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Published on: November 12, 2015
[The immunity of patients with keratoconus]
L N Tarasova1, E N Gorskova, S N Teplova
1Department of Ophthalmology of Uralsk Advanced Training Institute for Doctors, Cheliabinsk
Insights
Immune system imbalances were found in keratoconus patients, affecting T-lymphocytes and immunoglobulin levels. These findings suggest compromised immune homeostasis in individuals with this corneal disease.
Area of Science:
- Immunology
- Ophthalmology
- Corneal Diseases
Background:
- Keratoconus is a progressive thinning of the cornea.
- Immune system dysregulation may play a role in keratoconus pathogenesis.
- Understanding immune changes is crucial for managing keratoconus.
Purpose of the Study:
- To investigate cellular and humoral immunity in patients with keratoconus.
- To assess immune homeostasis at different stages of the disease.
- To identify specific immune markers associated with keratoconus.
Main Methods:
- Studied cellular and humoral immunity parameters.
- Analyzed T-lymphocytes and their subpopulations.
- Measured immunoglobulin levels, complement components (C3, C4), and lysozyme activity.
- Assessed NBT-positive and phagocytic cells.
Main Results:
- Impaired immune homeostasis observed in keratoconus patients.
- Shifts in T-lymphocyte populations noted.
- Dysgammaglobulinemia with elevated primary immune response immunoglobulins.
- Increased C3 and C4 complement components with reduced total hemolytic activity.
- Elevated NBT-positive and phagocytic cells, decreased serum lysozyme activity.
Conclusions:
- Keratoconus is associated with significant alterations in immune parameters.
- Both local corneal involvement and systemic immune shifts are evident.
- Immune dysregulation contributes to the pathophysiology of keratoconus.
Abstract:
Cellular and humoral immunity parameters were studied in patients with keratoconus at different stages, aged 14 to 49 years. The results showed the immune homeostasis to be impaired in patients with local involvement of the cornea. At a total system's level the patients developed shifts in the relative content of T-lymphocytes and their subpopulations, dysimmunoglubulinemia with increased levels of immunoglobulins of the primary immune response in the blood serum, high levels of the C3 and C4 components with a reduction of the total hemolytic activity of the complement, increased levels of NBT-positive and phagocytic cells, and a decrease of the activity of serum lysozyme.
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