多发性骨髓瘤患者自体混合淋巴细胞反应:黏附单核细胞和T淋巴细胞的作用。

Diagnostic immunology Pub Date : 1986-01-01
N Lahat, E Aghai, M Quitt, P Froom
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引用次数: 0

摘要

对12例多发性骨髓瘤患者进行了自体混合淋巴细胞反应(AMLR)测定。在10例抑郁症患者中发现AMLR。在OKT4/OKT8比例正常的患者中,耗损贴壁单核细胞导致AMLR增强。只有在单核细胞耗尽后,才发现AMLR值与患者外周血中OKT+4-T淋巴细胞的绝对数量呈正相关。贴壁单核细胞对AMLR的抑制作用与患者血清多克隆IgG和IgM水平呈负相关。单核细胞和OKT+4-T细胞的缺陷可能导致AMLR值低,并可能在多发性骨髓瘤免疫缺陷中发挥作用。
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Autologous mixed lymphocyte reaction in multiple myeloma patients: effect of adherent mononuclear cells and T lymphocytes.

Autologous mixed lymphocyte reaction (AMLR) was measured in 12 patients with multiple myeloma. In ten patients depressed AMLR was found. Depletion of adherent monocytes caused enhancement of AMLR in those with a normal OKT4/OKT8 ratio. Only after monocyte depletion was a high correlation found between the AMLR values and the absolute number of OKT+4-T lymphocytes in the patients' peripheral blood. There was an inverse correlation between the suppressive effect of adherent monocytes on AMLR and the patients' serum levels of polyclonal IgG and IgM. Defects in both monocytes and OKT+4-T cells might have caused the low AMLR values and perhaps played a role in multiple myeloma immunodeficiency.

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