Xu Rui, Li Yuan, Xie Minqiang, Xu Geng, Zhang Gehua, Wang Shufang
Department of Otolaryngology, Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510630, China.
Chin Med J (Engl). 2002 Sep;115(9):1386-9.
To study the concentration, distribution and expression of IL-5 in nasal polyp tissues and explore its significance in micro-environment differentiation of eosinophil accumulation.
The concentration and expression of IL-5 in nasal polyp tissues of 40 patients were determined by ELISA and immunohistochemistry and inferior turbinate mucosa from patients with nasal polyps and healthy volunteers were used as control.
IL-5 concentration in polyp tissues was significantly higher than that in turbinate mucosa (P < 0.05). There was no significant difference in the turbinate mucosae between patients with nasal polyps and healthy volunteers (P > 0.05). IL-5 concentrations in polyp tissues were markedly higher in patients with allergic rhinitis compared with those without (P < 0.05). IL-5 concentrations had no correlation with age and sex (P > 0.05). 80.1% of the eosinophils were positive for IL-5 and 90.9% of IL-5 positive cells were eosinophils. Only 3.7% of lymphocytes and neutrophils were positive for IL-5; IL-5 was not detectable in epithelial cells. IL-5 expression in eosinophils of polyp tissues was remarkably stronger than that of the turbinate mucosa (P < 0.05); there was no significant difference in the the turbinate mucosae between patients with nasal polyps and healthy volunteers (P > 0.05). IL-5 expression of eosinophils in polyp tissue was significantly stronger in patients with allergic rhinitis compared with those without (P < 0.05). There was no significant difference in IL-5 expression in lymphocytes and neutrophils between polyp tissues and turbinate nasal mucosa (both P > 0.05).
IL-5 is the key cytokine in eosinophilic pathologic mechanisms in nasal polyp tissues.
研究白细胞介素-5(IL-5)在鼻息肉组织中的浓度、分布及表达情况,探讨其在嗜酸性粒细胞聚集微环境分化中的意义。
采用酶联免疫吸附测定(ELISA)法及免疫组织化学法检测40例患者鼻息肉组织中IL-5的浓度及表达,以鼻息肉患者下鼻甲黏膜及健康志愿者下鼻甲黏膜作为对照。
息肉组织中IL-5浓度显著高于下鼻甲黏膜(P<0.05)。鼻息肉患者与健康志愿者的下鼻甲黏膜之间差异无统计学意义(P>0.05)。变应性鼻炎患者息肉组织中IL-5浓度显著高于非变应性鼻炎患者(P<0.05)。IL-5浓度与年龄及性别无关(P>0.05)。80.1%的嗜酸性粒细胞IL-5呈阳性,90.9%的IL-5阳性细胞为嗜酸性粒细胞。仅3.7%的淋巴细胞及中性粒细胞IL-5呈阳性;上皮细胞中未检测到IL-5。息肉组织中嗜酸性粒细胞IL-5表达明显强于下鼻甲黏膜(P<0.05);鼻息肉患者与健康志愿者的下鼻甲黏膜之间差异无统计学意义(P>0.05)。变应性鼻炎患者息肉组织中嗜酸性粒细胞IL-5表达明显强于非变应性鼻炎患者(P<0.05)。息肉组织与下鼻甲鼻黏膜淋巴细胞及中性粒细胞IL-5表达差异无统计学意义(均P>0.05)。
IL-5是鼻息肉组织嗜酸性粒细胞病理机制中的关键细胞因子。