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[银屑病患者血小板活化分子CD62P和CD63表达与中医辨证分型的关系]

[Relationship between syndrome differentiation-typing and expression of platelet-activation molecule CD62P and CD63 on platelets in psoriatic patients].

作者信息

Li G Y, Liu H C, Yin G P

机构信息

Department of Dermatology, Jinan Military General Hospital.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 1997 Jul;17(7):417-8.

Abstract

OBJECTIVE

To understand the relationship between Syndrome Differentiation- Typing and platelet activation in psoriatic patients.

METHODS

Expression of platelet-activation molecules CD62P (alpha-granule membrane glycoprotein) and CD63 (lysosomal integral membrane protein) on platelets from 36 psoriatic patients with Syndrome Differentiation-Typing in TCM and 31 health subjects were investigated by using flow cytometry and specific monoclonal antibodies against activated platelet.

RESULTS

(1) Increased expression of CD62P and CD63 on platelets from psoriatic patients was observed (P < 0.001); (2) The expression of CD62P and CD63 was in following order: The group of Blood Stasis > Blood Dryness > Blood Heat; (3) Compared with the group of Blood Heat, increased expression of CD62P and CD63 was observed in the group of Blood Dryness (P < 0.001); (4) Compared with the group of Blood Dryness, increased expression of CD62P and CD63 was observed in the group of Blood Stasis (P < 0.001).

CONCLUSION

The platelet activation might play an important role in higher blood viscosity, endothelial cell injury, abnormal microcirculation, which was correlated with Blood Stasis, found in psoriasis.

摘要

目的

了解银屑病患者中医辨证分型与血小板活化之间的关系。

方法

采用流式细胞术及抗活化血小板特异性单克隆抗体,检测36例进行中医辨证分型的银屑病患者及31名健康对照者血小板上血小板活化分子CD62P(α-颗粒膜糖蛋白)和CD63(溶酶体膜整合蛋白)的表达。

结果

(1)银屑病患者血小板上CD62P和CD63表达增加(P<0.001);(2)CD62P和CD63表达依次为:血瘀证组>血虚风燥证组>血热证组;(3)与血热证组比较,血虚风燥证组CD62P和CD63表达增加(P<0.001);(4)与血虚风燥证组比较,血瘀证组CD62P和CD63表达增加(P<0.001)。

结论

血小板活化可能在银屑病患者血液高黏滞性、内皮细胞损伤及微循环异常等与血瘀有关的病理过程中起重要作用。

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