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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abstract
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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Journal title:
medical journal of islamic republic of iranجلد ۱۶، شماره ۳، صفحات ۱۶۹-۱۷۲
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