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河北医学  2018, Vol. 24 Issue (1): 167-170    DOI: 10.3969/j.issn.1006-6233.2018.01.044
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
Th1/Th2细胞因子在初发型溃疡性结肠炎治疗前后的血清水平变化
王玮, 谭玉婷, 罗丹, 李启祥, 尹合坤
广东省江门市中心医院消化内科, 广东 江门 529030
The Changes of Serum Levels of Th1/Th2 Cytokines before and after the Treatment of Active Ulcerative Colitis
WANG Wei, TAN Yuting, LUO Dan, et al
The Central Hospital of Jiangmen, Guangdong Jiangmen 529030, China
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摘要 目的: 观察溃疡性结肠炎(UC)治疗前后血清Th1/Th2细胞因子的水平变化。方法: 将初发型UC患者58例作为UC组,选取同期健康人58例作为对照组,在治疗前及治疗3月、12月3个时间点检测血清中IL-2、IFN-γ、IL-4、IL-10表达水平。结果: 治疗前,UC组患者血清IFN-γ、IL-10水平明显降低,IL-4水平明显升高,均有统计学差异(P<0.05)。治疗3月及12月,UC组IFN-γ水平仍明显低于对照组,但UC组前后无差异;IL-4水平明显高于对照组,且治疗12月IL-4水平较治疗3月时显著降低(P<0.05);IL-10水平明显低于对照组,但治疗12月IL-10水平较治疗3月时显著升高(P<0.05)。UC组与对照组治疗前后IL-2水平无差异性变化(P>0.05)。结论: 我们推测UC活动期血清IFN-γ表达下调、IL-4表达上调,一定程度抑制Th1细胞免疫反应,抑制炎症进展。随着UC病情缓解,血清IL-10表达上调、IL-4表达下调,逐渐恢复Th1/Th2细胞平衡。
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关键词 溃疡性结肠炎Th1/Th2细胞因子炎症    
AbstractObjective: To observe the changes of serum levels of Th1/Th2 cytokin before and after the treatment of ulcerative colitis (UC). Methods: 58 patients with active UC were selected into UC group while 58 healthy persons as control group. The expression of IL-2、IFN-γ、IL-4、IL-10 in serum were measured at the 3 different time points: before treatment, 3 months and 12 months after treatment. Results: Before treatment, the expression of IFN-γ、IL-10 in serum decreased but IL-4 increased in UC group, with statistical differences (P<0.05). 3 months and 12 months after treatment, the expression of IFN-γ in UC group was lower significantly than control group, but no statistical difference was found in UC group. The expression of IL-4 was higher significantly than control group, especially at the time point of 12 months after treatment (P<0.05). The expression of IL-10 was lower than control group, but it increased significantly at the time point of 12 months after treatment (P<0.05). There was no statistical difference in the expression of IL-2 between the two groups (P>0.05). Conclusion: It was suggested that the expression of IFN-γ decreased and IL-4 increased in serum during active UC, would inhibit the Th1 cells immune response to limit inflammatory process. During the remission of UC, the expression of IL-4 decreased and IL-10 increased would keep the balance of Th1/Th2 cells gradually.
Key wordsUlcerative colitis    Th1/Th2 cytokines    Inflammation
    
基金资助:2015年江门市科技计划项目,(编号:江科[2015]73号)
引用本文:   
王玮, 谭玉婷, 罗丹, 李启祥, 尹合坤. Th1/Th2细胞因子在初发型溃疡性结肠炎治疗前后的血清水平变化[J]. 河北医学, 2018, 24(1): 167-170.
WANG Wei, TAN Yuting, LUO Dan, et al. The Changes of Serum Levels of Th1/Th2 Cytokines before and after the Treatment of Active Ulcerative Colitis. HeBei Med, 2018, 24(1): 167-170.
链接本文:  
http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2018.01.044     或     http://www.hbyxzzs.cn/CN/Y2018/V24/I1/167
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