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Indoleamine 2,3-dioxygenase: As a potential prognostic marker and immunotherapeutic target for hepatocellular carcinoma 被引量:17
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作者 Kashif Asghar Asim Farooq +1 位作者 Bilal Zulfiqar Muhammad Usman Rashid 《World Journal of Gastroenterology》 SCIE CAS 2017年第13期2286-2293,共8页
Tumor cells induce an immunosuppressive microen-vironment which leads towards tumor immune escape. Understanding the intricacy of immunomodulation by tumor cells is essential for immunotherapy. Indoleamine 2,3-dioxyge... Tumor cells induce an immunosuppressive microen-vironment which leads towards tumor immune escape. Understanding the intricacy of immunomodulation by tumor cells is essential for immunotherapy. Indoleamine 2,3-dioxygenase(IDO) is an immunosuppressive enzyme which mediates tumor immune escape in various cancers including hepatocellular carcinoma(HCC). IDO up-regulation in HCC may lead to recruitment of regulatory T-cells into tumor microenvironment and therefore inhibit local immune responses and promote metastasis. HCC associated fibroblasts stimulate natural killer cells dysfunction through prostaglandin E2 and subsequently IDO promotes favorable condition for tumor metastasis. IDO up-regulation induces immuno-suppression and may enhance the risk of hepatitis C virus and hepatitis B virus induced HCC. Therefore, IDO inhibitors as adjuvant therapeutic agents may have clinical implications in HCC. This review proposes future prospects of IDO not only as a therapeutic target but also as a prognostic marker for HCC. 展开更多
关键词 Hepatocellular 丙肝病毒 肝炎 B 病毒 indoleamine 2 3-dioxygenase
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Indoleamine 2,3-dioxygenase adjusts neutrophils recruitment and chemotaxis in Aspergillus fumigatus keratitis
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作者 Shu-Xuan Guo Nan Jiang +2 位作者 Li Zhang Wei Jiang Jing-Jing Ma 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第3期380-387,共8页
AIM: To explore the effect of indoleamine 2,3-dioxygenase(IDO) on recruitment and chemotaxis function of neutrophils in Aspergillus fumigatus(A.fumigatus) keratitis.METHODS: C57BL/6 mice models of A.fumigatus keratiti... AIM: To explore the effect of indoleamine 2,3-dioxygenase(IDO) on recruitment and chemotaxis function of neutrophils in Aspergillus fumigatus(A.fumigatus) keratitis.METHODS: C57BL/6 mice models of A.fumigatus keratitis were established by inoculating hyphae of A.fumigatus evenly on the corneas.The clinical scores and inflammatory cytokines expression were measured respectively on the 1^(st), 3^(th), 5^(th) day after infection.The 1-MT(1 mg/m L) was administered by gavage to exert an inhibitory effect on IDO during infection.The mice were divided into control group, 1-MT group, A.fumigatus(A.F.) group, and 1-MT+A.F.groups.The corneas were monitored by slit lamp microscopy, and recorded disease scores in 3 d after infection.Myeloperoxidase(MPO) assay was done to evaluate the neutrophils infiltration.Immunofluorescence staining was used to detect the recruitment of neutrophils in murine corneas.The m RNA of inflammatory cytokines was measured with reverse transcription-polymerase chain reaction(RT-PCR).RESULTS: The corneal inflammation and the clinical score reached the peak on the 3;day after the corneal