川崎病患儿循环内皮祖细胞功能与血浆超敏C反应蛋白浓度的关系

徐明国, 门丽娜, 王海霞, 祖莹, 赵春玉, 赵霞, 蔡华波, 孟祥春, 王涛

中国当代儿科杂志 ›› 2010, Vol. 12 ›› Issue (07) : 513-517.

PDF(1236 KB)
PDF(1236 KB)
中国当代儿科杂志 ›› 2010, Vol. 12 ›› Issue (07) : 513-517.
论著·临床研究

川崎病患儿循环内皮祖细胞功能与血浆超敏C反应蛋白浓度的关系

  • 徐明国,门丽娜,王海霞,祖莹,赵春玉,赵霞,蔡华波,孟祥春,王涛
作者信息 +

Decreased circulating endothelial progenitor cell function: relationship with serum concentrations of high-sensitivity C-reactive protein in children with Kawasaki disease

  • XU Ming-Guo, MEN Li-Na, WANG Hai-Xia, Zu Ying, ZHAO Chun-Yu, ZHAO Xia, CAI Hua-Bo, MENG Xiang-Chun, WANG Tao
Author information +
文章历史 +

摘要

目的:研究川崎病患儿循环内皮祖细胞的功能状态及其与血浆超敏C反应蛋白(Hs-CRP)浓度的关系。方法:将10例川崎病患儿和10例健康体检儿童分为川崎病组和对照组。利用含有血管内皮细胞生长因子(VEGF),碱性成纤维细胞生长因子(bFGF)的DMEM培养基将入选者的外周血单个核细胞诱导培养为内皮祖细胞。然后分别利用MTT法,改良Boyden小室法及细胞培养板贴壁法测定内皮祖细胞的增殖、迁移和贴壁功能。利用胶乳增强的免疫比浊法测定血浆Hs-CRP的浓度。结果:川崎病组内皮祖细胞的增殖能力、迁移能力和贴壁能力均较对照组显著降低,差异有统计学意义,P<0.01。川崎病组Hs-CRP的浓度较对照组显著升高(87.1±30.2 mg/L vs 5.3±3.4 mg/L;P<0.01)。川崎病组循环内皮祖细胞功能与血浆Hs-CRP浓度呈显著负相关。结论:川崎病患儿循环内皮祖细胞功能显著降低,这可能与川崎病患儿体内的炎症介质反应有关。[中国当代儿科杂志,2010,12(7):513-517]

Abstract

OBJECTIVE: To study the function of circulating endothelial progenitor cells and its relationship with serum concentrations of high-sensitivity C-reactive protein (Hs-CRP) in children with Kawasaki disease. METHODS: Ten children with Kawasaki disease and ten healthy children as a control group were enrolled. The peripheral mononuclear cells were induced into endothelial progenitor cells using Dulbecco’s Modified Eagle Medium containing vascular endothelial growth factor and basic fibroblast growth factor. The proliferative ability, migratory ability and adhesive ability of endothelial progenitor cells were assessed by MTT methods, modified Boyden chamber methods and cell culture plate adhesion method, respectively. The concentrations of serum Hs-CRP were measured by latex enhanced turbidimetric immunoassay. RESULTS: The proliferative ability, migratory ability and adhesive ability of endothelial progenitor cells in the Kawasaki disease group were significantly lower than those in the control group (P<0.01). The serum concentrations of Hs-CRP in the Kawasaki disease group were significantly higher than those in the control group (87.1±30.2 mg/L vs 5.3±3.4 mg/L; P<0.01). The function of circulating endothelial progenitor cells was negatively correlated with serum concentrations of Hs-CRP in the Kawasaki disease group. CONCLUSIONS: The function of circulating endothelial progenitor cells is decreased in children with Kawasaki disease, which may be associated with the abnormal expression of inflammatory mediators.[Chin J Contemp Pediatr, 2010, 12 (7):513-517]

关键词

川崎病 / 内皮祖细胞 / 内皮细胞 / 超敏C反应蛋白 / 儿童

Key words

Kawasaki disease / Endothelial progenitor cell / Endothelial cell / High-sensitivity C-reactive protein / Child

引用本文

导出引用
徐明国, 门丽娜, 王海霞, 祖莹, 赵春玉, 赵霞, 蔡华波, 孟祥春, 王涛. 川崎病患儿循环内皮祖细胞功能与血浆超敏C反应蛋白浓度的关系[J]. 中国当代儿科杂志. 2010, 12(07): 513-517
XU Ming-Guo, MEN Li-Na, WANG Hai-Xia, Zu Ying, ZHAO Chun-Yu, ZHAO Xia, CAI Hua-Bo, MENG Xiang-Chun, WANG Tao. Decreased circulating endothelial progenitor cell function: relationship with serum concentrations of high-sensitivity C-reactive protein in children with Kawasaki disease[J]. Chinese Journal of Contemporary Pediatrics. 2010, 12(07): 513-517
中图分类号: R72   

