过敏性紫癜患儿血、尿标本中IL-13受体α2水平及其他细胞因子的检测分析

余艳红, 潘凯丽, 李琦, 张宝娟, 黄莹, 张静静, 杜莉

中国当代儿科杂志 ›› 2009, Vol. 11 ›› Issue (01) : 37-40.

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中国当代儿科杂志 ›› 2009, Vol. 11 ›› Issue (01) : 37-40.
临床研究

过敏性紫癜患儿血、尿标本中IL-13受体α2水平及其他细胞因子的检测分析

  • 余艳红,潘凯丽,李琦,张宝娟,黄莹,张静静,杜莉
作者信息 +

Roles of serum and urinary interleukins 13Rα2 and other cytokines in pediatric Henoch-Schonlein purpura

  • YU Yan-Hong, PAN Kai-Li, LI Qi, ZHANG Bao-Juan, HUANG Ying, ZHANG Jing-Jing, DU Li.
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摘要

目的:探讨过敏性紫癜(HSP)患儿血清和尿中IL-13受体α2(IL-13Rα2)与白细胞介素(IL)-4,-6,-8,肿瘤坏死因子α(TNF-α)的关系及其临床意义。方法:采用ELISA法检测了52例HSP患儿(其中29例有肾脏损害)以及45例正常健康儿童的血清和尿IL-13Rα2及IL-4,-6,-8,TNF-α水平,比较上述各组患儿的IL-13Rα2与各细胞因子水平的关系。结果:①HSP患儿的血清中IL-4,IL-6,IL-8,IL-13Rα2及TNF-α水平高于健康对照组(P<0.01或0.05);HSP患儿尿液中IL-6,TNF-α水平高于正常对照组(P<0.01)。②有肾损害(HSPN)组血清IL-4,-6,-8,IL-13Rα2及TNF-α水平均高于健康对照组;有肾损害(HSPN)组尿液中IL-6,IL-13Rα2及TNF-α水平高于健康对照组。结论:IL-13Rα2,IL-4,-6,-8,TNF-α均可能参与HSP/HSPN的发病过程。[中国当代儿科杂志,2009,11(1):37-40]

Abstract

OBJECTIVE: To study the roles of serum and urinary interleukins (IL)-13Rα2, IL-4, IL-6, IL8 and tumor necrosis factor-α(TNF-α) in pediatric Henoch-Schonlein purpura (HSP). METHODS: Serum and urinary levels of IL-13Rα2, IL-4, IL-6, IL-8 and TNF-α were examined using ELISA in 52 children with HSP and 45 healthy children. The results were compared between the two groups. RESULTS: Serum levels of IL-13Rα2, IL-4, IL-6, IL-8 and TNF-α in HSP patients with or without renal lesions were higher than those in the control group (P< 0.01 or 0.05). Urinary levels of IL-6 and TNF-α in HSP patients without renal lesions were higher than those in the control group (P<0.05). Except for urinary levels of IL-6 and TNF-α, urinary IL-13Rα2 levels in HSP patients with renal lesions (HSPN) were higher than those in the control group (P<0.05 ). CONCLUSIONS: Cytokines IL-13Rα2, IL-4, IL-6, IL-8 and TNF-α may play roles in the pathogenesis of pediatric HSP/HSPN.[Chin J Contemp Pediatr, 2009, 11 (1):37-40]

关键词

过敏性紫癜 / 紫癜性肾炎 / 白介素 / 肿瘤坏死因子α / 细胞因子 / 儿童

Key words

Henoch-Schonlein purpura / Henoch-Schonlein purpura nephritis / Interleukin / Tumor necrosis factor-α / Cytokine / Child

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导出引用
余艳红, 潘凯丽, 李琦, 张宝娟, 黄莹, 张静静, 杜莉. 过敏性紫癜患儿血、尿标本中IL-13受体α2水平及其他细胞因子的检测分析[J]. 中国当代儿科杂志. 2009, 11(01): 37-40
YU Yan-Hong, PAN Kai-Li, LI Qi, ZHANG Bao-Juan, HUANG Ying, ZHANG Jing-Jing, DU Li. Roles of serum and urinary interleukins 13Rα2 and other cytokines in pediatric Henoch-Schonlein purpura[J]. Chinese Journal of Contemporary Pediatrics. 2009, 11(01): 37-40
中图分类号: R554+.6   