infection.The m RNA of inflammatory cytokines of the A.F.group reached the highest on the 3;day after the infection accordingly.Meanwhile, the results of slit light photography indicated that inhibitors of IDO made inflammation more serious contrasted with the A.F.group on the 3;day.Besides, imunofluorescence staining and MPO indicated that 1-MT enhanced the recruitment, infiltration and chemotaxis of neutrophils obviously in contrast to the A.F.group.RT-PCR indicated that 1-MT increased the expression of CXCL-1, ICAM-1, IL-1β, and IL-8 significantly.CONCLUSION: IDO participates in the pathogenesis of A.fumigatus keratitis and plays an important role in inducing immune protection by inhibiting neutrophils-related inflammatory reaction and suppressing recruitment and chemotaxis of the neutrophils. 展开更多
关键词 indoleamine 2 3-dioxygenase KERATITIS NEUTROPHILS Aspergillus fumigatus innate immune
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Up-regulation of indoleamine 2,3-dioxygenase 1(IDO1)expression and catalytic activity is associated with immunosuppression and poor prognosis in penile squamous cell carcinoma patients 被引量:3
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作者 Qiang-hua Zhou Hui Han +13 位作者 Jia-bin Lu Ting-yu Liu Kang-bo Huang Chuang-zhong Deng Zai-shang Li Jie-ping Chen Kai Yao Zi-ke Qin Zhuo-wei Liu Yong-hong Li Sheng-jie Guo Yun-lin Ye Fang-jian Zhou Ran-yi Liu 《Cancer Communications》 SCIE 2020年第1期3-15,共13页
Background: Indoleamine 2,3-dioxygenase 1 (IDO1) and tryptophan (Trp)catabolism have been demonstrated to play an important role in tumor immunosuppression. This study examined the expression and catalytic activity of... Background: Indoleamine 2,3-dioxygenase 1 (IDO1) and tryptophan (Trp)catabolism have been demonstrated to play an important role in tumor immunosuppression. This study examined the expression and catalytic activity of IDO1 in penilesquamous cell carcinoma (PSCC) and explored their clinical significance.Methods: IDO1 expression level, serum concentrations of Trp and kynurenine (Kyn)were examined in 114 PSCC patients by immunohistonchemistry and solid-phaseextraction-liquid chromatography-tandem mass spectrometry. The survival was analyzed using Kaplan-Meier method and the log-rank test. Hazard ratio of death was analyzed via univariate and multivariate Cox regression. Immune cell types were definedby principal component analysis. The correlativity was assessed by Pearson’s correlation analysis.Results: The expression level of IDO1 in PSCC cells was positively correlatedwith serum Kyn concentration and Kyn/Trp radio (KTR;both P < 0.001) but negatively correlated with serum Trp concentration (P = 0.001). Additionally, IDO1 upregulation in cancer cells and the increase of serum KTR were significantly associated with advanced N stage (both P < 0.001) and high pathologic grade (P = 0.008and 0.032, respectively). High expression level of IDO1 in cancer cells and serumKTR were associated with short disease-specific survival (both P < 0.001). However, besides N stage (hazard radio [HR], 6.926;95% confidence interval [CI],2.458-19.068;P < 0.001) and pathologic grade (HR, 2.194;95% CI, 1.021-4.529;P = 0.038), only serum KTR (HR, 2.780;95% CI, 1.066-7.215;P = 0.036) was anindependent predictor for PSCC prognosis. IDO1 expression was positively correlated with the expression of interferon-𝛾 (IFN𝛾, P < 0.001) and immunosuppressivemarkers (programmed cell death protein 1, cytotoxic T-lymphocyte-associated protein 4 and programmed death-ligand 1 and 2;all P < 0.05), and the infiltration ofimmune cells (including cytotoxic T lymphocytes, regulatory T lymphocytes, tumorassociated macrophages, and myeloid-derived suppressor cells;all P < 0.001) inPSCC tissues. Furthermore, the expression of IDO1 was induced by IFN𝛾 in a dosedependent manner in PSCC cells.Conclusions: IFN𝛾-induced IDO1 plays a crucial role in immunoediting andimmunosuppression in PSCC. Additionally, serum KTR, an indicator of IDO1catabolic activity, can be utilized as an independent prognostic factor for PSCC. 展开更多
关键词 cytotoxic T-lymphocyte-associated protein 4 IMMUNOSUPPRESSION indoleamine 2 3-dioxygenase 1 INTERFERON-GAMMA kynurenine/tryptophan ratio penile cancer programmed cell death protein 1 programmed death-ligand 1 tumor-infiltrating immune cells
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T-cell proliferation is inhibited by the induction of indoleamine 2,3-dioxygenase in spleen-derived dendritic cells in rat 被引量:8
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作者 XU Jun YAO Ning LI Yuan-dong 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第19期3154-3158,共5页
Background Increasing evidence suggests that, by the production of indoleamine 2, 3-dioxygenase (IDO), dendritic cells (DC) may reduce the activity of T lymphocytes and inhibit T lymphocyte proliferation-induced i... Background Increasing evidence suggests that, by the production of indoleamine 2, 3-dioxygenase (IDO), dendritic cells (DC) may reduce the activity of T lymphocytes and inhibit T lymphocyte proliferation-induced immune tolerance.One promising way is inspired by increasing IDO expression in DG cells for immune tolerance after transplantation. The aim of this work was to examine the effect of interferon-y (IFN-γ) on the expression of IDO by DC.Methods Spleen-derived rat DCs were cultured and induced by cytokines, and the expression of OX62 and surface molecules CD80 and CD86 were measured with flow cytometry. After the DCs were induced by IFN-γ at different concentrations (0, 100, 300, 500 U/ml), the expression levels of IDO mRNA were measured with real-time PCR, and the expression levels of IDO protein in DCs were measured with Western blotting. The allogeneic mixed lymphocyte reaction (MLR) was used to test the effects of DCs incubated with different concentrations of IFN-γ on allogeneic T lymphocyte proliferation.Results Under the microscope, the DCs induced by IFN-γ showed a typical dendritic morphology. The expression rate of OX62 was above 80% and the positive expression rates of CD80 and CD86 were both about 80%. The expressions of IDO mRNA and IDO protein increased gradually with the increase of IFN-γ concentration, showing statistical significance in the differences between the groups (P 〈0.05). Compared with the control DC, the DC incubated with IFN-γ had a notable decrease in allostimulatory activity (P 〈0.05). With the increasing IFN-γ concentration, the T lymphocyte proliferation decreased, and the difference between the groups was also statistically significant (P 〈0.05).Conclusions The highly purified spleen derived rat DCs can be successfully acquired through the improved adhesion in-vitro method. IFN-γ can induce increased expression of IDO in spleen-derived rat DCs and reduce the spleen DCs' capacity to stimulate the proliferation of allogeneic T cells. 展开更多
