Objectives Tumor necrosis factor-α （TNF-α） may play an important role in host＇s immune response to mycobacterium tuberculosis （M. tuberculosis） infection. This study was to investigate the association of TNF-α...Objectives Tumor necrosis factor-α （TNF-α） may play an important role in host＇s immune response to mycobacterium tuberculosis （M. tuberculosis） infection. This study was to investigate the association of TNF-α gene polymorphism with pulmonary tuberculosis （TB） among patients with coal worker＇s pneumoconiosis （CWP）. Methods A case-control study was conducted in 113 patients with confirmed CWP complicated with pulmonary TB and 113 non-TB controls with CWP. They were matched in gender, age, job, and stage of pneumoconiosis. All participants were interviewed with questionnaires and their blood specimens were collected for genetic determination with informed consent. The TNF-α gene polymorphism was determined with polymerase chain reaction of restriction fragment length polymorphism （PCR-RFLP）. Frequency of genotypes was assessed for Hardy-Weinberg equilibrium by chi-square test or Fisher＇s exact probability. Factors influencing the association of individual susceptibility with pulmonary TB were evaluated with logistic regression analysis. Gene-environment interaction was evaluated by a multiplieative model with combined OR. All data were analyzed using SAS version 8.2 software. Results No significant difference in frequency of the TNF-α-308 genotype was found between CWP complicated with pulmonary TB and non-TB controls （2,2=5.44, P=-0.07）. But difference in frequency of the TNF-α-308 A allele was identified between them （2,2-5.14, P=0.02）. No significant difference in frequencies of the TNF-α-238 genotype and allele （P=0.23 and P=0.09, respectively） was found between cases and controls either, with combined （GG and AA） OR of 3.96 （95% confidence interval of 1.30-12.09） at the -308 locus of the TNF-α gene, as compared to combination of the TNF-α-238 GG and TNF-α-308 GG genotypes. Multivariate-adjusted odds ratio of the TNF-α-238 GG and TNF-α-308 GA genotypes was 1.98 （95% CI of 1.06-3.71） for risk for pulmonary TB in patients with CWP. There was a synergic interaction between the TNF-a-308 GG genotype and body mass index （OR=4.92）, as well as an interaction between the TNF-α-308 GG genotype and history of BCG immunization or history of TB exposure. And, the interaction of the TNF-α-238 GG genotype and history of BCG immunization or TB exposure with risk for pulmonary TB in them was also indicated. Conclusions TNF-α-308 A allele is associated with an elevated risk for pulmonary TB, whereas TNF-α-238 A allele was otherwise.展开更多
本文综合报道了^(238)Puα粒子体外照射所致肺巨噬细胞(AM)及类巨噬细胞系 P388D_1细胞免疫功能的改变以及对肺成纤维细胞恶性转化的剂量效应关系的实验研究结果。从卡介苗(BCG)激活的大鼠肺中灌洗出的肺巨噬细胞,在体外经^(60)Co γ射...本文综合报道了^(238)Puα粒子体外照射所致肺巨噬细胞(AM)及类巨噬细胞系 P388D_1细胞免疫功能的改变以及对肺成纤维细胞恶性转化的剂量效应关系的实验研究结果。从卡介苗(BCG)激活的大鼠肺中灌洗出的肺巨噬细胞,在体外经^(60)Co γ射线照射后,对 Hela 细胞和人肺腺癌细胞的细胞毒效应降低,降低程度与剂量(100—500Gy)呈依赖关系,同时还看到 AM细胞膜完整性的损伤。以类巨噬细胞系 P388D_1细胞作为 AM 的模拟细胞,在体外经^(238)Puα粒子照射(0.3—6.0Gy)后,观察到 EA 花环形成率、特异吞噬功能在受到0.3Gy剂量照射后受抑制,且抑制程度与剂量有依赖关系,细胞膜也受到损伤。在培养体系中加入膜保护剂——硒后,上述两类细胞的免疫功能抑制程度减轻,提示膜的完整性在巨噬细胞的免疫功能表达中起重要作用。文中还对AM 在辐射诱发肺癌中的作用进行了讨论。用^(238)Puα粒子和 X 射线分别照射成年大鼠肺成纤维细胞系(WAL-F_1),其剂量分别为0.01—1.5Gy 和0.5—5.0Gy,进行形态转化、ConA 凝集试验、染色体畸变、半固体琼脂培养集落形成以及转化细胞移植后的致癌性等方面的实验观察。结果证实 X 射线和α粒子均可诱发 WAL-F_1细胞恶性转化,以 X 射线为参比.^(238)Puα粒子的 RBE 约为6。展开更多
