医学临床研究
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医学临床研究  2020, Vol. 37 Issue (8): 1136-1138    DOI: 10.3969/j.issn.1671-7171.2020.08.005
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IL-4、TNF-α、IL-27和IFN-γ在上气道咳嗽综合征患儿血清中的表达及其临床意义
李浩, 刘晓佳, 赵辉, 黄海云, 孙晓雷, 刘晓玲**
内蒙古自治区人民医院,内蒙古 呼和浩特 010017
Expression and Significance of Serum IL-4, TNF-α, IL-27 and IFN-γ Levels in Children with Upper Airway Cough Syndrome
LI Hao, LIU Xiao-jia, ZHAO Hui, et al
Inner Mongolia Autonomous Region People's Hospital,Hohhot 010017 China
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摘要 目的】 探讨白细胞介素4(IL-4)、肿瘤坏死因子α(TNF-α)、白细胞介素27(IL-27)和γ干扰素(IFN-γ )在上气道咳嗽综合征(UACS)患儿血清中的表达及其临床意义。【方法】 选取2017年9月至2018年9月在本院诊治的30例UACS患儿(观察组),另外选取在本院体检的健康儿童15例(对照组),采用酶联免疫吸附法(ELISA)检测两组受试对象血清IL-4、TNF-α、IL-27和IFN-γ的表达水平并比较。【结果】 治疗前,观察组患儿血清中IL-4和TNF-α水平均显著高于对照组,IL-27和IFN-γ水平显著低于对照组,其差异有统计学意义(P<0.05);治疗后,观察组患儿血清中IL-4和TNF-α水平均显著低于治疗前,IL-27和IFN-γ显著高于治疗前,其差异均有统计学意义(P<0.05);两组患儿治疗后以上各细胞因子水平比较差异无统计学意义(P>0.05)。【结论】 IL-4、TNF-α在UACS患儿血清中的表达水平增高, IL-27和IFN-γ表达水平降低,其水平的变化可作为UACS患儿的临床转归的评价指标,值得临床推广应用。
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关键词 咳嗽综合征白细胞介素4/血液肿瘤坏死因子α/血液    
Abstract:【Objective】 To investigate the changes and clinical significance of serum IL-4 ,TNF-α,IL-27 and IFN-γ levels in children with upper airway cough syndrome (UACS) before and after treatment. 【Methods】 The levels of IL-4 ,TNF-α,IL-27 and IFN-γ in serum of 15 healthy children volunteer (the control group) and 30 children with UACS (the observation group) before and after treatment were detected by enzyme-linked immunosorbent assay (ELISA) and compared between both groups. 【Results】 The levels of IL-4 and TNF-α in serum of 30 children with UACS before treatment were higher than those of the control group, and the levels of IL-27 and IFN-γ were lower than those of the control group (P<0.05). After treatment, the levels of IL-4 and TNF-α in serum of 30 children with UACS were lower than before treatment, while the levels of IL-27 and IFN-γ were higher than before treatment. The differences were statistically significant (P<0.05). There were no significant differences in the levels of the above cytokines between the two groups of children after treatment (P>0.05).【Conclusion】 The expression levels of IL-4 and TNF-α in the serum of children with UACS increase, while the expression levels of IL-27 and IFN-γ decrease. IL-4, TNF-α, IL-27 and IFN-γ may play a role in immunomodulation in the pathogenesis of UACS in children. IL-4, TNF-α, IL-27 and IFN-γ can be used as evaluation indexes for clinical diagnosis and prognosis of UACS in children, which is worthy of clinical application.
Key wordsCough    Syndrome    Interleukin-4/BL    Tumor Necrosis Factor-alpha/BL
收稿日期: 2019-12-10     
PACS:  R256.11  
基金资助:内蒙古自治区自然科学基金(编号:2017MS08139)
通讯作者: **E-mail:15849156550@163.com   
引用本文:   
李浩, 刘晓佳, 赵辉, 黄海云, 孙晓雷, 刘晓玲. IL-4、TNF-α、IL-27和IFN-γ在上气道咳嗽综合征患儿血清中的表达及其临床意义[J]. 医学临床研究, 2020, 37(8): 1136-1138.
LI Hao, LIU Xiao-jia, ZHAO Hui, et al. Expression and Significance of Serum IL-4, TNF-α, IL-27 and IFN-γ Levels in Children with Upper Airway Cough Syndrome. JOURNAL OF CLINICAL RESEARCH, 2020, 37(8): 1136-1138.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.08.005     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I8/1136
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