关键词 dendritic cell indoleamine 2 3-dioxygenase y-interferon T lymphocyte
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吲哚胺2,3-双加氧酶(IDO)参与抑郁症发病机制的研究进展 被引量:3
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作者 李红 简坤 《宜春学院学报》 2016年第9期24-28,共5页
抑郁症的发病机制复杂,至今尚未完全清楚。迄今为止,关于抑郁症的发病机制有多种假说,分别从不同方面阐述了抑郁症的发病机制,如:下丘脑-垂体-肾上腺皮质(hypothalamus-pituitary-adrenocortical,HPA)功能亢进、促炎性细胞因子以及中枢... 抑郁症的发病机制复杂,至今尚未完全清楚。迄今为止,关于抑郁症的发病机制有多种假说,分别从不同方面阐述了抑郁症的发病机制,如:下丘脑-垂体-肾上腺皮质(hypothalamus-pituitary-adrenocortical,HPA)功能亢进、促炎性细胞因子以及中枢神经元损伤等。但各种机制均提及到抑郁症的致病因子与吲哚胺2,3-双加氧酶(indoleamine 2,3-dioxygenase,IDO)的调节有关,IDO成为枢纽性因素。IDO可能在抑郁症的发病中具有广阔的研究前景。本文通过查阅国内外最近五年的大量中、英文文献对吲哚胺2,3-双加氧酶(IDO)参与抑郁症发病机制的研究进展作一详细综述。 展开更多
关键词 抑郁症 吲哚胺2 3-双加氧酶(ido) 细胞因子 5-羟色胺
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IDO基因稳定转染HepG_2细胞系的建立 被引量:3
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作者 刘春亮 冯惠枝 +5 位作者 刘燕 卜晓倩 申慧琴 张瑞 唐运萍 王琦 《医学研究杂志》 2012年第2期68-70,共3页
目的建立稳定转染IDO基因的HepG2细胞系,为进一步研究IDO基因在肝癌免疫逃逸中的作用奠定基础。方法应用脂质体将真核细胞表达质粒pcDNA3.1-IDO和空载质粒pcDNA3.1转染入HepG2细胞,经G418进行筛选后,挑取单克隆进行培养,用反转录酶聚合... 目的建立稳定转染IDO基因的HepG2细胞系,为进一步研究IDO基因在肝癌免疫逃逸中的作用奠定基础。方法应用脂质体将真核细胞表达质粒pcDNA3.1-IDO和空载质粒pcDNA3.1转染入HepG2细胞,经G418进行筛选后,挑取单克隆进行培养,用反转录酶聚合酶链反应(RT-PCR)和Western blot方法验证获得的表达细胞株。结果经RT-PCR和Western blotting检测证实空质粒转染组和空白对照组HepG2细胞无IDO基因及蛋白的表达,而重组质粒组的HepG2细胞表达IDO基因和蛋白。结论 pcDNA3.1-IDO质粒体外稳定转染人肝癌细胞HepG2,可以有效地使IDO基因在RNA水平和蛋白水平均表达,成功建立了稳定转染基因IDO的HepG2细胞系,为进一步探讨该基因的功能奠定了一定基础。 展开更多
关键词 吲哚胺2 3-双加氧酶(ido) HEPG2细胞 稳定转染
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脂质体介导pIDO-EGFP转染原代培养软骨细胞的初步研究 被引量:3
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作者 段小红 何贤辉 +5 位作者 崔鹏程 王晓燕 吴明明 史剑波 许庚 江逊 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2007年第12期1110-1112,1116,共4页
目的:检测脂质体介导pIDO-EGFP转染原代培养的C57小鼠关节软骨细胞的瞬时表达及转染效率,建立原代培养的小鼠关节软骨细胞转染方法。方法:大肠杆菌中扩增pIDO-EGFP质粒,在最优化条件下通过lipofectamine2000TM转染试剂将pIDO-EGFP质粒... 目的:检测脂质体介导pIDO-EGFP转染原代培养的C57小鼠关节软骨细胞的瞬时表达及转染效率,建立原代培养的小鼠关节软骨细胞转染方法。方法:大肠杆菌中扩增pIDO-EGFP质粒,在最优化条件下通过lipofectamine2000TM转染试剂将pIDO-EGFP质粒转入原代培养的小鼠关节软骨细胞,应用荧光显微镜和激光共聚焦显微镜观察其转染过程及瞬时表达情况,流式细胞术检测其转染效率。结果:质粒携带的增强型绿色荧光蛋白在转染后24h得到了明显表达,48h后流式细胞术检测其转染效率为36.43%,未影响软骨细胞贴壁过程。结论:经绿色荧光蛋白检测表明,脂质体成功地将IDO基因转染进入原代培养的软骨细胞。转染后的软骨细胞在体外仍能存活,在最优化的条件下能达到良好的瞬时转染效率,为组织工程化软骨细胞基因导入和基因修饰提供了思路。 展开更多
关键词 基因转染 软骨细胞 基因表达 吲哚胺2 3-双加氧酶 绿色荧光蛋白
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哈萨克族食管癌患者外周血IDO检测的临床意义
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作者 常英英 黄艳春 《新疆医科大学学报》 CAS 2011年第1期74-76,共3页
目的探讨哈萨克族食管癌患者外周血中吲哚胺2,3双加氧酶(indoleamine 2,3-dioxygenase,IDO)的表达水平及其与食管癌临床病理特征的关系。方法用RT-PCR法检测50例哈萨克族食管癌患者治疗前外周血、20例正常人外周血中IDOmRNA的表达情况... 目的探讨哈萨克族食管癌患者外周血中吲哚胺2,3双加氧酶(indoleamine 2,3-dioxygenase,IDO)的表达水平及其与食管癌临床病理特征的关系。方法用RT-PCR法检测50例哈萨克族食管癌患者治疗前外周血、20例正常人外周血中IDOmRNA的表达情况。结果 IDOmRNA在食管癌患者外周血中的表达为(1.836±0.583)×103,显著高于正常人的(0.145±0.024)×103(P<0.05);食管癌外周血中IDOmRNA的表达与肿瘤的临床分期和淋巴结转移有关(P<0.05);年龄、性别以及肿瘤的生长部位与IDOmRNA的表达无关(P>0.05)。结论 IDOmRNA在新疆哈萨克族食管癌患者外周血中存在高表达,其表达程度与食管癌的发生,发展和转移有着密切的关系。 展开更多
关键词 吲哚胺2 3双加氧酶 哈萨克族 食管癌 逆转录-聚合酶链式反应
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吲哚胺加双氧酶的表达调控THP-1巨噬细胞的极化 被引量:5
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作者 王险峰 王昊 +2 位作者 张帆 刘浩 杜军 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2014年第9期901-905,共5页
