Immunological consequences following splenectomy in patients with liver cirrhosis.

T cell hypersplenism immune cell phenotype immune status liver cirrhosis neutrophil-to-lymphocyte ratio splenectomy

Journal

Experimental and therapeutic medicine
ISSN: 1792-0981
Titre abrégé: Exp Ther Med
Pays: Greece
ID NLM: 101531947

Informations de publication

Date de publication:
Jul 2019
Historique:
received: 06 10 2018
accepted: 16 05 2019
entrez: 9 7 2019
pubmed: 10 7 2019
medline: 10 7 2019
Statut: ppublish

Résumé

The immune status in patients with liver cirrhosis is generally impaired due to concomitant hypersplenism. As the spleen is the largest lymphoid organ, deleterious events resulting from splenectomy are of concern in these patients. However, the immunological consequences after splenectomy have not yet been fully elucidated. In the present study, the immune status after splenectomy was comprehensively examined. Splenectomy was performed in 11 patients with liver cirrhosis and hypersplenism, and the immune status in peripheral blood was examined and compared before and at 1, 3 and 6 months after splenectomy. Splenectomy significantly lowered the neutrophil-to-lymphocyte ratio, due to a surge in lymphocytes in the peripheral circulation at 3 and 6 months after splenectomy. The frequency of cluster of differentiation (CD)4

Identifiants

pubmed: 31281459
doi: 10.3892/etm.2019.7640
pii: ETM-0-0-7640
pmc: PMC6591499
doi:

Types de publication

Journal Article

Langues

eng

Pagination

848-856

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Auteurs

Yusuke Hirakawa (Y)

Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.

Toshiro Ogata (T)

Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.
Department of Surgery, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan.

Tetsuro Sasada (T)

Cancer Vaccine Center, Kurume University, Kurume, Fukuoka 839-0863, Japan.
Cancer Vaccine Center, Kanagawa Cancer Center, Yokohama, Kanagawa 241-8515, Japan.

Takuto Yamashita (T)

Biostatistics Center, Kurume University, Kurume, Fukuoka 830-0011, Japan.

Kyogo Itoh (K)

Cancer Vaccine Center, Kurume University, Kurume, Fukuoka 839-0863, Japan.

Hiroyuki Tanaka (H)

Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.

Koji Okuda (K)

Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.

Classifications MeSH