Guo Shenchao, Yin Houfa, Zheng Mingjie, Tang Yizhen, Lu Bing, Chen Xinyi, Fu Qiuli, Qin Zhenwei, Lyu Danni, Tang Qiaomei, Zhang Lifang, Ma Jian, Zhang Li, Fang Xiaoyun
Eye Center, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Institute of Translational Medicine, Zhejiang University, Hangzhou, China.
BMC Ophthalmol. 2019 Apr 24;19(1):94. doi: 10.1186/s12886-019-1101-6.
The exact pathogenesis of idiopathic choroidal neovascularization (ICNV) remains unclear. Cytokine-mediated inflammation has been thought to be involved in the pathophysiology of ICNV. The purpose of this study was to investigate serum cytokine profiles in patients with ICNV and to explore the relationship between serum cytokine levels and ICNV severity.
This case-control study was conducted in 32 ICNV patients and 30 healthy volunteers. Clinical and demographic information was obtained from the medical data platform and the serum was analysed with a multiplex assay to determine the levels of seven cytokines: interleukin (IL)-2, IL-10, IL-15, IL-17, basic fibroblast growth factor (basic FGF), granulocyte-macrophage colony-stimulating factor (GM-CSF), and vascular endothelial growth factor (VEGF).
Serum levels of IL-2, IL-10, IL-17, basic FGF, and VEGF were elevated in ICNV patients compared to controls. Serum GM-CSF levels were positively related to central retinal thickness, and serum IL-17 levels were positively related to CNV lesion area.
Serum inflammatory cytokines were significantly elevated in ICNV patients compared to controls. This suggests that systemic inflammation may play a critical role in the physiopathology of ICNV.
特发性脉络膜新生血管(ICNV)的确切发病机制仍不清楚。细胞因子介导的炎症被认为参与了ICNV的病理生理过程。本研究的目的是调查ICNV患者的血清细胞因子谱,并探讨血清细胞因子水平与ICNV严重程度之间的关系。
本病例对照研究纳入了32例ICNV患者和30名健康志愿者。从医学数据平台获取临床和人口统计学信息,并采用多重检测法分析血清,以测定七种细胞因子的水平:白细胞介素(IL)-2、IL-10、IL-15、IL-17、碱性成纤维细胞生长因子(碱性FGF)、粒细胞-巨噬细胞集落刺激因子(GM-CSF)和血管内皮生长因子(VEGF)。
与对照组相比,ICNV患者的血清IL-2、IL-10、IL-17、碱性FGF和VEGF水平升高。血清GM-CSF水平与中心视网膜厚度呈正相关,血清IL-17水平与脉络膜新生血管病变面积呈正相关。
与对照组相比,ICNV患者的血清炎症细胞因子显著升高。这表明全身炎症可能在ICNV的病理生理过程中起关键作用。