目的研究吲哚胺加双氧酶(IDO)对巨噬细胞表型转化的影响。方法以10 ng/mL佛波酯诱导THP-1人单核细胞,建立分化的巨噬细胞模型,分别以100 U/mL IFN-γ和100 ng/mL巨噬细胞集落刺激因子(M-CSF)刺激分化的THP-1细胞,获得M1型和M2型巨噬细胞... 目的研究吲哚胺加双氧酶(IDO)对巨噬细胞表型转化的影响。方法以10 ng/mL佛波酯诱导THP-1人单核细胞,建立分化的巨噬细胞模型,分别以100 U/mL IFN-γ和100 ng/mL巨噬细胞集落刺激因子(M-CSF)刺激分化的THP-1细胞,获得M1型和M2型巨噬细胞,利用实时定量PCR(qRT-PCR)、流式细胞术和Western blot法检测巨噬细胞HLA-DR、CC型趋化因子受体7(CCR7)、IL-12p35、IL-10、CXCR4和IDO的表达变化。采用细胞转染实验对分化的THP-1细胞进行IDO的过表达和针对IDO基因的siRNA干扰实验,检测其IL-12p35、CCR7、IL-10和CXCR4的表达变化。结果 IFN-γ可诱导THP-1细胞向M1型发生转化并上调IDO的表达。而在巨噬细胞内过表达IDO促进THP-1向M2型极化,沉默细胞内的IDO基因则导致THP-1细胞极化为M1型。结论 IDO表达可调控巨噬细胞极化。 展开更多
关键词 吲哚胺加双氧酶 巨噬细胞表型转化 IFN-Γ 免疫耐受
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吲哚胺2,3二氧化酶在造血干细胞移植的研究进展
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作者 叶启翔 方建培 《中华妇幼临床医学杂志(电子版)》 CAS 2011年第4期296-299,共4页
吲哚胺2,3二氧化酶(indoleamine2,3-dioxygenase,IDO)通过诱导色氨酸分解,调节树突状细胞(dendritic cells,DCs)及T细胞等途径实现造血干细胞移植(hematopoietic stemcell transplantation,HSCT)后诱导T细胞免疫耐受,防止移植物抗宿主病... 吲哚胺2,3二氧化酶(indoleamine2,3-dioxygenase,IDO)通过诱导色氨酸分解,调节树突状细胞(dendritic cells,DCs)及T细胞等途径实现造血干细胞移植(hematopoietic stemcell transplantation,HSCT)后诱导T细胞免疫耐受,防止移植物抗宿主病(graft versus host disease,GVHD)的发生及提高移植物存活率。调控吲哚胺2,3二氧化酶已成为提高造血干细胞移植成功率的治疗靶点。 展开更多
关键词 吲哚胺2 3二氧化酶 造血干细胞移植 免疫耐受 移植物抗宿主病
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Ameliorative effects of human adipose tissue-derived mesenchymal stem cells on myelin basic protein-induced experimental autoimmune encephalomyelitis in Lewis rats
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作者 Myung-Soon Ko Hyeong-geun Park +3 位作者 Young-Min Yun Jeong Chan Ra Taekyun Shin Kyoung-Kap Lee 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第16期1205-1210,共6页
Mesenchymal stem cells have been previously shown to exert an immunomodulatory function. The present study sought to investigate the effects of multipotential human adipose tissue-derived mesenchymal stem cells (hAdM... Mesenchymal stem cells have been previously shown to exert an immunomodulatory function. The present study sought to investigate the effects of multipotential human adipose tissue-derived mesenchymal stem cells (hAdMSCs) on disease progression and cytokine expression in Lewis rats with experimental autoimmune encephalomyelitis (EAE) induced by myelin basic protein. The duration of EAE paralysis in the group treated on day 7 posfimmunization with 5 × 10^6 hAdMSCs was significantly reduced compared with the vehicle-treated controls and the 1 x 106 hAdMSC- treated group. The duration of EAE paralysis in the groups treated with 5 × 10^6 hAdMSCs on both day 1 and day 7 postimmunization was significantly reduced compared with the vehicle-treated controls and the groups treated with 5 × 10^6 hAdMSCs on both day 7 and day 10 postimmunization. The mRNA expression of interleukin-10 and indoleamine 2, 3-dioxygenase was significantly decreased in the hAdMSC-treated group compared with the vehicle-treated group. These findings suggest that the ameliorative effects of hAdMSCs on EAE symptoms operate in a dose- and time-dependent manner and can be mediated in part by the ample production of anti-inflammatory cytokines. 展开更多
关键词 experimental autoimmune encephalomyelitis human adipose tissue mesenchymal stem cells intedeukin-10 INTERFERON-GAMMA indoleamine 2 3-dioxygenase neural regeneration
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A prodrug nanoplatform via esterification of STING agonist and IDO inhibitor for synergistic cancer immunotherapy
