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1. 贵阳医学院附属医院口腔内科,贵阳,550004
2. 贵州省人民医院口腔科,贵阳,550002
纸质出版日期:2015,
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罗 亮, 王冬平, 蔡 扬, 等. 口腔扁平苔藓患者外周血Th1/Th2型细胞因子表达及意义[J]. 重庆医科大学学报, 2015,40(5):743-746.
Luo Liang, Wang Dongping, Cai Yang, et al. Expression and significance of Th1/Th2 cytokines in peripheral blood of patients with oral lichen planus[J]. Journal of Chongqing Medical University, 2015,40(5):743-746.
罗 亮, 王冬平, 蔡 扬, 等. 口腔扁平苔藓患者外周血Th1/Th2型细胞因子表达及意义[J]. 重庆医科大学学报, 2015,40(5):743-746. DOI:
Luo Liang, Wang Dongping, Cai Yang, et al. Expression and significance of Th1/Th2 cytokines in peripheral blood of patients with oral lichen planus[J]. Journal of Chongqing Medical University, 2015,40(5):743-746. DOI:
目的:了解口腔扁平苔藓(oral lichen planus,OLP)患者外周血中 Th1、Th2 型细胞因子表达水平,探讨 Th1/Th2 平衡在 OLP 发病中的作用及意义。方法:采用流式细胞术(cytometric bead array,CBA)检测 51例 OLP 患者(网纹型 23 例,充血糜烂型 28 例)Th1 型细胞因子(TNF-α、 IFN-γ、IL-2)及 Th2 型细胞因子(IL-4、IL-6、IL-10)表达水平,并分析其与 OLP 临床特征相关性。结果:①OLP 患者血清中 Th2 型细胞因子的IL-6 与 IL-10 的表达水平明显高于正常对照组(P<0.05),但 Th1 型细胞因子 TNF-α、IFN-γ、IL-2 及 Th2 型细胞因子 IL-4 表达水平与正常组差异无统计学意义(P >0.05);②Th2 型细胞因子 IL-6 的表达水平与 OLP 临床类型、临床体征、临床症状均成正相关,IL-10 的表达水平与 OLP 临床类型、临床体征均成正相关(相关系数0.285~0.364;P<0.05)。结论:OLP 患者外周血中 Th1 型细胞因子的表达水平与正常对照组Th1 型细胞因子表达水平差异无明显改变,而Th2 型细胞因子升高,表现为 Th2 占优势的免疫应答;Th2 型细胞因子 IL-6、IL-10 表达与 OLP 患者病情严重程度呈正相关,对OLP 免疫治疗有一定指导意义。
Objective:To investigate the expression of Th1/Th2 cytokines in peripheral blood of patients with oral lichen planus(OLP) and to discuss the role and significance of Th1/Th2 cytokines in the pathogenesis of OLP. Methods:Totally 51 cases of OLP with dif-ferent clinical characters(including 23 cases of reticular OLP and 28 cases of hyperaemia erosion OLP) were enrolled. Cytometric bead array was employed to detect the level of type 1 cytokines(TNF-α,INF-γ,IL-2) and type 2 cytokines(IL-4,IL-6,IL-10) of T helper cells in serum of patients with OLP. The relationship between the levels of these cytokines and the clinical characteristics of patients with OLP was analyzed. Results:Expression levels of IL-6 and IL-10 in the peripheral blood of patients with OLP were sta-tistically increased compared with those of controls(P<0.05),but no statistical difference was observed in level of Th1 cytokines(TNF-α,IFN-γ,IL-2) and IL-4 between OLP patients and controls(P>0.05). Expression levels of IL-6 and IL-10 were positively correlated with clinical characters(r:0.285-0.364;P<0.05). Conclusion:Th1 cytokines remain unchanged and Th2 cytokines increase in OLP patients,showing the advantage of Th2 immune response. Levels of IL-6 and IL-10 are positively correlated with disease severity,which may be helpful for OLP immunotherapy.
口腔扁平苔藓辅助性 T 细胞细胞因子微球检测技术
oral lichen planusT helper cellscytometric bead array
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