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1.
病毒性肝炎和肝硬化患者IL-6、TNF-α的变化   总被引:4,自引:0,他引:4  
为研究白细胞介素-6(IL-6)、肿瘤坏死因子(TNF-α)在肝炎和肝硬化(LC)患者中的作用。检测了15例正常人,18例急性病毒性肝炎(AH),37例慢性肝炎(CH),20例LC患者血清及外周血单个核细胞(PBMC)的IL-6、TNF-α水平。结果以CH患者IL-6、TNF-α水平最高(血清及PBMC的IL-6水平分别为72.1±32.94U/ml,140.7±33.5U/ml;血清及PBMC的TNF-α水平为3.97±1.38ng/ml,6.35±1.41ng/ml)。恢复期或稳定期TNF-α和IL-6水平明显低于急性期或活动期(P<0.01)。CH患者肝组织学活动指数(HAI)分数与PBMCIL-6和TNF-α水平呈正相关(γ分别为0.89,0.68;P<0.05)。提示IL-6和TNF-α是肝脏损害重要的炎症介质,介导肝细胞损害。  相似文献   

2.
目的探讨慢性重型肝炎(CSH)病人外用血单个核细胞(PBMC)内干扰素-γ(IFN-γ)及白细胞介素-4(IL-4)的表达及其临床意义。方法常规分离PBMC,在PMA、Ionomycin、Monensin的刺激下,采用流式细胞术(FACS),对17例CSH患者及19例正常健康者CD4+T细胞内IFN-γ和IL-4的表达进行分析,并应用荧光定量聚合酶链反应检测HBV DNA含量。结果 CD4+Th1、 Th2细胞在CSH组分别为7.2%—26.3%(平均15%)和0、l%—10.9%(平均2.0%),正常对照组则分别为2.2%—11.9%(平均5.9%)和0.4%—3.9%(平均2.2%);CD4+Th1细胞百分数两组间差异有显著意义(P<0.01)。荧光定量PCR结果表明CSH组中13例HBV DNA阳性,其HBV DNA的含量与IFN-γ表达细胞百分数呈负相关。结论 Th1细胞与肝脏的炎症活动明显相关,IFN-γ的表达对HBV复制可能具有一定的影响。  相似文献   

3.
病毒性肝炎患者血清HGF和TGF—β1水平的临床意义   总被引:1,自引:0,他引:1  
目的:探讨血清肝细胞生长因子(sHGF)和转化生长因子-β_1(TGF-β1)水平在病毒性肝炎患者中的临床意义。方法:选139例病毒性肝炎患者,以双抗体夹心ELISA检测sHGF,以改良MV1LU细胞生长抑制MTT法检测TGF-β_1活性,同时检测其肝功能、肝纤维化、甲胎蛋白等指标。结果:各型病毒性肝炎患者sHGF水平及TGF-β_1活性均明显高于正常人水平(P值均<0.01)。TGF-β1活性增高以肝硬化和重症肝炎最为显著(分别为9.44±2.17ng/ml和8.42±2.54ng/ml)。sHGF水平与TGF-β_1活性相关(P值<0.01)。结论:sHGF水平能反映患者肝细胞损伤及肝功能障碍程度,并与肝纤维化程度也可能有关。  相似文献   

4.
目的探讨细胞因子在肾综合征出血热(HFRS)发病中的作用。方法采用双抗体夹心ELISA法对48例HFRS患者及20例正常人血清白细胞介素(IL)-6、尿液肿瘤坏死因子(TNF)、IL-6、IL-8进行动态检测。结果HFRS患者血清IL-6、尿液TNF、IL-6、IL-8含量较对照组明显增高(P<0.001);发热期已增高,低血压期继续增高,少尿期达峰值;其含量随病情加重而升高,各型间差异有显著性;血清IL-6与特异性抗体升高有明显关系,与血清β2-微球蛋白(β2-MG)、血尿素氮(BUN)、血肌酐(Cr)均呈高度正相关;尿液IL-6与TNF、IL-8呈显著正相关(r=0.5621,P<0.005;r=0.3845,P<0.01)。结论HFRS患者病程中TNF、IL-6、IL-8均处于高活性状态,IL-6与体液免疫反应亢进所致的免疫病理损伤有关,IL-6、IL-8、TNF参与肾脏的免疫损伤,可作为判定患者预后和转归的指标。  相似文献   

