目的探讨心肌梗死患者外周血CD4+CD25+ Foxp3+ T细胞的水平及意义。方法采用流式细胞分析法, 检测20例急性心肌梗死患者(AMI组)、21例陈旧性心肌梗死患者(OMI组)和36例健康体检者(对照组)外周血CD4+CD25+ Foxp3+ T细胞水平。结果AMI组、OMI组的CD4+CD25+T细胞 /CD4+T细胞比例分别为(7.20±1.96)%和(7.55±1.77)%均低于对照组的(8.81±1.50)%(P<0.05);CD4+CD25+ Foxp3+ T细胞/CD4+T细胞比例AMI组为(1.42±0.38)%和OMI组为(1.46±0.55)%均比对照组(1.75±0.58)%低(P<0.05)。结论CD4+CD25+调节性T细胞比例降低可能打破了外周免疫耐受, 参与了心肌梗死患者动脉粥样硬化的发生发展。
ObjectiveTo explore the significance of the change of CD4+CD25+ Foxp3+ regulation T cells in peripheral blood of patients with myocardial infarction.MethodsThe proportion of CD4+CD25+ Foxp3+ T cells were detected in 20 patients with acute myocardial infarction (AMI group), 21 patients with old myocardial infarction (OMI group) and 36 healthy individuals (control group) by flow cytometry.ResultsCD4+CD25+T cells /CD4+ T cells in both AMI group(7.06±2.15)%and OMI group (7.55±1.77)%were significantly lower than in control group(8.81±1.50)%(P<0.05). Moreover CD4+CD25+ Foxp3+ cells /CD4+T cells in both AMI group(1.43±0.48)%and OMI group(1.46±0.55)%were significantly lower than in control group(1.75±0.58)%(P<0.05).ConclusionReduction of CD4+CD25+ regulation T cells may lead to the breakdown of peripheral autoimmune tolerance and participate in the progression of atherosclerosis and myocardial infarction.