乌克兰东北部地区急性胰腺炎患者的促炎和抗炎细胞因子基因多态性

I. Duzhyi, O. Sytnik, V. Pak
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摘要

目标。目的探讨促炎白介素- 8 A-251T (rs4073)和抗炎白介素- 10 C-592A (rs1800872)细胞因子基因多态性对急性胰腺炎病程的影响。材料和方法。采用聚合酶链反应(PCR)方法对83例急性胰腺炎患者的促炎-白细胞介素- 8 A-251T (rs4073)和抗炎-白细胞介素- 10 C-592A (rs1800872)细胞因子基因多态性进行了研究。对照组由60名无急性胰腺炎健忘症的健康人组成。结果。测定了急性胰腺炎水肿型、破坏性型及手术患者中白细胞介素- 8 A-251T (rs 4073)和白细胞介素- 10 C-592A (rs 1800872)基因多态性率。结论。急性胰腺炎向坏死的转变与促炎-白细胞介素- 8 A-251T (rs 4073)和抗炎-白细胞介素- 10 C-592A (rs 1800872)细胞因子的基因多态性无关。白细胞介素- 8 A-251T基因型T/T基因携带者对急性胰腺炎并发症进行手术干预的频率具有统计学意义(rs 4073)。急性胰腺炎的有利、无并发症病程与A/T基因白介素- 8 A - 251t多态性有关(rs 4073),也可能与A/T基因白介素- 10 C-592A多态性有关(rs 1800872)。
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Polymorphism of the proinflammatory and anti–inflammatory cytokines genes in patients with an acute pancreatitis in the Northern–Eastern region of Ukraine
Objective.To determine the influence of the genes polymorphism of proinflammatory – interleukin–8 A–251T (rs 4073) and antiinflammatory – interleukin–10 C–592A (rs 1800872) cytokines on course of an acute pancreatitis. Materials and methods. The genes polymorphism of proinflammatory – interleukin–8 A–251T (rs 4073) and antiinflammatory – interleukin–10 C–592A (rs 1800872) cytokines were studied in 83 patients with an acute pancreatitis, using the method of polymerase chain reaction (PCR). The control group have consisted of  60 healthy persons without an acute pancreatitis in anamnesis. Results. The rate of the genes polymorphism of interleukin–8 A–251T (rs 4073) and interleukin–10 C–592A (rs 1800872) was determined in oedematious and destructive forms of an acute pancreatitis, as well as in patients operated on. Conclusion. The acute pancreatitis transition into necrotic form was not connected with the kind of the genes polymorphism of proinflammatory – interleukin–8 A–251T (rs 4073) and antiinflammatory – interleukin–10 C–592A (rs 1800872) cytokines. Operative interventions  for an acute pancreatitis complications were performed statistically significantlymore frequently in carriers of the T/T gene genotype of interleukin–8 A–251T (rs 4073). The favorable, noncomplicated course of an acute pancreatitis was associated with polymorphism of the A/T gene interleukin–8 A–251T (rs 4073) and, possibly, – with polymorphism of the A/T gene interleukin–10 C–592A (rs 1800872).
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