5.
老年心衰患者血清sIL—2R及T细胞亚群的变化   总被引:2,自引:0,他引:2  
目的研究老年心衰(HF)患者血清中可溶性白细胞介素-2受体(sIL-2R)及T淋巴细胞亚群(T-LS)的变化及临床意义。方法血清sIL-2R测定采用酶联免疫吸附双抗体夹心法,T-LS采用抗体致敏的红细胞花环法。检测40例老年HF及30例正常组血清sIL-2R及T-LS的变化。结果老年HF患者血清sIL-2R水平与正常组比较显著增高(P<0.05,P<0.01);T-LS在老年HF与正常组比较显著下降(P<0.05,P<0.01)。结论血清sIL-2R水平及细胞免疫低下可影响老年HF的发病及预后  相似文献   

6.
GM—CSF及IL—4增强肝癌患者树突状细胞免疫功能   总被引:1,自引:0,他引:1  
目的 探讨粒/ 巨噬细胞集落刺激因子( GMCSF) 及白介素4(IL4) 对正常成人及肝癌患者树突状细胞(DC) 表面人白细胞抗原(HLA)DR 及B72 等免疫分子表达及其免疫功能的影响。方法 以GMCSF 及IL4 联合刺激正常成人(n = 10) 及肝癌患者(n = 10)DC,检测经GMCSF 及IL4 联合刺激前后DC 表面HLADR 及B72 表达水平及DC 免疫功能变化。结果 经GMCSF 及IL4 联合刺激后DC 表面HLADR 及B72 表达水平在肿瘤患者(6-7 ±1-6 、6-1 ±1-1 增至13-1 ±2-3 、11-4 ±2-0VOF,P< 0-01) 及正常成人(10-7 ±1-4 、9-6 ±1-2 增至14 ±2-2 、11 ±1-7VOF,P< 0-05) 均有增高;该DC 免疫诱导能力亦相应增强( 肝癌患者:由3100 ±120 增至6400 ±140cpm ,P< 0-01 ;正常人:由6200 ±90 增至7000 ±110cpm ,P> 0-05) 。结论 GMCSF 及IL4 联合刺激能增强正常成人及肝癌患者DC 表面HLADR 及B72 表达水平并进一步增强DC 免疫功能。提示联合应  相似文献   

7.
重组人白细胞介素 6和重组人粒-单细胞集落刺激因子与正常人造血干细胞培养1周后,IL-6组细胞数增至4.3±0.6倍,GM-CSF组细胞数增至9.4±0.9倍;IL-6+GM-CSF组细胞数增至13.7±1.0倍,明显高于对照组(P<0.01)。红系集落生成单位集落分析:IL-6单独应用未见CFU-E集落形成,仅有粒-单细胞集落生成单位集落形成;IL-6+促红细胞生成素且则CFU-E集落数明显高于  相似文献   

8.
已经证实细胞原癌基因c-kit的蛋白产物是造血干细胞因子(SCF)或肥大细胞生长因子(MGF)的细胞膜上受体,对于造血细胞增殖和分化调节起重要作用,c-kit的表达受到多种细胞因子的调节,其中已知IL-4,和TGF-β可抑制它的表达,所来许多实验都发同SCF与IL-3,GM-CSF,G-CSF,EPO,IL-1和IL-6对造血有协同增强作用,但是M-CSF无协同作用,M-CSF的受体是原癌基因c-  相似文献   

9.
胸腺肽α1治疗重症肝炎的免疫调节研究   总被引:7,自引:1,他引:6  
为了解日达仙的免疫调节作用,选取18例下肝炎病人用日达仙(Tα1)治疗,并在治疗前后检测内毒素(LSP)、肝瘤坏死因子(TNF)、白细胞介素2受体(IL-2R)、白细胞介素4(IL-4)、白细胞介素6(IL-6)、及T细胞亚群(CD8^+、CD4^+)。结果治疗前LSP、TNF、IL-2R、IL-6、CD8^+均增高9P〈0.01),而IL-4及CD4^+降低。经Tα1治疗后LSP、TF、IL-2  相似文献   

