类风湿性关节炎两种不同证型与三种可溶性细胞因子受体之间关系的探讨 |
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引用本文: | 胡祖光,洪介民,高敏,李典鸿,李庚华,钮心怡,李桂明,邱河,何世东,宁为民,何瑞洪,陈硕敏,郑志文.类风湿性关节炎两种不同证型与三种可溶性细胞因子受体之间关系的探讨[J].中国中西医结合杂志,1999,19(12):718-720. |
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作者姓名: | 胡祖光 洪介民 高敏 李典鸿 李庚华 钮心怡 李桂明 邱河 何世东 宁为民 何瑞洪 陈硕敏 郑志文 |
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作者单位: | 广东省中医研究所!广州510095(胡祖光,洪介民),广东省第二中医院(高敏,李典鸿,李庚华,钮心怡,李桂明,邱河),广东省东莞市中医院(何世东,宁为民,何瑞洪,陈硕敏,郑志文) |
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基金项目: | 国家中医药管理局立项课题 !No .950 2 4 |
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摘 要: | 目的:探讨痹证中类风湿性关节炎(RA)的两种证型(寒湿阻络证和湿热阻络证)与3种可溶性细胞因子受体(sCKR),即可溶性白细胞介素2、6受体(sIL2R、sIL6R)、可溶性肿瘤坏死因子受体(sTNFR1)之间的关系。方法:用ELISA法测定两证型患者血清中3种sCKR。结果:RA患者中3种sCKR均显著高于健康人,经治疗后均显著下降;寒湿阻络证sIL2R显著高于湿热阻络证,而sTNFR1显著低于湿热阻络证,sIL6R则两证型患者未见明显差异。结论:RA寒湿阻络证患者可能以sIL2R的显著升高和sTNFR1的明显降低为特征,湿热阻络证患者可能以sTNFR1的显著升高和sIL2R的显著降低为主。
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关 键 词: | 类风湿性关节炎 寒湿阻络证 湿热阻络证 可溶性细胞因子受体 |
Study on Relationship between Two Different Syndromes and Three Soluble Cytokine Receptors in Patients with Rheumatoid Arthritis |
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Authors: | Hu Zuguang Hong Jiemin Gao Min Guangdong Provincial Institute of TCM Guangzhou |
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Abstract: | Objective: To study the relationship between two different Syndromes (Cold Damp Syndrome and Damp Heat Syndrome) and three soluble cytokine receptors (sCKR, soluble interleukin 2 receptor, sIL 2R, soluble interleukin 6 receptor, sIL 6R, soluble tumor necrosis factor receptor 1, sTNFR 1) in rheumatoid arthritis (RA). Methods: The serum levels of three soluble receptors were measured by ELISA in patients with RA. Results: The serum levels of 3 sCKR were significantly elevated in RA patients compared to healthy controls and obviously lowered after treatment (P<0 01). The level of sIL 2R was significantly higher in Cold Damp Syndrome than that in Damp Heat Syndrome (P<0 01), but serum sTNFR 1 was significantly higher in Damp Heat Syndrome than that in Cold Damp Syndrome, there was no obvious difference between sIL 6R of two Syndromes. Conclusion: The high serum sIL 2R and low sTNFR 1 might be a cirterion of Cold Damp Syndrome, but the high sTNFR 1 and low sIL 2R might be a criterion of Damp Heat Syndrome, these criteria reflected some states of different functions in immune system in patients with RA. |
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Keywords: | rheumatoid arthritis Cold Damp Syndrome Damp Heat Syndrome soluble interleukin 2 receptor soluble interleukin 6 receptor soluble tumor necrosis factor receptor 1 |
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