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作 者:余晓杰[1] 邓小昭[1,2] 岳明[3] 徐孝东[1] 刘运熙[2] 周镇先[4] 丁伟良[5] 张锦海[2] 韦娟[1] 孔晶[3] 许可[2] 张云[2] 储春丽[3]
机构地区:[1]南京医科大学基础医学院生物化学与分子生物学系,江苏南京210029 [2]南京军区疾病预防控制中心疾病预防控制研究所,江苏南京210002 [3]中国医科大学生命科学与技术学院,江苏南京210009 [4]南京市第二医院检验科,江苏南京210002 [5]宜兴市人民医院检验科,江苏宜兴214200
出 处:《中华疾病控制杂志》2013年第3期195-199,共5页Chinese Journal of Disease Control & Prevention
基 金:国家自然科学基金(81172724;30972628);江苏省自然科学基金面上项目(BK2010112;BK2011840);十二五国家科技重大专项(2011ZX10004-902)
摘 要:目的探讨丙型肝炎病毒(hepatitis C virus,HCV)1b型F蛋白对Th1/Th2型细胞因子的影响。方法收集慢性HCV患者(chronic hepatitis patient,CHP)和HCV肝癌患者(hepatocellular carcinoma patient,HCCP)的血样,检测F抗体(F antibody,F-Ab)的阳性率并且分成4组,F-Ab(+)CHP、F-Ab(-)CHP、F-Ab(+)HCCP、F-Ab(-)HCCP;分离患者外周血单核细胞(peripheral blood mononuclear cell,PBMC),用F蛋白刺激,72 h后用酶联免疫吸附试验(enzyme-linked immunosorbent assay,ELISA)法检测细胞上清干扰素γ(interferon-γ,IFN-γ)和白介素5(in-terluekin-5,IL-5)水平。结果 F-Ab(-)CHP组IFN-γ高于F-Ab(+)CHP组(P=0.020);F-Ab(-)HCCP组IFN-γ高于F-Ab(+)HCCP组(P=0.019),F-Ab(+)HCCP组IL-5的水平高于F-Ab(-)HCCP组(P=0.032);F-Ab(+)CHP组IL-5的水平高于F-Ab(-)CHP组(P=0.041)。结论在体外培养的PBMC中,F蛋白有上调IL-5水平和下调IFN-γ水平的作用,提示可能与肝炎慢性化和肝癌的发生机制有关。Objective To investigate the regulatory effect of hepatitis C virus lb subtype F protein on Th1/Th2 cytokine . Methods Blood samples were collected from hepatitis C virus (HCV) related chronic hepatitis patients (CHP) and HCV related hepatocellular carcinoma patients (HCCP). F protein was used to detect F antibodies in the serum to di- vide samples into four subject groups including F-Ab( + )CHP, F-Ab( - )CHP, F-Ab( + )HCCP and F-Ab( - ) HCCP. PBMCs were isolated from these four groups and then treated with F protein. After 72 hours, enzyme-linked immunosorbent assay(ELISA) was used to detect the concentration of IFN--,/ and IL-5. Results IFN-γ levels of F-Ab ( - ) CHP were higher than those of F-Ab( + ) CHP(P = 0. 020) and F-Ab( - ) HCCP higher than those of F-Ab( + ) HCCP(P = 0. 019). IL-5 levels of F-Ab( + ) CHP were higher than those of F-Ab( - ) CHP(PL = 0. 032,P2 = 0. 041 ). Conclusions F pro- tein could trigger the expression of IL-5 and inhibit the expression of IFN-γ in vitro and therefore might play a role in the HCV pathogenesis and might be a useful predictor for chronicity.
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