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糖皮质激素对哮喘患者淋巴细胞亚群及其介质、内源性皮质醇的影响被引量:2
2010年
目的探讨糖皮质激素等药物对哮喘患者淋巴细胞亚群及其介质、内源性皮质醇的影响,从而为临床合理使用药物提供依据。方法对144例急性发作期支气管哮喘患者,根据用药情况分为全身激素组、吸入激素组、气管扩张剂组。1、采用放射免疫分析法对白细胞介素-1(IL-1)、白细胞介素-6(IL-6)、肿瘤坏死因子α(TNF-α)、促肾上腺皮质激素(ACTH)、皮质醇(CS)及生长激素(GH)进行检测,2、采用酶联免疫法(ELISA)对促肾上腺皮质激素释放激素(CRH)进行检测,3、用流式细胞仪对淋巴细胞凋亡、CD3、CD4、CD8、CD11b、CD18及CD62P进行检测。应用SPSS12.0统计软件进行处理;计量资料用均数±标准差描述;多组均数比较用单因素方差分析。检验水准α=0.05。结果 CD4/CD8、CD11b/CD18、淋巴细胞凋亡、CS、ACTH、CRH在全身激素组与气管扩张剂组之间,吸入激素组与气管扩张剂组之间比较有差异。其他组之间比较无统计学差异。CD11b、CD62p在全身激素组与气管扩张剂组之间比较有差异。其他组之间比较无统计学差异。结论激素对哮喘患者免疫、内分泌有明显的影响。随着激素使用量的增加或全身使用,对淋巴细胞的免疫,有一定的抑制作用;并可能造成肾上腺皮质功能的减退。吸入激素对内源性皮质醇可能也有一定影响,尚需进一步探讨。
李风森哈木拉提杨剑刘慧芳
关键词:哮喘激素淋巴细胞皮质醇
Abnormal Savda Syndrome:Long-Term Consequences of Emotional and Physical Stress on Endocrine and Immune Activities in An Animal Model被引量:6
2013年
Objective: To investigate the relationship between emotional status, cold-dry environment and long-term immune responses to the stressors, and the potential pathological mechanisms between causative factors of abnormal Savda syndrome (ASS) and the susceptibility to disease; thus to clarify the ASS, and secondly to identify the optimal ASS animal model for further studies on traditional Uighur therapeutical formulations. Methods: Sixty mice were randomly and equally divided into 4 groups: control and 3 stress groups. The cold-dry environment was applied by keeping the mice in a climatic chamber. The emotional stress was induced by the application of the repeated electric foot-shocks in the electric foot-shock apparatus. The mice of the combined stress group underwent the repeated electric foot-shock treatment before being housed in the climatic chamber. The experimental routine was repeated for 21 days. In order to look into endocrine and immune stress responses, ELISA was used to determine the serum levels of the hormones corticotropin- releasing hormone (CRH), adrenocorticotropic hormone (ACTH), Beta-endorphin (13-END) and corticosterone (CORT), of the cytokines interleukin 2 (IL-2), interleukin 6 (IL-6), interferon-gamma (INF- ~/) and tumor necrosis factor-alpha (TNF-or), and of the immunoglobulins immunoglobulin A (IgA), immunoglobulin M (IgM) and immunoglobulin G (IgG). Lymphocyte subsets were analyzed in duplicate in order to determine differences in the T cell ratio. Results: In the cold-dry environment group, the serum levels of CRH, ACTH and CORT were significantly higher than those of the control group, whereas serum 13 -END was not found significantly different. In both the repeated electric foot-shock group as well as in the combined stress group the serum levels of CRH, ACTH, 13 -END and CORT were significantly higher. Compared to the control animals, the serum concentration of INF-,y was significantly lower in all three different stress groups.
阿地里江.阿布力米提Harald KhnelAlois Strasser哈木拉提.吾甫
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