基金supported by grants from China National Programs for Science and Technology Development (Grant No. 2003BA712A11-24)Scientific Research Fund of North China Coal Medical College (Grant No. 2005-14)
文摘Objectives Tumor necrosis factor-α （TNF-α） may play an important role in host＇s immune response to mycobacterium tuberculosis （M. tuberculosis） infection. This study was to investigate the association of TNF-α gene polymorphism with pulmonary tuberculosis （TB） among patients with coal worker＇s pneumoconiosis （CWP）. Methods A case-control study was conducted in 113 patients with confirmed CWP complicated with pulmonary TB and 113 non-TB controls with CWP. They were matched in gender, age, job, and stage of pneumoconiosis. All participants were interviewed with questionnaires and their blood specimens were collected for genetic determination with informed consent. The TNF-α gene polymorphism was determined with polymerase chain reaction of restriction fragment length polymorphism （PCR-RFLP）. Frequency of genotypes was assessed for Hardy-Weinberg equilibrium by chi-square test or Fisher＇s exact probability. Factors influencing the association of individual susceptibility with pulmonary TB were evaluated with logistic regression analysis. Gene-environment interaction was evaluated by a multiplieative model with combined OR. All data were analyzed using SAS version 8.2 software. Results No significant difference in frequency of the TNF-α-308 genotype was found between CWP complicated with pulmonary TB and non-TB controls （2,2=5.44, P=-0.07）. But difference in frequency of the TNF-α-308 A allele was identified between them （2,2-5.14, P=0.02）. No significant difference in frequencies of the TNF-α-238 genotype and allele （P=0.23 and P=0.09, respectively） was found between cases and controls either, with combined （GG and AA） OR of 3.96 （95% confidence interval of 1.30-12.09） at the -308 locus of the TNF-α gene, as compared to combination of the TNF-α-238 GG and TNF-α-308 GG genotypes. Multivariate-adjusted odds ratio of the TNF-α-238 GG and TNF-α-308 GA genotypes was 1.98 （95% CI of 1.06-3.71） for risk for pulmonary TB in patients with CWP. There was a synergic interaction between the TNF-a-308 GG genotype and body mass index （OR=4.92）, as well as an interaction between the TNF-α-308 GG genotype and history of BCG immunization or history of TB exposure. And, the interaction of the TNF-α-238 GG genotype and history of BCG immunization or TB exposure with risk for pulmonary TB in them was also indicated. Conclusions TNF-α-308 A allele is associated with an elevated risk for pulmonary TB, whereas TNF-α-238 A allele was otherwise.
文摘本文综合报道了^(238)Puα粒子体外照射所致肺巨噬细胞(AM)及类巨噬细胞系 P388D_1细胞免疫功能的改变以及对肺成纤维细胞恶性转化的剂量效应关系的实验研究结果。从卡介苗(BCG)激活的大鼠肺中灌洗出的肺巨噬细胞,在体外经^(60)Co γ射线照射后,对 Hela 细胞和人肺腺癌细胞的细胞毒效应降低,降低程度与剂量(100—500Gy)呈依赖关系,同时还看到 AM细胞膜完整性的损伤。以类巨噬细胞系 P388D_1细胞作为 AM 的模拟细胞,在体外经^(238)Puα粒子照射(0.3—6.0Gy)后,观察到 EA 花环形成率、特异吞噬功能在受到0.3Gy剂量照射后受抑制,且抑制程度与剂量有依赖关系,细胞膜也受到损伤。在培养体系中加入膜保护剂——硒后,上述两类细胞的免疫功能抑制程度减轻,提示膜的完整性在巨噬细胞的免疫功能表达中起重要作用。文中还对AM 在辐射诱发肺癌中的作用进行了讨论。用^(238)Puα粒子和 X 射线分别照射成年大鼠肺成纤维细胞系(WAL-F_1),其剂量分别为0.01—1.5Gy 和0.5—5.0Gy,进行形态转化、ConA 凝集试验、染色体畸变、半固体琼脂培养集落形成以及转化细胞移植后的致癌性等方面的实验观察。结果证实 X 射线和α粒子均可诱发 WAL-F_1细胞恶性转化,以 X 射线为参比.^(238)Puα粒子的 RBE 约为6。
