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[支气管哮喘患者中嗜酸性粒细胞趋化因子的检测及其临床诊断价值]

[Detection of eotaxin and its clinical diagnosis value in patients with bronchial asthma].

作者信息

Liu Zhong-juan, Ren Yan-li, Lin Jia-you, Ni An-ping

机构信息

Department of Laboratory Medicine, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2004 Jun;26(3):298-301.

Abstract

OBJECTIVE

To explore the role of eotaxin in the pathogenesis of bronchial asthma and the clinical value in the diagnosis of asthma.

METHODS

Serum eotaxin were measured by ELISA in 38 patients with asthma, 28 patients with non-asthma allergy, and 30 healthy controls.

RESULTS

The levels of serum eotaxin in the asthma group were higher than those in the non-asthma allergic and control group (P<0.01). Furthermore, eotaxin levels in patients with acute asthma were significantly higher than those in patients with stable asthma (P<0.001). It was also found that the eotaxin levels of the acute asthma group were positively correlated to the amounts of eosinophils in peripheral blood (r=0.4196, P<0.001), and inversely correlated to the forced expiratory volume in one second (FEV1) (r=-0.3746, P<0.001).

CONCLUSION

It suggests that eotaxin may play a crucial pathogenic role in the asthmatic process possibly by activating the allergic inflammatory cells and controlling the recruitment of eosinophils from blood to bronchial epithelium of the airway. The concentration of eotaxin is significantly associated with the attack of acute asthma and its severity. Eotaxin may be a potential therapeutic target in patients with asthma.

摘要

目的

探讨嗜酸性粒细胞趋化因子在支气管哮喘发病机制中的作用及对哮喘诊断的临床价值。

方法

采用酶联免疫吸附测定法(ELISA)检测38例哮喘患者、28例非哮喘性过敏患者及30例健康对照者血清中嗜酸性粒细胞趋化因子水平。

结果

哮喘组血清嗜酸性粒细胞趋化因子水平高于非哮喘性过敏组及健康对照组(P<0.01)。此外,急性哮喘患者嗜酸性粒细胞趋化因子水平显著高于稳定期哮喘患者(P<0.001)。还发现急性哮喘组嗜酸性粒细胞趋化因子水平与外周血嗜酸性粒细胞数量呈正相关(r=0.4196,P<0.001),与第一秒用力呼气容积(FEV1)呈负相关(r=-0.3746,P<0.001)。

结论

提示嗜酸性粒细胞趋化因子可能通过激活变应性炎症细胞及调控嗜酸性粒细胞从血液至气道支气管上皮的募集,在哮喘发病过程中起关键致病作用。嗜酸性粒细胞趋化因子浓度与急性哮喘发作及其严重程度显著相关。嗜酸性粒细胞趋化因子可能是哮喘患者潜在的治疗靶点。

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