Abstract

The article establishes the particularities of immune system dysfunction in the elderly during formation of a specific immune response to vaccination with a seasonal influenza vaccine depending on the level of seroconversion. The corrective effect of fucoidan — a sulfated polysaccharide extracted from brown algae Fucus evanescens — was shown in the formation of a spe­cific immune response, accompanied by an increase in the expression of the activation molecules CD69 and CD86 on mono­cytes, a decrease in the expression density of CD20 on B-lymphocytes, and an increase in the relative content of memory cells (CD4 + CD45RO + -T-lymphocytes and cytotoxic CD8 + CD45RO + -T-lymphocytes). Fucoidan extracted from the brown algae Fucus evanescens of the Sea of Okhotsk can be used to increase the effectiveness of seasonal influenza vacci­nation in the elderly.

Highlights

  • The article establishes the particularities of immune system dysfunction in the elderly during formation of a specific immune response to vaccination with a seasonal influenza vaccine depending on the level of seroconversion

  • The corrective effect of fucoidan — a sulfated polysaccharide extracted from brown algae Fucus evanescens — was shown in the formation of a specific immune response, accompanied by an increase in the expression of the activation molecules CD69 and CD86 on monocytes, a decrease in the expression density of CD20 on B-lymphocytes, and an increase in the relative content of memory cells (CD4+CD45RO+-T-lymphocytes and cytotoxic CD8+CD45RO+-T-lymphocytes)

  • Fucoidan extracted from the brown algae Fucus evanescens of the Sea of Okhotsk can be used to increase the effectiveness of seasonal influenza vaccination in the elderly

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Summary

Ìàòåðèàë è ìåòîäû

Èññëåäîâàíèå ïðîâåäåíî â ýïèäåìè÷åñêèé ñåçîí ãðèïïà 2018–2019 ãã. â ñîîòâåòñòâèè ñ îñíîâíûìè ýòè÷åñêèìè ïðèíöèïàìè ýïèäåìèîëîãè÷åñêèõ èññëåäîâàíèé è Õåëüñèíêñêîé äåêëàðàöèè. Ïðîòîêîë èñïûòàíèÿ è âñå ñîîòâåòñòâóþùèå äîêóìåíòû áûëè îäîáðåíû Ýòè÷åñêèì êîìèòåòîì Ìåäèöèíñêîãî îáúåäèíåíèÿ ÄÂÎ ÐÀÍ. Ó÷àñòíèêè îïûòíîé ãðóïïû íà÷àëè ïðèíèìàòü ÁÀÄ Ôóêîëàì ýêñòðà, íà÷èíàÿ ñî äíÿ âàêöèíàöèè ïî 1 êàïñóëå 2 ðàçà â äåíü â òå÷åíèå 30 äíåé. Èììóíîôåíîòèïèðîâàíèå ëèìôîöèòîâ ïðîâîäèëè ìåòîäîì ïðîòî÷íîé öèòîìåòðèè (öèòîôëóîðèìåòð FACScan, BectonDickinson, ÑØÀ). Îöåíèâàëè àêòèâíîñòü êëåòî÷íîãî çâåíà âðîæäííîãî èììóíèòåòà (ìîíîöèòîâ) — ïî ýêñïðåññèè êîñòèìóëèðóþùèõ ìîëåêóë CD69, CD86, ñâèäåòåëüñòâóþùèõ îá àêòèâàöèè Ò-êëåòîê ïàìÿòè (CD4+CD45RO+ è CD8+CD45RO+) è ñóáïîïóëÿöèé Â-ëèìôîöèòîâ, çàâåðøàþùèõ äèôôåðåíöèðîâêó â ïëàçìàòè÷åñêèå êëåòêè (CD20+CD38++) ñ èñïîëüçîâàíèåì ìîíîêëîíàëüíûõ àíòèòåë: CD3, CD4, CD8, CD20, CD38, CD14, CD86, CD69, CD45RO (BekmanCoulter, ÑØÀ) è ñîîòâåòñòâóþùèõ èçîòîïè÷åñêèõ êîíòðîëåé. Ìîíîöèòû äèôôåðåíöèðîâàëè îò äðóãèõ êëåòîê ïî ïàðàìåòðàì FSC è SSC, à òàêæå ïî ýêñïðåññèè êëåòêàìè ìîëåêóë CD14. Âûáîðî÷íûå ïàðàìåòðû, ïðèâîäèìûå äàëåå â òàáëèöàõ, èìåþò ñëåäóþùèå îáîçíà÷åíèÿ: W — êðèòåðèé Shapiro–Wilk, îáúì àíàëèçèðóåìîé âûáîðêè (n), p — äîñòèãíóòûé óðîâåíü çíà÷èìîñòè.

Ðåçóëüòàòû è îáñóæäåíèå
Ñíèæåíèå ýêñïðåññèè ïðèâîäèò ê óìåíüøåíèþ êîñòèìóëÿöèè è ýôôåêòîðíîé àêòèâàöèè
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