Objective:
This study aims to investigate the expression and clinical significance of
Th17 cells and related factors in peripheral blood of patients with Autoimmune Hepatitis (AIH).
Methods:
A retrospective selection of 100 patients with AIH were included as a study group, and
100 healthy volunteers in the outpatient clinic were selected as the control group. The levels of IL-
17, IL-6, IL-21 and TNF-α in peripheral blood of all subjects were detected by enzyme-linked
immunosorbent assay and the frequency of Th17 cells and Treg cells was detected by flow
cytometry.
Results:
Results showed that the study group had higher levels of serum total bilirubin (TBil),
alkaline phosphatase (ALP), γ -glutamyltranspeptidase (γ-GT), immunoglobulin G (IgG),
immunoglobulin M (IgM), alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
than the control group, as well as higher levels of IL-17, IL-6, IL-21 and TNF-α in serum. The
frequency of Th17 cells in peripheral blood was higher in the study group, while the frequency of
Treg cells was lower. Also, serum IL-17, TNF-α levels and Th17 cells frequency were positively
correlated with ALT and AST, whereas Treg cells frequency were negatively correlated with ALT
and AST levels.
Conclusion:
Our finding demonstrates that Th17 cell frequency and their related factors IL-17 and
TNF-α, are associated with liver damage, which might be used to monitor AIH disease severity.