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Characterization of the PCR inhibitory effect of bile to optimize real-time PCR detection of Helicobacter species 胆汁PCR抑制效果的表征优化实时PCR检测幽门螺杆菌菌种
Pub Date : 2005-05-01 DOI: 10.1016/j.femsim.2004.12.004
Waleed Abu Al-Soud, Ibn-Sina Ouis, Dai-Qing Li, Åsa Ljungh, Torkel Wadström

The inhibitory effect of human and porcine bile samples to detect Helicobacter DNA was studied by adding different concentrations of bile samples to PCR mixtures of six thermostable DNA polymerases containing cagA specific primers and Helicobacter pylori DNA. PCR products were amplified by using the Rotorgene system and SYBR Green I. Among the six DNA polymerases tested, rTth had the lowest sensitivity to bile inhibitors, whereas Taq and Tfl had the highest sensitivity. Bile proteins did not inhibit AmpliTaq DNA polymerase, whereas the fraction containing mainly bile acids and their salts inhibited the amplification capacity of AmpliTaq. Heating human bile at 98 °C and adding casein and formamide to the reaction mixture reduced the PCR inhibitory effect of bile. Therefore, a pre-PCR treatment based on dilution and heating of bile, adding casein and formamide to the reaction mixture of rTth DNA polymerase was found efficient to amplify DNA directly in bile.

通过将不同浓度的胆汁加入到含有cagA特异性引物的6种耐热DNA聚合酶和幽门螺杆菌DNA的PCR混合物中,研究了人胆汁和猪胆汁对幽门螺杆菌DNA检测的抑制作用。PCR产物采用Rotorgene系统和SYBR Green i进行扩增。在所检测的6种DNA聚合酶中,rth对胆汁抑制剂的敏感性最低,而Taq和Tfl的敏感性最高。胆汁蛋白不抑制AmpliTaq DNA聚合酶,而主要含有胆汁酸及其盐的部分抑制AmpliTaq的扩增能力。在98℃下加热人胆汁,在反应混合物中加入酪蛋白和甲酰胺,降低了胆汁的PCR抑制作用。因此,发现一种基于稀释和加热胆汁,在rth DNA聚合酶的反应混合物中加入酪蛋白和甲酰胺的预pcr处理可以有效地直接扩增胆汁中的DNA。
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引用次数: 54
Pathogenesis and host response in Helicobacter infections 幽门螺杆菌感染的发病机制和宿主反应
Pub Date : 2005-05-01 DOI: 10.1016/j.femsim.2005.02.006
Karen A. Krogfelt, Leif Percival Andersen (Secretary and Chair of the local Scientific Committee, respectively), J.G. Kusters (Editor)
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引用次数: 8
Minimizing the release of proinflammatory and toxic bacterial products within the host: A promising approach to improve outcome in life-threatening infections 最大限度地减少宿主内促炎和有毒细菌产物的释放:一种有希望改善危及生命的感染结果的方法
Pub Date : 2005-04-01 DOI: 10.1016/j.femsim.2005.01.001
Roland Nau , Helmut Eiffert

Various bacterial components (e.g., endotoxin, teichoic and lipoteichoic acids, peptidoglycans, DNA) induce or enhance inflammation by stimulating the innate immune system and/or are directly toxic in eukariotic cells (e.g., hemolysins). When antibiotics which inhibit bacterial protein synthesis kill bacteria, smaller quantities of proinflammatory or toxic compounds are released in vitro and in vivo than during killing of bacteria by β-lactams and other cell-wall active drugs. In general, high antibiotic concentrations liberate lower quantities of bacterial proinflammatory or toxic compounds than concentrations close to the minimum inhibitory concentration. In animal models of Escherichia coli Pseudomonas aeruginosa and Staphylococcus aureus peritonitis/sepsis and of Streptococcus pneumoniae meningitis, a lower release of proinflammatory bacterial compounds was associated with a reduced mortality or neuronal injury. Pre-treatment with a bacterial protein synthesis inhibitor reduced the strong release of bacterial products usually observed during treatment with a β-lactam antibiotic. Data available strongly encourage clinical trials comparing antibiotic regimens with different release of proinflammatory/toxic bacterial products. The benefit of the approach to reduce the liberation of bacterial products should be greatest in patients with a high bacterial load.