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作者 Madiha Zahra Syeda Tu Hong +4 位作者 Min Zhang Yanfei Han Xiaoling Zhu Songmin Ying Longguang Tang 《Nano Research》 SCIE EI CSCD 2022年第10期9215-9222,共8页
Cancer immunotherapy has made significant progress in the last few decades,revolutionizing oncology.However,low patient response rates and potential immune-related adverse events continue to be major clinical challeng... Cancer immunotherapy has made significant progress in the last few decades,revolutionizing oncology.However,low patient response rates and potential immune-related adverse events continue to be major clinical challenges.Cancer nanomedicine,by virtue of its regulated delivery and modular flexibility,has shown the potential to strengthen antitumor immune responses and sensitize tumors to immunotherapy.In this study,we developed tumor microenvironment(TME)responsive nanomedicine to achieve specific and localized amplification of the immune response in tumor tissue in a safe and effective manner,while simultaneously reducing immune-related side effects.We synthesized the TME responsive prodrug by coupling MSA-2,a stimulator of interferon genes(STING)agonist,and NLG-919,an indoleamine 2,3 dioxygenase(IDO)inhibitor.The prodrug was assembled into nanoparticles to enhance the solubility and bioavailability.By synthesizing a TME responsive prodrug,we aim to explore the therapeutic efficacy of combined regimen(STING agonist and IDO inhibitor)for cancer,and reduce the unwanted side effects of STING agonism on normal tissues.Free prodrug and nanoparticles were characterized by mass spectrometry,dynamic light scattering(DLS),and transmission electron microscopy(TEM).Following that,we investigated the tumor accumulation,anti-tumor activity,and toxicity in vitro and in vivo.Prodrug nanoparticles demonstrated the ability to inhibit the tumor growth and activate antitumor immune response by modulating immune cells populations in tumor microenvironment.The TME responsive nanomedicine provided an effective tool for precise targeting,promoting antitumor immunity,and efficient tumor growth inhibition with safety.Outcomes of this study may have implications for future clinical trials. 展开更多
关键词 PRODRUG esterase-responsive immunotherapy stimulator of interferon genes(STING) indoleamine 2 3 dioxygenase(ido)
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紫癜灵对慢性免疫性血小板减少症患者Trp代谢的影响 被引量:2
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作者 高云龙 卓兰云 +4 位作者 陈瑶 陈秋杰 马艳 黄宪章 吴新忠 《新中医》 CAS 2018年第4期162-165,共4页
目的:观察紫癜灵对慢性免疫性血小板减少症(ITP)阴虚血热证患者吲哚胺2,3-双加氧酶(IDO)/色氨酰-t RNA合成酶(TTS)介导的色氨酸(Trp)代谢途径的影响。方法:选取健康志愿者(正常对照组)与慢性ITP阴虚血热证患者(患者组)各20例。正常对照... 目的:观察紫癜灵对慢性免疫性血小板减少症(ITP)阴虚血热证患者吲哚胺2,3-双加氧酶(IDO)/色氨酰-t RNA合成酶(TTS)介导的色氨酸(Trp)代谢途径的影响。方法:选取健康志愿者(正常对照组)与慢性ITP阴虚血热证患者(患者组)各20例。正常对照组不做任何处理,慢性ITP阴虚血热证患者采用紫癜灵治疗。治疗前后分别采集患者的肝素抗凝血标本,检测CD4+及CD8+T淋巴细胞中IDO、TTS表达及血浆Trp、Kyn浓度。结果:完全反应10例,有效7例,无效3例,有效率85.0%。患者组治疗前CD4+、CD8+T淋巴细胞IDO的平均荧光强度低于正常对照组(P<0.05),TTS的平均荧光强度高于正常对照组(P<0.05)。治疗后,患者组CD4+、CD8+T淋巴细胞中IDO的平均荧光强度较治疗前上升(P<0.05),TTS的平均荧光强度较治疗前下降(P<0.05)。患者组治疗前血浆Trp及Kyn浓度均高于正常对照组,差异均有统计学意义(P<0.05)。治疗后,患者组Trp浓度较治疗前降低,差异有统计学意义(P<0.05);Kyn浓度较治疗前升高,差异有统计学意义(P<0.05)。结论:紫癜灵可能通过影响慢性ITP阴虚血热证患者体内IDO/TTS介导的Trp代谢途径发挥其治疗作用。 展开更多
关键词 免疫性血小板减少症(ITP) 阴虚血热证 紫癜灵 吲哚胺2 3-双加氧酶(ido) 色氨酰-tRNA合成酶(TTS) 色氨酸(Trp) 犬尿氨酸(Kyn)
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