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阴虚体质人群的内分泌及免疫功能的临床观察。

Clinical observation on the endocrinal and immune functions in subjects with yin-deficiency constitution.

机构信息

Medical Research Center of Constitution and Reproductive, Beijing University of Chinese Medicine, Beijing 100029, China.

出版信息

Chin J Integr Med. 2010 Feb;16(1):28-32. doi: 10.1007/s11655-010-0028-9. Epub 2010 Feb 4.

Abstract

OBJECTIVE

To explore the relationship between yin-deficiency constitution (YDC) and biochemical indexes by way of observing the endocrinal and immune functions in subjects with YDC.

METHODS

On the basis of epidemiological investigation, 60 subjects with YDC and 50 with gentle constitution (GC) were selected according to the pertinent criteria. From each subject, 8 mL of fasting venous blood was drawn at 8:00-9:00 in the morning, with the serum separated by centrifugation 3 000 r/min for 5 min and preserved at -70 degrees Celsius in a freezer. Serum levels of corticosterone, cortisol, adrenocorticotrophic hormone (ACTH), cyclic adenosine monophosphate (cAMP), cyclic guanosine monophosphate (cGMP), free triiodothyronine (FT3), free thyroxine (FT4), throtropic stimulation hormone, interleukin 1beta (IL-1beta) and interleukin 2 (IL-2) were detected by double-antibody sandwich ELISA; cAMP/cGMP ratio was calculated, and the difference between the two constitutions in terms of these indexes was analyzed.

RESULTS

Serum FT3 was 4.16 + or - 1.38 pmol/L in subjects with YDC, which was higher than that in subjects with GC (3.71 + or - 0.55 pmol/L), but levels of cortisol (124.58 + or - 45.36 ng/mL), ACTH (58.92 + or - 14.55 pg/mL), cGMP (66.00 + or - 18.02 pmol/mL) and FT4 (12.33 + or - 3.12 pmol/L) in YDC were lower than those in GC (13.43 + or - 2.31 pmol/L), showing significant difference (P<0.05).

CONCLUSION

YDC is related to some extent with the disturbances in the hypothalamus-pituitary-adrenal axis, hypothalamus-pituitary-thyroid axis, cyclic nucleoside system and immune function.

摘要

目的

通过观察阴虚体质(YDC)受试者的内分泌和免疫功能,探讨 YDC 与生化指标的关系。

方法

在流行病学调查的基础上,按照相关标准选择 60 例 YDC 患者和 50 例平和体质(GC)患者。于每天上午 8:00-9:00 抽取空腹静脉血 8ml,3000r/min 离心 5min 分离血清,-70℃冰箱保存。采用双抗体夹心 ELISA 法检测血清皮质醇(cortisol)、促肾上腺皮质激素(adrenocorticotrophic hormone,ACTH)、环磷酸腺苷(cyclic adenosine monophosphate,cAMP)、环磷酸鸟苷(cyclic guanosine monophosphate,cGMP)、游离三碘甲状腺原氨酸(free triiodothyronine,FT3)、游离甲状腺素(free thyroxine,FT4)、促甲状腺激素(thyrotropic stimulation hormone)、白细胞介素 1β(interleukin 1beta,IL-1β)、白细胞介素 2(interleukin 2,IL-2)水平,计算 cAMP/cGMP 比值,并分析两种体质间各指标的差异。

结果

YDC 患者血清 FT3 为 4.16+1.38pmol/L,高于 GC 患者(3.71+0.55pmol/L),但皮质醇(124.58+45.36ng/mL)、ACTH(58.92+14.55pg/mL)、cGMP(66.00+18.02pmol/L)、FT4(12.33+3.12pmol/L)水平均低于 GC 患者(13.43+2.31pmol/L),差异均有统计学意义(P<0.05)。

结论

YDC 与下丘脑-垂体-肾上腺轴、下丘脑-垂体-甲状腺轴、环核苷酸系统及免疫功能紊乱有一定关系。

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