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环孢菌素A对再生障碍性贫血患者骨髓细胞Fas表达及凋亡率的影响

赵芳 王娟 张睿 杨博 许卫星 贺椿媛 刘静 尹凤雷

中国药业Issue(14):56-57,2.
中国药业Issue(14):56-57,2.

环孢菌素A对再生障碍性贫血患者骨髓细胞Fas表达及凋亡率的影响

Influence of Cyclosporin A on Fas Expression of Marrow Cells and Apoptosis Rate in Patients with Aplastic Anemia

赵芳 1王娟 1张睿 1杨博 1许卫星 1贺椿媛 1刘静 1尹凤雷1

作者信息

  • 1. 河北省沧州市中心医院,河北 沧州 061000
  • 折叠

摘要

Abstract

Objective To study the influence of the cyclosporin A(CsA)combined regimen on Fas ezpression of marrow cells and apop-tosis rate of mononuclear cell(MNC)in the patients with aplastic anemia(AA). Methods Totally 48 patients with AA admitted to our hospital from February 2010 to February 2014 were selected and divided into the severe AA group(SAA,24 cases) and the chronic AA group (CAA,24 cases). The two groups were treated with the routine therapy of testosterone undecanoate,human immunoglobulin ( pH4 ) for intravenous injection and CsA,while the SAA group was added with anti-human T lymphocyte porcine immunoglobulin (ATG). Results The total effective rate was 66. 67% in the SAA group and 87. 50% in the CAA group without statistically significant difference between them( P > 0. 05);which the remission rate in the SAA group was significantly lower than the CAA group ( P < 0. 05 ) . the CD34 + Fas+ cell percentage before treatment had no satistical difference between the two grous ( P > 0. 05 ) ,however which after treatment in the SAA group was significantly higher than that in the CAA group ( P < 0. 05 ). The apoptosis rate of MNC after treatment in the SAA group was (2. 92 ± 1. 20)% ,and the CAA groups was (2. 27 ± 0. 74)% ,which were significantly lower than ( 6. 46 ± 2. 17 )% before treatment,and ( 2. 92 ± 1. 20 )% after treatment in the CAA group( P < 0. 05). Conclusion The abnormal ez-pression of cellular Fas has some relation with the AA onset. The CsA combined regimen can significantly reduce the apoptosis rate of bone marrow MNC.

关键词

环孢菌素A/再生障碍性贫血/骨髓细胞/Fas表达/细胞凋亡率

Key words

cyclosporin A/aplastic anemia/bone marrow cells/Fas ezpression/apoptosis rate

分类

医药卫生

引用本文复制引用

赵芳,王娟,张睿,杨博,许卫星,贺椿媛,刘静,尹凤雷..环孢菌素A对再生障碍性贫血患者骨髓细胞Fas表达及凋亡率的影响[J].中国药业,2015,(14):56-57,2.

中国药业

1006-4931

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