10.
为了探讨转化生长因子-β(TGF-β1)在肝纤维化发病机制中的作用,采用MV1LU细胞了制MT法,检测了108例病毒性肝炎患者血清TGF-β1活性,同时用放免法检测血清前季Ⅲ型胶原(PCⅢ)、透明质酸(HA)层粘蛋白(LN)的含量,结果表明各型肝炎患者TGF-β1活性较正常对照都明显增高(P〈0.01)。随病情的发展,TGF-β1活性逐渐增高,PCⅢ、HA、LN含量也明显增加,各组间差异均有显著性  相似文献   

11.
The sodium iodide symporter (NIS), first identified in FRTL-5 cells, plays a critical role in iodide transport in the thyroid gland and in the production of the iodine-containing thyroid hormones. The aim of our study was to examine the regulation of NIS RNA steady-state levels and protein expression as well as functional activity in FRTL-5 cells. FRTL-5 cells cycling in media containing thyrotropin (TSH) were incubated for 48 hours with dexamethasone (10(-8)-10(-5) M), triiodothyronine (T3; 10(-9)-10(-6) M), methimazole (100 microM), propylthiouracil (PTU; 100 microM), perchlorate (10 microM) and potassium iodide (40 microM). In other experiments, cells were treated for 48 hours with various cytokines including interleukin-6 (IL-6) (100 U/mL), interferon-gamma (IFN-gamma) (100 U/mL), tumor necrosis factor-alpha (TNF-alpha) (10 ng/ml), IL-1alpha (100 U/mL), and IL-1beta (100 U/mL). Northern blot analysis using a 32P-labeled rat NIS-specific cDNA probe (nucleotides 1397-1937) revealed NIS mRNA as a single species of approximately 3 kb. When normalized for beta-actin mRNA signal intensities, NIS RNA steady-state levels in viable FRTL-5 cells were suppressed by approximately 80% after incubation with dexamethasone and T3 in a concentration-dependent manner. Iodide accumulation was decreased by up to 40% after incubation with dexamethasone and T3, respectively, in a concentration-dependent manner. Using a rabbit polyclonal rNIS-specific antibody, Western blot analysis of FRTL-5 cell membranes revealed a 60% and 70% suppression of NIS protein expression after treatment with T3 (0.1 microM) and dexamethasone (1 microM), respectively. In additon, NIS RNA steady-state levels were decreased by approximately 50% after treatment of monolayers with methimazole, PTU, and potassium iodide, respectively. Incubation with methimazole and PTU resulted in a 20% and 25% decrease of iodide accumulation, respectively, whereas potassium iodide suppressed iodide accumulation by approximately 50%. Treatment of FRTL-5 cells with IL-6 and IL-1beta resulted in a 30% decrease of NIS RNA steady-state levels. IL-6 did not alter NIS functional activity, but IL-1beta suppressed iodide accumulation by approximately 25%. IFN-gamma and perchlorate failed to alter NIS RNA steady-state levels. In contrast to IFN-gamma that had no effect on iodide accumulation, perchlorate almost completely suppressed iodide accumulation. TNF-alpha and IL-1alpha failed to alter NIS RNA steady-state levels in higher passage numbers of FRTL-5 cells, whereas treatment with TNF-alpha and IL-1alpha of early passages of FRTL-5 cells (<20 cell passages) resulted in a 70% and 40% decrease of NIS RNA steady-state levels, respectively, and in a 20% suppression of NIS functional activity. In conclusion, our data suggest that various agents known to affect iodide transport are capable of differentially altering NIS gene expression and function in cultured thyroid cells. Suppression of NIS gene expression and function by certain cytokines may be responsible, at least in part, for the impaired radioiodine uptake by thyroid tissue in certain forms of thyroiditis.  相似文献   

