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Updated: Jul 19, 2026

Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue
Published on: June 14, 2020
[Effects of astragalus membranaceus on TH cell subset function in children with recurrent tonsillitis]
Yong Yang1, Li-Dong Wang, Zong-Bo Chen
1Department of Pediatrics, First People's Hospital of Yulin, Yulin, Shangxi 718000, China.
Objective:
To observe the TH cell subset function in children with recurrent tonsillitis (RT) at the remission stage and to study the effects of astragalus membranacus (AM) on TH cell subset function.
Methods:
The peripheral blood mononuclear cells (PBMC) from 27 children with RT at the remission stage were stimulated with either phytohemagalutinin (PHA) (RT-PHA group) or PHA together with AM (RT-AM group) and were then cultured in vitro for 48 hrs. The samples from 21 healthy children stimulated with PHA were used as the Control group. The levels of interferon-gamma (IFN-gamma) and interleukin-4 (IL-4) in the supernatants of PBMC were detected using ELISA.
Results:
The IFN-gamma level and the ratio of IFN-gamma/IL-4 in the RT-PHA group were statistically lower than those in the Control group (P < 0.01). The level of IFN-gamma and the ratio of IFN-gamma/IL-4 in the RT-AM group were markedly higher than those in the RT-PHA group (P < 0.01), but were significantly lower than those in the Control group (P < 0.05). There were no differences in the IL-4 level among the three groups.
Conclusions:
TH1 cell subset dysfunction may exit in RT children at the remission stage, suggesting that TH1 cell subset dysfunction plays an important role in the pathogenesis of RT. AM can improve TH1 cell subset function and therefore shows an important significance in treating RT.
Insights
Children with recurrent tonsillitis (RT) show impaired T-helper 1 (TH1) cell function. Astragalus membranaceus (AM) supplementation improved TH1 cell function in these children, suggesting its therapeutic potential for RT.
Area of Science:
- Immunology
- Pediatrics
Background:
- Recurrent tonsillitis (RT) is a common pediatric condition.
- T-helper (TH) cell subset function plays a crucial role in immune responses.
- Dysfunction in TH cell subsets may contribute to the pathogenesis of RT.
Purpose of the Study:
- To investigate T-helper (TH) cell subset function in children with recurrent tonsillitis (RT) during remission.
- To evaluate the therapeutic effects of Astragalus membranaceus (AM) on TH cell subset function in children with RT.
Main Methods:
- Peripheral blood mononuclear cells (PBMC) from 27 children with RT and 21 healthy controls were cultured in vitro.
- PBMCs were stimulated with phytohemagglutinin (PHA) alone or with PHA and Astragalus membranaceus (AM).
- Interferon-gamma (IFN-γ) and Interleukin-4 (IL-4) levels were quantified using ELISA.
Main Results:
- Children with RT exhibited significantly lower IFN-γ levels and IFN-γ/IL-4 ratios compared to controls.
- Astragalus membranaceus (AM) treatment increased IFN-γ levels and IFN-γ/IL-4 ratios in RT patients.
- IL-4 levels did not differ significantly among the groups.
Conclusions:
- T-helper 1 (TH1) cell subset dysfunction is likely present in children with RT during remission.
- TH1 cell subset dysfunction may be a key factor in the development of RT.
- Astragalus membranaceus (AM) demonstrates potential as a therapeutic agent for RT by enhancing TH1 cell function.
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