糖尿病足感染患者血清miRNA表达与创面修复因子及免疫功能的关系

Relationship between serum miRNA profile expression changes, wound repair factors and immune function in patients with type 2 diabetes mellitus and diabetic foot infection

  • 摘要: 目的 探讨2型糖尿病伴糖尿病足感染患者血清微小RNA(miRNA)表达与创面修复因子及免疫功能的关系。方法 选择2020年1月-2020年12月吉林大学第一医院内分泌科收治的2型糖尿病伴糖尿病足感染患者80例为研究组,选择同期医院内分泌科进行治疗的2型糖尿病未伴任何感染患者60例为对照组。采用Trizol法提取血清RNA后采用实时荧光定量聚合酶链式反应(RT-PCR)检测miR-21、miR-132和miR-155水平;采用酶联免疫吸附法检测创面分泌物中血小板衍生生长因子BB(PDGF-BB)和碱性成纤维细胞生长因子(bFGF)水平,采用流式细胞术检测外周血CD4+、CD8+、自然杀伤细胞(NK)以及单核细胞水平。结果 研究组PDGF-BB、bFGF水平高于对照组,CD4+/CD8+、NK和单核细胞水平低于对照组(P<0.05);Wanger分级3~4级患者miR-21、miR-132相对表达水平低于Wanger分级1~2级患者,miR-155相对表达水平高于Wanger分级1~2级患者(P<0.05);Wanger分级3~4级患者PDGF-BB、bFGF水平高于Wanger分级1~2级患者,CD4+/CD8+、NK和单核细胞水平低于Wanger分级1~2级患者(P<0.05)。结论 miR-21、miR-132和miR-155与2型糖尿病合并糖尿病足感染患者病情分级及创面修复因子、细胞免疫水平有一定的相关性,可作为临床判断依据,其靶向治疗价值有待后续研究。

     

    Abstract: OBJECTIVE To investigate the relationship between serum miRNA profile expression, wound repair factors and immune function in type 2 diabetes patients with diabetic foot infection.METHODS 80 type 2 diabetes patients with diabetic foot infection admitted to the Department of Endocrinology in First Hospital of Jilin University from Jan. 2020 to Dec. 2020 were selected as the study group, and 60 type 2 diabetes patients without any infection treated in the Department of Endocrinology of the hospital during the same period were selected as control group. After extracting serum RNA by Trizol method, real-time quantitive polymerase chain reaction(RT-PCR) was used to detect the levels of miR-21, miR-132 and miR-155; enzyme-linked immunosorbent assay was used to detect the levels of platelet-derived growth factor BB(PDGF-BB) and basic fibroblast growth factor(bFGF) in wound secretions, and flow cytometry was used to detect peripheral blood CD4+, CD8+, NK and monocyte levels.RESULTS The levels of PDGF-BB and bFGF in the study group were significantly higher than those in the control group, while the levels of CD4+/CD8+, NK and monocytes were significantly lower than those in the control group(P<0.05). The relative expression of miR-21 and miR-132 in Wanger grade 3-4 patients were significantly lower than those in Wanger grade 1 to 2 patients, the relative expression of miR-155 was significantly higher than Wanger grade 1 to 2 patients(P<0.05). The PDGF-BB and bFGF levels of Wanger 3-4 patients were significantly higher than those of Wanger 1-2 patients, but the CD4+/CD8+, NK and monocyte levels were significantly lower than those of Wanger grade 1-2 patients(P<0.05).CONCLUSION The miR-21, miR-132 and miR-155 had certain correlation with the disease grading, wound repair factors and cellular immune levels of type 2 diabetes patients with diabetic foot infection, which could be used as a basis for clinical judgment. The value of their targeted therapy needs follow up research.

     

/

返回文章
返回