实用肿瘤学杂志 ›› 2009, Vol. 23 ›› Issue (3): 211-218.doi: 10.3969/j.issn.1002-3070.2009.03.004

• 论著 • 上一篇    下一篇

IL-13、TGF-β2、INF-γ及IL-21在aGVHD中的水平变化及临床意义

田浴阳, 赵丽娜, 白力允, 刘爱春   

  1. 哈尔滨医科大学附属肿瘤医院(哈尔滨 150081)
  • 收稿日期:2008-12-18 出版日期:2009-03-25 发布日期:2012-02-21
  • 作者简介:田浴阳, 男, (1980-), 硕士研究生, 住院医师, 从事急性血液系统疾病及造血干细胞移植的临床及科研工作

Clinical significance and change of IL-13、TGF-β2、INF-γ and IL-21 in aGVHD

TIAN Yuyang, ZHAO Lina, BAI Liyun, LIU Aichun   

  1. The Affiliated Turnor Hospital of Harbin Medical University, Harbin 150081
  • Received:2008-12-18 Online:2009-03-25 Published:2012-02-21

摘要: 目的研究细胞因子TGF-β2、IL-13、INF-γ、IL-21在异基因造血干细胞移植发生的aGVHD的发病机理中的作用及其临床意义。方法 观察20例allo-HSCT患者aGVHD的发病情况, aGVHD的诊断主要依据临床表现, 部分病例进行皮肤、肠黏膜的活检, 取得病理学依据。移植前后定期采集20例患者的外周血, 采用双夹心酶联免疫吸附法(ELISA)检测其细胞因子TGF-β2、INF-γ、IL-13、IL-21的浓度。结果 (1)异基因造血干细胞移植后20例患者全部获得造血功能重建, 中性粒细胞恢复到0.5×109/L及血小板恢复到20×109/L的中位时间分别为移植后13.5天及18天;(2)异基因造血干细胞移植后20例患者中发生aGVHD的共7例, 其中4例Ⅰ-Ⅱ度aGVHD, 3例Ⅲ-Ⅳ度aGVHD;(3)发生aGVHD的患者, 其INF-γ、IL-21浓度较移植前明显升高, 而且INF-γ、IL-21浓度在aGVHD阳性组明显高于aGVHD阴性组(P<0.01)。但TGF-β2的浓度较移植前明显减低, 而且TGF-β2的浓度在aGVHD阳性组明显低于aGVHD阴性组(P<0.01)。IL-13浓度变化无统计学意义。结论 (1)细胞因子INF-γ、IL-21在aGVHD的发病中起重要的正向调节作用, 检测异基因造血干细胞移植后患者血清的INF-γ、IL-21水平有助于预测aGVHD的发生;(2)TGF-β2在aGVHD的发病中起负向调节作用;(3)IL-13在aGVHD的发病中无明显相关性;(4)IL-21与感染无相关性。

Abstract: Object To study the effect of cytokine INF-γ, TGF-β2, IL-13 and IL-21 on acute graft-versus-host disease(aGVHD)after allogeneic hemopoietic stem cell transplantation(allo-HSCT).Methods The aGVHD was observed in 20 patients with allo-HSCT.The peripheral blood of 20 patients was collected before and after transplantion, and the concentration of INF-γ, TGF-β2, IL-13 and IL-21 was detected by enzyme-linked immunosorbentassay(ELISA).Result The haematogenesis of 20 patients recovered after the allogeneic hemopoietic stem cell transplantation.The median-time that neutrophilic granulocyte recovered to 0.5×109/L was 13.5 days, and the median-time that platelet recovered to 20×109/L was 18 days.aGVHD was found in 7 of 20 patients, including 4 patients withⅠ-Ⅱgrade aGVHD and 3 patients with Ⅲ-Ⅳ grades.In patients with aGVHD, the concentration of INF-γ and IL-21 after transplantation increased significantly than that before transplantation, while that of TGF-β2 decreased significantly.And the concentration of INF-γ and IL-21 in patients with aGVHD increased significantly than that in patients without aGVHD(P<0.01), however that of TGF-β2 decreased significantly(P<0.01).The concentration of IL-13 had no change.Conclusions INF-γ、IL-21 have the up-regulated function in aGVHD, and TGF-β2 has down-regulated function.It′s valuable to detect the concentration of INF-γ and IL-21 after transplantation for predicting aGVHD.IL-13 has no relationship with aGVHD.

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