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变应性鼻炎和哮喘患儿血清白细胞介素、黏附分子及可溶性E选择素的变化及相关性

Changes and correlations of serum interleukins, adhesion molecules and soluble E-selectin in children with allergic rhinitis and asthma.

作者信息

Bi Jing, Hu Yaoqin, Peng Zhaoyang, Liu He, Fu Yong

机构信息

Jing Bi, Department of Otolaryngology Head and Neck Surgery, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, Zhejiang Province, China.

Yaoqin Hu, Department of Anesthesiology, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, Zhejiang Province, China.

出版信息

Pak J Med Sci. 2018 Sep-Oct;34(5):1288-1292. doi: 10.12669/pjms.345.15334.

Abstract

OBJECTIVE

To observe the changes and correlations of serum interleukins (ILs), adhesion molecules and soluble E-selectin (sE-selectin) in children with allergic rhinitis, asthma and both diseases.

METHODS

A total of 45 children with allergic rhinitis, 40 with asthma and 45 with allergic rhinitis complicated with asthma treated from September 2016 to January 2018 were selected. Meanwhile, 30 healthy subjects who received physical examinations were included as a control group. The levels of serum IL-4, IL-5, IL-10, soluble intercellular adhesion molecule-1 (sICAM-1), soluble vascular adhesion molecule-1 (sVCAM-1), and sE-selectin were detected by double-antibody sandwich ELISA, and their correlations were subjected to Spearman's correlation analysis.

RESULTS

The serum IL levels of allergic rhinitis, asthma and complication groups were significantly higher than those of control group (P<0.01), and the levels of complication group significantly exceeded those of asthma group (P<0.05). The serum levels of IL-5 and IL-10 in complication group significantly exceeded those of allergic rhinitis group (P<0.05). Compared with control group, serum sICAM-1, sVCAM-1, and sE-selectin levels significantly increased in other three groups (P<0.01). Such levels of complication group were significantly higher than those of allergic rhinitis and asthma groups (P<0.05). Serum IL-10 level was positively correlated with that of IL-4 (r=0.965, P<0.05), and sE-selectin level was positively correlated with those of sICAM-1 and sVCAM-1 (r=0.915, P<0.01; r=0.892, P<0.01).

CONCLUSION

Serum IL-4, IL-5, IL-10, adhesion molecules and sE-selectin are all involved in the pathogenesis of allergic rhinitis and asthma, which can be used to evaluate the degrees of respiratory allergic diseases.

摘要

目的

观察变应性鼻炎、哮喘及二者并发患儿血清白细胞介素(ILs)、黏附分子及可溶性E选择素(sE-selectin)的变化及相关性。

方法

选取2016年9月至2018年1月收治的45例变应性鼻炎患儿、40例哮喘患儿及45例变应性鼻炎合并哮喘患儿。同时,纳入30例接受体检的健康受试者作为对照组。采用双抗体夹心ELISA法检测血清IL-4、IL-5、IL-10、可溶性细胞间黏附分子-1(sICAM-1)、可溶性血管细胞黏附分子-1(sVCAM-1)及sE-selectin水平,并进行Spearman相关性分析。

结果

变应性鼻炎组、哮喘组及并发症组血清IL水平均显著高于对照组(P<0.01),且并发症组水平显著高于哮喘组(P<0.05)。并发症组血清IL-5和IL-10水平显著高于变应性鼻炎组(P<0.05)。与对照组相比,其他三组血清sICAM-1、sVCAM-1及sE-selectin水平显著升高(P<0.01)。并发症组上述水平显著高于变应性鼻炎组和哮喘组(P<0.05)。血清IL-10水平与IL-4水平呈正相关(r=0.965,P<0.05),sE-selectin水平与sICAM-1和sVCAM-1水平呈正相关(r=0.915,P<0.01;r=0.892,P<0.01)。

结论

血清IL-4、IL-5、IL-10、黏附分子及sE-selectin均参与变应性鼻炎和哮喘的发病机制,可用于评估呼吸道变应性疾病的程度。

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