慢性肾功能衰竭红细胞CD35、CD44s、CD58分子的变化及意义

    Changes and significance of CD35, CD44s, CD58 expressed on erythrocyte in patients with chronic renal failure

    • 摘要: 目的: 研究慢性肾功能衰竭(CRF)患者红细胞膜表达的免疫分子CD35、CD44s、CD58数量及其临床意义。方法: 应用完整红细胞膜免疫定量测定法,对50名健康人及30例CRF患者进行比较。结果: CRF患者红细胞膜表达的CD35、CD44s、CD58均明显低于健康组(P<0.001)。透析组较非透析组有所回升。但两组间差异无显著性(P>0.05)。结论: CRF患者红细胞膜表达的CD35、CD44s及CD58明显降低,尤其是CD35(CR1),提示它介导的补体依赖性黏附功能受到损害,可能是CRF易感染的原因之一。

       

      Abstract: Objective: To study the changs of immune-molecular CD35,CD44s and CD58 expressions on erythrocyte in patients with chronic renal failure and their significance.Methods: CD35,CD44s and CD58 expressions on erythrocyte in 30 patients with chronic renal failure(CRF) and 50 healthy controls were measured by the erythrocyte enzyme immunization method for quantitatively assaying complete erythrocyte.Results: The quantity of CD35,CD44s and CD58 on erythrocyte in the CRF group was significantly lower than that in the healthy group(P<0.001).The quantity of CD35,CD44s and CD58 on erythrocyte of dialysed patients increased obviously compared with that of the patients without being dialysed,but the difference between the two groups was not significant(P>0.05).Conclusions: The molecular CD35,CD44s and CD58 expressed on erythrocyte decreas significantly in patients with CRF especially CD35(CR1).It suggests that the complements-mediated adhesion functions are possibly damaged.It may be one of the reasons that the CRF patients are easily infected.

       

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