Objective To reveal the value of single lymphocyte subpopulation and their ratios in the progression of sepsis. Methods From January 2019 to March 2021, 39 sepsis patients, 16 septic shock patients, and 50 healthy volunteers were recruited in the Second Xiangya Hospital for this cross-sectional study. The absolute quantitation of CD4+T, CD8+T, B lymphocytes, and NK cells in peripheral blood were determined by flow cytometry. SPSS Software was used to analyze the results. Results On the whole, the numbers of lymphocytes in the sepsis group and in the septic shock group were lower than that in the healthy control group. Surprisingly, the percentage of CD8+T lymphocytes in the septic shock group was slightly higher than that in the sepsis group. The percentage of B lymphocytes in the sepsis group was higher than that in the healthy control group. The AUC of CD8+T/B was 0.724, with the sensitivity and specificity being 75.00% and 71.79%, respectively. Conclusion The immune expression pattern of patients with sepsis was not a simple decrease in the number of lymphocytes. The change in the ratios of lymphocyte subpopulation might be more meaningful along the development and progression of sepsis. The ratio of CD8+T/B could be used to diagnose the progression of sepsis and reduce the misdiagnosis rate to a certain extent.
Background: To investigate the significance of th1/th2 cytokines in the pathogenesis of unexplained recurrent spontaneous abortion(URSA) patients. Methods: Flow cytometry was used to determine the level of th1/th2 cytokines in peripheral blood of URSA patients, comparison between two groups was analysed by Mann-Whitney U test, and Kruskal-Wallis H test was used to test three or more groups. Results : T he content of il-6 in peripheral blood of adverse pregnancy group (ad-pregnancy group) was significantly higher than that of URSA group and pregnancy group. The ratio of il-2 / il-4 and IFN-γ/il-4 in peripheral blood of URSA group was significantly higher than that of pregnancy group, the ratio of IFN-γ/il-10 and IFN-γ/il-4 in peripheral blood of ad-pregnancy group was significantly higher than that of pregnancy group. The AUC of IFN-γ/il-4 was 0.821, with high diagnostic efficiency, sensitivity as high as 84.09% and specificity as high as 69.05%, which were higher than other indicators. Conclusion : The Variable of IFN-γ/il-4 can be used for the initial diagnosis of Ursa to reduce the rate of missed diagnosis, the cytokine ratio in the Th1/Th2 immune response was more important than the expression of single cytokine.
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