各种细菌成分(如内毒素、磷壁酸和脂磷壁酸、肽聚糖、DNA)通过刺激先天免疫系统和/或直接对真核细胞有毒(如溶血素)诱导或增强炎症。当抑制细菌蛋白质合成的抗生素杀死细菌时,在体外和体内释放的促炎或有毒化合物比用β-内酰胺类和其他细胞壁活性药物杀死细菌时释放的量要少。一般来说,高浓度的抗生素比接近最低抑菌浓度的抗生素释放出更少的细菌促炎或有毒化合物。在大肠杆菌、铜绿假单胞菌和金黄色葡萄球菌腹膜炎/败血症和肺炎链球菌脑膜炎的动物模型中,促炎细菌化合物的较低释放与死亡率或神经元损伤的降低有关。用细菌蛋白合成抑制剂预处理减少了通常在用β-内酰胺抗生素治疗期间观察到的细菌产物的强烈释放。现有数据强烈鼓励临床试验比较抗生素方案与不同释放的促炎/有毒细菌产品。减少细菌产物释放的方法在细菌负荷高的患者中获益最大。
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引用次数: 46
Biological importance of the two Toll-like receptors, TLR2 and TLR4, in macrophage response to infection with Candida albicans 两种toll样受体TLR2和TLR4在巨噬细胞对白色念珠菌感染反应中的生物学意义
Pub Date : 2005-04-01 DOI: 10.1016/j.femsim.2004.12.005
Elisabetta Blasi , Anna Mucci , Rachele Neglia , Francesco Pezzini , Bruna Colombari , Danuta Radzioch , Andrea Cossarizza , Enrico Lugli , Gianfranco Volpini , Giuseppe Del Giudice , Samuele Peppoloni

The aim of this study was to assess the role of TLR2, TLR4 and MyD88 accessory molecule in the effector and secretory response of macrophages to viable microbial agents. Using TLR-deleted macrophage cell lines generated from the bone marrow of genetically engineered mice (TLR4 gene-deficient, MyD88- and TLR2-knockout mice) and wild-type control mice, we found that TLR2-deleted macrophages exhibit increased ability to contain Candida albicans infection compared to TLR2+/+ counterpart. In contrast, both MyD88−/− and TLR4−/− macrophages retain levels of functional activity comparable to that of the respective wild-type MyD88+/+ and TLR4+/+ controls. The difference in anticandidal effector functions observed between TLR2−/− and TLR2+/+ macrophages is abrogated upon opsonization of the fungal target and interestingly is not observed when using other microbial targets, such as Streptococcus pneumoniae and Helicobacter pylori. When tested for secretory response to C. albicans, TLR2-deleted macrophages show a pattern of cytokine production similar to that of TLR2+/+ controls. Finally, flow cytometry analysis reveals that TLR2-deleted macrophages express only TLR4, while, as expected, TLR2+/+ macrophages are both TLR2 and TLR4 positive; in no cases, modulation of such markers occurs in macrophages exposed to C. albicans infection. In conclusion, these data indicate that TLR2 and TLR4 have different biological relevance, in which TLR2 but not TLR4, is involved in the accomplishment of macrophage-mediated anticandidal activity, while the secretory response to C. albicans appears to be TLR4 but not TLR2-dependent.

