复发性外阴阴道假丝酵母病miR-1192与Th17细胞因子水平及临床意义

miR-1192 and Th17 cytokines of patients with recurrent vulvovaginal candidiasis and clinical significance

  • 摘要: 目的 探讨复发性外阴阴道假丝酵母病(RVVC)患者外周血miR-1192表达水平与辅助型T细胞17(Th17)细胞因子白细胞介素(IL)-17、IL-23水平的关系及其临床意义。方法 选择2017年12月-2020年12月儋州市人民医院妇产科门诊接受治疗RVVC患者100例为研究对象,纳入RVVC组,按照2∶1∶1比例纳入同期妇产科接受治疗外阴阴道假丝酵母阴道炎(VVC)患者和健康体检女性各50例(名),分别作为VVC组和对照组。采用实时荧光定量聚合酶链式反应(RT-PCR)检测miR-1192在外周血中相对表达量;采用酶联免疫吸附法检测血清IL-17、IL-23水平。结果 三组miR-1192、IL-17、IL-23整体水平比较差异具有统计学意义(P<0.05);RVVC组miR-1192、IL-17、IL-23水平高于VVC组和对照组,VVC组miR-1192、IL-17、IL-23水平高于对照组,差异具有统计学意义(P<0.05)。RVVC组患者中,重度组miR-1192、IL-17、IL-23水平高于非重度组(P<0.05),治疗后两组miR-1192、IL-17、IL-23水平均较治疗前降低,差异具有统计学意义(P<0.05);复发组复查时miR-1192、IL-17、IL-23水平高于非复发组(P<0.05)。结论 RVVC个体水平miR-1192表达水平显著增加,且与Th17细胞炎症因子相关,可能是导致VVC病情加重和复发的机制之一。

     

    Abstract: OBJECTIVE To explore the correlation between the peripheral blood miR-1192 level and the levels of help T cell 17(Th17) cytokines interleukin-17(IL-17) and interleukin-23(IL-23) of the patients with recurrent vulvovaginal candidiasis(RVVC). METHODS A total of 100 RVVC patients who were treated in the department of obstetrics and gynecology of Danzhou People’s Hospital from Dec 2017 to Dec 2020 were recruited as the study objects and assigned as the RVVC group, meanwhile, 50 patients with vulvovaginal Candida vaginitis(VVC) who were treated in the department of obstetrics and gynecology and 50 women who received physical examination were enrolled in the study in a 2∶1∶1 ratio and were respectively assigned as the VVC group and the control group. The relative expression of miR-1192 in peripheral blood was detected by using fluorescence quantitative polymerase chain reaction(RT-PCR), and the levels of serum IL-17 and IL-23 were detected by means of enzyme-linked immunosorbent assay. RESULTS There were significant differences in the overall levels of miR-1192, IL-17 and IL-23 among the three groups(P<0.05). The levels of miR-1192, IL-17 and IL-23 of the RVVC group were significantly higher than those of the VVC group and the control group, the levels of miR-1192, IL-17 and IL-23 of the VVC group were significantly higher than those of the control group(P<0.05). Among the patients of the RVVC group, the levels of miR-1192, IL-17 and IL-23 of the severe group were significantly higher than those of the non-severe group(P<0.05), the levels of miR-1192, IL-17 and IL-23 of the two groups were significantly lower after the treatment than before the treatment(P<0.05). The levels of miR-1192, IL-17 and IL-23 of the recurrence group significantly were higher than those of the non-recurrence group at the time of reexamination(P<0.05). CONCLUSION The RVVC patients show significantly increase of expression levels of miR-1192, which is associated with the Th17 cells inflammatory factors and may be one of the mechanisms leading to the aggravation and recurrence of VVC.

     

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