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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1993;36(6): 1206-1213. |
Analysis of lymphocytes subsets in nasal polyps. |
Hak Jun Kang, Jae Goo Chun, Hyun Sook Kim, Jae Duck Yoo, Sun Chul Lee, Sang Won Yoon, Chang Duk Jun, Hun Taek Chung |
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비용내 림프구 아형의 분석 |
강학준1 · 천재구1 · 김현숙1 · 유재득1 · 이선철1 · 윤상원2 · 전창덕3 · 정헌택3 |
대림성모병원 이비인후과1;원광대학교 의과대학 이비인후과학교실2;면역학교실3; |
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ABSTRACT |
Infection and allergy are believed to play a role in the pathogenesis of nasal polyps. But, it is reported that nasal polyps are more frequent in patients without an IgE-mediated allergy than in patients with a proved IgE-mediated allergy. Presently, the role of infection and the subsequent inflammatory response, including release of cytokines, is regarded as the most likely cause of nasal polyps. This study was done to know the cellular types of immunocytes that were distributed through the tissues of nasal polyps in 24 patients and normal nasal tissues of 5 healthy persons by the immunohistochemistry using monoclonal antibodies specific for several immunocytes. The results are as follows : 1) There were much more infiltrations of lymphocytes in the tissues of nasal polyps than normal nasal tissues. 2) Most of the lymphocytes distributed in the nasal polyps were CD3-positive T cells. 3) Among the
CD3+ T cells of nasal polyps, CD8+ suppressor/cytotoxic T cells were more than the
CD4+ helper/inducer T cells. 4) Among the CD3+ T cells of nasal polyps,
CD45RO+ memory T cells were more than the CD45RA+ naive T cells. 5) There were few
CD20+ B cells scattered in the tissues of nasal polyps. 6) There were much more infiltrations of
HLA-DR+ immunocytes in the tissues of nasal polyps than normal nasal tissues. There results suggest that immune-mediated inflammation could play the important roles in the pathogenesis of nasal polyps.
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