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Retinopathy of prematurity: indicators of cellular immunity in patients with various stages of the disease

https://doi.org/10.21516/2072-0076-2019-12-2-5-11

Abstract

Purpose: to study the role of cellular immunity in the development of retinopathy of prematurity (ROP).

Material and methods. 87 children were tested, including 60 with III — V stage ROP and posterior aggressive retinopathy that had gestational age from 25 to 32 weeks at birth, aged 1 month to 1 year (study group) and 27 healthy children of the same age (control group).

Results. No statistically significant differences of immunological parameters were revealed within the groups of children aged 1 to 3 months, 3.5 to 6 months, and 6.5 to 12 months. The gestational age at birth had no effect on the parameters studied. With increasing severity of ROP amid reduced indicators of T-regulatory cells, the number of B-cells (CD19 +) grew, T-natural killer cells (CD3 -/CD16 +CD56 +) reduced significantly (p < 0.05), and the number of CD4+ T-cells reduced showing the significance of (p < 0.01–0.05).

Conclusion. The obtained data testify to the emergence of autoimmune reactions and a decrease in the level of regulatory T-cells in a premature child, more pronounced in severe stages of ROP.

About the Authors

L. M. Balashova
Pirogov Russian National Research Medical University; Morozov Children City Clinical Hospital; International theoretical and practical tissue proliferation center
Russian Federation

Dr. Med. Sci., head of scientific laboratory of pediatric ophthalmology, ophthalmologist, director 

 1, Ostrovitianova St., 117997, Moscow

1/9, 4th Dobryninsky per., Moscow, 119049

 29/14, Prechistenka St., 119134, Moscow 

 



Y. D. Kuznetsova
Pirogov Russian National Research Medical University; Russian Children Clinical; International theoretical and practical tissue proliferation center
Russian Federation

researcher, ophthalmologist, head of ophthalmology department

 1, Ostrovitianova St., 117997, Moscow

117, Leninsky prosp., 117997, Moscow

 29/14, Prechistenka St., 119134, Moscow





L. S. Korobova
Pirogov Russian National Research Medical University; International theoretical and practical tissue proliferation center
Russian Federation

anesthesiologist, head of pediatric anesthesiologic department

1, Ostrovitianova St., 117997, Moscow

 29/14, Prechistenka St., 119134, Moscow 





E. P. Kantarzhi
Pirogov Russian National Research Medical University; International theoretical and practical tissue proliferation center
Russian Federation

Cand. Biol. Sci., Professor, senior researcher of scientific laboratory of pediatric ophthalmology, council member

1, Ostrovitianova St., 117997, Moscow
29/14, Prechistenka St., 119134, Moscow 





V. E. Mukhin
Pirogov Russian National Research Medical University
Russian Federation

researcher of the department of cell technologies and regenerative medicine

1, Ostrovitianova St., 117997, Moscow




E. A. Cherkashina
Pirogov Russian National Research Medical University; International theoretical and practical tissue proliferation center
Russian Federation
senior laboratory assistant1, deputy director
 1, Ostrovitianova St., 117997, Moscow
29/14, Prechistenka St., 119134, Moscow



S. N. Bykovskaya
Pirogov Russian National Research Medical University
Russian Federation
Dr. Med. Sci., Professor, head of the department of cell technologies and regenerative medicine

 1, Ostrovitianova St., 117997, Moscow



References

1. Balashova L.M., Bykovskaya S.N., Kuznetsova Yu.D., Korobova L.S., Kantarzhi E.P. Comparative evaluation of cellular immunity in adults, elderly and children. Klinicheskaya Gerontologiya. 2010; 16 (11–12): 77–8 (in Russian).

2. Balashova L.M. Value of T-regulatory lymphocytes in maintaining immune balance in adults, the elderly and the newborn infants with complicated passage of neonatal period. Klinicheskaya Gerontologiya. 2011; 17 (9–10): 61–2 (in Russian).

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4. Semikina E.L., Kopyl'tsova E.A., Khodunova T.V, Zinov’yeva T.E., Yatsyk G.N. Immunologic features of newborn blood lymphocytes and expression of cytokine receptors. Bullenen’ RAMN. 2008; 12: 74–80 (in Russian).

5. Sakaguchi S., Ono M., Setoguchi R., et al. Foxp3+CD4+CD25+natural regulatory T-cells in dominant self-tolerance and autoimmune diseases. J. Immunol. 2006; 212: 8–27.

6. Yisong Y.Y. Multitasking of helper T-cells. Immunology. 2010; 130(2): 166–71. doi: 10.1111/j.1365-2567.2010.03289.x

7. Sakaguchi S. Thymus and autoimmunity: capacity of the normal thymus to produce pathogenic self-reactive T-cells and conditions required for their induction of autoimmune disease. J. Exp. Med. 1990; 172 (2): 537–45.


Review

For citations:


Balashova L.M., Kuznetsova Y.D., Korobova L.S., Kantarzhi E.P., Mukhin V.E., Cherkashina E.A., Bykovskaya S.N. Retinopathy of prematurity: indicators of cellular immunity in patients with various stages of the disease. Russian Ophthalmological Journal. 2019;12(2):5-11. (In Russ.) https://doi.org/10.21516/2072-0076-2019-12-2-5-11

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ISSN 2072-0076 (Print)
ISSN 2587-5760 (Online)