特应性与非特应性鼻息肉中黏膜炎症模式的特征分析
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国家自然科学基金(81560172;81260158)


Characterization of inflammatory profiles in atopic and nonatopic nasal polyps
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    摘要:

    目的对致敏因素相关特应性鼻息肉与非特应性鼻息肉间进行黏膜免疫表型及炎症模式的临床比较研究。方法在进行功能性鼻内窥镜手术中获取85例慢性鼻窦炎伴鼻息肉患者的息肉组织,其中特应性息肉40例、非特应性息肉45例。另选非变应性鼻中隔偏曲患者36例的下鼻甲粘膜组织作对照;采用Elisa法检测各种炎症相关免疫细胞因子。通过皮肤点刺及血清检测特异性IgE将鼻息肉划分特应性与非特应性息肉进行比较分析。进一步通过体外刺激实验和PCR检测Th细胞相关转录因子mRNA进行验证。结果特应性鼻息肉中主要以IL-5、ECP和总IgE等嗜酸性炎症反应性免疫指标增高为主,同时Th2转录因子GATA-3mRNA显著升高(P<0.05);但两组息肉中均表现为FOXP3mRNA显著降低(P<0.05)。体外实验抗-IgE刺激后IL-5,IL-2和IL-17等在特应性息肉中释放显著增加(P<0.05),而IFN-γ,IL-6及IL-8在两组息肉间无显著差异。结论特应性与非特应性鼻息肉患者在息肉组织及全身层面表现为各自独特的免疫表型及炎症模式特征,可为临床有效的靶向治疗策略提供参考。 更多还原

    Abstract:

    Objective This study sought to characterize the pattern of cytokines and immune-type in nasal polyp tissues with and without atopic patients.Methods Atopic and nonatopic polyp and normal tissues were collected from 85 CRSwNP patients and 36 control subjects.The levels of Th cells cytokine and inflammatory mediators in tissue homogenates were measured using enzyme-linked immunosorbent assay(ELISA).sIgE in serum and prick skin for determining of Atopic were detected.The mRNA levels of relative transcription factors were determined using quantitative real-time polymerase chain reaction(qPCR).The anti-IgE stimulated polyp tissues in vitro were did for further verified.Results Atopic CRSwNP patients were characterized by enhanced eosinophilic inflammation(elevated IL-5,ECP and total IgE),and significantly increased GATA-3 mRNA level(P<0.05).However,both atopic and non-atopic CRSwNP patients showed decreased FOXP3 mRNA expression(P<0.05).After anti-IgE stimulation,atopic polyps released more IL-5,IL-2and IL-17 in the supernatant of stimulated polyp tissues than nonatopic.Conclusion Atopic and nonatopic nasal polyp patients carry on different immuny-type and profile of different inflammation response in polyp tissues.

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  • 在线发布日期: 2016-12-02
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