a survey of cellular immunity, total t-lymphocyte, t-active , b-lymphocyte a nd t-cell function in relation to phytohemagglutinin (pha) in thalassemic patients

نویسندگان

t zandieh from the iranian blood transfusion service, tehran

f tarabadi from the iranian blood transfusion service, tehran

a tabatabaiyan from the iranian blood transfusion service, tehran

m izadyar the department of hematology, pediatric medical center, tehran university of medical sciences, tehran, i.r. iran.

چکیده

the aim of this study was to evaluate the immune system and lymphocyte function in 41 iranian β-thalassemic patients and 50 controls, ages ranging from 2 to 18 years. the patients consisted of 20 splenectomized and 21 non-splenectomized patients. they were treated with desferal, and had received repeated blood transfusion. laboratory investigations included measurement of total t lymphocytes, active t lymphocytes, b-iymphocytes and function of lymphocytes treated with pha. in this study we observed a significant reduction of active t lymphocytes and total t lymphocytes in the patient group compared to controls (p<0.005 & p<0.001), but there was no significant difference between splenectomized and non-splenectomized patients. also in both groups, lymphocyte function was reduced against pha (phytohemagglutinin) compared with the controls, and the numbers of b cells were increased. these results lead to the conclusion that the deficient immune system in β-thalassemia causes infectious diseases, which finally leads to death. therefore, stimulation of the immune system as well as clinical treatment may prevent infectious disease in patients with β- thalassemia.

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A SURVEY OF CELLULAR IMMUNITY, TOTAL T-LYMPHOCYTE, T-ACTIVE , B-LYMPHOCYTE A ND T-CELL FUNCTION IN RELATION TO PHYTOHEMAGGLUTININ (PHA) IN THALASSEMIC PATIENTS

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عنوان ژورنال:
medical journal of islamic republic of iran

جلد ۱۶، شماره ۳، صفحات ۱۶۹-۱۷۲

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