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作 者:江梦溪[1] 姚咏明[2] 黄立锋[2] 孟海东[2] 李寅超[1]
机构地区:[1]郑州大学药学院05级药学专业,河南450001 [2]中国人民解放军总医院第一附属医院全军烧伤研究所
出 处:《中国急救复苏与灾害医学杂志》2009年第2期77-80,97,共5页China Journal of Emergency Resuscitation and Disaster Medicine
基 金:国家自然科学基金课题(30872683)、郑州大学学生创新实验项目资助
摘 要:目的观察高迁移率族蛋白B1(HMGB1)对人外周血T淋巴细胞功能性极化的影响,并对其作用机制进行初步探讨。方法分离健康人外周血单个核细胞后接种于24孔培养板(2×10^6/ml),以植物血凝素激活T淋巴细胞体外增殖后,给予不同剂量重组人HMGB1(0、1、10、100和1000ng/m1)进行刺激12、24或48h。采用四色流式细胞术分析CD3^+淋巴细胞CD4表达和胞内细胞因子干扰素(IFN)-γ、白细胞介素4-(IL-4)阳性(Th1、Th2)的比例。结果不同HMGB1刺激时间和作用剂量对CD4^+T淋巴细胞和Th1亚群比例未造成明显改变,但1000ng/ml HMGB1刺激48h后CD4^+/CD3^+比值显著低于刺激12h组(P〈0.05)。较大剂量HMGB1(100、1000ng/m1)能显著增加Th2亚群比例(P〈0.05或P〈0.01),并因此降低Th1/Th2比值,出现Th1优势向Th2优势偏移。结论HMGB1剂量蓄积和持续刺激可诱导T细胞功能亚群从促炎反应向抗炎优势转化。HMGB1的这一免疫调控效应可能是机体免疫应答陷人抑制状态,并最终出现免疫麻痹的重要原因之一。Objective To investigate the effect of high mobility group box-1 protein (HMGB1) on polarization of the peripheral blood T lymphocytes and its potential regulating function in healthy human. Methods Peripheral blood mononuclear cells (PBMCs) were isolated by Ficoll-Hypaque technique from 8 healthy adult volunteers and were suspended in RPMI 1 640 medium with 10% fetal calf serum at the concentration of 2×10^6 cells/ml. The PBMC suspension were inoculated in a 24 well cell culture plate, cultured with 20 μg/ml phytohemagglutinin in 5% CO2 at 37℃, and added with recombinant human HMGB1 (rhHMGBI) at the concentrations of 0, 1, 10, 100, and 1 000 ng/ml for 12 h, 24 h, and 48 h, respectively. Four-color flow cytometry (FCM) was used to determine the CD3^+ / CD4^+ ratio and levels of interleukin (IL)-4 and interferon (IFN)-5,. Results There were no significant changes in CD4 expression and the number of IFN-γ positive cells (Th1) of CD3^+ T lymphocytes among the groups stimulated by rhHMGB1 of different concentrations with different stimulating durations. Treatment with higher doses of rhHMGB 1 (100 and 1 000 ng/ml) markedly increased the proportion of Th2 subset and decreased the ratio of Th 1 to Th2 (P〈0.05 and P〈0.01), thereby resulting in the polarization of T-helper lymphocyte activity from Thl shifting to Th2. Conclusion With the increase of stimulating doses and duration, HMGB1 down-regulates T-cell-mediated immunity as a Th2-polarizing stimulus. HMGB1, as a ubiquitous novel eytokine in sepsis, may contribute to the anti-inflammatory immunosuppressive status.
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