本研究旨在探讨TLR2、TLR4和MyD88辅助分子在巨噬细胞对活菌制剂的效应和分泌反应中的作用。利用tlr缺失的巨噬细胞细胞系从基因工程小鼠(TLR4基因缺失、MyD88和TLR2敲除小鼠)和野生型对照小鼠的骨髓中产生,我们发现TLR2缺失的巨噬细胞与TLR2+/+的对偶物相比,具有更高的抑制白色念珠菌感染的能力。相比之下,MyD88−/−和TLR4−/−巨噬细胞保持的功能活性水平与各自的野生型MyD88+/+和TLR4+/+对照相当。在TLR2−/−和TLR2+/+巨噬细胞之间观察到的抗拮抗效应功能的差异在真菌靶点上被消除,有趣的是,在使用其他微生物靶点(如肺炎链球菌和幽门螺杆菌)时没有观察到。当检测对白色念珠菌的分泌反应时,TLR2缺失的巨噬细胞显示出与TLR2+/+对照相似的细胞因子产生模式。最后,流式细胞术分析显示TLR2缺失的巨噬细胞仅表达TLR4,而TLR2+/+的巨噬细胞如预期的那样同时表达TLR2和TLR4阳性;在任何情况下,这些标记的调节发生在暴露于白色念珠菌感染的巨噬细胞中。综上所述,这些数据表明TLR2和TLR4具有不同的生物学相关性,其中TLR2而不是TLR4参与巨噬细胞介导的抗念珠菌活性的完成,而对白色念珠菌的分泌反应似乎依赖于TLR4而不依赖于TLR2。
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引用次数: 83
Mechanisms of Porphyromonas gingivalis-induced monocyte chemoattractant protein-1 expression in endothelial cells 牙龈卟啉单胞菌诱导内皮细胞单核细胞趋化蛋白-1表达的机制
Pub Date : 2005-04-01 DOI: 10.1016/j.femsim.2004.12.003
Eun-Kyoung Choi , Sun-Ah Park , Won-Mann Oh , Ho-Cheol Kang , Howard K. Kuramitsu , Byung-Gook Kim , In-Chol Kang

Monocyte chemoattractant protein-1 (MCP-1) is expressed in vascular endothelial cells of inflamed gingival tissues and plays an important role in periodontal pathogenesis. Endothelial cells produce high levels of MCP-1 in response to Porphyromonas gingivalis, an important periodontal pathogen. The present study investigated the mechanisms involved in MCP-1 production by human umbilical vein endothelial cells (HUVEC) following infection with P. gingivalis. In contrast to P. gingivalis, Bacteroides forsythus only weakly stimulated MCP-1 production while Treponema denticola could not induce MCP-1 in HUVEC. The MCP-1 production was independent of endogenous interleukin (IL)-1α as IL-1 receptor antagonist treatment did not reduce MCP-1 production by P. gingivalis. Meanwhile, antioxidant treatment and inhibition of NAD(P)H oxidase significantly reduced MCP-1 production. Pharmacological inhibition of p38 mitogen-associated protein (MAP) kinase, c-Jun N-terminal kinase (JNK), nuclear factor-κB (NF-κB) or activator protein-1 (AP-1) also substantially attenuated P. gingivalis-induced MCP-1 expression by HUVEC. Indeed, activation of NF-κB and AP-1 was observed in P. gingivalis-infected HUVEC. These results suggest that MCP-1 expression is upregulated in P. gingivalis-infected endothelial cells via reactive oxygen species, p38 MAP kinase, JNK, NF-κB, and AP-1.

单核细胞趋化蛋白-1 (MCP-1)在炎症牙龈组织血管内皮细胞中表达,在牙周发病中起重要作用。内皮细胞对牙龈卟啉单胞菌(一种重要的牙周病原体)产生高水平的MCP-1。本研究探讨了人脐静脉内皮细胞(HUVEC)感染牙龈假单胞菌后产生MCP-1的机制。与牙龈假单胞杆菌相比,连翘拟杆菌只能微弱地刺激MCP-1的产生,而密螺旋体不能诱导MCP-1的产生。MCP-1的产生不受内源性白细胞介素(IL)-1α的影响,IL-1受体拮抗剂治疗不会降低牙龈假单胞菌MCP-1的产生。同时,抗氧化处理和抑制NAD(P)H氧化酶可显著降低MCP-1的产生。药理抑制p38丝裂原相关蛋白(MAP)激酶、c-Jun n-末端激酶(JNK)、核因子-κB (NF-κB)或激活蛋白-1 (AP-1)也能显著减弱牙龈假单胞菌诱导的MCP-1表达。确实,在牙龈假单胞菌感染的HUVEC中观察到NF-κB和AP-1的活化。这些结果表明,MCP-1在牙龈卟噬菌感染的内皮细胞中通过活性氧、p38 MAP激酶、JNK、NF-κB和AP-1表达上调。
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引用次数: 25
Strain-dependent disruption of blood–cerebrospinal fluid barrier by Streptoccocus suis in vitro 猪链球菌对体外血-脑脊液屏障的菌株依赖性破坏
Pub Date : 2005-04-01 DOI: 10.1016/j.femsim.2004.12.006
Tobias Tenenbaum , Rüdiger Adam , Ingo Eggelnpöhler , David Matalon , Annette Seibt , Gerd E. K. Novotny , Hans-Joachim Galla , Horst Schroten

