高血压病患者外周血单个核细胞分泌白细胞介素1β水平的变化
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Increased Secretion of Interleukin-1β by Peripheral Blood Mononuclear Cell in Patients with Essential Hypertension
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    摘要:

    目的观察高血压病患者体外培养的外周血单个核细胞炎症因子白细胞介素1β和肿瘤坏死因子α的分泌,了解高血压病患者外周血单个核细胞炎症因子的分泌状态。方法序贯选取33例高血压病患者及12例血压正常者作对照。用密度梯度离心法分离外周血单个核细胞进行体外培养。用酶联免疫吸附测定法检测细胞培养上清的白细胞介素1β和肿瘤坏死因子α的浓度。结果高血压组和正常对照组外周血单个核细胞培养上清液白细胞介素1β(182±66ngL比154±63ngL)和肿瘤坏死因子α(142±74ngL比168±61ngL)的自发性分泌差异均无显著性。脂多糖刺激后高血压组和正常对照组白细胞介素1β(2179±660ngL比182±66ngL;2854±631ngL比154±63ngL,p<0.05)和肿瘤坏死因子α(442±134ngL比142±74ngL;500±176ngL比168±61ngL,p<0.05)分泌均较自发性分泌显著增加。与正常对照组比较,高血压病患者脂多糖刺激的外周血单个核细胞白细胞介素1β分泌增加(2854±631ngL比2179±660ngL,p<0.05)。结论高血压病患者的外周血单个核细胞处于一定程度的炎症激活状态,炎症反应可能与高血压病的形成和发展及并发症的发生有关。

    Abstract:

    Aim To investigate whether individuals with essential hypertension have increased cytokines, specifically interleukin-1β(IL-1β) and tumor necrosis factor-α(TNF-α), secretion in peripheral blood mononuclear cell (PBMC). Methods In a cross-sectional study involving 12 apparently healthy control and 33 patients with essential hypertension, concentrations of IL-1β and TNF-αwere compared in PBMC culture supernatant. PBMC were isolated by gradient centrifugation. IL-1βand TNF-αconcentrations in supernatant from PBMC were measured by enzyme-linked immunosorbent assay(ELISA). Results There is no difference in the spontaneous secretion of IL-1β(182±66 ng/L vs 154±63 ng/L, p<0.05) and TNF-α(142±74 ng/L vs 168±61 ng/L )by PBMC between normal control and hypertensive patients. After stimulation by lipopolysaccharide, both IL-1β(2 179±660 ng/L vs 182±66 ng/L, p<0.05; 154±63 ng/L vs 2 854±631 ng/L) and TNF-α(442±134 ng/L vs 142±74 ng/L; 500±176 ng/L vs 168±61 ng/L, p<0.05) secretion by PBMC increased dramatically compared with the spontaneous secretion. After stimulation by lipopolysaccharide, patients had increased IL-1β(2 179±660 ng/L vs 2 854±631 ng/L; p< 0.05 ) secretion by PBMC compared with controls. Conclusions These data suggest that PBMC in patients with essential hypertension are preactived and inflammation mechanism may be involved in the pathogenesis of hypertensive disease.

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李全忠,邓勤,阳跃忠,黄文新.高血压病患者外周血单个核细胞分泌白细胞介素1β水平的变化[J].中国动脉硬化杂志,2005,13(4):497~499.

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  • 收稿日期:2004-08-30
  • 最后修改日期:2005-06-30
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