冠心病患者动脉粥样硬化斑块特征与Th细胞漂移的关系
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The Relationship Between Atherosclerotic Plaque Characteristics and Th-cell Drift in the Patients with Coronary Artery Disease
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    摘要:

    目的探讨急性冠状动脉综合征(ACS)患者和稳定型心绞痛(SA)患者外周血γ干扰素(INF-γ)、白细胞介素4(IL-4)、白细胞介素2(IL-2)及白细胞介素10(IL-10)水平与斑块形态特征的关系。方法70例患者分为两组,其中ACS组37例,SA组33例,采用ELISA检测冠状动脉造影前外周血INF-γ、IL-4、IL-2及IL-10水平。根据冠状动脉造影斑块形态特征将冠状动脉斑块分为Ⅰ、Ⅱ及Ⅲ型,根据超声特点将颈动脉斑块分为易损性斑块和稳定性斑块,比较不同斑块类型者INF-γ、IL-4、IL-2及IL-10水平变化。结果ACS患者INF-γ和IL-2水平高于SA患者(p<0.05),IL-4和IL-10水平无显著性差异。ACS患者冠状动脉斑块主要为Ⅱ型,颈动脉斑块主要为易损性斑块;SA患者冠状动脉斑块主要为Ⅰ和Ⅲ型,颈动脉斑块主要为稳定性斑块;不同斑块类型者INF-γ、IL-4、IL-2及IL-10水平不同,冠状动脉斑块Ⅱ型者INF-γ、IL-2水平较Ⅰ和Ⅲ型者显著性升高(p<0.05),而IL-4和IL-10水平无明显差异。颈动脉易损性斑块者INF-γ和IL-2水平较稳定性斑块者显著性升高(p<0.05),而IL-4和IL-10水平无明显差异。结论Th细胞漂移和斑块特征与斑块的稳定性有关,对于冠状动脉事件有一定的预示作用。

    Abstract:

    AimTo determine serum levels of interferon-γ (INF-γ), interleukin-4 (IL-4), interleukin-2 (IL-2) and interleukin-10 (IL-10) in the patients with acute coronary syndrome (ACS) and stable angina (SA), so as to investigate the relationship between plaque morphology characteristics and serum levels of INF-γ, IL-4, IL-2, and IL-10.MethodsThis study enrolled 37 patients with ACS and 33 patients with SA.The serum INF-γ, IL-4, IL-2 and IL-10 levels were determined by ELISA.Coronary artery plaques were divided into type I, II and Ⅲ through plaque morphology characteristics according to coronary angiography.Carotid artery plaques were divided into vulnerable plaque and unstable plaque according to ultrasound characteristics.The changes of INF-γ, IL-4, IL-2 and IL-10 levels in the patients with different plaque types were compared.ResultsThe serum INF-γ, IL-2 levels were significantly higher in the ACS group than those in the SA group (p<0.05), but IL-4 and IL-10 levels had no significant difference.Coronary artery plaque was the main type Ⅱ and carotid artery plaque was vulnerable plaque in the ACS patients.Coronary artery plaque was the main type Ⅰ and Ⅲ and carotid artery plaque was unstable plaque in the SA patients.The plasma levels of INF-γ, IL-4, IL-2, IL-10 in different types of plaque were significantly different.The serum INF-γ, IL-2 levels in the patients of type Ⅱ coronary plaque were significantly higher than those in the patients of type Ⅰand Ⅲ coronary plaque.

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朱哲蓓,姜红菊,李润智,王蕾.冠心病患者动脉粥样硬化斑块特征与Th细胞漂移的关系[J].中国动脉硬化杂志,2012,20(7):643~646.

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  • 收稿日期:2011-08-14
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