慢性乙型肝炎患者单核细胞来源树突状细胞Toll 样受体7的表达低下
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江苏省医学重点学科工程资助(135-07);江苏省卫生厅医学科技发展基金(H200311);江苏省“333工程”培养资金资助(2002)


Reduced expression of Toll-Like receptor 7 of peripheral monocytes in patients with chronic hepatits B
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    目的:观察慢性乙型肝炎(chronic hepatitis B,CHB)患者单核细胞来源树突状细胞(monocyte-derived dendritic cells,moDC)的Toll样受体7(toll-like receptor 7,TLR7)表达,并分析在CHB患者moDC的表达特征及意义-方法:用羟乙基淀粉(HES)分离CHB及健康人外周血单个核细胞(PBMC),经重组人粒细胞-巨噬细胞集落刺激因子(rhGM-CSF)-重组人白细胞介素4(rhIL-4)诱导培养DC,经流式细胞仪(FACS)用特异性单克隆抗体检测不同成熟阶段DC的TLR7表达,以及自体淋巴细胞混合培养后细胞内IFN-γ-IL-4表达水平-结果: ①moDC的不同成熟阶段TLR7的表达水平不同;②与对照组比较,CHB患者的moDC不同成熟阶段TLR7的表达显著低下(P < 0.05); ③moDC刺激自体淋巴细胞高表达IFN-γ,较少表达或不表达IL-4,呈现显著的Th1免疫应答-结论: CHB患者moDC的TLR7表达显著低下; moDC诱导自体淋巴细胞以Th1免疫应答反应为主-

    Abstract:

    Objective:To elucidate the role of TLR7 of monocyte-derived DCs in chronic hepatitis B virus infection. Methods:Monocyte-derived DCs were obtained from 10 chronically HBV-infected patients(CHB) and 15 healthy volunteers(control). TLR7 expression on immature and mature DCs were analyzed by FACS Calibur. DCs were pulsed with HBsAg, DCs maturation and ability to stimulate autogeneic T cells were examined. Results:It showed that TLR7 expression was different on monocyte-derived DCs as they go through different maturation stages. TLR7 expression on immature DCs and TLR7 expression on mature DCs were lower in CHB group. The ability of DCs loaded HBsAg to induce T cells producing IFN-γ was not different between the groups. Conclusion:In chronically HBV infection,TLR7 expression on monocyte-derived DCs was reduced and might be involved in a mechanism of persistent HBV infection. DCs pulsed with HBsAg protein stimulated autogeneic T cells producing IFN-γ and induced Th1 immune response.

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李 军,韩亚萍,孔练花,刘 源,陈 念,董 莉,黄祖瑚.慢性乙型肝炎患者单核细胞来源树突状细胞Toll 样受体7的表达低下[J].南京医科大学学报(自然科学版),2007,(9):907-910

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  • 收稿日期:2007-03-20
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