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Behçet病の免疫応答における細胞間調節機構を明らかにする目的で,患者97例(235検体)のinterleukin (IL)-2 receptor陽性(R+)細胞,IL-2産生能を測定し,本症の病態形成にIL-2系の関与することを示唆した.
1.IL-2R+細胞は健常対照にくらべて高値(P<0.001)であったが,IL-2産生能には有意の差がなかった.
2.本症の活動期におけるIL-2産生能は,非活動期にくらべて有意に高値であったが,IL同2R+細胞の値には有意の差がなく,恒常的に高値を示した.
3.IL-2産生能は眼活動性,眼外活動性がともに高い群で高値(P<0.01)を示した.
4.IL-2R+細胞,IL-2産生能の値は,ともに眼発作前後に大きく変動した.
5.Ciclosporin内服前後の両測定値に大きな変動はなかった.
6.IL-2R細胞とIL-2産生能との間に有意の相関はなかった.
We evaluated the role of interleukin-2 system in regulating immune responses in Behçet disease. We determined the expression of interleukin-2 receptor (IL-2) and the capacity of production of interleukin -2 (IL-2P) in 235 peripheral blood samples from 97 patients of the disease.
While the IL-2P values failed to show significant differences when compared to control, IL-2R was significantly higher in the patients than in control (p<0.001). The IL-2P levels were significantlyelevated during exacerbation of the disease as compared to remission (p<0.01). The IL-2R values remained at sustained high levels without signifi-cant fluctuation. The IL-2P values were elevated in cases with active ocular and extraocular manifesta-tions of the disease (p<0.01). Both IL-2R and IL-2P values showed abrupt changes before and after ocular attacks of the disease. Systemic cyclosporin did not influence the IL-2R or IL-2P values. There was no correlation between IL-2R and IL-2P val-ues.
Rinsho Ganka (Jpn J Clin Ophthalmol) 41(8) : 921-925, 1987
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