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口腔扁平苔藓患者Th1/Th2的表达及临床意义的研究 被引量:6

Study on expression of Th1/Th2 in oral lichen planus and its clinical significance
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摘要 目的观察Th1型和Th2型细胞因子在口腔扁平苔藓(OLP)外周血中的表达。方法密度梯度离心法分离20例充血糜烂型,16例光滑型OLP病例和19例正常对照组人群的外周血单个核细胞,逆转录-聚合酶链反应法检测各组外周血单个核细胞中IFN-gamma mRNA和IL-4 mRNA的表达;ELISA法检测各组血清中IFN-gamma和IL-4的表达。结果充血糜烂型和光滑型OLP患者中IL-4 mRNA和蛋白的表达均高于正常对照组,差异有统计学意义(P<0.01);而充血糜烂型和光滑型OLP患者中IFN-gamma mRNA和蛋白的表达均低于正常对照组,差异有统计学意义(P<0.01)。但表达结果在充血糜烂型及光滑型OLP患者组间的差异无统计学意义(P>0.05)。结论 Th1/Th2失衡表达与OLP发病机制密切相关,为临床治疗OLP提供新的思路。 Objective To observe the expression of Th1/Th2 in peripheral blood of oral lichen planus(OLP) and to further explore the pathogenesis of OLP.Methods The expression of IFN-gamma mRNA(typical Th1 cytokine),IL-4 mRNA(typical Th2 cytokine) was investigated in peripheral blood mononuclear cell(PBMC) seperated from erythematous/erosive OLP(20 cases),reticular OLP(16cases) and normal controls(19 cases) using RT-PCR methods;and IFN-gamma,IL-4 in serum was tested by ELISA.Results RT-PCR results showed that expression of IL-4 mRNA is higher in erythematous/erosive OLP and reticular OLP than that in control group(P 0.01);In contrast,expression of IFN-gamma mRNA was lower in erythematous/erosive OLP and reticular OLP than that control group(P 0.01).ELISA assay indicated that erythematous/erosive and reticular OLP patients had a higher expression level of IL-4 protein and lower expression level of IFN-gamma protein in serum than normal controls(P0.01).However,there were no significant differences between erythematous/erosive and reticular groups(P0.05).Conclusions The data accumulated here strongly indicate that unbalanced expression of Th1/Th2 was involved in the pathogenesis of OLP,and provide new ideas for clinical treatment of OLP.
出处 《口腔医学》 CAS 2011年第5期291-293,308,共4页 Stomatology
基金 南京医科大学科技发展基金重点项目(06NMUZO22)
关键词 口腔扁平苔藓 TH1型细胞因子 TH2型细胞因子 外周血 oral lichen planus Th1 cytokine Th2 cytokine peripheral blood
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