胸腺基质淋巴生成素:评价其作为寻常型银屑病存在及其严重程度的新标志物的作用

H. Khaled, Y. Elghobashy, Enas M. El Sayed
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引用次数: 0

摘要

背景胸腺基质淋巴细胞生成素(TSLP)是一种致敏细胞因子,与T细胞衍生的CD40配体(CD40L)可能协同增加银屑病患者IL-23的产生。一种关键的细胞因子,IL-23,是银屑病患者不必要的免疫反应的原因。目的本研究旨在阐明TSLP作为一种新的生物标志物的可能作用,该生物标志物与寻常型银屑病及其严重形式的存在有关,不包括特应性皮炎、过敏性鼻炎、类风湿性关节炎、移植物抗宿主病(GVHD)、血液病和接受抗凝治疗的患者以及孕妇和哺乳期女性。患者和方法40名寻常型银屑病受试者参与了当前的病例对照研究,而40名年龄和性别相似的健康志愿者作为对照组。利用银屑病面积和严重程度指数(PASI)评分来评估疾病的程度和程度。从受试者和对照参与者的静脉血中提取血样后,分离血清。尽快将血清样品冷冻在−20°C。采用夹心酶联免疫吸附试验(ELISA)对血清TSLP进行定量。结果病例组血清TSLP水平明显高于对照组。在病例组中,血清TSLP水平与PASI评分之间存在统计学上的强阳性关系(P:<0.001)。血清TSLP与患者的年龄和病程之间存在统计学意义上的强正相关,银屑病关节炎患者和吸烟者的血液TSLP值在统计学上显著升高。结论银屑病患者血清TSLP水平较高,与病情严重程度成正比。
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Thymic stromal lymphopoietin: evaluating its role as a new marker related to presence of psoriasis vulgaris and its severity
Background Thymic stromal lymphopoietin (TSLP), a proallergic cytokine, and T cell-derived CD40 ligand (CD40L) may collaborate to increase the production of IL-23 in psoriasis patients. One key cytokine, IL-23, is responsible for the unwarranted immune response in psoriasis sufferers. Aim The current study aims to shed light on the possible role of TSLP as a novel biomarker related to presence of psoriasis vulgaris lesions and its severe forms with exclusion of people with atopic dermatitis, allergic rhinitis, rheumatoid arthritis, graft versus host disease (GVHD), blood diseases and patient on anticoagulant therapy as well as pregnant and lactating females. Patients and methods 40 subjects with psoriasis vulgaris participated in the current case-controlled research, whereas 40 healthy volunteers of similar age and gender served as the control group. The degree and extent of the illness were evaluated utilizing the psoriasis area and severity index (PASI) score. Serum was separated after blood samples from the venous blood of the subjects and control participants were taken. As soon as possible, the serum samples were frozen at −20°C. The Sandwich Enzyme-Linked Immunosorbant Assay (ELISA) was utilized to quantify serum TSLP. Results The case group’s serum TSLP levels rose statistically substantially more than those of the control group. In the cases group, there was a statistically strong positive relation between serum TSLP levels and PASI scores (P: < 0.001). There is a statistically strong positive relation between serum TSLP and patients’ age and illness duration, a statistically substantial rise in blood TSLP values in psoriatic arthritis patients and smokers. Conclusion Patients with psoriasis have higher serum TSLP levels, which are proportional to the disease’s severity.
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