血清 IL 10 对肝移植早期异体移植排斥反应预测的影响

Mai A El-Deeb, Ashraf Okba, M. El-Meteini, Eman E Ahmed, Rasha S Mohamed, Rasha Mamdouh, Mariam Maged
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摘要

组织移植是治疗心脏、肺、肾脏和肝脏等终末器官衰竭的首选方法。如果供体和受体的基因不完全相同,免疫系统就会将移植体识别为非自身组织。有多种细胞因子参与了这一过程,但人们对它们在排斥反应中的预测作用知之甚少。白细胞介素 10(IL-10)具有抗炎活性,可作为急性排斥反应的早期预测因子。本研究旨在确定肝移植(LT)受者急性移植物排斥反应与血液中IL-10水平之间的潜在关系。这项研究包括45名计划接受移植手术的肝硬化患者。对患者进行了两个月的随访,然后将其分为两组:发生早期急性排斥反应的患者和未发生排斥反应的患者(作为对照组)。在研究患者中,38 例(84.4%)未出现排斥反应,7 例(15.6%)出现排斥反应。在LT发生排斥反应期间,IL-10的水平没有发生变化。总之,本研究结果表明,IL-10水平与LT排斥反应无关。
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Impact of serum IL 10 on prediction of early allograft rejection in liver transplantation.
Tissue transplantation is the preferred treatment for end organ failure such as heart, lung, kidney, and liver. The immune system recognizes the transplant as non self if the donor and recipient are not genetically identical. Multiple cytokines are involved in this process; however, little is known about their predictive role in rejection. Interleukin 10 (IL-10) which exhibits anti-inflammatory activity could be used as early predictor of acute rejection. The current study intended to determine any potential relationship between acute allograft rejection and blood IL-10 levels in liver transplant (LT) recipients. This study included 45 patients with cirrhotic liver diseases planned for transplantation. Patients were followed up for 2 months and then divided into two groups: patients who developed early acute rejection and those who did not develop rejection (as controls). Of the study patients, 38 (84.4%) patients did not develop rejection and 7 (15.6%) patients developed rejection. The levels of IL-10 did not change during rejection of the LT. In conclusion, the findings of the current study indicated no relation of IL-10 levels during LT rejection.
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