Streptococcus suis capsular type 2 is an important agent of diseases including meningitis among pigs worldwide, and is also a zoonotic agent. The barrier function of the choroid plexus epithelium that constitutes the structural basis for the blood-cerebrospinal fluid (CSF) barrier has not been elucidated yet in bacterial meningitis. We investigated the influence of various S. suis isolates on the barrier function of cultured porcine choroid plexus epithelial cells with respect to the transepithelial resistance and paracellular [3H]-mannitol flux. Preferentially apical application of S. suis isolates significantly decreased transepithelial resistance and significantly increased paracellular [3H]-mannitol flux in a time-, dose- and strain-dependent manner. Viable S. suis isolates caused cytotoxicity determined by lactate dehydrogenase assay and electron microscopy, whereas S. suis sonicates and UV-inactivated S. suis did not cause cytotoxicity. The observed effects on porcine choroid plexus epithelial cells barrier function could not exclusively be ascribed to known virulence factors of S. suis such as suilysin. In conclusion, S. suis isolates induce loss of blood–cerebrospinal fluid barrier function in an in vitro model. Thus, S. suis may facilitate trafficking of bacteria and leucocytes across the blood–cerebrospinal fluid barrier. The underlying mechanisms for the barrier breakdown have yet to be determined.

猪链球菌荚膜2型是引起猪脑膜炎等疾病的重要病原体,也是一种人畜共患病原体。构成血脑脊液屏障结构基础的脉络膜丛上皮的屏障功能在细菌性脑膜炎中尚未阐明。我们研究了不同猪链球菌分离株对培养的猪脉络膜丛上皮细胞屏障功能的影响,包括经上皮抗性和细胞旁[3H]-甘露醇通量。优先根尖应用猪链球菌分离株可显著降低经上皮耐药,显著增加细胞旁[3H]-甘露醇通量,且呈时间、剂量和菌株依赖关系。乳酸脱氢酶测定和电镜检测结果表明,活猪链球菌具有细胞毒性,而超声猪链球菌和紫外线灭活猪链球菌不具有细胞毒性。观察到的猪脉络膜丛上皮细胞屏障功能的影响不能完全归因于猪链球菌的已知毒力因子,如尿素。总之,猪链球菌分离物在体外模型中诱导血脑脊髓液屏障功能丧失。因此,猪链球菌可能促进细菌和白细胞通过血-脑脊液屏障的运输。屏障破裂的潜在机制尚未确定。
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引用次数: 51
Expression of a peroxiredoxin–glutaredoxin by Haemophilus influenzae in biofilms and during human respiratory tract infection 流感嗜血杆菌在生物膜和人呼吸道感染过程中表达过氧化物氧还蛋白-戊二氧还蛋白
Pub Date : 2005-04-01 DOI: 10.1016/j.femsim.2004.12.008
Timothy F. Murphy , Charmaine Kirkham , Sanjay Sethi , Alan J. Lesse

Evidence is mounting that nontypeable Haemophilus influenzae grows as a biofilm in the middle ear of children with otitis media and the airways of adults with chronic obstructive pulmonary disease. To begin to assess antigens expressed by H. influenzae in biofilms, cell envelopes of bacteria grown as a biofilm were compared to those grown planktonically. A ∼30 kDa peroxiredoxin–glutaredoxin was present in greater abundance during growth in biofilms. Mutants deficient in expression of peroxiredoxin–glutaredoxin were constructed by homologous recombination in four clinical isolates. The mutants showed a 25–50% reduction in biofilm formation compared to the corresponding parent strains. To study in vivo expression of peroxiredoxin–glutaredoxin during human respiratory tract infection, paired pre- and post-exacerbation serum from adults with chronic obstructive pulmonary disease and H. influenzae in sputum were assayed using an enzyme-linked immunosorbent assay and purified recombinant peroxiredoxin–glutaredoxin. Eight from 18 (44.4%) paired serum samples showed a significant increase in antibody to peroxiredoxin–glutaredoxin from pre- to post-infection. These results indicate that (1) peroxiredoxin–glutaredoxin is present in greater abundance in H. influenzae biofilms compared to planktonically grown bacteria; (2) peroxiredoxin–glutaredoxin is involved in biofilm formation by H. influenzae and the degree of involvement varies among strains; and (3) peroxiredoxin–glutaredoxin is expressed by H. influenzae during infection of the human respiratory tract and is recognized by the human immune system.

