[1]李 根,马 翠.过敏性紫癜患儿外周血微小RNA-155、Toll样受体2、Toll样受体4、氧化应激指标表达水平与Th17/Treg平衡的关系[J].陕西医学杂志,2023,52(3):301-304.[doi:DOI:10.3969/j.issn.1000-7377.2023.03.012]
 LI Gen,MA Cui.Relationship between expression levels of miR-155,TLR2,TLR4,oxidative stress and Th17/Treg balance in peripheral blood of children with anaphylactoid purpura[J].,2023,52(3):301-304.[doi:DOI:10.3969/j.issn.1000-7377.2023.03.012]
点击复制

过敏性紫癜患儿外周血微小RNA-155、Toll样受体2、Toll样受体4、氧化应激指标表达水平与Th17/Treg平衡的关系
分享到:

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
52
期数:
2023年3期
页码:
301-304
栏目:
临床研究
出版日期:
2023-03-05

文章信息/Info

Title:
Relationship between expression levels of miR-155,TLR2,TLR4,oxidative stress and Th17/Treg balance in peripheral blood of children with anaphylactoid purpura
作者:
李 根1马 翠2
(1.锦州医科大学附属第一医院儿科重症监护室,辽宁 锦州 121001; 2.锦州医科大学附属第一医院新生儿重症监护病房,辽宁 锦州 121001)
Author(s):
LI GenMA Cui
(Pediatric Intensive Care Unit,First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121001,China)
关键词:
过敏性紫癜 微小核糖核苷酸-155 Toll样受体2 Toll样受体4 氧化应激 辅助性T细胞17 调节性T细胞
Keywords:
Anaphylactoid purpura miR-155 Toll-like receptor 2 Toll-like receptor 4 Oxidative stress T helper cell 17 Regulatory T cells
分类号:
R 725.5
DOI:
DOI:10.3969/j.issn.1000-7377.2023.03.012
文献标志码:
A
摘要:
目的:探究过敏性紫癜患儿外周血微小RNA-155(miR-155)、Toll样受体2(TLR2)、TLR4、氧化应激指标表达水平与辅助性T细胞17(Th17)/调节性T细胞(Treg)平衡的关系。方法:纳入过敏性紫癜患儿102例为观察组,另选择同期体检健康儿童120例为对照组。比较两组外周血miR-155、TLR2、TLR4表达水平,氧化应激指标[晚期氧化蛋白产物(AOPP)、丙二醛(MDA)和超氧化物歧化酶(SOD)]水平,以及Th17/Treg平衡。分析外周血miR-155、TLR2、TLR4、氧化应激指标表达水平与Th17/Treg平衡的相关性。结果:观察组外周血miR-155、TLR2、TLR4、AOPP、MDA、Th17、Th17/Treg水平高于对照组,Treg和SOD水平低于对照组(均P<0.05)。Pearson相关性分析结果显示,miR-155、TLR2、TLR4、AOPP、MDA与Th17呈正相关,SOD与Th17呈负相关(均P<0.05); miR-155、TLR2、TLR4、AOPP、MDA与Treg呈负相关,SOD与Treg呈正相关(均P<0.05); miR-155、TLR2、TLR4、AOPP、MDA与Th17/Treg呈正相关,SOD与Th17/Treg呈负相关(均P<0.05)。结论:过敏性紫癜患儿外周血miR-155、TLR2、TLR4表达水平升高,氧化应激水平增加,且存在Th17/Treg失衡。外周血miR-155、TLR2、TLR4、氧化应激指标表达水平与Th17/Treg失衡具有相关性,可能为疾病诊治提供新的依据。
Abstract:
Objective:To investigate the relationship between the peripheral blood expression levels of microRNA-155(miR-155),Toll-like receptor 2(TLR2),TLR4,oxidative stress indicators and T helper cell 17(Th17)/regulatory T cell(Treg)balance in peripheral blood of children with anaphylactoid purpura.Methods:A total of 102 children with anaphylactoid purpura were selected as the observation group,and 120 healthy children with physical examination during the same period were selected as the control group.The expression levels of miR-155,TLR2,TLR4,oxidative stress indicators(AOPP,MDA and SOD)and Th17/Treg balance in peripheral blood in the two groups were compared.The correlation between the expression levels of miR-155,TLR2,TLR4,oxidative stress indicators and Th17/Treg balance in peripheral blood was analyzed.Results:Compared with the control group,the observation group had higher levels of miR-155,TLR2,TLR4,AOPP,MDA,Th17 and Th17/Treg in peripheral blood,and lower levels of Treg and SOD(all P<0.05).Pearson correlation analysis showed that miR-155,TLR2,TLR4,AOPP and MDA were positively correlated with Th17,and SOD was negatively correlated with Th17(all P<0.05); miR-155,TLR2,TLR4,AOPP and MDA were negatively correlated with Treg,and SOD was positively correlated with Treg(all P<0.05); miR-155,TLR2,TLR4,AOPP and MDA were positively correlated with Th17/Treg,and SOD was negatively correlated with Th17/Treg(all P<0.05).Conclusion:Children with anaphylactoid purpura have increased expression levels of miR-155,TLR2 and TLR4 in peripheral blood,an increased level of oxidative stress,and an imbalance of Th17/Treg.The expression levels of miR-155,TLR2,TLR4 and oxidative stress in peripheral blood are correlated with Th17/Treg imbalance,which may provide a new basis for diagnosis and treatment of diseases.