参考文献

[1]Yang YH, Chuang YH, Wang LC, Huang HY, Gershwin ME, Chiang BL. The immunobiology of Henoch-Schonlein purpura[J]. Autoimmun Rev, 2008, 7(3):179-184.
[2]Davin JC, Weening JJ. Diagnosis of Henoch-Schonlein purpura:renal or skin biopsy?[J]. Pediatr Nephrol, 2003, 18(12):1201-1203.
[3]许自川,曾雪琪,党西强,何小解.Th1 /Th2迁移与紫癜性肾炎的研究进展[J].国际病理科学与临床杂志, 2007, 27(1):64-67.
[4]Tahan F, Dursun I, Poyrazoglu H, Gurgoze M, Dusunsel R. The role of chemokines in Henoch Schonlein Purpura[J].Rheumatology Int, 2007, 27(10):955-960.
[5]胡亚美,江载芳.诸福棠实用儿科学[M].第7版.北京:人民卫生出版社, 2002, 689-690.
[6]杨霁云.小儿过敏性紫瘫性肾炎诊治中的几个问题[J].肾脏病与透析肾移植杂志, 2004, 13(2):147-149.
[7]徐志泉,何小解,易著文.过敏性紫癜性肾炎发病机制的研究进展[J].现代医药卫生, 2006, 22(5):677-679.
[8]Mire-Sluis AR, Thorpe R. Cytokines[M]. San Diego:Academic Press Inc, 1998, 53.
[9]朱国际.儿童过敏性紫癜CD40-CD40L的表达[J].中国血液流变学杂志, 2005, 15(1):115-116.
[10]Fukatsu A, Matsuo S, Tamai H, Sakamoto N, Matsuda T, Hirano T. Distribution of interleukin-6 in normal and diseased human kidney[J]. Lab Invest, 1991, 65(1):61-66.
[11]Watts RA, Scott DG. Epidemiology of the vasculities[J]. Curr Opin Rheumatol, 2003, 15(1):11-16.
[12]Yang YH, Lai HJ, Huang CM, Wang LC, Lin YT, Chiang BL. Sera from children with active Henoch-Schonlein purpura can enhance the production of interleukin 8 by human umbilical venous endothelial cells[J]. Ann Rheum Dis, 2004, 63(11):1511-1513.
[13]Ozaltin F, Bakkaloglu A, Ozen S, Topaloglu R, Kavak U, Kalyoncu M, et al. The significance of IgA class of antineutrophil cytoplasmic antibodies (ANCA) in childhood Henoch-Schonlein purpura[J]. Clin Rheumatol, 2004, 23(5):426-429.
[14]Bertani T, Abbate M, Zoja C, Corna D, Perico N, Ghezzi P. Tumor necrosis factor induces glomerular damage in the rabbit[J]. Am J Pathol, 1989, 134(2):419-430.
[15]Ozen S, Saatci U, Tinaztepe K, Bakkaloglu A, Barut A. Urinary tumor necrosis factor levels in primary glomerulopathies[J].Nephron, 1994, 66(3):291-294.
[16]Tsuji Y, Abe Y, Hisano M, Sakai T. Urinary leukotriene E4 in Henoch-Schonlein purpura[J]. Clin Exp Allergy, 2004, 34(8):1259-1261.
[17]Ha TS. The role of tumor necrosis factor-alpha in Henoch-Schonlein purpura[J].Pediatr Nephrol, 2005, 20(2):149-153.
[18]顾晓虹,刘文彬,王太森,王剑峰,郑淑梅,李琴.初发过敏性紫癜患儿免疫功能研究[J].西南国防医药, 2004, 14(2):136-137.
[19]Kimata H, Hujimoto M, Furusho K.Involvement of interleukin (IL)-13, but not IL-4, in spontaneous IgE and IgG4 production in nephrotic syndrome[J]. Eur J Immunol, 1995, 25(6):1497-1501.
[20]Bernard J, Treton D, Vermot-Desroches C, Boden C, Horellou P, Angevin E, et al. Expression of interleukin 13 receptor in glioma and renal cell carcinoma: IL13R alpha 2 as a decoy receptor for IL13[J].Lab Invest, 2001, 81(9):1223-1231.
[21]孙大庆,张秋业,董增义,白枫.过敏性紫癜病儿树突细胞分泌白细胞介素-12水平与TH1/TH2的变化[J].中国当代儿科杂志, 2006, 8(4):307-310.
[22]廖培元,吴升华.过敏性紫癜患儿血清白三烯B4,白介素-5的测定及临床意义[J].中国当代儿科杂志, 2006, 8(3):198-200.
[23]江华, 丁甫月, 顾龙君. 过敏性紫癜患儿血清TNF-α、IL-2、IL-4水平的变化[J].中国当代儿科杂志, 2002, 4(2):117-118.


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