老年进展性脑梗死患者外周血IL-6、IL-10、TNF-α mRNA表达变化及意义

被引:9
作者
孙志华
贺婕
曾小雁
机构
[1] 中国石油天然气集团公司中心医院
关键词
脑血管疾病; 进展性脑梗死; 白细胞介素; 肿瘤坏死因子α;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
目的观察老年进展性脑梗死患者外周血IL-6、IL-10、TNF-α mRNA表达变化,并探讨其意义。方法老年进展性脑梗死患者48例(病例组),其中轻度神经功能缺损13例、中度神经功能缺损22例、重度神经功能缺损13例,大梗死病灶19例、中梗死病灶21例、小梗死病灶8例。荧光定量PCR检测病例组与51例对照组外周血IL-6、IL-10、TNF-αmRNA。结果与对照组相比,病例组外周血IL-6、TNF-αmRNA表达水平高,IL-10 mRNA表达水平低(P均<0.05)。与轻、中度神经功能缺损者相比,重度神经功能缺损者IL-6 mRNA表达水平高,IL-10 mRNA表达水平低(P均<0.05)。与中、小梗死病灶者相比,大梗死病灶者IL-6 mRNA表达水平高,IL-10 mRNA表达水平低(P均<0.05)。入院时外周血IL-6 mRNA表达水平与入院7 d时的神经功能缺损评分呈正相关(r=0.431,P=0.020),IL-10 mRNA表达水平与入院7 d时的神经功能缺损评分呈负相关(r=-0.314,P=0.025)。结论老年进展性脑梗死患者外周血IL-6、TNF-αmRNA表达水平升高,IL-10 mRNA表达水平降低,且IL-6、IL-10 mRNA表达水平与病情的严重程度有关。
引用
收藏
页码:89 / 91
页数:3
相关论文
共 14 条
[1]   Activated microglia provide a neuroprotective role by balancing glial cell-line derived neurotrophic factor and tumor necrosis factor-α secretion after subacute cerebral ischemia [J].
Wang, Jianping ;
Yang, Zhitang ;
Liu, Cong ;
Zhao, Yuanzheng ;
Chen, Yibing .
INTERNATIONAL JOURNAL OF MOLECULAR MEDICINE, 2013, 31 (01) :172-178
[2]  
Inflammatory cytokines in experimental and human stroke. Kate Lykke Lambertsen,Knut Biber,Bente Finsen. Journal of Cerebral Blood Flow and Metabolism . 2012
[3]  
Inflammation, atherosclerosis, and coronary artery disease. Kriszbacher Ildikó,Koppán Miklós,Bódis József. The New England Quarterly . 2005
[4]  
Experimental stroke-induced changes in the bone marrow reveal complex regulation of leukocyte responses. A Denes,BW McColl,SF Leow-Dyke,KZ Chapman,NE Humphreys,RK Grencis,SM Allan,NJ Rothwell. Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism . 2011
[5]  
Inflammation and brain injury: Acute cerebral ischaemia, peripheral and central inflammation[J] . A. Denes,P. Thornton,N.J. Rothwell,S.M. Allan. &nbspBrain Behavior and Immunity . 2009 (5)
[6]  
Effect of experimental stroke on peripheral immunity: CNS ischemia induces profound immunosuppression[J] . H. Offner,A.A. Vandenbark,P.D. Hurn. &nbspNeuroscience . 2009 (3)
[7]   脑梗死患者颈动脉斑块与血浆白介素-6、脂蛋白(a)、纤维蛋白原的关系 [J].
江秀龙 .
神经病学与神经康复学杂志, 2009, 6 (03) :178-180
[8]   急性脑梗死患者血清TNF-a和IL-6的表达及疏血通干预的临床意义 [J].
王咏龙 ;
邹晓辉 ;
党利华 .
云南中医学院学报, 2013, 36 (02) :70-72+86
[9]  
Depression after myocardial infarction: TNF-α-induced alterations of the blood–brain barrier and its putative therapeutic implications[J] . Hui Liu,Paul G.M. Luiten,Uli L.M. Eisel,Mike J.L. DeJongste,Regien G. Schoemaker. &nbspNeuroscience and Biobehavioral Reviews . 2013
[10]   急性脑梗死患者血清白细胞介素-6、白细胞介素-8及脂联素水平变化及意义 [J].
施卫京 .
中国基层医药, 2011, (07)