摘要
Objective:To study the correlation of peripheral blood Th17 cell surface CCR4, CCR6 and CXCR3 expression with the illness in patients with chronic hepatitis b (CHB).Methods: A total of 48 patients who were diagnosed with chronic hepatitis b in Jianyang People's Hospital between July 2014 and January 2017 were selected as the CHB group of the research, 66 healthy volunteers who received physical examination during the same period were selected as control group, the peripheral blood was collected to determine Th17 cell surface CCR4, CCR6 and CXCR3 expression, and serum was collected to determine the levels of Th17 cytokines, liver function indexes and liver fibrosis indexes.Results: Peripheral blood Th17 cell surface CCR4, CCR6 and CXCR3 fluorescence intensity of CHB group were significantly higher than those of control group;serum IL-17, IL-21, IL-22, ALT, AST, GLB, HA, PC-Ⅲ, LN and C-Ⅳ levels of CHB group were significantly higher than those of control group and positively correlated with peripheral blood Th17 cell surface CCR4, CCR6 and CXCR3 fluorescence intensity while serum ALB level was significantly lower than that of control group and negatively correlated with peripheral blood Th17 cell surface CCR4, CCR6 and CXCR3 fluorescence intensity.Conclusion: The high expression of peripheral blood Th17 cell surface CCR4, CCR6 and CXCR3 in patients with CHB can result in increased secretion of Th17 cytokines, liver function injury and liver fibrosis.
