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采用双抗夹心ELISA技术检测了28例哮喘患儿血浆及外周血单个核细胞(PBMC)在植物血凝素(PHA)刺激下产生IL-10水平,同时检测了NO和IL-2水平。结果:①急性发作期哮喘患儿血浆及PBMC在PHA刺激下产生IL-10水平均比正常儿童显著降低(P<0.01),在哮喘缓解期虽均有所恢复,但仍低于正常儿童(P<0.05);②NO水平在急性发作期患儿明显升高(P<0.05),而在缓解期恢复正常(P>0.05);③急性发作期哮喘患儿在PHA刺激下PBMC产生IL-2水平明显升高(P<0.01),但在缓解期恢复正常(P>0.05);④急性发作期哮喘患儿在PHA刺激下PBMC产生IL-10水平与IL-2呈显著负相关(r=-0.504,P<0.01),而与血浆NO水平相关不显著(r=-0.319,P>0.05)。提示:哮喘发作时IL-10分泌及释放减少,NO和IL-2水平升高,导致或加重气道慢性炎症反应,引起气道高反应性而诱发或加重哮喘。
Plasma and peripheral blood mononuclear cells (PBMCs) from 28 asthmatic children were tested for IL-10 production by PHA stimulation and NO and IL-2 levels were measured by double-antibody sandwich ELISA. Results: ① The levels of IL-10 in plasma and PBMC of children with acute asthma after PHA stimulation were significantly lower than those of normal children (P <0.01), and both of them were still lower than normal in the remission of asthma (P0.05); ②The level of NO in children with acute exacerbation was significantly higher (P0.05), and returned to normal in remission The levels of IL-2 produced by PBMC in PHA-stimulated group were significantly increased (P <0.01), but returned to normal in remission stage (P> 0.05). ④Acute exacerbation of asthma in PBMC produced IL-10 There was a significant negative correlation between IL-2 and IL-2 (r = -0.504, P <0.01), but not with plasma NO level (r = -0.319, P> 0.05). Tip: IL-10 secretion and release of asthma attack reduced, elevated levels of NO and IL-2, causing or aggravating chronic airway inflammation, causing airway hyperresponsiveness induced or exacerbated asthma.