网络首发:2012-05-20,
纸质出版:2012
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支气管哮喘患者血清白细胞介素35水平变化及意义[J]. 中山大学学报(医学科学版), 2012,33(3).
Change of Serum Interleukin 35 Concentration in Asthma and Its Significance[J]. Journal of Sun Yat-sen University (Medical Sciences), 2012, 33(3).
【目的】 探讨支气管哮喘患者血清白细胞介素35水平变化及意义。【方法】 将45例受试者分为支气管哮喘组(25例)和健康对照组(20例)
测定支气管哮喘组患者未控制、部分控制后1周、控制后1周的血清白细胞介素35(IL-35)水平及各项主要肺功能指标[包括第一秒用力呼气容积(FEV1)与预计值的比值?用力肺活量(FVC)与预计值的比值、FEV1与FVC的比值、呼气峰流量(PEF)与预计值的比值
以及未控制阶段的FEV1下降20%的吸入药物累积浓度(PC20-FEV1)
测定健康对照组血清IL-35水平
分析哮喘患者与健康人血清IL-35水平的差异及其与哮喘控制水平、气道反应性的相关性。【结果】 支气管哮喘组未控制、部分控制以及控制阶段血清IL-35浓度(pg/mL)分别为141 ± 45、260 ± 84、366 ± 94
健康对照组血清IL-35浓度(pg/mL)为396 ± 120
支气管哮喘组未控制、部分控制阶段血清IL-35水平均低于健康对照组(P值均小于0.001)
支气管哮喘组控制阶段与健康对照组血清IL-35水平差异无统计学意义(P = 0.36)。血清IL-35水平在未控制阶段低于部分控制阶段(95%置信区间为-163.10 ~ -73.65
P < 0.001)
部分控制阶段低于控制阶段(95%置信区间为-151.41 ~ -61.97
P < 0.001)。哮喘患者血清IL-35水平与哮喘控制水平呈正相关
与PC20-FEV1无相关性。【结论】 健康人与哮喘患者血清中均存在IL-35表达
血清IL-35水平可能可以作为哮喘控制水平评估的免疫学参考指标。
【Objective】 To explore changes and significance of serum interleukin-35 concentration in patients with bronchial asthma. 【Method】 Forty-five subjects were divided into two groups: bronchial asthma group with 25 patients and control group with 20 healthy subjects. To detect serum IL-35 concentrations of those uncontrolled
partly controlled and controlled after a week in the asthma group and their main pulmonary function indicators (including FEV1/FEV1 predicted value
FVC/FVC predicted value
FEV1/FVC
PEF/PEF predicted value) and PC20-FEV1 during uncontrolled period
and detect the serum IL-35 concentration of control group
and then analyze the difference of serum IL-35 concentration between both groups and the relevance of serum IL-35 concentration with asthma controlled level and airway reactivity. 【Result】 Serum IL-35 concentrations (pg/mL) during uncontrolled period
partly controlled period and controlled period were 141 ± 45
260 ± 84
366 ± 94. Serum IL-35 concentration (pg/mL) in control group was 396 ± 120. Serum IL-35 concentrations of asthma group during uncontrolled and partly controlled periods are lower than control group (t were respectively -9.427 and -4.458
P < 0.001). There exists no significance difference between serum IL-35 concentrations in asthma group during controlled period and control group (P = 0.36). Serum IL-35 concentration during uncontrolled period is lower than that during partly controlled period (95% Confidence Interval: -163.10~ -73.65
P < 0.001)
and serum IL-35 concentration during partly controlled period is lower than that during controlled period (95% Confidence Interval: -151.41 ~ -61.97
P < 0.001). IL-35 level of asthma patients shows positive correlation with asthma controlled level and shows no correlation with PC20-FEV1. 【Conclusion】 There expresses IL-35 in serum of asthma patients and healthy persons. Serum IL-35 concentration may be used as index to test asthma controlled level.
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