Zhao Yan-Rong, Zhou Yan, Lin Gang, Hu Wei-Jian, Du Ji-Mei
Department of General Surgery, the First Affiliated Hospital, Wenzhou Medical University, Wenzhou, China.
School of Laboratory Medicine, Wenzhou Medical University, Wenzhou, China.
Jundishapur J Microbiol. 2015 Aug 29;8(8):e21503. doi: 10.5812/jjm.21503. eCollection 2015 Aug.
Persistent Helicobacter pylori infection confers an increased risk for serious illnesses such as peptic ulcers and gastric cancer. Various cytokines are involved in the regulation of inflammatory immune response in H. pylori-infected gastric mucosa.
The current study aimed to obtain evidence regarding the association between IL-17, IL-8 and IL-18 expression in peripheral blood and H. pylori infection in Mongolian gerbils.
Mongolian gerbils were inoculated with H. pylori by a metal stomach catheter. After sacrifice, their gastric mucosae were examined in macroscopic, histological and electron microscopy levels. In addition, enzyme linked immunosorbent assay (ELISA) assay was performed on the IL-17, IL-8 and IL-18 cytokines in the blood samples.
Serum levels of IL-17, IL-8 and IL-18 were remarkably up-regulated compared to those of the control group. There was an obvious correlation between the increase of IL-17 and the serious extent of gastritis in the current study. However, the serum levels of IL-8 and IL-18 without getting increasingly more for repetitive intragastric administration. There were plenty of neutrophils infiltrating in the infected group mucosal. Intestinal metaplasia and gastric ulcers were also founded in H. pylori infected animals after enhanced inoculation. The edema, degeneration and necrosis changes could be found in organelles by transmission electron microscopy. More serious pathological changes were detected in the enhanced inoculation groups compared to the cycle group.
The serum levels of IL-17, but not IL-8 and IL-18 may serve as a potential biomarker for diagnosis and predicting the prognosis of gastritis caused by H. pylori.
幽门螺杆菌持续感染会增加患消化性溃疡和胃癌等严重疾病的风险。多种细胞因子参与幽门螺杆菌感染胃黏膜炎症免疫反应的调节。
本研究旨在获取蒙古沙鼠外周血中白细胞介素-17(IL-17)、白细胞介素-8(IL-8)和白细胞介素-18(IL-18)表达与幽门螺杆菌感染之间关联的证据。
通过金属胃导管给蒙古沙鼠接种幽门螺杆菌。处死后,在宏观、组织学和电子显微镜水平检查其胃黏膜。此外,对血样中的IL-17、IL-8和IL-18细胞因子进行酶联免疫吸附测定(ELISA)。
与对照组相比,IL-17、IL-8和IL-18的血清水平显著上调。在本研究中,IL-17的增加与胃炎的严重程度之间存在明显相关性。然而,重复胃内给药后IL-8和IL-18的血清水平并未进一步升高。感染组黏膜中有大量中性粒细胞浸润。强化接种后,幽门螺杆菌感染动物中也发现了肠化生和胃溃疡。通过透射电子显微镜可在细胞器中发现水肿、变性和坏死变化。与单次接种组相比,强化接种组检测到更严重的病理变化。
IL-17的血清水平而非IL-8和IL-18的血清水平可能作为诊断和预测幽门螺杆菌引起的胃炎预后的潜在生物标志物。