参考文献

[1]Satou GM, Giamelli J, Gewitz MH. Kawasaki disease: diagnosis, management, and long-term implications[J]. Cardiol Rev, 2007, 15(4):163-169.
[2]Niboshi A, Hamaoka K, Sakata K, Yamaguchi N. Endothelial dysfunction in adult patients with a history of Kawasaki disease[J]. Eur J Pediatr, 2008, 167(2):189-196.
[3]Hibbert B, Olsen S, O′Brien E. Involvement of progenitor cells in vascular repair[J]. Trends Cardiovasc Med, 2003, 13(8):322-326.
[4]Werner N, Kosiol S, Schiegl T, Ahlers P, Walenta K, Link A, et al. Circulating endothelial progenitor cells and cardiovascular outcomes[J]. N Engl J Med, 2005, 353(10):999-1007.
[5]Zampetaki A, Kirton JP, Xu Q. Vascular repair by endothelial progenitor cells[J]. Cardiovasc Res, 2008, 78(3):413-421.
[6]崔斌, 黄岚, 谭虎, 赵晓辉, 宋明宝, 于世勇. C反应蛋白对内皮祖细胞部分生物学功能的影响及其机制的实验研究[J]. 中华心血管病杂志, 2008, 36(5):435-438.
[7]Mitani Y, Sawada H, Hayakawa H, Aoki K, Ohashi H, Matsumura M, et al. Elevated levels of high-sensitivity C-reactive protein and serum amyloid-A late after Kawasaki disease: association between inflammation and late coronary sequelae in Kawasaki disease[J]. Circulation, 2005, 111(1):38-43.
[8]Onouchi Y, Gunji T, Burns JC, Shimizu C, Newburger JW, Yashiro M, et al. ITPKC functional polymorphism associated with Kawasaki disease susceptibility and formation of coronary artery aneurysms[J]. Nat Genet, 2008, 40(1):35-42.
[9]Wu-Wong JR. Endothelial dysfunction and chronic kidney disease: treatment options[J]. Curr Opin Investig Drugs, 2008, 9(9):970-982.
[10]Grover-Paez F, Zavalza-Gomez AB. Endothelial dysfunction and cardiovascular risk factors[J]. Diabetes Res Clin Pract, 2009, 84(1):1-10.
[11]谢永林, 邓又斌, 常青, 向慧娟, 刘红云. 超声评价川崎病后肱动脉内皮功能[J]. 郧阳医学院学报, 2004, 23(4):201-204.
[12]Yamakawa R, Ishii M, Sugimura T, Akagi T, Eto G, Iemura M, et al. Coronary endothelial dysfunction after Kawasaki disease: evaluation by intracoronary injection of acetylcholine[J]. J Am Coll Cardiol, 1998, 31(5):1074-1080.
[13]Asahara T, Murohara T, Sullivan A, Silver M, van der Zee R, Li T, et al. Isolation of putative progenitor endothelial cells for angiogenesis[J]. Science, 1997, 275(5302):964-967.
[14]Walter DH, Rittig K, Bahlmann FH, Kirchmair R, Silver M, Murayama T, et al. Statin therapy accelerates reendothelialization: a novel effect involving mobilization and incorporation of bone marrow-derived endothelial progenitor cells[J]. Circulation, 2002, 105(25):3017-3024.
[15]Griese DP, Ehsan A, Melo LG, Kong D, Zhang L, Mann MJ, et al. Isolation and transplantation of autologous circulating endothelial cells into denuded vessels and prosthetic grafts: implications for cell-based vascular therapy[J]. Circulation, 2003, 108(21):2710-2715.
[16]Hill JM, Zalos G, Halcox JP, Schenke WH, Waclawiw MA, Quyyumi AA, et al. Circulating endothelial progenitor cells, vascular function, and cardiovascular risk[J]. N Engl J Med, 2003, 348(7):593-600.
[17]He T, Smith LA, Harrington S, Nath KA, Caplice NM, Katusic ZS. Transplantation of circulating endothelial progenitor cells restores endothelial function of denuded rabbit carotid arteries[J]. Stroke, 2004, 35(10):2378-2384.
[18]陈瑞, 张爱荣, 赵信喜, 李战华. 川崎病患儿血清中hs-CRP与基质金属蛋白酶及抑制剂联合检测的临床意义[J]. 中国当代儿科杂志, 2009, 11(12):989-991.
[19]彭茜, 吴青, 陈昌辉, 洪华, 张玲英. 血清sIL-2 RIL-6与hs-CRP水平的测定在川崎病早期诊断中的临床意义[J]. 中国当代儿科杂志, 2006, 8(3):208-210.


PDF(1236 KB)

Accesses

Citation

Detail

段落导航
相关文章

/