在接受二甲基烟酸治疗的多发性硬化症患者中,高CD4+:CD8+比率与疹感染
Alexandra Balshi1, Emma Saart1,2, Sarbesh Pandeya1
1Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
概括
患有多发性硬化症 (MS) 并服用二甲基烟酸 (DMF) 的患者患有疹 (HZ) 的患者CD4+:CD8+比率更高. 建议在DMF启动前监测淋巴细胞子集和接种疫苗,以减轻HZ风险.
科学领域:
- 免疫学 免疫学 免疫学
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 丁甲基烟酸 (DMF) 与T细胞枯竭有关.
- 在使用DMF的多发性硬化症 (MS) 患者中报告了疹疹 (HZ) 病例.
研究的目的:
- 为了比较MS患者的淋巴细胞子集,在DMF治疗期间开发了HZ,与没有HZ的匹配对照对比.
- 为了确定与DMF治疗的MS患者中与HZ风险相关的潜在免疫标记物.
主要方法:
- 利用线性混合效应模型来分析淋巴细胞子集随时间变化的变化.
- 在HZ和非HZ组之间比较白细胞计数,淋巴细胞百分比和特定T细胞群 (CD3 +,CD4 +,CD8 +).
主要成果:
- 在HZ和非HZ组之间观察到CD4+:CD8+比率的显著差异 (p=0.033).
- 在患有HZ的患者中,CD4+:CD8+比率随着时间的推移而下降,而在对照组中增加.
结论:
- 在DMF上发展HZ的MS患者表现出较高的CD4+:CD8+比率,表明潜在的免疫失衡.
- 定期监测淋巴细胞子集,特别是CD4+:CD8+比率,以及治疗前接种疫苗对于管理DMF患者的HZ风险至关重要.
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