过敏性紫癜血清TNF-α、IL-4和IL-6的变化及临床意义
- 刘文东,于凌翔,薛爱红,李红
作者信息
+
Changes and clinical significance of serum TNF-α, IL-4 and IL-6 in the children with henoch-schonlein purpura
- LIU Wen-dong, YU Ling-xiang, XUE Ai-hong, LI Hong
Author information
+
文章历史
+
摘要
【目的】 探讨肿瘤坏死因子-α( TNF-α)、白细胞介素-4(IL-4)和白细胞介素-6(IL-6)在过敏性紫癜和过敏性紫癜肾炎发病过程中的变化。 【方法】 采用双抗体夹心ELISA法检测过敏性紫癜患儿血清TNF-α、IL-4和IL-6的浓度。 【结果】 HSP急性期血清TNF-α、IL-4和IL-6水平明显高于对照组(P<0.01);在恢复期,TNF-α、IL-4和IL-6则明显下降;并且在过敏性紫癜肾中TNF-α、IL-4、IL-6浓度较HSP略高(P<0.05)。 【结论】 过敏性紫癜患儿存在细胞因子紊乱,TNF-α、IL-4和IL-6在过敏性紫癜和过敏性紫癜肾炎发病中发挥了一定的作用。
Abstract
【Objective】 To explore the changement of serum tumor necrosis factor-alpha-alpha (TNF-α), interleukin-4(IL-4),interleukin-6(IL-6) with allergic purpura and allergic purpura nephritis during the course of the disease. 【Methods】 The serum levels of TNF-α,IL-4,IL-6 were measured with ELISA. 【Results】 At the acute stage, the lever of serum TNF-α, IL-6, IL-4 in HSP group were significantly higher than those in normal control group (P<0.01), in convalescent stage, the lever of serum TNF-α, IL-4, IL -6 were obviously decreased, and the lever of serum TNF-α,IL-4 ,IL-6 were higher in HSPN than in HSP. 【Conclusion】 Cytokine disorder existed in the children with HSP,the TNF-α, IL-4, IL-6 may play important roles in patho-genesis of HSP and HSPN.
关键词
Key words
{{custom_sec.title}}
{{custom_sec.title}}
参考文献
[1] 胡亚美,江载芳.诸福棠实用儿科学[M].7版. 北京:人民卫生出版社, 2002:688-697.
[2] 叶世泰.变态反应学[M].北京:科学出版社, 1998:521-523.
[3] Calvino MC, Llorca J, Garcia-Porrua C, et al. Henoch-Schonlein purpura in children from northwestern Spain: a 20-year epidemiologic and clinical study[J]. Medicine,2001,80(5):279-290.
[4] Rostoker G. Henoch-Schonlein purpura in children and adults:diagnosis, pathophysiology and management[J].Biol Drugs,2001,15(2):99-138.
[5] Wiercinski R, Zoch-Zwierz W, Wasilewska A, et al. Lymphocyte subpopulations of peripheral blood in children with Schonlein-Henoch purpura and IgA nephropathy[J]. Pol Merkuriusz Lek, 2001,10(58):244-246.
[6] 陈慧,江明华,杨军军,等.过敏性紫癜患儿免疫功能的变化[J].实用医学杂志,2002,18(10):1053-1055.
[7] 林瑞霞,杨青,陈敏广,等.黄芪地黄汤对小儿过敏性紫癜肾炎Th1 /Th2的影响[J].中国中西医结合肾病杂志, 2008, 9(2):134-136.
[8] Cabellos C, Macintyre DE, Forrest M, et al. Differing roles for platelet-activating factor during TNFlammation of the lung and subarachnoid space[J]. J Clin Invest, 1992,90(2):612-618.
[9] Ha TS.The role of tumornecrosis factor-alpha in Henoch-Schonleinpurpura[J]. Pediatr Nephrol,2005,20(2): 149-153.
[10] Shin JI, Kim JH, Lee JS.The diagnostic value of IgA deposition inHe-noch-Sch nlein purpura[J]. Pediatr Dermatol,2008, 25(1): 140-141.
[2] 叶世泰.变态反应学[M].北京:科学出版社, 1998:521-523.
[3] Calvino MC, Llorca J, Garcia-Porrua C, et al. Henoch-Schonlein purpura in children from northwestern Spain: a 20-year epidemiologic and clinical study[J]. Medicine,2001,80(5):279-290.
[4] Rostoker G. Henoch-Schonlein purpura in children and adults:diagnosis, pathophysiology and management[J].Biol Drugs,2001,15(2):99-138.
[5] Wiercinski R, Zoch-Zwierz W, Wasilewska A, et al. Lymphocyte subpopulations of peripheral blood in children with Schonlein-Henoch purpura and IgA nephropathy[J]. Pol Merkuriusz Lek, 2001,10(58):244-246.
[6] 陈慧,江明华,杨军军,等.过敏性紫癜患儿免疫功能的变化[J].实用医学杂志,2002,18(10):1053-1055.
[7] 林瑞霞,杨青,陈敏广,等.黄芪地黄汤对小儿过敏性紫癜肾炎Th1 /Th2的影响[J].中国中西医结合肾病杂志, 2008, 9(2):134-136.
[8] Cabellos C, Macintyre DE, Forrest M, et al. Differing roles for platelet-activating factor during TNFlammation of the lung and subarachnoid space[J]. J Clin Invest, 1992,90(2):612-618.
[9] Ha TS.The role of tumornecrosis factor-alpha in Henoch-Schonleinpurpura[J]. Pediatr Nephrol,2005,20(2): 149-153.
[10] Shin JI, Kim JH, Lee JS.The diagnostic value of IgA deposition inHe-noch-Sch nlein purpura[J]. Pediatr Dermatol,2008, 25(1): 140-141.
/
| 〈 |
|
〉 |






