慢性阻塞性肺疾病患者Foxp3-mRNA表达及Th1/Th2免疫应答的调控

Lillian Du, Liang Chen, Yue Zhuo, Bi-ying Wang
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In the case group, patients of different ages in IFN-γ, IL-2, IL-4, IL-10, were statistically different (t=22.237, 16.943, 45.386, 31.831, all P<0.05). In the case group, patients of different disease durations in IFN-γ, IL-2, IL-4, IL-10 were statistically different (F=33.226, 30.096, 29.353, 34.300, all P<0.05). 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摘要

目的分析慢性阻塞性肺疾病(COPD)患者Foxp3-mRNA表达及对Th1/Th2免疫应答的调控,为COPD患者免疫状态监测及其相关机制提供理论依据。方法采用分组抽样的方法,选取2016年3月至2017年12月在同一医院某三甲医院随访治疗的慢性阻塞性肺病患者95例,同时选取对照组85例。PCR扩增Foxp3-mRNA片段,Western blot检测血清中Foxp3-mRNA的表达。免疫应答系统进行Th1/Th2表达测定(包括IFN-γ、IL-2、IL-4、IL-10),所得数据输入SPSS 16.0进行统计分析。结果COPD组IFN-γ、IL-2、IL-4、IL-10水平均高于对照组,差异有统计学意义(t=7.282、5.996、7.380、4.835,均P<0.05)。病例组中,不同年龄患者IFN-γ、IL-2、IL-4、IL-10水平差异有统计学意义(t=22.237、16.943、45.386、31.831,P均<0.05)。病例组中,不同病程患者IFN-γ、IL-2、IL-4、IL-10水平差异有统计学意义(F=33.226、30.096、29.353、34.300,P均<0.05)。病例组(1 ~ 5组)在592 bp左右可见清晰条带,而对照组(6组)和DNA标记组(7组)无条带。IL-2、IL-4、IL-10水平呈正相关,相关系数均有统计学意义(r=0.614、0.493、0.529、0.501,P均<0.05)。结论为Foxp3-mRNA在COPD患者中的特异性表达奠定了理论基础。Foxp3-mRNA表达与Th1/Th2免疫应答特征有统计学正相关,但考虑到中国慢性阻塞性肺病的流行。特点,这一结论还需要结合COPD患者的环境流行病学因素,在机制水平上进一步验证Foxp3-mRNA表达特征与Th1/Th2免疫应答特征之间的关系。关键词:肺部疾病;慢性阻塞性肺疾病;Foxp3-mRNA;免疫反应
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Regulation of Foxp3-mRNA expression and Th1/Th2 immune response in patients with chronic obstructive pulmonary disease
Objective To analyze the expression of Foxp3-mRNA and the regulation of Th1/Th2 immune response in patients with chronic obstructive pulmonary disease (COPD), and to provide a theoretical basis for the monitoring of immune status and its related mechanisms in patients with COPD. Methods A group sampling method was used to select 95 cases of patients with COPD who received a follow-up treatment in a third-grade hospital in the same hospital and 85 controls were conducted at the same time, from March 2016 to December 2017.The Foxp3-mRNA fragment was amplified by PCR and the expression of Foxp3-mRNA in serum was detected by Western blot.The expression of Th1/Th2 immune response system expression assay (including IFN-γ, IL-2, IL-4, IL-10), the obtained data were entered into SPSS 16.0 for statistical analysis. Results The level of IFN-γ, IL-2, IL-4, IL-10 in COPD group were higher than those of in the control group and there were statistical differences(t=7.282, 5.996, 7.380, 4.835, all P<0.05). In the case group, patients of different ages in IFN-γ, IL-2, IL-4, IL-10, were statistically different (t=22.237, 16.943, 45.386, 31.831, all P<0.05). In the case group, patients of different disease durations in IFN-γ, IL-2, IL-4, IL-10 were statistically different (F=33.226, 30.096, 29.353, 34.300, all P<0.05). In the case group, clear bands were seen at about 592 bp (group 1 to group 5), while the control group (group 6) and the DNA marker group (group 7) had no bands.The levels of IL-2, IL-4 and IL-10 were positively correlated and the correlation coefficients were statistically significant (r=0.614, 0.493, 0.529, 0.501, all P<0.05). Conclusions The theoretical basis for the specific expression of Foxp3-mRNA in patients with COPD is established.There is a statistically positive correlation between the expression of Foxp3-mRNA and the characteristics of Th1/Th2 immune response, but considering the epidemic of COPD in China.Characteristics, this conclusion also needs to be combined with the environmental epidemiological factors of patients with COPD to further verify the relationship between Foxp3-mRNA expression characteristics and Th1/Th2 immune response characteristics at the mechanism level. Key words: Pulmonary disease, chronic obstructive; Foxp3-mRNA; Immune response
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