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Changes in T-lymphocyte subsets after elective surgery.

S Madsbad, K Buschard, O Siemssen

    Acta Chirurgica Scandinavica
    |February 1, 1986
    PubMed
    Summary
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    Post-surgery, the ratio of helper to suppressor T-cells (OKT 4/8) significantly decreased in patients. This change in immune cell balance may increase susceptibility to bacterial infections after surgery.

    Area of Science:

    • Immunology
    • Surgical Oncology

    Background:

    • Post-surgical patients often exhibit increased susceptibility to infections.
    • T-cell subsets play a crucial role in immune regulation.

    Purpose of the Study:

    • To investigate the changes in T-cell subsets (helper and suppressor/cytotoxic) after elective surgical procedures.
    • To evaluate the postoperative T-cell ratio (OKT 4/8) and its potential implications for immune function.

    Main Methods:

    • Quantification of helper T-cells (OKT 4) and suppressor/cytotoxic T-cells (OKT 8) using monoclonal antibodies (OKT).
    • Measurements were taken preoperatively and on postoperative days 2 and 7 in seven patients undergoing cholecystectomy or vagotomy.

    Main Results:

    • Total T-cells (OKT 3) and helper T-cells (OKT 4) showed no significant changes postoperatively.

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  • A significant increase in suppressor/cytotoxic T-cells (OKT 8) was observed on postoperative days 2 and 7.
  • The OKT 4/8 ratio significantly decreased on postoperative days 2 and 7 compared to preoperative levels.
  • Conclusions:

    • Elective surgery leads to a significant decrease in the helper/suppressor T-cell ratio.
    • This altered immune balance may contribute to the increased risk of bacterial infections in the postoperative period.