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肺结核患者血液中γ干扰素的水平。

Level of interferon gamma in the blood of tuberculosis patients.

作者信息

Hussain Shahid, Afzal Nadeem, Javaid Khursheed, Ullah Muhammad Ikram, Ahmad Tanveer

机构信息

Department of Physiology and Cell Biology, University of Health Sciences, Lahore, Pakistan.

出版信息

Iran J Immunol. 2010 Dec;7(4):240-6.

Abstract

BACKGROUND

Interferon gamma (IFN-γ), a cytokine produced by a variety of cells is involved in the immune response against M. tuberculosis. It activates the production of other cytokines and molecules that kill mycobacterium. IFN-γ also has diagnostic role in identification of active and latent tuberculosis.

OBJECTIVE

To determine the level of IFN-γ in the blood of TB patients.

METHODS

Ninety-one subjects were selected, including 54 active TB patients and 37 healthy controls. Among 54 TB patients, 27 had confirmed TB and 27 were. Clinically diagnosed as having TB. IFN-γ concentration was determined in their blood by an ELISA technique.

RESULTS

In TB patients, Mean + SD of IFN-γ was 48.69 + 28.78 pg/ml while it was 12.99 + 5.70 pg/ml in the control group (p <0.001). Significant differences in the level of IFN-γ were observed among confirmed TB patients, clinically diagnosed TB patients and the control group (Mean + SD 59.68 + 28.78, 36.85 + 24.76 and 12.99 + 5.70 pg/ml, respectively). Furthermore, a significant negative correlation was observed between the concentration of IFN-γ in TB patients and the duration of anti-tuberculosis therapy.

CONCLUSION

IFN-γ level was high in both clinically diagnosed and confirmed TB patients as compared to a control group. Measurement of IFN-γ production is helpful to diagnose active tuberculosis, but further research is required.

摘要

背景

干扰素γ(IFN-γ)是一种由多种细胞产生的细胞因子,参与针对结核分枝杆菌的免疫反应。它可激活其他细胞因子及杀灭分枝杆菌的分子的产生。IFN-γ在活动性和潜伏性结核病的诊断中也具有作用。

目的

测定结核病患者血液中的IFN-γ水平。

方法

选取91名受试者,包括54例活动性结核病患者和37名健康对照者。在54例结核病患者中,27例已确诊结核病,27例临床诊断为结核病。采用酶联免疫吸附测定(ELISA)技术测定其血液中的IFN-γ浓度。

结果

结核病患者中,IFN-γ的均值±标准差为48.69±28.78 pg/ml,而对照组为12.99±5.70 pg/ml(p<0.001)。确诊结核病患者、临床诊断结核病患者与对照组之间的IFN-γ水平存在显著差异(均值±标准差分别为59.68±28.78、36.85±24.76和12.99±5.70 pg/ml)。此外,结核病患者血液中IFN-γ浓度与抗结核治疗疗程之间存在显著负相关。

结论

与对照组相比,临床诊断和确诊的结核病患者的IFN-γ水平均较高。检测IFN-γ的产生有助于诊断活动性结核病,但仍需进一步研究。

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