生殖道感染病原体分布及其细胞因子水平

Distribution of pathogens isolated from patients with genital tract infection and levels of cytokines

  • 摘要: 目的 探讨不同类型生殖道病原体感染对炎症因子表达水平的影响。方法 选取2019年10月-2020年10月在内蒙古医科大学附属医院就诊的180例生殖道感染患者为研究对象,其中男性63例,女性117例。收集宫颈分泌物样本或前列腺液样本,核酸检测生殖道病原体类型,收集血液样本,酶联免疫法检测外周血分泌性免疫球蛋白A(SIgA)和肿瘤坏死因子α(TNF-α)、超敏C-反应蛋白(hs-CRP)、白细胞介素-6(IL-6)、干扰素γ(IFN-γ)等炎症因子水平。结果 男性、女性患者感染病原体类型比较差异无统计学意义,均以解脲脲原体(UU)感染占比最高,分别占74.60%和74.36%。淋球菌(NG)感染患者WBC水平最高,沙眼衣原体(CT)感染患者淋巴细胞(LYM)水平最高。男性NG感染患者SIgA表达水平最高,女性UU感染患者SIgA表达水平最高。男性不同病原体感染患者IL-6、hs-CRP、IFN-γ表达水平比较差异有统计学意义(P<0.05),UU感染患者IL-6、hs-CRP、IFN-γ表达水平最高;女性不同病原体感染患者hs-CRP、IFN-γ表达水平比较差异有统计学意义(P<0.05),UU感染者hs-CRP、IFN-γ表达水平最高。结论 不同类型生殖道病原体感染患者SIgA、IL-6、hs-CRP、IFN-γ表达水平不同,掌握上述指标水平变化与病原体之间的关系,有助于全面评估病情程度,并阻断疾病进一步发展。

     

    Abstract: OBJECTIVE To explore the influence of types of reproductive tract pathogen infection on expression levels of inflammatory factors. METHODS A total of 180 patients with genital tract infection who were treated in the Affiliated Hospital of Inner Mongolia Medical University from Oct 2019 to Oct 2020 were recruited as the study objects, including 63 male patients and 117 female patients. Cervical secretions specimens and prostatic fluid specimens were collected, the species of genital tract pathogens were detected by nucleic acid testing, blood specimens were collected, and the expression levels of inflammatory factors such as secreted immunoglobulin A(SIgA), tumor necrosis factor alpha(TNF-α), high-sensitivity C-reactive protein(hs-CRP), interleukin-6(IL-6) and interferon gamma(IFN-γ) in peripheral blood were detected by using enzyme-linked immunosorbent assay. RESULTS There was no significant difference in the species of pathogens between the male patients and the female patients; the male patients with Ureaplasma urealyticum(UU) infection accounted for 74.60%, the female patients with Uu infection 74.36%. The WBC level of the patients with Neisseria gonorrhoeae(NG) infection was the highest, and the lymphocyte(LYM) level of the patients with Chlamydia trachomatis(CT) infection was the highest. The expression level of SIgA of the male patients with NG infection was the highest, and the expression level of SIgA of the female patients with Uu infection was the highest. There are significant differences in the expression levels of IL-6, hs-CRP and IFN-γ among the male patients with the infections of different species of pathogens(P<0.05), the expression levels of IL-6, hs-CRP and IFN-γ of the patients with Uu infection were the highest. There were significant differences in the expression levels of hs-CRP and IFN-γ among the female patients with the infections of different species of pathogens(P<0.05), and the expression levels of hs-CRP and IFN-γ of the patients with Uu infection were the highest. CONCLUSION The patients with reproductive tract infections of different species of pathogens vary in the expression levels of SIgA, IL-6, hs-CRP and IFN-γ. The understanding of the relationship between the changes of the indexes and the species of pathogens may facilitate the comprehensive assessment of illness condition and prevent further progression of disease.

     

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