Abstract:
Introduction. The application of autologous mononuclear cells to the area of inflammatory affected
tissue produces the stimulation of certain cytokines with anti-inflammatory properties, the proliferation
of cells involved in repair and reconstructive processes, and accelerates the normalization of local and
systemic immune status.
Materials and methods. Standard conservative treatment with local application (peritonsillar space)
of autologous cells was applied to 32 children with chronic tonsillitis.
Results. Immunohistochemical studies of tonsils (12 children) showed that in the dynamics of
treatment the number of preimmune resistance cells СD56+ CD68+ in the germinal center (GC), the
peripheral part of the tonsillar lymphoid node, in the crypt and taping epithelium increased
significantly. The amount of e-RNA and RLO decreased significantly in the GC. Posttreatment, there
was an increase in cellular immunity, which was evidenced by high levels of CD3+ CD4+ CD8+
density in the studied areas. Humoral immunity (lymphocytes CD20 cу+, plasma cells) did not undergo
a normalization process, the levels of density of these lymphocytes being low.
Evaluation of the bacteriological profile on the tonsils determined the following bacterial flora:
Staphylococcus aureus – 56.2%, β-hemolytic streptococcus group A – 12.5%, β-hemolytic
streptococcus group C – 6.5%, Streptococcus pneumoniae – 6.3%. After treatment, after 2 months, the
predominated flora: Staphylococcus aureus – 72.2% of cases, Streptococcus pneumoniae – 11%, βhemolytic streptococcus group F – 5%.
After treatment, the levels of allergic and autoimmune reaction indices in general immunity
(eosinophils (%), IgE (IU/ml), ANA-combi decreased significantly, a tendency to decrease in ASL-O,
PCR and RF was detected, the levels of T-lymphocyte sensitization to streptococcal, staphylococcal,
pneumococcal antigens decreased significantly.
Over the course of 2 years, a positive clinical evolution was observed in most children, characterized
by a decrease in the number of ARIs and the use of antibiotic therapy.
Conclusions: Local therapy with autologous mononuclear cells has a strong immunostimulatory effect
that has a beneficial effect on the elimination of local pathogenic flora and, as a result, normalizes the
indices of allergic and autoimmune reactions in the general immune system.
