Medical Laboratory Center, Jiangsu Taizhou People's Hospital, Taizhou, 225300 Jiangsu Province, China.
Comput Math Methods Med. 2022 Aug 8;2022:9073372. doi: 10.1155/2022/9073372. eCollection 2022.
The expression and clinical significance of tumor necrosis factor- (INF-) and interleukin 1- (IL-1) in retinal cells of patients with type 2 diabetes (T2DM) retinopathy were detected by flow cytometry.
Fifty patients with T2DM who attended our ophthalmology clinic between May 2021 and May 2022 were selected as the observation group. Another 50 healthy individuals who were examined at our hospital during the same period were selected as the comparison group. Tear film rupture time (BUT), fluorescein staining (FL), basal tear secretion (Schirmer I) test, and conjunctival impression cytology (CIC) were detected in both groups, and the expression of TNF- and IL-1 in retinal cells was observed by immunohistochemical staining.
The levels of IL13 and TNF- in the two groups were not exactly the same. The serum levels of IL13 and TNF- in the observation group were significantly higher than those in the control group, and there was a statistically significant difference ( < 0.05). TNF- and IL-1B expressions in the observation group were positively correlated with the fluorescence staining, and the expression of TNF- and IL-1 in the observation group was significantly negatively correlated with the BUT test and Schirmer I test.
Serums TNF- and IL-1 are significantly elevated in patients with T2DM retinopathy and gradually increase with disease progression. Combined detection of serums TNF- and IL-1 can help determine the severity of the disease and assess the prognosis.
通过流式细胞术检测 2 型糖尿病(T2DM)视网膜病变患者视网膜细胞中肿瘤坏死因子-(TNF-)和白细胞介素 1-(IL-1)的表达及其临床意义。
选取 2021 年 5 月至 2022 年 5 月在我院眼科就诊的 50 例 T2DM 患者作为观察组,另选取同期在我院体检的 50 例健康人作为对照组。两组均进行泪膜破裂时间(BUT)、荧光素染色(FL)、基础泪液分泌(Schirmer I)试验和结膜印迹细胞学(CIC)检查,采用免疫组化染色观察两组患者视网膜细胞中 TNF-和 IL-1 的表达情况。
两组的 IL13 和 TNF-水平并不完全相同。观察组血清中 IL13 和 TNF-水平明显高于对照组,差异有统计学意义(<0.05)。观察组中 TNF-和 IL-1B 的表达与荧光染色呈正相关,观察组中 TNF-和 IL-1 的表达与 BUT 试验和 Schirmer I 试验呈显著负相关。
2 型糖尿病视网膜病变患者血清 TNF-和 IL-1 明显升高,且随病情进展逐渐升高。联合检测血清 TNF-和 IL-1 有助于判断病情严重程度,评估预后。