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通过影响CD4CD25FoxP3调节性T细胞和CD4IL17 T细胞的相对百分比来改善风湿性心脏病。

Ameliorates Rheumatic Heart Disease by Affecting Relative Percentages of CD4CD25FoxP3 Treg and CD4IL17 T Cells.

作者信息

Jiang Tiechao, Zhao Qini, Sun Hongyan, Zhang Lirong, Song Shanshan, Chi Hongli, Zhou Hui

机构信息

Department of Cardiovascular Medicine, China-Japan Union Hospital of Jilin University, Changchun 130033, China.

Jilin Provincial Precision Medicine Key Laboratory for Cardiovascular Genetic Diagnosis, Changchun 130033, China.

出版信息

Evid Based Complement Alternat Med. 2019 Jul 14;2019:4674190. doi: 10.1155/2019/4674190. eCollection 2019.

Abstract

(. (SSLK) helps reduce the risk of coronary heart disease (CHD) but its effects on rheumatic heart disease (RHD) patients remain unclear. 80 RHD patients were recruited and randomly assigned into SG (to receive SSLK treatment) and CG (to receive placebo) groups, and the intervention lasted for 3 months. The following cardiac indexes were measured, including mean arterial pressure (MAP), heart rate (HR), central venous pressure (CVP), blood lactate, fatigue, shortness of breath, palpitation, and chest pain. ELISA kits were used to analyze creatine kinase isoenzyme (CK-MB), serum troponin T (cTnT), CRP, IL-1, IL-6, and TNF-, malondialdehyde (MDA), and superoxide dismutase (SOD). Relative percentages of CD4CD25FoxP3 regulatory (Treg) and CD4IL-17 T cells were measured using flow cytometry. After 3-month therapy, SSLK intervention improved MAP, HR, CVP, fatigue, palpitation, and shortness breath of CHD patients, reduced the levels of blood lactate, CK-MB, cTnT, CRP, IL-1, IL-6, TNF-, MDA, and increased SOD level ( < 0.05). Meanwhile, SSLK treatment increased the percentages of CD4CD25FoxP3 Treg cells and reduced relative percentages of CD4IL-17 T cells in a dose-dependent way ( < 0.05). Relative percentage of CD4CD25FoxP3 Treg cells had negative relationship while CD4IL17 T cells had positive relationship with CK-MB, cTnT, CRP, and TNF-a ( < 0.01). SSLK ameliorated RHD by affecting the balance of CD4CD25FoxP3 Treg and CD4IL17 T cells.

摘要

(某种物质,此处用 (SSLK) 指代)有助于降低冠心病(CHD)风险,但其对风湿性心脏病(RHD)患者的影响尚不清楚。招募了80名RHD患者并随机分为治疗组(接受SSLK治疗)和对照组(接受安慰剂),干预持续3个月。测量了以下心脏指标,包括平均动脉压(MAP)、心率(HR)、中心静脉压(CVP)、血乳酸、疲劳、气短、心悸和胸痛。使用酶联免疫吸附测定试剂盒分析肌酸激酶同工酶(CK-MB)、血清肌钙蛋白T(cTnT)、CRP、白细胞介素-1(IL-1)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、丙二醛(MDA)和超氧化物歧化酶(SOD)。使用流式细胞术测量CD4⁺CD25⁺FoxP3调节性(Treg)和CD4⁺IL-17⁺ T细胞的相对百分比。经过3个月治疗,SSLK干预改善了冠心病患者的MAP、HR、CVP、疲劳、心悸和气短,降低了血乳酸、CK-MB、cTnT、CRP、IL-1、IL-6、TNF-α、MDA水平,并提高了SOD水平(P < 0.05)。同时,SSLK治疗以剂量依赖方式增加了CD4⁺CD25⁺FoxP3 Treg细胞百分比并降低了CD4⁺IL-17⁺ T细胞相对百分比(P < 0.05)。CD4⁺CD25⁺FoxP3 Treg细胞相对百分比与CK-MB、cTnT、CRP和TNF-α呈负相关,而CD4⁺IL-17⁺ T细胞与它们呈正相关(P < 0.01)。SSLK通过影响CD4⁺CD25⁺FoxP3 Treg和CD4⁺IL-17⁺ T细胞平衡改善了风湿性心脏病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c98/6662451/5ec7c11e8811/ECAM2019-4674190.001.jpg

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