Lei Z, Liu G, Huang Q, Lv M, Zu R, Zhang G-M, Feng Z-H, Huang B
Department of Biochemistry & Molecular Biology, Tongji Medical College, Wuhan, China.
Allergy. 2008 Mar;63(3):327-32. doi: 10.1111/j.1398-9995.2007.01566.x. Epub 2007 Dec 5.
Although the prevalence of allergic asthma increased quickly in the past decade, the diagnostic criteria have not been well established. The aim of the present study was to explore whether stem cell factor (SCF), B cell-activating factor (BAFF), and cytokines interleukin (IL)-17 and IL-31 are usable parameters for the diagnosis of allergic asthmatics.
Blood samples were collected from patients with allergic asthma, control patients, and healthy control subjects. The serum concentrations of SCF, BAFF, IL-17, and IL-31 were measured by enzyme-linked immunosorbent assay. The corresponding mRNA levels in peripheral blood mononuclear cells (PBMCs) were determined by real-time reverse-transcription polymerase chain reaction.
A good correlation existed between protein levels of SCF and IL-31 and their mRNA levels (SCF: r = 0.6162; IL-31: r = 0.5463). The serum concentrations of SCF and IL-31 in allergic asthmatic patients, but not control patients, were significantly higher than those in normal control subjects (SCF: median 1.83 vs 0.85 ng/ml, P < 0.01; IL-31: 50.15 vs 10.01 pg/ml, P < 0.001). Consistently, the levels of SCF and IL-31 mRNAs in allergic asthmatic patients' PBMCs were also significantly higher than those in normal control subjects (P = 0.002 and P < 0.001, respectively).
These findings suggest that allergic asthma is characterized by an elevation of cytokines SCF and IL-31 and the measurement of their expression at either protein level in serum or mRNA level in PBMCs will be a valuable parameter for the diagnosis of allergic asthma.
尽管在过去十年中过敏性哮喘的患病率迅速上升,但其诊断标准尚未完全确立。本研究的目的是探讨干细胞因子(SCF)、B细胞活化因子(BAFF)以及细胞因子白细胞介素(IL)-17和IL-31是否可作为诊断过敏性哮喘患者的有用指标。
采集过敏性哮喘患者、对照患者和健康对照者的血样。采用酶联免疫吸附测定法检测血清中SCF、BAFF、IL-17和IL-31的浓度。通过实时逆转录聚合酶链反应测定外周血单个核细胞(PBMC)中相应的mRNA水平。
SCF和IL-31的蛋白水平与其mRNA水平之间存在良好的相关性(SCF:r = 0.6162;IL-31:r = 0.5463)。过敏性哮喘患者血清中SCF和IL-31的浓度显著高于正常对照者,而对照患者与正常对照者之间无显著差异(SCF:中位数1.83 vs 0.85 ng/ml,P < 0.01;IL-31:50.15 vs 10.01 pg/ml,P < 0.001)。同样地,过敏性哮喘患者PBMC中SCF和IL-31 mRNA的水平也显著高于正常对照者(分别为P = 0.002和P < 0.001)。
这些发现表明,过敏性哮喘的特征是细胞因子SCF和IL-31升高,检测血清中蛋白水平或PBMC中mRNA水平的表达将是诊断过敏性哮喘的一个有价值的指标。