12.
Crohn's disease (CD) and ulcerative colitis (UC) show an intestinal activation of T cells and macrophages within the inflamed lesions. The aim of the present prospective study was to determine whether circulating interleukins (IL) represent useful markers of immune activation in vivo and to characterize their respective roles in monitoring disease activity. Serum concentrations of the soluble IL-2 receptor (sIL-2R), IL-6 and IL-1 beta were measured in 10 patients with CD and 10 patients with UC before, at day 10 and 2 years after resection of inflamed bowel segments. The data were correlated with neopterin, C-reactive protein and other standard parameters of disease activity. Preoperatively, mean sIL-2R concentration was 495 +/- 62 U/ml (mean +/- SEM; healthy controls; 210 +/- 25 U/ml; p less than 0.02) in CD and 705 +/- 120 U/ml (p less than 0.00002) in UC. The corresponding IL-6 serum concentrations were 37 +/- 6 U/ml in CD (controls: 11 +/- 0.6 U/ml; p less than 0.0036) and 33 +/- 6 U/ml (p less than 0.04) in UC. Two years postoperatively, sIL-2R was still elevated in 6 out of 9 patients in both disease groups. These patients did not differ from the remaining group with respect to disease activity. Serum IL-6, elevated in 7 patients with CD and in 6 patients with UC at day 10 postoperatively, had returned to normal in all patients by this time.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

13.
目的探讨过氧化氢(H2O2)对白细胞介素1β(IL-1β)诱导人肺上皮细胞(HPEC)环氧合酶2(COX-2)表达的影响.方法应用逆转录-聚合酶链反应(RT-PCR)半定量法和酶联免疫吸附试验 (ELISA)测定IL-1β、H2O2或二者联合干预后HPEC COX-2 mRNA表达量及前列腺素E2(PGE2)释放量的变化, 以不加任何试剂的细胞为对照组.结果 (1)COX-2 mRNA表达量1、5、10 mg/L 的IL-1β处理组COX-2 mRNA表达量分别为(143.1±7.2)%、(179.9±9.0)%、(190.0±9.5)%,对照组为(32.9±1.7)%,1、5、10 mg/L 的IL-1β处理组与对照组比较差异有显著性(P均<0.05); (2)培养基上清液PGE2浓度5、10 mg/L 的IL-1β处理组培养基上清液PGE2浓度分别为 (20.86±5.23)×10-6 g/L、(31.16±2.64)×10-6 g/L,对照组为(10.49±0.36)×10-6 g/L, 5、10 mg/L 的IL-1β处理组与对照组比较差异有显著性(P<0.05);(3) COX-2 mRNA表达量 0.10、0.25、0.50 mmol/L 的H2O2和IL-1β共处理组COX-2 mRNA表达量分别为 (149.2±7.5)%、(189.6±9.5)%、(239.1±12.0)%, IL-1β单独处理组为(66.1±3.7)%, 对照组为(41.6±2.1)%, 0.10、0.25、0.50 mmol/L 的H2O2和IL-1β共处理组与IL-1β单独处理组比较,差异有显著性 (P<0.05); (4)培养基上清液PGE2浓度0.10、0.25、0.50 mmol/L的H2O2和IL-1β共处理组,培养基上清液PGE2浓度分别为 (27.01±5.16)×10-6 g/L、(32.79±3.01)×10-6 g/L、(41.13±3.41)×10-6 g/L,对照组为(10.49±0.36)×10-6 g/L,0.10、0.25、0.50 mmol/L的H2O2和IL-1β共处理组与对照组比较差异有显著性(P<0.05).0.25、0.50 mmol/L的 H2O2和IL-1β共处理组PGE2浓度均与IL-1β单独处理组[(20.86±5.23)×10-6 g/L]比较差异有显著性 (P<0.05). 结论过氧化氢上调IL-1β对HPEC COX-2的诱导表达,其调节机制可能发生在转录水平.  相似文献   

