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维生素D受体表达与哮喘炎症变化及预后的关联

Association of vitamin D receptor expression with inflammatory changes and prognosis of asthma.

作者信息

Chen Yanhua, Xu Tongbai

机构信息

Respiratory Department, Tianjin Hospital of ITCWM Nankai Hospital, Tianjin 300000, P.R. China.

出版信息

Exp Ther Med. 2018 Dec;16(6):5096-5102. doi: 10.3892/etm.2018.6867. Epub 2018 Oct 16.

Abstract

The expression level of vitamin D receptor in patients with asthma was investigated to study the association between vitamin D receptor and inflammatory changes in asthma. Thirty patients with bronchial asthma treated in the Tianjin Hospital of ITCWM Nankai Hospital were selected as the experimental group, while 30 healthy individuals were selected as the control group. The mRNA expression level of vitamin D receptor in blood was detected via reverse transcription-quantitative polymerase chain reaction (RT-qPCR). The protein expression level of vitamin D receptor in blood was detected via western blot analysis and the levels of inflammatory factors were detected via enzyme-linked immune sorbent assay (ELISA). Correlations between the expression level of vitamin D and inflammatory factors were studied via Pearsons analysis. Finally, the prognoses of patients were recorded and analyzed. The results showed that the mRNA and protein expression levels of vitamin D receptor in the experimental group were significantly lower than those in control group (P<0.01). The content of 25-(OH) D in serum in the experimental group was significantly lower than that in the control group (P<0.01). The contents of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) in serum in the experimental group were obviously higher than those in the control group, but the contents of IL-10 and transforming growth factor-β (TGF-β) were obviously lower than those in the control group (P<0.01). Moreover, the correlation analysis revealed that IL-6 and TNF-α were negatively correlated with the expression of vitamin D receptor (P<0.05), whereas IL-10 and TGF-β were positively correlated with the expression of vitamin D receptor (P<0.05). In conclusion, the expression of vitamin D receptor is positively correlated with the levels of pro-inflammatory factors. Moreover, the vitamin D receptor affects the prognosis and recovery of lung function of patients with asthma.

摘要

为研究维生素D受体与哮喘炎症变化之间的关联,对哮喘患者体内维生素D受体的表达水平进行了调查。选取天津市中医药大学第一附属医院南开医院收治的30例支气管哮喘患者作为实验组,同时选取30名健康个体作为对照组。通过逆转录-定量聚合酶链反应(RT-qPCR)检测血液中维生素D受体的mRNA表达水平。通过蛋白质免疫印迹分析检测血液中维生素D受体的蛋白表达水平,并通过酶联免疫吸附测定(ELISA)检测炎症因子水平。通过Pearson分析研究维生素D表达水平与炎症因子之间的相关性。最后,记录并分析患者的预后情况。结果显示,实验组中维生素D受体的mRNA和蛋白表达水平均显著低于对照组(P<0.01)。实验组血清中25-(OH)D的含量显著低于对照组(P<0.01)。实验组血清中白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)的含量明显高于对照组,但IL-10和转化生长因子-β(TGF-β)的含量明显低于对照组(P<0.01)。此外,相关性分析显示,IL-6和TNF-α与维生素D受体的表达呈负相关(P<0.05),而IL-10和TGF-β与维生素D受体的表达呈正相关(P<0.05)。综上所述,维生素D受体的表达与促炎因子水平呈正相关。此外,维生素D受体影响哮喘患者的预后及肺功能恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea8d/6257385/6ae69b775f8b/etm-16-06-5096-g00.jpg

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