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目的探讨Behet病患者外周血单核细胞(peripheral blood mononuclear cell,PBMC)细胞因子信号抑制因子(sup-pressor of cytokine signaling,SOCS)表达以及SOCS在Behet病发病机制中的作用。设计病例-对照研究。研究对象16例Behet病患者及16例正常人。方法取Behet病患者和正常人的静脉血,用ELISA方法检测血清中细胞因子IL-4、IL-12、IFN-γ的水平;用实时荧光定量PCR和蛋白免疫印迹方法检测外周血单核细胞内SOCS基因和蛋白的表达。主要指标Behet病患者和健康人之间IL-4、IL-12、IFN-γ、CIS、SOCS1、SOCS2、SOCS3、SOCS5含量。结果 IL-4、IL-12和IFN-γ在Behet病患者血清中的水平均较正常对照组显著升高(P均<0.05)。相对荧光定量PCR结果显示含SH2结构的细胞因子诱导蛋白(cytokinein-ducible SH2 containing protein,CIS)、SOCS1、SOCS2、SOCS3、SOCS 5mRNA在Behet病患者PBMC内的表达分别是正常对照组的0.42、1.19、1.31、0.64和1.16倍。蛋白免疫印迹结果显示Behet病患者的CIS水平显著低于正常人(P<0.01),SOCS1明显高于正常人(P<0.01),SOCS2在患者和正常对照组之间无显著差异(P>0.05),SOCS3低于正常对照组(P<0.01),SOCS5高于正常对照组(P<0.01)。结论 Behet病患者PBMC内SOCS1和SOCS5水平升高、CIS和SOCS3水平降低与Behet病Th1型反应增强有关。SOCS5在Behet病发生过程中可能起保护作用。
Objective To investigate the expression of cytokine signaling (SOCS) in peripheral blood mononuclear cells (PBMC) and the role of SOCS in the pathogenesis of Behet disease in Behet disease. Design Case-Control Study. The study included 16 patients with Behet disease and 16 normal subjects. Methods The venous blood of patients with Behet disease and normal people were collected. The levels of IL-4, IL-12 and IFN-γ in serum were detected by ELISA. The levels of IL-4, IL-12 and IFN- Expression of SOCS gene and protein in nucleus. IL-4, IL-12, IFN-γ, CIS, SOCS1, SOCS2, SOCS3 and SOCS5 levels among patients with Behet disease and healthy subjects. Results The serum levels of IL-4, IL-12 and IFN-γ in patients with Behet disease were significantly higher than those in normal controls (all P <0.05). Relative fluorescence quantitative PCR results showed that the expression of cytokine-ducing SH2 containing protein (CIS), SOCS1, SOCS2, SOCS3 and SOCS 5 mRNA in PBMC of patients with Behet disease were 0.42 , 1.19, 1.31, 0.64 and 1.16 times. Western blot results showed that the level of CIS in Behet disease patients was significantly lower than that in normal controls (P <0.01), SOCS1 was significantly higher than that in normal controls (P <0.01), and SOCS2 was not significantly different between patients and controls > 0.05), SOCS3 was lower than that of the normal control group (P <0.01), SOCS5 was higher than that of the normal control group (P <0.01). Conclusion The levels of SOCS1 and SOCS5 in PBMC of Behet disease patients are elevated, and the decrease of CIS and SOCS3 level is associated with the increased Th1-type response in Behet’s disease. SOCS5 may play a protective role in the pathogenesis of Behet disease.