The Relationship Between Thyroid Function and T Lymphocyte Subsets in Patients with Hashimoto's Thyroiditis

Rongqin Dai, Jinbiao Zhang, Wei Li, Xiang-Feng Lu, W. Tian
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Abstract

Objective: To assess the relationship between thyroid function and T lymphocyte subsets in Patients with Hashimoto's Thyroiditis. Method: To select 131 diagnosed HT patients as the research object, which is divided into HT hyperthyroidism group (Group A) with 18 cases, normal HT thyroid function group (Group B) with 35 cases, HT subclinical hypothyroidism group (Group C) with 42 cases, and HT hypothyroidism group (Group D) with 36 cases in accordance with thyroid function. Besides, 40 cases of healthy check-up people are selected as the control group. ECLIA is adopted to test the thyroid function index of each group, and FCM is adopted to test T lymphocyte subsets. Result: Compare CD3+T lymphocytes of each group, Group D is obviously higher than Group A, Group B, and the control group, and the difference has statistic significance (P<0.05); Compare CD3+CD4+T lymphocyte and CD4+/CD8+ of each group, Group D is obviously higher than other groups, Group C is obviously higher than Group A, Group B, and the control group, Group A and Group B are obviously higher than the control group, and the differences have statistic significance (P<0.05); Compare CD3+CD8+T lymphocytes of each group, Group D is obviously lower than other groups, Group C is obviously lower than Group A, Group B, and the control group, the difference has statistic significance (P<0.05). The correlation analysis shows that TSH is in positive correlation with CD4+/CD8+, FT3 is in positive correlation with CD3+CD8+T, and FT4 is in positive correlation with CD3+CD8+T and in negative correlation with CD4+/CD8+. Conclusion: HT patients have the imbalance of T lymphocyte subsets, and the T lymphocyte subsets ratio of HT patients of different thyroid function has obvious differences, which may have close relationship with the occurrence and development of HT.
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桥本甲状腺炎患者甲状腺功能与T淋巴细胞亚群的关系
目的:探讨桥本甲状腺炎患者甲状腺功能与T淋巴细胞亚群的关系。方法:选取确诊HT患者131例作为研究对象,根据甲状腺功能分为HT甲亢组(A组)18例,HT甲状腺功能正常组(B组)35例,HT亚临床甲状腺功能减退组(C组)42例,HT甲状腺功能减退组(D组)36例。选取健康体检者40例作为对照组。采用ECLIA检测各组甲状腺功能指数,采用FCM检测T淋巴细胞亚群。结果:比较各组CD3+T淋巴细胞,D组明显高于A组、B组及对照组,差异有统计学意义(P<0.05);比较各组CD3+CD4+T淋巴细胞及CD4+/CD8+, D组明显高于其他各组,C组明显高于A、B组及对照组,A、B组明显高于对照组,差异均有统计学意义(P<0.05);比较各组CD3+CD8+T淋巴细胞,D组明显低于其他各组,C组明显低于A组、B组及对照组,差异均有统计学意义(P<0.05)。相关性分析显示,TSH与CD4+/CD8+呈正相关,FT3与CD3+CD8+T呈正相关,FT4与CD3+CD8+T呈正相关,与CD4+/CD8+呈负相关。结论:HT患者存在T淋巴细胞亚群失衡,不同甲状腺功能的HT患者T淋巴细胞亚群比例存在明显差异,可能与HT的发生发展有密切关系。
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