Ren Y Z, Song Z G
Second Affiliated Hospital, Zhejiang Medical University, Hangzhou.
Zhonghua Yi Xue Za Zhi. 1993 May;73(5):264-5, 317.
The serum soluble interleukin 2 receptor (sIL2R) was measured in 38 first visited patients with Graves' disease and 29 normal controls. The serum sIL2R in 17 patients with Graves' disease was determined after treatment with antithyroid drugs (propylthiouracil) for a short period (1.2 +/- 0.5 months). The serum sIL2R was measured by sandwich enzyme linked immunosorbent assay. The sIL2R was significantly higher in patients before (3.04 +/- 0.19 U/ml) and after treatment (2.56 +/- 0.41 U/ml) than in normal controls (2.20 +/- 0.27 U/ml, P < 0.01). The mean value of serum sIL2R in 17 patients after treatment (2.56 +/- 0.41 U/ml) was substantially decreased as compared with that before treatment (2.99 +/- 0.14 U/ml, P < 0.01). The serum level of sIL2R in pretreatment patients was correlated significantly with T3(r = 0.5032, P < 0.05), but was not obviously related to T4 or rT3. These findings suggest that the human lymphocytes in patients with Graves' disease were activated in vivo and that sIL2R may be an useful immunological indicator of disease activity.
对38例初诊Graves病患者和29名正常对照者测定了血清可溶性白细胞介素2受体(sIL2R)。对17例Graves病患者在短期(1.2±0.5个月)使用抗甲状腺药物(丙硫氧嘧啶)治疗后测定血清sIL2R。采用夹心酶联免疫吸附测定法检测血清sIL2R。患者治疗前(3.04±0.19 U/ml)和治疗后(2.56±0.41 U/ml)的sIL2R均显著高于正常对照者(2.20±0.27 U/ml,P<0.01)。17例患者治疗后的血清sIL2R平均值(2.56±0.41 U/ml)与治疗前(2.99±0.14 U/ml)相比显著降低(P<0.01)。治疗前患者的血清sIL2R水平与T3显著相关(r = 0.5032,P<0.05),但与T4或反T3无明显相关性。这些发现提示Graves病患者体内的人淋巴细胞被激活,且sIL2R可能是疾病活动度的一个有用的免疫学指标。