Department of Cardiology, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China.
Int J Med Sci. 2012;9(6):453-61. doi: 10.7150/ijms.4453. Epub 2012 Jul 26.
The characteristics of human genomics and cellular immune function between clinically symptomatic venous thromboembolism (VTE) and controls were systematically compared to explore the immunologic pathogenesis of VTE. Microarray assay showed the mRNA expressions of genes related to non-specific cellarer immune and cytokines were significantly down-regulated. Abnormal expressions of CD3+, CD4+, CD8+, NK marker CD16+56+, CD19 and aberrant CD4+/CD8+ ratio were detected in 54 among 56 patients. In PE patients, microarray assay revealed the imbalance in the expressions of genes related to the immune system. The expressions of genes related to non-specific immune cells and cytokines were markedly up-regulated and those associated with cellular immune were dramatically down-regulated. In VTE patients, cytological examination indicated the functions of NK cells were significantly compromised, and the antigen recognition and killing function of T cells markedly decreased. The consistence between genomic and cytological examination suggests the symptomatic VTE is closely associated with the infection and immune dysfunction.
对有临床症状的静脉血栓栓塞症(VTE)患者和对照组之间的人类基因组学和细胞免疫功能特征进行了系统比较,以探讨 VTE 的免疫学发病机制。微阵列分析显示,与非特异性细胞免疫和细胞因子相关的基因的 mRNA 表达显著下调。在 56 例患者中的 54 例中检测到 CD3+、CD4+、CD8+、NK 标记物 CD16+56+、CD19 和异常的 CD4+/CD8+比值的异常表达。在 PE 患者中,微阵列分析显示与免疫系统相关的基因表达失衡。与非特异性免疫细胞和细胞因子相关的基因表达明显上调,而与细胞免疫相关的基因表达明显下调。在 VTE 患者中,细胞学检查表明 NK 细胞的功能明显受损,T 细胞的抗原识别和杀伤功能明显降低。基因组学和细胞学检查的一致性表明,有症状的 VTE 与感染和免疫功能障碍密切相关。