参考文献/References:

[1] 王 敏,张金虎.儿童过敏性紫癜中医证型分布规律及治疗方法[J].陕西中医,2021,42(8):1068-1071.
[2] 马 跃,孔 涵,张善云,等.基于生物信息学对过敏性紫癜靶点的筛选[J].中成药,2022,44(9):3048-3053.
[3] 黄翠影,李 军,张 菂,等.过敏性紫癜患儿TLR4、LTB4、SOCS5表达与Th1和Th2的关系[J].国际检验医学杂志,2022,43(19):2386-2390,2394.
[4] 胡亚美,江载芳,诸福棠.实用儿科学[M].7版.北京:人民卫生出版社,2002:1204-1205.
[5] 王 彬,邵宽芙蓉,董 晨.CD4+ T淋巴细胞亚群在过敏性紫癜发病机制中的研究进展[J].医学综述,2020,26(15):2940-2944,2950.
[6] 王庆谊,孟昭影.过敏性紫癜发病机制的研究进展[J].中国中西医结合皮肤性病学杂志,2020,19(3):285-287.
[7] 陈 琪,马 欣,毛 楠,等.调节性T细胞与慢性肾脏疾病关系的研究进展[J].成都医学院学报,2022,17(2):267-272.
[8] 吴 晴,李晓忠.Ang-1、Ang-2和Tie-2在儿童过敏性紫癜中的表达和临床意义[J].国际免疫学杂志,2022,45(2):124-129.
[9] 张晓鸣,朱海涛,吕进泉.儿童过敏性紫癜110例临床分析[J].中国医药导报,2018,15(12):102-105,113.
[10] 扎西吉,咸育婷.自身免疫性肝病患者外周血miR-21、miR-155表达及其与Th17、Treg细胞平衡的关系[J].胃肠病学和肝病学杂志,2020,29(5):581-586.
[11] Zingale VD,Gugliandolo A,Mazzon E.MiR-155:An important regulator of neuroinflammation[J].Int J Mol Sci,2021,23(1):90.
[12] Olona A,Hateley C,Muralidharan S,et al.Sphingolipid metabolism during toll-like receptor 4(TLR4)-mediated macrophage activation[J].Br J Pharmacol,2021,178(23):4575-4587.
[13] Luo L,Liu M,Fan Y,et al.Intermittent theta-burst stimulation improves motor function by inhibiting neuronal pyroptosis and regulating microglial polarization via TLR4/NFκB/NLRP3 signaling pathway in cerebral ischemic mice[J].J Neuroinflammation,2022,19(1):141.
[14] 符林瑜,林 景.微生态制剂对儿童腹型过敏性紫癜疗效及免疫功能的影响研究[J].中国现代医学杂志,2022,32(15):41-46.
[15] 王 頔,唐桥斐,姜玉秋,等.PD-L1对过敏性鼻炎小鼠Treg/Th17细胞免疫失衡调节作用研究[J].陕西医学杂志,2018,47(3):287-291.
[16] 张 燕,黄惠梅,肖延风,等.RDW、NLR、TNF-α检测对儿童过敏性紫癜肾损伤的临床价值[J].中国妇幼健康研究,2022,33(7):30-34.
[17] 于 铭,李 静,全守东,等.过敏性紫癜患儿不同时期血清促炎细胞因子水平变化及检测价值[J].陕西医学杂志,2021,50(9):1106-1108,1113.
[18] 王晓亮,赵光宇.过敏性紫癜患儿血清基质金属蛋白酶-13、白细胞介素-9和肿瘤坏死因子-α表达水平变化及意义[J].陕西医学杂志,2022,51(1):92-95.
[19] 兰连成,杨梅雄,单庆文.Th17在腹型过敏性紫癜胃肠黏膜损伤中的作用机制研究进展[J].广西医科大学学报,2019,36(1):148-151.
[20] 魏 彤.CD4+ T细胞亚群在过敏性紫癜发病机制中的作用[J].国际儿科学杂志,2021,48(4):226-230.

