Lun Samantha W M, Wong C K, Ko Fanny W S, Ip W K, Hui David S C, Lam Christopher W K
Department of Chemical Pathology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.
J Clin Immunol. 2006 Mar;26(2):145-52. doi: 10.1007/s10875-006-9003-9. Epub 2006 Apr 7.
This study further elucidates the roles of selected chemokines (IP-10, MIG, and RANTES) and their receptors (CCR3, CCR5, and CXCR3) in asthma. We compared their profiles in six groups of participants-atopic cohort and nonatopic cohort (each including controls and asthmatic patients with or without steroid therapy). Plasma concentration of IP-10 was significantly lower while that of RANTES and the expression of CCR3 were higher in asthmatic patients (all p < 0.05). Plasma RANTES correlated positively with the GINA severity score in all asthmatic patients (r=0.27, p < 0.05), and with IL-13 in nonatopic asthmatic patients (r=0.46, p < 0.05). In asthmatic patients, the ex vivo release of IP-10 and MIG was attenuated in PBMC activated with allergen, mitogens and IL-18 (p < 0.05). In conclusion, plasma RANTES may be a surrogate marker for asthma and the diminished Th1 related CXC chemokine production may contribute to Th2 predominance in asthma.
本研究进一步阐明了所选趋化因子(IP-10、MIG和RANTES)及其受体(CCR3、CCR5和CXCR3)在哮喘中的作用。我们比较了六组参与者(特应性队列和非特应性队列,每组包括对照组以及接受或未接受类固醇治疗的哮喘患者)中它们的情况。哮喘患者血浆中IP-10浓度显著降低,而RANTES浓度及CCR3表达较高(均p<0.05)。在所有哮喘患者中,血浆RANTES与GINA严重程度评分呈正相关(r=0.27,p<0.05),在非特应性哮喘患者中与IL-13呈正相关(r=0.46,p<0.05)。在哮喘患者中,用变应原、丝裂原和IL-18激活外周血单核细胞(PBMC)后,IP-10和MIG的体外释放减弱(p<0.05)。总之,血浆RANTES可能是哮喘的替代标志物,且与Th1相关的CXC趋化因子产生减少可能导致哮喘中Th2占优势。