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Chinese Journal of Mycology 2014, Vol. 9  Issue (2): 79-82,95.

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Expression and significance of Th9 and Th17 in the peripheral blood of patients with cryptococcal meningitis

LEI Wen-zhi, SANG Jun-jun, PAN Wei-hua, LIAO Wan-qing   

  1. Department of dermatology, Changzheng Hospital.Institute of dermatology and medical mycology, Changzheng Hospital.Key laboratory of molecular medical mycology, PLA key laboratory of medical mycology, Shanghai 200003
  • Received:2014-03-04 Online:2014-04-28 Published:2014-04-28

Abstract:

Objective To explore the role of Th9 and Th17 cells in the pathogenesis of CM by mesureing the ratio of Th9 and Th17 cells in CD4+T lymphocyte of patients with cryptococcal meningitis (CM).Methods Twelve CM patients without antifungal treatment and 12 healthy controls were selected. The peripheral blood was collected from patients prior treatment and three weeks after treatment and the healthy controls. The ratio of Th9 and Th17 cells in peripheral blood were analyzed by flow cytometry.Result The ratio of Th17 cells in patients with CM before treatment was less than those of healthy people, and patients who received treatment showed the increased level of Th17 cells which was higher than those in patients before treatment and the healthy controls. The ratioof Th9 also increased in the patients who received treatment while there was no significant different between the patients before treatment and the healthy controls.Conclusion Th17 immune pathway is an important immune mechanism against Cryptococcus infection in patients with CM. The lack of Th17 cells may play a role in the pathogenesis and treatment-resistant of CM.

Key words: cryptococcal meningitis, Th cells, Th17, Th9, Cryptococcus

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