相似文献/References:

[1]于 铭,李 静,全守东,等.过敏性紫癜患儿不同时期血清促炎细胞因子水平变化及检测价值[J].陕西医学杂志,2021,50(9):1106.[doi:DOI:10.3969/j.issn.1000-7377.2021.09.016]
 YU Ming,LI Jing,QUAN Shoudong,et al.Changes of serum pro-inflammatory cytokine levels in children with Henoch-Schonlein purpura in different periods and its detection value[J].,2021,50(3):1106.[doi:DOI:10.3969/j.issn.1000-7377.2021.09.016]
[2]王晓亮,赵光宇.过敏性紫癜患儿血清基质金属蛋白酶-13、白细胞介素-9和肿瘤坏死因子-α表达水平变化及意义[J].陕西医学杂志,2022,51(1):92.[doi:DOI:10.3969/j.issn.1000-7377.2022.01.024]
 WANG Xiaoliang,ZHAO Guangyu.Changes and significance of serum MMP-13,IL-9 and TNF-α levelsin children with Henoch-Schonlein purpura[J].,2022,51(3):92.[doi:DOI:10.3969/j.issn.1000-7377.2022.01.024]
[3]刘丽莹,朱 影,毛国顺,等.过敏性紫癜患儿预后影响因素及其预测价值研究[J].陕西医学杂志,2024,(3):382.[doi:DOI:10.3969/j.issn.1000-7377.2024.03.020]
 LIU Liying,ZHU Ying,MAO Guoshun,et al.Prognostic influencing factors and their predictive value of children with Henoch-Schnlein purpura[J].,2024,(3):382.[doi:DOI:10.3969/j.issn.1000-7377.2024.03.020]
[4]王爱琳,潘 靓,张金秀,等.可溶性血管细胞黏附分子-1、中性粒细胞与淋巴细胞比值在过敏性紫癜患儿血清中的变化及检测意义[J].陕西医学杂志,2024,(8):1073.[doi:DOI:10.3969/j.issn.1000-7377.2024.08.014]
 WANG Ailin,PAN Liang,ZHANG Jinxiu,et al.Changes of soluble vascular cell adhesion molecule-1 and neutrophil-to-lymphocyte ratio in the serum of children with Henoch-Schnlein purpura and their significance[J].,2024,(3):1073.[doi:DOI:10.3969/j.issn.1000-7377.2024.08.014]

备注/Memo

备注/Memo:
基金项目:辽宁省科学技术计划项目(20180551155)
更新日期/Last Update: 2023-03-06