
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作者 Lau GK 陈建山 《肝脏》 2012年第10期748-749,共2页
HBeAg并非HBV组装和复制的必需品,但在体内持续感染中发挥巨大作用。最近的研究表明,HBeAg下调机体对HBV的初始免疫应答,并导致T细胞免疫耐受。在慢性乙型肝炎(CHB)患者中,HBeAg的血清学转换意味着临床好转,肝病进入静止期,肝... HBeAg并非HBV组装和复制的必需品,但在体内持续感染中发挥巨大作用。最近的研究表明,HBeAg下调机体对HBV的初始免疫应答,并导致T细胞免疫耐受。在慢性乙型肝炎(CHB)患者中,HBeAg的血清学转换意味着临床好转,肝病进入静止期,肝纤维化减轻,肝硬化、肝细胞癌的发生率降低。HBeAg血清学转换,不管是自发的,还是通过治疗实现的,通常预示着更可能实现HBsAg血清学转换,从而达到肝病长久、较彻底的临床好转。 展开更多
关键词 HBEAG 血清学转换 t细胞免疫耐受 慢性乙型肝炎 HBSAG 持续感染 免疫应答 肝纤维化
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乙型肝炎
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《传染病网络动态》 2006年第5期103-113,共11页
116例携带乙肝病毒的淋巴瘤患者化疗后发生肝功能损害的临床分析,802例乙型肝炎患者血清HBeAg/HBeAb和HBVDNA定量分析,山东地区乙型肝炎病毒基因分型的研究,乙肝病毒感染患儿细胞因子、血清标志物与HBV-DNA的相关性研究,树突状细胞... 116例携带乙肝病毒的淋巴瘤患者化疗后发生肝功能损害的临床分析,802例乙型肝炎患者血清HBeAg/HBeAb和HBVDNA定量分析,山东地区乙型肝炎病毒基因分型的研究,乙肝病毒感染患儿细胞因子、血清标志物与HBV-DNA的相关性研究,树突状细胞治疗慢性乙型肝炎60例临床观察,乙型肝炎病毒前S1蛋白检测的临床意义,通过打破抗原特异性T细胞免疫耐受控制慢性HBV感染。 展开更多
关键词 乙型肝炎患者 HBeAg/HBeAb HBV-DNA 乙肝病毒感染 DNA定量分析 慢性HBV感染 t细胞免疫耐受 血清标志物 病毒基因分型 慢性乙型肝炎
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CTLA4基因多态性与哮喘遗传易感性研究进展 被引量:6
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作者 李红岩 王文璐 +1 位作者 殷凯生 周林福 《中华医学杂志》 CAS CSCD 北大核心 2012年第6期426-428,共3页
哮喘是以树突状细胞介导的Ⅱ型辅助性T细胞(Th2细胞)优势免疫为特征的慢性气道炎症性疾病,与多基因遗传有关,同时受遗传因素和环境因素的双重影响。患者个体特应质及环境因素的影响是发病的危险因素。细胞毒性T淋巴细胞相关抗原4(cy... 哮喘是以树突状细胞介导的Ⅱ型辅助性T细胞(Th2细胞)优势免疫为特征的慢性气道炎症性疾病,与多基因遗传有关,同时受遗传因素和环境因素的双重影响。患者个体特应质及环境因素的影响是发病的危险因素。细胞毒性T淋巴细胞相关抗原4(cytotoxicT-lymphocyteantigen-4,CTLA.4)是活化T细胞表面所表达的一种膜融合蛋白,可与CD28竞争结合抗原递呈细胞(APC)表面的B7分子,能够抑制T细胞活化、增殖,诱导T细胞免疫耐受,在抗过敏、抗肿瘤、抗移植排斥反应、抗自身免疫性疾病和变态反应性疾病中起重要作用。现就CTLA-4基因多态性与哮喘遗传易感性的关系综述如下。 展开更多
关键词 遗传易感性 基因多态性 CtLA4 细胞毒性t淋巴细胞相关抗原4 哮喘 t细胞免疫耐受 慢性气道炎症性疾病 抗自身免疫性疾病
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