越来越多的证据表明,不可分型的流感嗜血杆菌在患有中耳炎的儿童中耳和患有慢性阻塞性肺病的成人气道中以生物膜的形式生长。为了开始评估流感嗜血杆菌在生物膜中表达的抗原,将作为生物膜生长的细菌的细胞包膜与浮游生长的细菌进行比较。在生物膜的生长过程中,A ~ 30 kDa的过氧化物还毒素-谷胱甘肽的丰度更高。通过同源重组,在4个临床分离株中构建了过氧化物还蛋白-谷胱甘肽缺乏表达的突变体。与相应的亲本菌株相比,突变体的生物膜形成减少了25-50%。为了研究人呼吸道感染期间过氧化物还蛋白-谷氨酰胺的体内表达,使用酶联免疫吸附法和纯化的重组过氧化物还蛋白-谷氨酰胺,对慢性阻塞性肺疾病成人和流感嗜血杆菌加重前和加重后的血清进行了检测。18个配对血清样本中有8个(44.4%)显示感染前后过氧化物还毒素-谷氨还毒素抗体显著增加。这些结果表明:(1)与浮游生长的细菌相比,流感嗜血杆菌生物膜中过氧化物还毒素-谷胱甘肽的含量更高;(2)过氧化物还毒素-谷胱甘肽参与流感嗜血杆菌生物膜的形成,不同菌株参与程度不同;(3)流感嗜血杆菌在感染人呼吸道时表达过氧化物还蛋白-谷胱甘肽,并被人体免疫系统识别。
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引用次数: 53
High relative content of lysophospholipids of Helicobacter pylori mediates increased risk for ulcer disease 幽门螺杆菌溶血磷脂相对含量高介导溃疡疾病的风险增加
Pub Date : 2005-04-01 DOI: 10.1016/j.femsim.2004.10.003
Tone Tannaes , Ida K. Bukholm , Geir Bukholm

Helicobacter pylori phospholipase A (OMPLA) degrades bacterial membrane phospholipids to lysophospholipids. High levels of lysophospholipids are associated with higher hemolytic activity, increased release of urease and vacA and better adherence to epithelial cells in vitro. The phospholipase A gene (pldA) displays phase variation due to a slippage in a homopolymeric tract. The aim of this study was to determine if the relative amount of lysophospholipids in the cell wall is associated with ulcer disease, and to further investigate the significance of pldA phase variation. H. pylori isolates of 40 patients were examined. The relative lysophospholipid content of each isolate was determined and the pldA gene was sequenced. The study indicated that H. pylori can regulate its OMPLA activity by phase variation in the pldA gene or by protein level regulation among phase variants in the pldA ‘ON’ status. We found a significant difference between the relative amount of lysophospholipids of the ulcer group and the non-ulcer group (p = 0.022). When the lysophospholipid/phospholipid ratios were compared with outcome, the OR for ulcer disease was 9.0 (95% CI 1.6–49.4; p = 0.014). Isolates with a high OMPLA activity are significantly associated with patients with ulcer disease.

幽门螺杆菌磷脂酶A (OMPLA)将细菌膜磷脂降解为溶血磷脂。在体外,高水平的溶血磷脂与更高的溶血活性、脲酶和vacA释放增加以及更好地粘附上皮细胞有关。磷脂酶A基因(pldA)由于在同聚体通道中的滑移而显示相位变化。本研究的目的是确定细胞壁中溶血磷脂的相对含量是否与溃疡疾病有关,并进一步探讨pldA期变化的意义。对40例患者的幽门螺杆菌进行了检测。测定各分离物的相对溶血磷脂含量,并对pldA基因进行测序。研究表明,幽门螺杆菌可以通过pldA基因的期变或pldA“ON”状态期变之间的蛋白水平调控其OMPLA活性。我们发现溃疡组和非溃疡组溶血磷脂的相对量有显著差异(p = 0.022)。当溶血磷脂/磷脂比率与结果进行比较时,溃疡疾病的OR为9.0 (95% CI 1.6-49.4;p = 0.014)。具有高OMPLA活性的分离株与溃疡疾病患者显著相关。
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引用次数: 36
Role of anti-β-glucan antibody in host defense against fungi 抗β-葡聚糖抗体在宿主抗真菌中的作用
Pub Date : 2005-04-01 DOI: 10.1016/j.femsim.2004.12.012
Ken-ichi Ishibashi , Masaharu Yoshida , Iwao Nakabayashi , Hiroyasu Shinohara , Noriko N. Miura , Yoshiyuki Adachi , Naohito Ohno

