TSLP、L-33及其受体在慢性鼻-鼻窦炎伴真菌感染患者上皮细胞的表达及意义

Expressions of TSLP, L-33 and their receptors in epithelial cells of chronic rhinosinusitis patients complicated with fungal infection and their significance

  • 摘要: 目的 探讨胸腺基质淋巴细胞生成素(TSLP)、白细胞介素-33(IL-33)及其受体在慢性鼻-鼻窦炎(CRS)伴真菌感染患者上皮细胞的表达及意义。方法 选择2019年6月-2020年6月甘肃省庆阳市人民医院收治的126例CRS患者为研究对象,分为真菌性鼻-鼻窦炎(FRS)组60例和CRS组63例,确诊后24 h内采集患者鼻黏膜上皮细胞,通过RNA提取和反转录得到cDNA,实时荧光定量PCR(qRT-RCR)对TSLP,IL-33及其受体进行表达量检测,比较两组TSLP、IL-33及其受体表达量。结果 FRS组TSLP、胸腺基质淋巴细胞生成素受体(TSLPR)和白细胞介素-7受体α链(IL-7Rα)表达量均高于CRS组(P<0.05);FRS组IL-33、跨膜型生长刺激表达蛋白(ST2L)、可溶性生长刺激表达蛋白(sST2)表达量均高于CRS组(P<0.05)。结论 FRS患者TSLP、IL-33及其受体表达量高于CRS患者,降低TSLP、IL-33及其受体表达量可以控制感染,利于对临床治疗FRS进行指导。

     

    Abstract: OBJECTIVE To explore the expressions of thymic stromal lymphopoietin(TSLP), interleukin-33(IL-33) and their receptors in epithelial cells of chronic rhinosinusitis(CRS) patients complicated with fungal infection and analyze the significance. METHODS A total of 126 patients with CRS who were treated in Qingyang People's Hospital of Gansu Province from Jun 2019 to Jun 2020 were recruited as the study subjects and divided into the fungal rhinosinusitis(FRS) group with 60 cases and the CRS group with 63 cases. The epithelial cells were collected from nasal mucosa of the patients within 24 hours after confirmed diagnosis, cDNA was acquired by RNA extraction and reverse transcription, the expression levels of TSLP, IL-33 and their receptors were detected by real-time fluorescent quantitative PCR, and the expression levels of TSLP, IL-33 and their receptors were compared between the two groups. RESULTS The expression levels of TSLP, thymic stromal lymphopoietin receptor(TSLPR) and interleukin-7 receptor alpha chain(IL-7Rα) of the FRS group were higher than those of the CRS group(P<0.05). The expression levels of IL-33, transmembrane growth-stimulating protein(ST2L), soluble growth-stimulating protein(sST2) of the FRS group were higher than those of the CRS group(P<0.05). CONCLUSION The expression levels of TSLP,IL-33 and their receptors of the FRS patients were higher than those of the CRS patients. The infection can be controlled by reducing the expression levels of TSLP, IL-33 and their receptors, which may provide guidance for clinical treatment of FRS.

     

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