易婉婉, 孙奋勇. 慢性乙型肝炎外周血T淋巴细胞亚群变化的Meta分析[J]. 蚌埠医科大学学报, 2016, 41(4): 438-444. DOI: 10.13898/j.cnki.issn.1000-2200.2016.04.005
    引用本文: 易婉婉, 孙奋勇. 慢性乙型肝炎外周血T淋巴细胞亚群变化的Meta分析[J]. 蚌埠医科大学学报, 2016, 41(4): 438-444. DOI: 10.13898/j.cnki.issn.1000-2200.2016.04.005
    YI Wan-wan, SUN Fen-yong. Meta-analysis of T-lymphocyte subsets change in peripheral blood of patients with chronic hepatitis B[J]. Journal of Bengbu Medical University, 2016, 41(4): 438-444. DOI: 10.13898/j.cnki.issn.1000-2200.2016.04.005
    Citation: YI Wan-wan, SUN Fen-yong. Meta-analysis of T-lymphocyte subsets change in peripheral blood of patients with chronic hepatitis B[J]. Journal of Bengbu Medical University, 2016, 41(4): 438-444. DOI: 10.13898/j.cnki.issn.1000-2200.2016.04.005

    慢性乙型肝炎外周血T淋巴细胞亚群变化的Meta分析

    Meta-analysis of T-lymphocyte subsets change in peripheral blood of patients with chronic hepatitis B

    • 摘要: 目的:系统评价慢性乙型肝炎(CHB)患者外周血T淋巴细胞(TC细胞)亚群的变化情况及与乙型肝炎病毒脱氧核糖核酸(HBV-DNA)的关系。方法:通过计算机检索2000年1月1日至2013年12月31日公开发表于Medline(检索平台PubMed)、Embase(检索平台Ovild)、Central(检索平台Ovild)、维普、万方、知网等数据库所有关于CHB患者外周血TC细胞亚群变化的相关中英文文献。由2位评价人员按照纳入与排除标准独立筛选文献、提取资料和评价纳入研究的方法学质量后,采用RevMan 5.3软件进行Meta分析。结果:CHB患者外周血CD3+、CD4+T细胞和CD4+/CD8+比值均低于健康人群(P<0.01),而CHB患者外周血CD8+T细胞百分率高于健康人群(P<0.01)。HBeAg阳性组与HBeAg阴性组比较,外周血CD4+T细胞百分率显著降低,CD8+T细胞百分率显著升高(P<0.01),CD4+/CD8+差异无统计学意义(P>0.05)。HBV-DNA阳性组与HBV-DNA阴性组比较,外周血CD3+、CD4+T细胞百分率和CD4+/CD8+均显著降低(P<0.01),而CD8+T细胞百分率显著升高(P<0.01)。HBV-DNA定量高拷贝组与HBV-DNA定量低拷贝组比较,外周血CD4+T细胞百分率和CD4+/CD8+显著降低(P<0.01),而CD8+T细胞百分率升高(P<0.05);2组CD3+T细胞百分率差异无统计学意义(P>0.05)。结论:CHB可导致人体外周血TC细胞亚群的改变,其变化与HBV-DNA含量呈相关性。

       

      Abstract: Objective: To analyze the T-lymphocyte subsets change in peripheral blood of patients with chronic hepatitis B(CHB), and its correlation with hepatitis B-deoxyribonucleic acid(HBV-DNA). Methods: The relative literatures of T-lymphocyte subsets change in peripheral blood of patients with CHB from Medline(PubMed retrieval platform), Embase(Ovild retrieve platform), Central(Ovild retrieval platform), Whip, Wanfang and CNKI from January 1, 2000 to December 31, 2013 were searched. Independent screening documents, extracting information and evaluation were implemented independently by 2 evaluators according to the inclusion and exclusion criteria, which was analyzed by Meta using RevMan 5.3 software. Results: The percentage of CD3+T, CD4+T and CD4+T/CD8+T in patients with CHB were lower than those in healthy people, but the percentage of CD8+T cells of patients was higher(P<0.05). Compared with the HBeAg(-) patients, the percentage of CD4+T and CD8+T decreased and increased significantly in HBeAg(+) patients, respectively(P<0.01), the difference of CD4+T/CD8+ between HBeAg(-) and HBeAg(+) patients was not statistical significance(P>0.05). Compared with the negative HBV DNA patients, the percentage of CD3+T, CD4+T and CD4+T/CD8+T, and percentage of CD8+T decreased and increased significantly in the positive HBV DNA patients, respectively(P<0.01). Compared with the low copies of HBV DNA patients, the percentage of CD4+T and CD4+T/CD8+T and percentage of CD8+T decreased and increased significantly in high copies of HBV DNA patients, respectively(P<0.01), the difference of percentage of CD3+T between the low and high copies of HBV DNA patients was not statistical significance(P>0.05). Conclusions: HBV infection can lead to the change of T cell subsets of patients, which is positively related to the HBV-DNA level.

       

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