目的 检测腺样体肥大(adenoid hypertrophy, AH)患儿腺样体组织中半胱氨酸白三烯受体1(CysLTR-1)和半胱氨酸白三烯受体2(CysLTR-2)的表达,探讨白三烯在AH发病中的作用.方法 将60例行腺样体/扁桃体切除的AH患儿分为单纯AH组与伴变态反应性鼻炎AH组(每组30例),以反复化脓性扁桃体炎行扁桃体切除的20例患儿作为对照组.通过免疫荧光组织化学标记法及累积光密度(IOD)测量方法观察各组患儿术后扁桃体/腺样体组织中CysLTR-1和CysLTR-2的表达.结果 在两个AH组的腺样体组织和扁桃体组织中,CysLTR-1和CysLTR-2的表达强度均明显高于对照组(PP<0.01).结论 AH儿童腺样体组织中存在CysLTR-1和CysLTR-2的高表达,显示炎症介质白三烯参与了AH的发病.
Abstract
Objective To examine the expression of cysteinyl leukotriene receptor-1 (CysLTR-1) and cysteinyl leukotriene receptor-2 (CysLTR-2) in the adenoid tissues from children with adenoid hypertrophy (AH) and to explore the role of leukotrienes in the pathogenesis of AH. Methods Sixty children with AH who were treated by adenoidectomy and/or tonsillectomy were classified into two groups: simple AH and AH plus allergic rhinitis (n=30 each). Twenty children who underwent tonsillectomy due to recurrent purulent tonsillitis were selected as the control group. The expression of CysLTR-1 and CysLTR-2 in the excised tonsil and/or adenoid tissues was determined by immunofluorescence histochemical labeling and integrated optical density measurement. Results The expression of CysLTR-1 and CysLTR-2 in the adenoid and tonsil tissues increased significantly in both the simple AH group and AH plus allergic rhinitis group compared with the control group (P<0.01). The expression of CysLTR-1 and CysLTR-2 in the AH plus allergic rhinitis group increased more significantly compared with the simple AH group (P<0.01). Conclusions CysLTR-1 and CysLTR-2 are highly expressed in the adenoid tissues from children with AH, suggesting that leukotrienes are involved in the pathogenesis of AH.
关键词
腺样体肥大 /
白三烯受体 /
儿童
Key words
Adenoid hypertrophy /
Leukotriene receptor /
Child
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参考文献
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基金
2011年广东省第六批科学事业计划项目(2011B061800001).
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