Elner S G, Strieter R, Bian Z M, Kunkel S, Mokhtarzaden L, Johnson M, Lukacs N, Elner V M
Department of Ophthalmology, University of Michigan, Ann Arbor, USA.
Arch Ophthalmol. 1998 Dec;116(12):1597-601. doi: 10.1001/archopht.116.12.1597.
To determine vitreous levels of interleukin 8 (IL-8) and interferon-induced protein 10 (IP-10), which are members of the C-X-C chemokine family that promote and inhibit neovascularization, respectively.
We measured the levels of IL-8 and IP-10 by specific enzyme-linked immunosorbent assays in the vitreous from 30 patients with proliferative diabetic retinopathy (PDR) and 10 control patients undergoing vitrectomy for idiopathic macular holes or idiopathic macular puckers.
Detectable levels of IL-8 were found in 23 of 24 patients with active PDR, 4 of 6 patients with inactive PDR, and 6 of 10 controls. Levels of IL-8 were significantly increased in vitreous samples from the patients with active PDR (P = .02) when compared with vitreous samples from the controls. The IL-8 levels detected in vitreous samples from patients with inactive PDR were not significantly elevated over those found in the control samples. Interferon-induced protein 10 was detected in the vitreous samples from 23 of 24 patients with active PDR, all patients with inactive PDR, and 9 of 10 controls. Significant elevations of IP-10 were measured in samples from patients with active PDR (P = .004) and in those with inactive PDR (P = .00) over those from controls. In addition, levels of IP-10 were significantly elevated in vitreous samples from patients with inactive PDR compared with vitreous samples from patients with active PDR (P = .02).
Both IL-8 and IP-10 participate in the pathogenesis of PDR.
测定白细胞介素8(IL-8)和干扰素诱导蛋白10(IP-10)的玻璃体水平,它们分别是C-X-C趋化因子家族中促进和抑制新生血管形成的成员。
我们通过特异性酶联免疫吸附测定法,测量了30例增殖性糖尿病视网膜病变(PDR)患者和10例因特发性黄斑裂孔或特发性黄斑皱襞接受玻璃体切除术的对照患者玻璃体中的IL-8和IP-10水平。
在24例活动性PDR患者中的23例、6例非活动性PDR患者中的4例以及10例对照患者中的6例中检测到了可检测水平的IL-8。与对照患者的玻璃体样本相比,活动性PDR患者的玻璃体样本中IL-8水平显著升高(P = 0.02)。非活动性PDR患者玻璃体样本中检测到的IL-8水平与对照样本相比没有显著升高。在24例活动性PDR患者中的23例、所有非活动性PDR患者以及10例对照患者中的9例的玻璃体样本中检测到了干扰素诱导蛋白10。与对照患者相比,活动性PDR患者(P = 0.004)和非活动性PDR患者(P = 0.00)的样本中IP-10显著升高。此外,与活动性PDR患者的玻璃体样本相比,非活动性PDR患者的玻璃体样本中IP-10水平显著升高(P = 0.02)。
IL-8和IP-10均参与PDR的发病机制。