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[慢性胃炎患者脾胃湿热证与核因子-κB mRNA及热休克蛋白70 mRNA表达的关系]

[Relationship between Pi-Wei damp-heat syndrome with expressions of nuclear factor-kappaB mRNA and heat shock protein 70 mRNA in patients with chronic gastritis].

作者信息

Cui Na-juan, Hu Ling, Lao Shao-xian

机构信息

Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Jan;30(1):18-21.

Abstract

OBJECTIVE

To explore the relationship between the genesis of Pi-Wei damp-heat syndrome (PDS) and the Helicobacter pylori (HP) infection in patients with chronic gastritis (CG) by observing the levels of nuclear factor kappaB (NF-kappaB) mRNA and heat shock protein 70 (HSP70) expressions.

METHODS

Gastric mucous membrane tissues collected through gastroscopy from gastric antrum of 51 CG patients, 36 of PDS type (CG-PDS) and 15 of Pi-qi deficiency syndrome (CG-non-PDS) type, and 8 healthy persons (as control) were examined to diagnose the inflammation level with HE stain and to detect the existence of HP infection by rapid urease test and methylthioninium chloride stain. The mRNA expressions of NF-kappaB and HSP70 in the tissues were determined quantitatively with FQ-PCR as well.

RESULTS

Patients of CG-PDS showed higher level of HSP70 mRNA expression than in the control; and level of NF-kappaB mRNA expression was higher than that in the control and CG-non-PDS (all P<0.05); but both expressions were insignificantly different in CG-PDS patients with positive or negative HP infection (P>0.05). Positive correlation of the two expressions was shown in CG-PDS with negative HP infection.

CONCLUSION

NF-kappaB and HSP70 may partially embody, in some extent, the power of vital qi and evil qi in the organism; the over-expressed NF-kappaB and HSP70 may indicate the severe fighting between evil qi and vital qi, and both would be influenced to a certain degree in the fighting process.

摘要

目的

通过观察核因子κB(NF-κB)mRNA和热休克蛋白70(HSP70)的表达水平,探讨慢性胃炎(CG)患者脾胃湿热证(PDS)的发生与幽门螺杆菌(HP)感染之间的关系。

方法

通过胃镜收集51例CG患者胃窦部胃黏膜组织,其中脾胃湿热证型(CG-PDS)36例,脾气虚证型(CG-非PDS)15例,另取8例健康人作为对照。采用HE染色检查炎症程度,快速尿素酶试验和亚甲蓝染色检测HP感染情况。同时应用荧光定量PCR(FQ-PCR)法测定组织中NF-κB和HSP70的mRNA表达水平。

结果

CG-PDS患者HSP70 mRNA表达水平高于对照组;NF-κB mRNA表达水平高于对照组及CG-非PDS组(均P<0.05);但CG-PDS患者HP感染阳性与阴性者上述两种表达差异均无统计学意义(P>0.05)。CG-PDS患者HP感染阴性者两种表达呈正相关。

结论

NF-κB和HSP70在一定程度上可能部分体现机体正邪力量;NF-κB和HSP70过度表达可能提示正邪交争激烈,且在正邪交争过程中二者均受到一定程度的影响。

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