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Successful immunosuppressive therapy with cyclosporine A for posthepatitis B-cell deficiency with activated cytoplasmic interferon--gamma-positive T-lymphocytes.
Otsubo, Hiroko; Kaito, Ken; Ogasawara, Yoji; Shimada, Takaki; Usui, Noriko; Kobayashi, Masayuki.
Afiliación
  • Otsubo H; Department of Internal Medicine, Jikei University, School of Medicine, Tokyo, Japan.
Int J Hematol ; 75(3): 285-8, 2002 Apr.
Article en En | MEDLINE | ID: mdl-11999357
We describe a patient with transient disappearance of B-cells, hypogammaglobulinemia, and mild pancytopenia after acute hepatitis. Both HLA-DR+CD8+ and intracellular interferon-gamma+/interleukin-4- cell levels were markedly increased, resulting in an increase in the cytotoxic T-cell (T(C))1/Tc2 and helper T-cell (T(H))1/T(H)2 ratios. After immunosuppressive therapy with cyclosporine A, these parameters of T-cell activation were clearly decreased, and hematologic recovery, including an increase in B-lymphocytes and immunoglobulin concentration, was obtained. These results suggest that there had been suppression of B-cells by activated T-cells. Some patients with common variable immunodeficiency show similar activation of T-cell function, and the present findings suggest the possibility of immunosuppressive therapy for such patients.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfocitos B / Linfocitos T / Ciclosporina / Hepatitis Viral Humana / Inmunosupresores Límite: Adult / Female / Humans Idioma: En Revista: Int J Hematol Asunto de la revista: HEMATOLOGIA Año: 2002 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfocitos B / Linfocitos T / Ciclosporina / Hepatitis Viral Humana / Inmunosupresores Límite: Adult / Female / Humans Idioma: En Revista: Int J Hematol Asunto de la revista: HEMATOLOGIA Año: 2002 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón