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[白细胞介素-12对结核病患者中性粒细胞吞噬和杀灭结核分枝杆菌的增强作用]

[The Enhanceing effect of IL-12 on phagocytosis and killing of Mycobacterium tuberculosis by neutrophils in tuberculosis patients].

作者信息

Jiang Li-na, Yao Chun-yan, Jin Qi-li, He Wen-xin, Li Bai-qing

机构信息

Department of Immunology, Bengbu Medical College, Bengbu, China.

出版信息

Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2011 Nov;27(11):1191-4.

Abstract

AIM

To explore the effects of IL-12 on phagocytosis and killing of Mycobacterium tuberculosis by neutrophils or polymorphonuclear cells (PMNs) in tuberculosis patients.

METHODS

The fresh peripheral blood samples from TB patients and healthy adults were incubated with M.tb labeled with FITC, and the percentages of phagocytosis of M.tb by PMNs was measured by flow cytometry (FCM). The fresh peripheral blood samples were incubated with DCFH-DA, and with or without M.tb for different times, the percentage of activation and the ROS production of PMNs were measured by FCM. Whole blood samples were pretreated with IL-12, the changes of phagocytosis, activation and ROS production of PMNs were measured by FCM.

RESULTS

The percentages of phagocytosis by PMNs, activation and ROS production of PMNs in both TB patients and healthy adults increased dependent on the time of incubation with M.tb. Only the phagocytosis of M.tb by PMNs at 5 min in TB patients of tuberculosis patients (51.82±6.93)% was obviously higher than that in healthy adults (47.20±4.26)%, (P<0.05). Pretreatment of whole blood with IL-12 before incubation with M.tb, the percentages of phagocytosis, activation and ROS production of PMNs in both TB patients and healthy adults increased in dose dependent manner, but no significant difference was found between both groups.

CONCLUSION

The results indicated that the phagocytosis of M.tb and ROS production by PMNs in TB patients were almost the same as that in healthy controls, except for phagocytosis is higher at early stage. Furthermore, IL-12 can enhance the responsiveness to the phagocytosis and ROS production of PMNs.

摘要

目的

探讨白细胞介素-12(IL-12)对结核病患者中性粒细胞或多形核细胞(PMN)吞噬及杀灭结核分枝杆菌的作用。

方法

将结核病患者和健康成年人的新鲜外周血样本与异硫氰酸荧光素(FITC)标记的结核分枝杆菌共同孵育,采用流式细胞术(FCM)检测PMN对结核分枝杆菌的吞噬百分比。将新鲜外周血样本与二氯荧光素二乙酸酯(DCFH-DA)孵育,分别在有或无结核分枝杆菌的情况下孵育不同时间,采用FCM检测PMN的活化百分比和活性氧(ROS)产生情况。全血样本用IL-12预处理,采用FCM检测PMN吞噬、活化及ROS产生的变化。

结果

结核病患者和健康成年人中,PMN的吞噬百分比、活化及ROS产生均随与结核分枝杆菌孵育时间的延长而增加。仅结核病患者PMN在5分钟时对结核分枝杆菌的吞噬率(51.82±6.93)%明显高于健康成年人(47.20±4.26)%,(P<0.05)。在与结核分枝杆菌孵育前用IL-12预处理全血,结核病患者和健康成年人中PMN的吞噬、活化及ROS产生百分比均呈剂量依赖性增加,但两组间无显著差异。

结论

结果表明,结核病患者PMN对结核分枝杆菌的吞噬及ROS产生与健康对照者基本相同,只是早期吞噬率较高。此外,IL-12可增强PMN对吞噬及ROS产生的反应性。

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