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舞阳县人民医院
纸质出版日期:2020,
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张中兴. Notch1和PTEN在儿童支气管哮喘中的意义[J]. 保健医学研究与实践, 2020,17(1):55-58.
Zhang Zhongxing. Significance of Notch1 and PTEN on bronchial asthma in children[J]. Health Medicine Research and Practice, 2020,17(1):55-58.
目的探讨Notch1和磷酸酯酶和张力蛋白同源物基因(PTEN)在儿童支气管哮喘中的作用及意义。方法选取2015年1月-2018年1月河南某医院诊治的41例支气管哮喘患儿(观察组)及同期在该院进行健康体检的40例儿童(对照组)作为研究对象。检测研究对象肺功能指标[一秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)、用力呼气中期流速(FEF25%~75%)、用力呼气50%肺活量的瞬间流速(FEF50%)、用力呼气75%肺活量的瞬间流速(FEF75%)、呼出气一氧化氮(FeNO)]、白细胞介素-6(IL-6)和嗜酸性粒细胞(Eos)水平
qRT-PCR检测Notch1和PTEN mRNA表达水平
将所得数据进行统计分析。结果观察组研究对象的FEV1
FEV1/FVC
FEF25%~75%
FEF50%及FEF75%分别为(1.38±0.65)L
(60.35±10.42)%
(3.15±1.23)L/s
(1.76±0.79)L/s及(0.78±0.54)L/s
均低于对照组的(2.47±0.53)L
(79.46±13.26)%
(4.09±1.57)L/s
(2.57±1.03)L/s及(1.25±0.38)L/s(均P
<
0.05)。观察组研究对象的FeNO为(17.35±11.53)ppb
高于对照组的(10.46±4.25)ppb(P
<
0.05)。观察组研究对象的Eos及IL-6分别为(0.36±0.13)×109/L及(0.73±0.17)ng/mL
均高于对照组的(0.16±0.11)×109/L及(0.38±0.14)ng/mL(均P
<
0.05)。观察组研究对象的Notch1mRNA水平为1.52±0.13
明显高于对照组的0.87±0.09(P
<
0.05);观察组研究对象的PTEN mRNA水平为0.38±0.08
明显低于对照组的1.17±0.19(P
<
0.05)。相关性分析结果显示
Notch1mRNA的表达水平与FEV1
FEV1/FVC
FEF25%~75%
FEF50%及FEF75%等指标呈现负相关(均P
<
0.05)
与FeNO
IL-6和Eos等指标呈正相关(均P
<
0.05)。而PTEN mRNA的表达水平与FEV
1
FEV
1
/FVC
FEF25%~75%
FEF50%及FEF75%等指标呈现正相关(均P
<
0.05)
与FeNO
IL-6和Eos呈负相关(均P
<
0.05)。且Notch1mRNA的表达与PTEN mRNA的表达呈现负相关(P
<
0.05)。结论哮喘患儿体内Notch1水平上调
Notch1可通过抑制PTEN表达及促进IL-6等炎症分子表达
诱导哮喘的发生和进展。
Objective To investigate the significance of Notch1 and PTEN on bronchial asthma in children.Methods A total of 41 children with bronchial asthma(the study group)and 40 healthy children(the control group)in a hospital in Henan from January 2015 to January 2018 were selected as study objects.Indexes of pulmonary function[forced expiratory volume in one second(FEV1)
FEV1/forced vital capacity(FVC)
middle forced expiratory flow(FEF25%-75%)
forced expiratory flow at 50% of FVC(FEF50%)
forced expiratory flow at75% of FVC(FEF75%)and fractional exhaled nitric oxide(FeNO)]
interleukin-6(IL-6)and eosinophils(Eos)were detected;expression levels of Notch1 and PTEN mRNA were detected by qRT-PCR;all data were statistically analyzed.Results FEV1
FEV1/FVC
FEF25%-75%
FEF50%and FEF75%in the study group were(1.38±0.65)L
(60.35±10.42)%
(3.15±1.23)L/s
(1.76±0.79)L/s and(0.78±0.54)L/s
respectively.All were lower than those in the control group
which were(2.47±0.53)L
(79.46±13.26)%
(4.09±1.57)L/s
(2.57±1.03)L/s and(1.25±0.38)L/s
respectively(all P
<
0.05).FeNO in the study group was(17.35±11.53)ppb
which was higher than that of(10.46±4.25)ppb in the control group(P
<
0.05).Eos and IL-6 in the study group were(0.36±0.13)×109/L and(0.73±0.17)ng/mL
rspectively.Both were higher than those in the control group
which were(0.16±0.11)×109/L and(0.38±0.14)ng/mL
respectively(both P
<
0.05).Level of Notch1 mRNA in the study group was 1.52±0.13
which was significantly higher than that of 0.87±0.09 in the control group(P
<
0.05).Level of PTEN mRNA in the study group was 0.38±0.08
which was significantly lower than that of 1.17±0.19 in the control group(P
<
0.05).The corresponding analysis results showed that expression level of Notch1 mRNA was negatively related with FEV
1
FEV
1
/FVC
FEF25%-75%
FEF50%and FEF75%(all P
<
0.05)
and was positively related with FeNO
IL-6 and Eos(all P
<
0.05).Expression level of PTEN mRNA was positively related with FEV
1
FEV
1
/FVC
FEF25%-75%
FEF50% and FEF75%(all P
<
0.05)
and was negatively related with FeNO
IL-6 and Eos(all P
<
0.05).Expression of Notch1 mRNA was negatively related with expression of PTEN mRNA(P
<
0.05).Conclusion Upregulation of Notch1 level in children with asthma can suppress the expression of PTEN and promote the expression of inflammation factors like IL-6
so as to induce the development and progression of asthma.
Notch1PTEN儿童支气管哮喘炎症反应肺功能
Notch1PTENchildrenBronchial asthmaInflammatory reactionPulmonary function
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