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复方甘草酸苷对1型自身免疫性肝炎患者外周血Treg和Th17细胞的影响
作者:吴云忠  周桂琴  张亦瑾  李蕴铷  段雪飞 
单位:首都医科大学附属北京地坛医院 肝病二科 北京 100015 
关键词:T细胞 调节性 肝炎 自身免疫性 复方甘草酸苷 
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出版年,卷(期):页码:2017,9(4):86-89
摘要:

摘要:目的:观察复方甘草酸苷对1型自身免疫性肝炎(autoimmune hepatitis,AIH)患者Treg
(regulatory T cells,Treg)细胞比例、Th17细胞比例和Th17/Treg细胞比值的影响。方法 采用自身对
照研究,选取2014年1月至2015年12月于首都医科大学附属北京地坛医院确诊为1型AIH住院患者34例
为研究对象,应用复方甘草酸苷注射液治疗4周,检测治疗前后肝功能,并采用流式细胞术检测外周
血Treg细胞和Th17细胞占外周CD4 + 细胞的比例。结果 应用复方甘草酸苷注射液治疗AIH患者后ALT、
AST、TBil和GGT较治疗前均明显下降,差异有统计学意义(z值分别为-5.30、-5.19、-3.43和-4.13;P
均< 0.001)。治疗后CD25 + Foxp3 + 细胞比例与治疗前差异无统计学意义(P > 0.05)。治疗后Th17细
胞比例和Th17/CD25 + Foxp3 + 细胞比值较治疗前显著下降(t = 2.56、2.34,P = 0.02、0.04)。结论 复方
甘草酸苷对Th17/CD25 + Foxp3 + 细胞比值有一定影响,其可能通过调节Th17/CD25 + Foxp3 + 细胞比例的平
衡来减轻肝脏炎症反应,从而改善肝功能。

Abstract: Objective To observe the effects of Compound Glycyrrhizin on CD4 + CD25 + FoxP3 + regulatory T
cells (Treg) in peripheral blood of patients with type 1 autoimmunity hepatitis. Methods Total of 34 patients
who were diagnosed as type 1 autoimmunity hepatitis and received Compound Glycyrrhizin for injection
for 4 weeks in Beijing Ditan Hospital, Capital Medical University from January 2014 to December 2015
were studied by self-control study. The change of proportions of Treg and Th17 cells and ratio of Th17/
CD25 + Foxp3 + in the peripheral blood of patients before and after treatment were detected by Flow cytometry.
Results The levels of ALT, AST, TBil and GGT decreased after treatment, the differences were statistically
z = -5.30, -5.19, -3.43, -4.13; P < 0.001). Proportions of Treg had no statistical difference before
and after treatment (t = 0.81, 0.48, -0.39, -0.84; P > 0.05). Proportions of Th17 cells and ratio of Th17/
CD25 + Foxp3 + t = 2.56, 2.34; P = 0.02, 0.04). Conclusions Compound
Glycyrrhizin cab affect the ratio of Th17/CD25 + Foxp3 + proportions. It may relieve the liver function of
patients with AIH by restoring the balance of Th17/CD25 + Foxp3 + proportions.

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