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16.
目的 研究肿瘤坏死因子α(TNF α)、白细胞介素 1β(IL 1β)对牛肺动脉内皮细胞 (BPEC)损伤的机制及在急性肺损伤 (ALI)发病过程中的作用。方法 建立BPEC的体外培养 ,采用流式细胞仪膜联蛋白V 异硫氰酸荧光素 (Annexin VFITC)、碘化吡啶 (PI)染色检测TNF α、IL 1β对BPEC凋亡的影响以及抗TNF α单克隆抗体、AC DEVD CHO (caspase 3的竞争性抑制剂 )的保护效应。结果  (1)TNF α作用 2 4h ,随着其浓度的增加 (浓度为 50 0、10 0 0、2 0 0 0U/ml) ,BPEC凋亡率逐渐增加 [分别为(8 2 1± 0 70 ) %、(9 63± 0 71) %、(17 43± 1 99) % ] ,与对照组 [(3 0 9± 0 0 8) % ]比较差异有显著性(P均 <0 0 5) ;(2 )TNF α (2 0 0 0U/ml)培养时间延长 (分别为 6、12、2 4、3 6h) ,BPEC凋亡率逐渐增加 [分别为 (6 72± 0 3 8) %、(7 72± 1 66) %、(12 95± 0 3 2 ) %、(17 70± 1 79) % ,P均 <0 0 5] ;(3 )加入抗TNF α单抗、AC DEVD CHO的TNF α组的BPEC凋亡率 [(7 78± 0 2 1) %、(7 3 2± 0 11) % ]显著高于单纯TNF α(2 0 0 0U/ml)组 [(10 59± 0 49) % ,P均 <0 0 1] ,而加入IL 1β的TNF α组的凋亡率 [(10 73±0 60 ) % ]与单纯TNF α组比较差异无显著性 (P >0 0 5)。结论 ALI过程中是TNF  相似文献   

17.
We have studied the chronic effects of TSH (100 microU/ml) and insulin (10 micrograms/ml) on intracellular pH (pH(i)) in FRTL-5 cells using the pH sensitive probe 2'7-bis (2-carboxyethyl-5'-6') carboxyfluorescein. FRTL-5 cells were cultured on Petri dishes either in the presence of 4H, ie. Coons F-12 containing cortisol (10 nM), transferrin (0.5 microgram/ml), glycyl-histidyl lysine acetate (10 ng/ml) and somatostatin (10 micrograms/ml), or with 4H + insulin (5H), 4H + TSH, or 4H + TSH + insulin (6H). pH(i) was measured in small groups of cells by microspectrofluorimetry both in the presence and absence of bicarbonate ions after cells had been deprived of serum for at least a day. In the absence of TSH, insulin and bicarbonate ions, pH(i) was 7.26 +/- 0.18 (mean +/- SD, n = 49) rising to 7.89 +/- 0.09 (n = 59) and 7.43 +/- 0.1 (n = 55) in the presence of TSH (4H + TSH) and insulin (5H) respectively. Addition of both insulin and TSH (6H) resulted in a pH(i) of 7.75 +/- 0.09 (n = 40). In the absence of TSH and insulin, but the presence of bicarbonate ions, pH(i) was 7.29 +/- 0.12 (mean +/- SD n = 47) rising to 7.72 +/- 0.07 (n = 59) in 4H + TSH and 7.48 +/- 0.08 (n = 60) in 5H. pH(i) in the presence of both TSH and insulin was 7.81 +/- 0.03 (n = 60). In conclusion, both insulin and TSH caused an intracellular alkalinization, TSH markedly so, even in the presence of bicarbonate ions.  相似文献   

18.
The expression of the adhesion molecules intercellular adhesion molecule-1 (ICAM-1) and more specifically vascular adhesion molecule-1 (VCAM-1) on lung fibroblasts may be important for migration of inflammatory cells through the submucosa to the airway lumen in the asthmatic inflammatory response. This study aimed to assess which cytokines are regulating ICAM-1 and VCAM-1 expression on human lung fibroblasts. For this purpose, confluent fibroblast cultures (derived from lung tissue from a nonasthmatic donor) were stimulated for 4 h with interleukin (IL)-1beta, tumour necrosis factor (TNF)alpha, interferon (IFN)gamma, IL-4, IL-5 or transforming growth factor (TGF)beta. IL-1beta (optimal concentration (OC) 1 U x mL(-1)) and TNFalpha (OC 100 U x mL(-1)) both increased ICAM-1 and VCAM-1 expression. IFNgamma (OC 2 U x mL(-1)) increased only ICAM-1 expression and IL-4 (OC 5 ng x mL(-1)) increased only VCAM-1 expression, whereas IL-5 (20 ng x mL(-1)) and TGFbeta (10 ng x mL(-1)) did not influence ICAM-1 or VCAM-1 expression. ICAM-1 expression reached a plateau at 8-12 h after cytokine stimulation and remained constant for at least 24 h. VCAM-1 showed a transient increased expression within 24 h after IL-1beta and TNFalpha stimulation. In contrast, VCAM-1 expression did not decrease after maximal expression at 4 h upon IL-4 stimulation. It is concluded that the Helper-1T-cell, type cytokine interferon gamma and the Helper-2 T-cell type cytokine interleukin-4 differentially regulate intercellular adhesion molecule-1 and vascular cell adhesion molecule-1 expression on human lung fibroblasts. The proinflammatory cytokines interleukin-1beta and tumour necrosis factor alpha increase both intercellular adhesion molecule-1 and vascular cell adhesion molecule-1 expression, without differential regulation of the expression of these adhesion molecules.  相似文献   

