IL-5及其受体IL-5Rα在慢性鼻-鼻窦炎伴息肉 患者息肉组织中的表达及意义
作者简介:

高英,Email:wygaoying19@163.com


Expression and its significance of IL5 and its receptor IL5Rα in nasal polyp of patients with chronic rhinosinusitis
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    摘要:

    目的探讨IL5及其受体IL5Rα在慢性鼻-鼻窦炎伴息肉(CRSwNP)患者息肉组织中的表达及意义。方法89例CRSwNP患者根据嗜酸性粒细胞在摘除的鼻息肉组织中的浸润程度将患者分为ECRSwNP组(n=41)和对照组(n=48),收集患者一般临床资料,利用HE染色计数鼻息肉组织中嗜酸性粒细胞表达,利用RTPCR技术检测IL5和IL5Rα在鼻息肉组织中表达。结果ECRSwNP组患者变应性鼻炎史比例、双侧鼻息肉比例、鼻窦累及数、鼻息肉病变程度评分和LundMackay评分均高于对照组,差异均有统计学意义(P<0.05),ECRSwNP组患者嗜酸性粒细胞计数、嗜酸性粒细胞百分比和总IgE均大于对照组,差异均有统计学意义(P<0.05);ECRSwNP组患者鼻息肉组织中每个高倍视野嗜酸性粒细胞平均计数为(36.5±14.2),远高于对照组患者(1.2±0.6),差异具有统计学意义(t=17.146,P=0.000),Pearson相关分析显示,ECRSwNP组患者鼻息肉组织中嗜酸性粒细胞计数与生化指标中血嗜酸性粒细胞计数和百分比均呈正相关(r=0.703和0.652,均P<0.05);ECRSwNP组患者鼻息肉组织中IL5 mRNA和IL5Rα mRNA相对表达量均高于对照组,差异均有统计学意义(P<0.05),Pearson相关分析显示,ECRSwNP组患者鼻息肉组织中IL5 mRNA相对表达量与IL5Rα mRNA相对表达量呈正相关(r=0.454,P=0.003)。结论IL5和IL5Rα在ECRSwNP患者鼻息肉组织中表达量显著增加,可能与ECRSwNP发病及进展有关。

    Abstract:

    ObjectiveTo investigate the expressions and its significance of IL5 and its receptor IL5Rα in nasal polyp of patients suffering from chronic rhinosinusitis with nasal polyps (CRSwNP).MethodsAccording to infiltrating degree of eosinophil in nasal polyps, 89 patients with CRSwNP were divided into eosinophilic CRSwNP (ECRSwNP) group (n=41) and control group (n=48). The expression of eosinophils in nasal polyps was observed by HE staining. The expression of IL5 and IL5Rα in nasal polyps was detected with RTPCR technology.ResultsThe proportions of allergic rhinitis, bilateral nasal polyps, number of involved sinus, severity of polyps and LundMackay scores in ECRSwNP group were higher than those in the control group, the differences were statistically significant (all P<0.05). The count and percentage of eosinophil, and IgE level in ECRSwNP group were higher than those in the control group (P<0.05). The average count of eosinophils per high power field in nasal polyps of ECRSwNP group was (36.5±14.2), which was higher than that of the control group, and the difference was also statistically significant (P=0.000). Pearson correlation analysis showed that the count of eosinophil in nasal polyps of ECRSwNP group was positively correlated with eosinophil count and percentage in peripheral blood (r=0.703 and 0.652, both P<0.05). The relative expression of IL5 mRNA and IL5Rα mRNA in nasal polyps of ECRSwNP group was higher than which of the control group, the differences were statistically significant (P<0.05). Pearson correlation analysis showed that the relative expression of IL5 mRNA in ECRSwNP group was positively correlated with that of IL5Rα mRNA (r=0.454, P=0.003).ConclusionThe expression of IL5 and IL5Rα in nasal polyps of patients with ECRSwNP is significantly increased, which may be related to the pathogenesis and progression of this disease.

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高英. IL-5及其受体IL-5Rα在慢性鼻-鼻窦炎伴息肉 患者息肉组织中的表达及意义[J].中国耳鼻咽喉颅底外科杂志,2016,22(1):45-49

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  • 在线发布日期: 2016-02-29
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