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[变应性鼻炎和非变应性鼻炎患者鼻分泌物及血清中白细胞介素-16和白细胞介素-17水平及其意义分析]

[Analysis of the level and significance of IL-16 and IL-17 in nasal secretion and in serum of patients with allergic rhinitis and non-allergic rhinitis].

作者信息

Cai Jianliang, Guan Shuxiong, Mai Zhousheng, Zhang Shifu

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Jun;28(11):821-3.

Abstract

OBJECTIVE

To test the immunoglobulin free light chain (FLC) from nasal secretion and serum of patients with allergic rhinitis(AR)and non-allergic rhinitis(NAR) for the purpose of exploring the possible immunological mechanism.

METHOD

Ninety consecutive patients were selected between January 2009 and January 2012, involving 45 patients with AR and 45 patients with NAR diagnosed by symptoms,signs,skin prick tests(SPT) and specific IgE (slgE). Forty-five volunteers were chosen as healthy control (HC). According to the visual analogue scale (VAS) scores,the nasal symptoms of AR and NAR,including sneeze. Nasal discharge. Nasal obstruction and nasal itching were compared. ELISA was used to detect the total IgE, IL-16, IL-17 in nasalsecretion and serum. The data was analyzed by SPSS 17.0 software.

RESULT

There was no statistical difference between AR and NAR group in nasal symptoms (P > 0.05); In serum, IL-16 and IL-17 increased in AR group comparared to NAR group (P < 0.05); IL-16 and IL-17 increased in NAR group comparared to HC group (all P < 0.05); In nasal secretion, IL-16 and IL-17 increased in NAR and AR group comparared to HC group (all P < 0.05).

CONCLUSION

IL-16, IL-17 takes part in the path of physiological process of AR and NAR with the immunological mechanism.

摘要

目的

检测变应性鼻炎(AR)和非变应性鼻炎(NAR)患者鼻分泌物及血清中的免疫球蛋白游离轻链(FLC),以探讨其可能的免疫机制。

方法

选取2009年1月至2012年1月期间连续就诊的90例患者,其中45例AR患者和45例NAR患者,均根据症状、体征、皮肤点刺试验(SPT)及特异性IgE(sIgE)确诊。选取45名志愿者作为健康对照(HC)。根据视觉模拟量表(VAS)评分,比较AR和NAR患者的鼻部症状,包括喷嚏、流涕、鼻塞和鼻痒。采用酶联免疫吸附测定(ELISA)法检测鼻分泌物及血清中的总IgE、IL-16、IL-17。数据采用SPSS 17.0软件进行分析。

结果

AR组和NAR组鼻部症状差异无统计学意义(P>0.05);血清中,AR组IL-16和IL-17水平高于NAR组(P<0.05);NAR组IL-16和IL-17水平高于HC组(均P<0.05);鼻分泌物中,NAR组和AR组IL-16和IL-17水平高于HC组(均P<0.05)。

结论

IL-16、IL-17通过免疫机制参与AR和NAR的生理病理过程。

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