We have recently detected an anti-β-glucan antibody in normal human and normal mouse sera. The anti-β-glucan antibody showed reactivity to pathogenic fungal Aspergillus and Candida cell wall glucan. Anti-β-glucan antibody could bind whole Candida cells. It also enhanced the candidacidal activity of macrophages in vitro. The anti-β-glucan antibody titer of DBA/2 mice intravenously administered either Candida or Aspergillus solubilized cell wall β-glucan decreased remarkably dependent on dose. Moreover, in deep mycosis patients, the anti-β-glucan antibody titer decreased, and this change correlated with clinical symptoms and other parameters such as C-reactive protein. It was suggested that the anti-β-glucan antibody formed an antigen–antibody complex and participated in the immune response as a molecule recognizing pathogenic fungi.

我们最近在正常人和正常小鼠血清中检测到一种抗β-葡聚糖抗体。抗β-葡聚糖抗体对致病性真菌曲霉和念珠菌细胞壁葡聚糖具有反应性。抗β-葡聚糖抗体能结合整个念珠菌细胞。体外培养的巨噬细胞也能增强其杀灭念珠菌活性。静脉给药念珠菌或曲霉菌溶解细胞壁β-葡聚糖的DBA/2小鼠抗β-葡聚糖抗体滴度随剂量显著降低。此外,在深部真菌病患者中,抗β-葡聚糖抗体滴度下降,这种变化与临床症状和c反应蛋白等参数相关。提示抗β-葡聚糖抗体形成抗原-抗体复合物,作为识别病原真菌的分子参与免疫应答。
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引用次数: 46
Altered T helper 1 reaction but not increase of virus load in patients with dengue hemorrhagic fever 登革出血热患者辅助性T - 1反应改变但病毒载量未增加
Pub Date : 2005-04-01 DOI: 10.1016/j.femsim.2004.11.012
Rong-Fu Chen , Jien-Wei Liu , Wen-Ting Yeh , Lin Wang , Jen-Chieh Chang , Hong-Ren Yu , Jiin-Tsuey Cheng , Kuender D. Yang

To investigate whether dengue-2 patients with and without dengue hemorrhagic fever had different virus load, immune mediators, or T helper (Th) reaction, we simultaneously measured virus load, immune mediators and the Th1/Th2 transcription factors T-bet/GATA-3 mRNA expression in a large outbreak of dengue-2 infections in Southern Taiwan. Results showed that virus load was not significantly different between patients with and without dengue hemorrhagic fever. Patients with dengue fever had higher IFN-γ levels, but patients with dengue hemorrhagic fever had significantly higher IL-10 levels. Further studies showed that patients with dengue hemorrhagic fever had a significantly lower T-bet than those with dengue fever, but GATA-3 mRNA expression in peripheral blood leukocytes was not significant difference between both groups. In conclusion, altered Th1 reaction as reflected by lower T-bet mRNA expression associated with higher IL-10 levels might be involved in the pathogenesis of dengue hemorrhagic fever.

为了探讨登革出血热患者与非登革出血热患者是否存在不同的病毒载量、免疫介质或辅助性T (Th)反应,我们同时检测了台湾南部一次大规模登革出血热暴发中病毒载量、免疫介质和Th1/Th2转录因子T-bet/ gta3 mRNA的表达。结果显示,登革出血热患者与非登革出血热患者的病毒载量无显著差异。登革热患者IFN-γ水平较高,但登革出血热患者IL-10水平明显较高。进一步研究发现,登革出血热患者T-bet明显低于登革热患者,但两组外周血白细胞GATA-3 mRNA表达无显著差异。综上所述,T-bet mRNA表达降低与IL-10水平升高所反映的Th1反应改变可能参与了登革热出血热的发病机制。
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引用次数: 78
期刊
FEMS immunology and medical microbiology
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