JOURNAL OF PRACTICAL HEPATOLOGY ›› 2014, Vol. 17 ›› Issue (3): 275-279.doi: 10.3969/j.issn.1672-5069.2014.03.014

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Clinical implication of peripheral blood dendritic cell subsets in cirrhotic patients with hepatitis B virus infection

Zheng Sheng, Tang Yingmei, Yang Jinhui   

  1. Department of Gastroenterology,Third People’s Hospital,Yunnan Province,Kunming 650011,China
  • Received:2013-09-26 Online:2014-06-30 Published:2016-04-11

Abstract: Objective To evaluate the clinical implication of peripheral blood dendritic cell (DC) subsets in cirrhotic patients with hepatitis B virus (HBV) infection. Methods Flow cytometry was used to analyze the counts of peripheral blood DC subsets and T lymphocyte subsets in 42 cirrhotic patients with HBV infection,45 patients with chronic hepatitis B and 30 healthy persons. Results The percentages of DC1 and DC2 subsets were (0.2±0.1)% and(0.2±0.04)%,respectively,in cirrhotic patients with chronic HBV infection, and (0.3±0.1)% and (0.2±0.1)%,respectively,in patients with chronic hepatitis B,all were significantly lower than those in health controls [(0.4±0.1)% and (0.3±0.1)%,P<0.01]; The DC2 subset in 13 cirrhotic patients with HBeAg-positive was (5.62±1.28) cells per microliter, significantly lower than that in 29 cirrhotic patients with HBeAg-negtive[(8.75±2.32)cells per microliter,P<0.05];No significant difference was found in DC1 subsets between cirrhotic patients with HBeAg-positive and HBeAg-negative;The CD4+ T lymphocyte and CD8+ T lymphocyte counts in cirrhotic patients were(588.4±124.2) cells per microliter and (338.5±97.4)cells per microliter,both significantly lower than those in patients with chronic hepatitis B[(686.7±106.5) cells per microliter and (432.1±102.6)cells per microliter,P<0.05];Moreover,CD8+ T lymphocytes in patients with cirrhosis and with chronic hepatitis B were both significantly lower than that in health controls[(560.2±105.6) cells per microliter,P<0.05]. Conclusion The decrease in DC1 and DC2 subsets in cirrhotic patients with HBV infection,accompanied with a decrease in CD8+ T lymphocytes,might play an important role in the development of cirrhosis after HBV infection.

Key words: Cirrhosis, Hepatitis B, Dendritic cell, Peripheral blood