19.
We investigated, in five cell strains per experiment, whether several cytokines known or believed to have effects on bone resorption were produced by nearly homogeneous strains of cultured normal human osteoblast-like (hOB) cells that display virtually the complete phenotype of the mature osteoblast. In unstimulated hOB cells, we detected constitutive production of interleukin-6 (IL-6) (mean +/- SE, 122 +/- 32 pg/ml) and IL-8 (135 +/- 39 pg/ml), but not of IL-4, granulocyte-macrophage colony-stimulating factor (GM-CSF), or tumor necrosis factor-alpha (TNF alpha). IL-1 beta in doses from 1-100 U/ml stimulated dose-dependent increases in IL-6 (r = 0.87; P less than 0.001) and IL-8 (r = 0.95; P less than 0.001). Similar increases occurred after stimulation with TNF alpha in doses from 3-300 U/ml. IL-1 beta and TNF alpha also stimulated GM-CSF production, but only at higher doses. 17 beta-Estradiol (10(-8) M) had no significant effect on the secretion of any of these cytokines, either constitutively or after stimulation with IL-1 beta or TNF alpha. Stimulated production of IL-4 was not detected after treatment with IL-1 beta or TNF alpha, and that of TNF alpha was not detected after treatment with IL-1 beta. We conclude that IL-6, IL-8, and GM-CSF, but not IL-4 and TNF alpha, are produced by highly differentiated normal human cells of the osteoblast lineage, but their secretion is not regulated by estrogen. However, we cannot exclude the possibility that estrogen regulation of these cytokines may occur during early stages of osteoblast differentiation.  相似文献   

20.
Interleukin-1 beta (IL-1 beta) is known to inhibit glucose-induced insulin release by pancreatic islets. We studied the effect of nicotinamide, an inhibitor of poly[adenosine diphosphate (ADP)-ribose] synthetase and a free-radical scavenger, on this IL-1 beta-induced inhibition using rat pancreatic islets. In static experiments, groups of five islets were incubated for 24 hours in culture medium CMRL-1066, with or without 50 U/mL IL-1 beta, in the presence or absence of nicotinamide (dose range, 0 to 50 mmol/L), and then exposed for 1 hour to either 1.4 or 19.4 mmol/L glucose, 10 mmol/L arginine, or 10 mumols/L glyburide. Basal insulin secretion was 183 +/- 32 pg/islet/h (mean +/- SE, n = 7) and 176 +/- 39 (n = 7) in control islets and in islets exposed to 50 U/mL IL-1 beta, respectively. Glucose-stimulated insulin secretion was significantly reduced (185 +/- 41) in IL-1 beta-exposed islets in comparison to control islets (2,037 +/- 363). In parallel, arginine-stimulated insulin release was inhibited by IL-1 beta exposure (166 +/- 31 pg/islet/h, mean +/- SE, n = 3) in comparison to control islets (1,679 +/- 307). In contrast, IL-1 beta exposure did not significantly reduce glyburide-induced insulin secretion (1,516 +/- 231 and 1,236 +/- 214 in control and IL-1 beta-exposed islets, respectively; mean +/- SE, n = 3). When islets were simultaneously exposed to IL-1 beta and increasing concentrations of nicotinamide, a dose-dependent recovery of glucose-induced insulin secretion was observed, with the maximum effect at 25 mmol/L nicotinamide (1,007 +/- 123, P less than .001).(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

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