Expression of serum interleukin 5 and osteopontin in patients with allergic rhinitis
-
摘要: 目的:探讨变应性鼻炎(AR)患者血清IL-5和骨桥蛋白(OPN)检测的临床价值。方法:采用ELISA法检测62例初诊AR患者和49名健康对照个体血清IL-5和OPN水平,分析AR患者血清IL-5、OPN与患者临床特征的关系。结果:AR患者血清IL-5和OPN水平较健康个体明显增高。合并哮喘的AR患者IL-5和OPN水平较未合并哮喘者明显增高。AR患者血清OPN与症状总评分(TNSS)和血清IgE均呈正相关,但与嗜酸粒细胞计数无关;IL-5与TNSS、血清IgE和嗜酸粒细胞计数均呈正相关。OPN与IL-5呈正相关。结论:OPN和IL-5参与了AR的发病机制,可以作为AR的病情评价标志物。Abstract: Objective:To investigate the role of serum IL-5 and osteopontin(OPN) in patients with allergic rhinitis(AR).Method:The levels of serum IL-5 and OPN in 62 treatment-naive AR patients were determined using ELISA. The relationships among the expression of serum IL-5, OPN and clinical characteristics were analyzed.Result:Serum OPN and IL-5 in AR patients were significantly higher than those of healthy individuals. Patients with asthma had significantly higher OPN and IL-5 than that of patients without asthma.OPN in AR patients was positively correlated with TNSS and total IgE, but not blood eosinophil count. IL-5 was positively correlated with TNSS, total IgE and blood eosinophil count. OPN is positively correlated with IL-5.Conclusion:Both OPN and IL-5 are involved in the pathogenesis of AR. Serum OPN and IL-5 can be useful biomarkers for evaluating the severity of AR.
-
Key words:
- rhinitis /
- allergic /
- osteopontin /
- interleukin-5 /
- Th2 response
-
[1] 穆妮热,姜孝芳,杨清,等.新疆伊犁地区变应性鼻炎流行病学调查及其相关因素分析[J].中国全科医学,2013,16(17):2010-2012.
[2] 燕志强,单兵,许保健,等.驻徐部队变应性鼻炎流行病学调查及分析[J].解放军医学杂志,2012,37(3):257-259.
[3] 王敏,谭国林,赵斯君,等.长沙市中小学生变应性鼻炎流行病学调查及相关危险因素分析[J].临床耳鼻咽喉头颈外科杂志,2014,28(2):95-101.
[4] ZHANG Y,ZHANG L.Prevalence of allergic rhinitis in china[J].Allergy Asthma Immunol Res,2014,6:105-113.
[5] PAWANKAR R,MORI S,OZU C,et al.Overview on the pathomechanisms of allergic rhinitis[J].Asia Pac Allergy,2011,1:157-167.
[6] BROIDE D H.Allergic rhinitis:Pathophysiology[J].Allergy Asthma Proc,2010,31:370-374.
[7] STEINSVAAG S K.Allergic rhinitis:an updated overview[J].Curr Allergy Asthma Rep,2012,12:99-103.
[8] 李华斌.变应性鼻炎的发病机制及诊治进展[J].中华耳鼻咽喉头颈外科杂志,2014,49(4):347-352.
[9] 王书敬,赵长青.肥大细胞表面受体在变应性鼻炎中的作用[J].中国眼耳鼻喉科杂志,2014,14(4):261-264.
[10] AHMED M,BEHERA R,CHAKRABORTY G,et al.Osteopontin:apotentially important therapeutic target in cancer[J].Expert Opin Ther Targets,2011,15:1113-1126.
[11] INOUE M,SHINOHARA M L.Intracellular osteopontin(iOPN)and immunity[J].Immunol Res,2011,49:160-172.
[12] KONNO S,KUROKAWA M,UEDE T,et al.Role of osteopontin,a multifunctional protein,in allergy and asthma[J].Clin Exp Allergy,2011,41:1360-1366.
[13] 刘畅,杨炯,李建国,等.骨桥蛋白在人过敏性鼻炎黏膜炎症中的表达[J].临床内科杂志,2009,26(4):240-242.
[14] LIU W L,ZHANG H,ZHENG Y,et al.Expression and regulation of osteopontin in chronic rhinosinusitis with nasal polyps[J].Clin Exp Allergy,2015,45:414-422.
[15] TAKAHASHI A,KUROKAWA M,KONNO S,et al.Osteopontin is involved in migration of eosinophils in asthma[J].Clin Exp Allergy,2009,39:1152-1159.
[16] SAMITAS K,ZERVAS E,VITTORAKIS S,et al.Osteopontin expression and relation to disease severity in human asthma[J].Eur Respir J,2011,37:331-341.
[17] NAKAYAMA T,YAMASHITA M.Initiation and maintenance of Th2 cell identity[J].Curr Opin Immunol,2008,20:265-271.
[18] ENDO Y,HIRAHARA K,YAGI R,et al.Pathogenic memory type Th2 cells in allergic inflammation[J].Trends Immunol,2014,35:69-78.
[19] PILETTE C,JACOBSON M R,RATAJCZAK C,et al.Aberrant dendritic cell function conditions Th2-cell polarization in allergic rhinitis[J].Allergy,2013,68:312-321.
[20] 刘颖慧,蒋捍东.变应性鼻炎和哮喘患者血清IL-5、IL-15及IL-18的水平研究[J].国际免疫学杂志,2010,33(6):495-497.
[21] XANTHOU G,ALISSAFI T,SEMITEKOLOU M,et al.Osteopontin has a crucial role in allergic airway disease through regulation of dendritic cell subsets[J].Nat Med,2007,13:570-578.
[22] LIU W,XIA W,FAN Y,et al.Elevated serum osteopontin level is associated with blood eosinophilia and asthma comorbidity in patients with allergic rhinitis[J].J Allergy Clin Immunol,2012,130:1416-1418.
[23] 闫占峰,王宁宇.联合气道疾病[J].临床耳鼻咽喉头颈外科杂志,2012,26(15):713-717.
计量
- 文章访问数: 97
- PDF下载数: 64
- 施引文献: 0